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阿尔茨海默病与白藜芦醇的研究进展。

Research Progress on Alzheimer's Disease and Resveratrol.

机构信息

The Department of Epidemiology and Health Statistics, Public Health School of Guangdong Medical University, Dongguan, 523808, Guangdong, China.

出版信息

Neurochem Res. 2020 May;45(5):989-1006. doi: 10.1007/s11064-020-03007-0. Epub 2020 Mar 11.

Abstract

Alzheimer's disease (AD), a common irreversible neurodegenerative disease characterized by amyloid-β plaques, neurofibrillary tangles, and changes in tau phosphorylation, is accompanied by memory loss and symptoms of cognitive dysfunction. Increases in disease incidence due to the ageing of the population have placed a great burden on society. To date, the mechanism of AD and the identities of adequate drugs for AD prevention and treatment have eluded the medical community. It has been confirmed that phytochemicals have certain neuroprotective effects against AD. For example, some progress has been made in research on the use of resveratrol, a natural polyphenolic phytochemical, for the prevention and treatment of AD in recent years. Elucidation of the pathogenesis of AD will create a solid foundation for drug treatment. In addition, research on resveratrol, including its mechanism of action, the roles of signalling pathways and its therapeutic targets, will provide new ideas for AD treatment, which is of great significance. In this review, we discuss the possible relationships between AD and the following factors: synapses, α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA)-type glutamate receptors (AMPARs), silent information regulator 1 (SIRT1), and estrogens. We also discuss the findings of previous studies regarding these relationships in the context of AD treatment and further summarize research progress related to resveratrol treatment.

摘要

阿尔茨海默病(AD)是一种常见的不可逆神经退行性疾病,其特征为淀粉样β斑块、神经纤维缠结和 tau 磷酸化改变,伴有记忆丧失和认知功能障碍的症状。由于人口老龄化,疾病发病率的增加给社会带来了巨大的负担。迄今为止,AD 的发病机制以及用于 AD 预防和治疗的充分药物的身份仍未被医学界所了解。已证实植物化学物质对 AD 具有一定的神经保护作用。例如,近年来,在使用白藜芦醇(一种天然多酚植物化学物质)预防和治疗 AD 方面已经取得了一些进展。阐明 AD 的发病机制将为药物治疗创造坚实的基础。此外,对包括作用机制、信号通路作用及治疗靶点在内的白藜芦醇的研究将为 AD 治疗提供新的思路,具有重要意义。在这篇综述中,我们讨论了 AD 与以下因素之间的可能关系:突触、α-氨基-3-羟基-5-甲基-4-异恶唑丙酸(AMPA)型谷氨酸受体(AMPAR)、沉默信息调节因子 1(SIRT1)和雌激素。我们还讨论了之前关于这些关系在 AD 治疗中的研究结果,并进一步总结了与白藜芦醇治疗相关的研究进展。

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