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抗高血压药物在阿尔茨海默病治疗中的再利用。

Repurposing Antihypertensive Drugs for the Management of Alzheimer's Disease.

机构信息

School of Science, Monash University Malaysia Campus, Jalan Lagoon Selatan, Bandar Sunway, 47500, Selangor, Malaysia.

出版信息

Curr Med Chem. 2021;28(9):1716-1730. doi: 10.2174/0929867327666200312114223.

DOI:10.2174/0929867327666200312114223
PMID:32164502
Abstract

Alzheimer's disease (AD) is a neurodegenerative disorder that has affected millions of people worldwide. However, currently, there is no treatment to cure the disease. The AD drugs available in the market only manage the disease symptomatically and the effects are usually short-term. Thus, there is a need to look at alternatives AD therapies. This literature review aims to shed some light on the potential of repurposing antihypertensives to treat AD. Mid-life hypertension has not only been recognised as a risk factor for AD, but its relation with AD has also been well established. Hence, antihypertensives were postulated to be beneficial in managing AD. Four classes of antihypertensives, as well as their potential limitations and prospects in being utilised as AD therapeutics, were discussed in this review.

摘要

阿尔茨海默病(AD)是一种神经退行性疾病,已经影响了全球数百万人。然而,目前尚无治愈该病的方法。市场上现有的 AD 药物只能对症治疗疾病,且效果通常是短期的。因此,需要寻找其他 AD 治疗方法。本文献综述旨在探讨将抗高血压药重新用于治疗 AD 的潜力。中年高血压不仅被认为是 AD 的一个危险因素,而且其与 AD 的关系也已得到充分证实。因此,人们推测抗高血压药对 AD 的治疗有益。本综述讨论了四类抗高血压药及其作为 AD 治疗药物的潜在局限性和前景。

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Repurposing Antihypertensive Drugs for the Management of Alzheimer's Disease.抗高血压药物在阿尔茨海默病治疗中的再利用。
Curr Med Chem. 2021;28(9):1716-1730. doi: 10.2174/0929867327666200312114223.
2
Repurposing antihypertensive drugs for the prevention of Alzheimer's disease: a Mendelian randomization study.将降压药物重新用于预防阿尔茨海默病:一项孟德尔随机化研究。
Int J Epidemiol. 2020 Aug 1;49(4):1132-1140. doi: 10.1093/ije/dyz155.
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Repurposed Drugs as Potential Therapeutic Candidates for the Management of Alzheimer's Disease.重新利用的药物作为治疗阿尔茨海默病的潜在候选疗法
Curr Drug Metab. 2017;18(9):842-852. doi: 10.2174/1389200218666170607101622.
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Medical genetics-based drug repurposing for Alzheimer's disease.基于医学遗传学的阿尔茨海默病药物再利用
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Hypertension & dementia: Pathophysiology & potential utility of antihypertensives in reducing disease burden.高血压与痴呆:降压药在降低疾病负担方面的病理生理学和潜在效用。
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Antihypertensive drug prescription trends at the primary health care centres in Bahrain.巴林初级卫生保健中心的抗高血压药物处方趋势
Pharmacoepidemiol Drug Saf. 2001 May;10(3):219-27. doi: 10.1002/pds.578.
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Discovering new treatments for Alzheimer's disease by repurposing approved medications.通过重新利用已批准的药物发现治疗阿尔茨海默病的新方法。
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Antihypertensives, angiotensin, glucose and Alzheimer's disease.抗高血压药、血管紧张素、葡萄糖与阿尔茨海默病。
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Prevention of dementia by antihypertensive drugs: how AT1-receptor-blockers and dihydropyridines better prevent dementia in hypertensive patients than thiazides and ACE-inhibitors.抗高血压药物预防痴呆:与噻嗪类药物和血管紧张素转换酶抑制剂相比,血管紧张素Ⅱ1型受体阻滞剂和二氢吡啶类药物如何更好地预防高血压患者的痴呆。
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Current status of renin-aldosterone angiotensin system-targeting anti-hypertensive drugs as therapeutic options for Alzheimer's disease.肾素-血管紧张素-醛固酮系统靶向降压药治疗阿尔茨海默病的现状。
Expert Opin Investig Drugs. 2013 Oct;22(10):1229-42. doi: 10.1517/13543784.2013.812631. Epub 2013 Jun 26.

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Frontiers and hotspot evolution in research on Alzheimer's disease and hypertension: a bibliometric analysis from 2004 to 2023.阿尔茨海默病与高血压研究的前沿与热点演变:2004年至2023年的文献计量分析
Front Neurol. 2025 Apr 28;16:1514054. doi: 10.3389/fneur.2025.1514054. eCollection 2025.
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Proteinopathy: Shared Feature Between the Heart and Brain in Alzheimer's Disease.
蛋白病:阿尔茨海默病中心脏与大脑的共同特征
J Cardiovasc Pharmacol. 2024 Jan 1;83(1):4-7. doi: 10.1097/FJC.0000000000001501.
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Association study between drug prescriptions and Alzheimer's disease claims in a commercial insurance database.药物处方与商业保险数据库中阿尔茨海默病索赔之间的关联性研究。
Alzheimers Res Ther. 2023 Jun 24;15(1):118. doi: 10.1186/s13195-023-01255-0.
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Fenoterol and dobutamine as SARS-CoV-2 main protease inhibitors: A virtual screening study.非诺特罗和多巴酚丁胺作为严重急性呼吸综合征冠状病毒2主要蛋白酶抑制剂:一项虚拟筛选研究。
J Mol Struct. 2021 Mar 15;1228:129449. doi: 10.1016/j.molstruc.2020.129449. Epub 2020 Oct 13.
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Cerebral blood flow decrease as an early pathological mechanism in Alzheimer's disease.大脑血流减少是阿尔茨海默病的早期病理机制。
Acta Neuropathol. 2020 Dec;140(6):793-810. doi: 10.1007/s00401-020-02215-w. Epub 2020 Aug 31.