Department of Pharmacy, Southeast University, Dhaka 1213, Bangladesh.
Pharmakon Neuroscience Research Network, Dhaka 1207, Bangladesh.
Molecules. 2020 Mar 11;25(6):1267. doi: 10.3390/molecules25061267.
Alzheimer's disease (AD) is one of the utmost chronic neurodegenerative disorders, which is characterized from a neuropathological point of view by the aggregates of amyloid beta (Aβ) peptides that are deposited as senile plaques and tau proteins which form neurofibrillary tangles (NFTs). Even though advancement has been observed in order to understand AD pathogenesis, currently available therapeutic methods can only deliver modest symptomatic relief. Interestingly, naturally occurring dietary flavonoids have gained substantial attention due to their antioxidative, anti-inflammatory, and anti-amyloidogenic properties as alternative candidates for AD therapy. Experimental proof provides support to the idea that some flavonoids might protect AD by interfering with the production and aggregation of Aβ peptides and/or decreasing the aggregation of tau. Flavonoids have the ability to promote clearance of Aβ peptides and inhibit tau phosphorylation by the mTOR/autophagy signaling pathway. Moreover, due to their cholinesterase inhibitory potential, flavonoids can represent promising symptomatic anti-Alzheimer agents. Several processes have been suggested for the aptitude of flavonoids to slow down the advancement or to avert the onset of Alzheimer's pathogenesis. To enhance cognitive performance and to prevent the onset and progress of AD, the interaction of flavonoids with various signaling pathways is proposed to exert their therapeutic potential. Therefore, this review elaborates on the probable therapeutic approaches of flavonoids aimed at averting or slowing the progression of the AD pathogenesis.
阿尔茨海默病(AD)是最严重的慢性神经退行性疾病之一,从神经病理学角度来看,其特征是淀粉样β(Aβ)肽的聚集物沉积为老年斑,以及tau 蛋白形成神经原纤维缠结(NFTs)。尽管在理解 AD 发病机制方面取得了进展,但目前可用的治疗方法只能提供适度的症状缓解。有趣的是,天然存在的膳食类黄酮因其抗氧化、抗炎和抗淀粉样变性特性而备受关注,成为 AD 治疗的替代候选物。实验证据支持这样一种观点,即一些类黄酮可能通过干扰 Aβ肽的产生和聚集以及/或减少 tau 的聚集来保护 AD。类黄酮能够促进 Aβ肽的清除,并通过 mTOR/自噬信号通路抑制 tau 磷酸化。此外,由于其具有胆碱酯酶抑制潜力,类黄酮可以作为有前途的对症抗阿尔茨海默氏症药物。已经提出了几种过程来解释类黄酮减缓 AD 进展或预防 AD 发病机制的能力。为了提高认知能力并预防 AD 的发生和进展,建议类黄酮与各种信号通路相互作用以发挥其治疗潜力。因此,本综述详细阐述了类黄酮预防或减缓 AD 发病机制进展的可能治疗方法。