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传统植物治疗神经退行性疾病的药理学探索。

Pharmacological exploration of traditional plants for the treatment of neurodegenerative disorders.

机构信息

Faculty of Pharmacy, Department of Pharmacology, Bahauddin Zakariya University, Multan, Pakistan.

Institute of Food Science and Nutrition, Bahauddin Zakariya University, Multan, Pakistan.

出版信息

Phytother Res. 2020 Dec;34(12):3089-3112. doi: 10.1002/ptr.6742. Epub 2020 Jun 1.

Abstract

Alzheimer's disease (AD) is clinically characterized as memory deficits, altered behavior and impaired cognitive functions. The most important risk factor for AD is aging and mounting. Evidences suggested in different studies that traditionally used plants in Asia, China, and Europe significantly affect aging and AD involved neurodegeneration pathways. Research into ethnobotanicals for impaired memory and cognition has been burgeoned in last decades. The inclusion and exclusion criteria for the plant selection were based on reputed herbs recommended for treatment of neurological disorders and their scientific validation to cure neurodegenerative disorders. A range of traditional plants imparts effects via acetylcholinesterase activity, β-amyloid peptide formation in plaques, neurotrophic factors and through antioxidant activity. On one side preclinical investigations identified promising drug candidates for AD, on the other side, clinical evidences are still pending. Presently, according to WHO, around more than 80% world population relay on natural remedies to cure their health related issues. Plants contain rich source of primary and secondary metabolites for improving health problems. Pharmaceutical industry is facing intriguing challenges like elevated cost and unendurable risk management due to the high burden of neurodegenerative disorders. A significant shift of drug discovery is being witnessed from synthetic moieties to herbal formulation.

摘要

阿尔茨海默病(AD)在临床上表现为记忆障碍、行为改变和认知功能受损。AD 的最重要风险因素是衰老和积累。不同研究的证据表明,亚洲、中国和欧洲传统上使用的植物显著影响衰老和 AD 涉及的神经退行性途径。过去几十年中,人们对用于改善记忆和认知功能的植物进行了大量研究。植物选择的纳入和排除标准基于用于治疗神经紊乱的著名草药,并对其治愈神经退行性疾病的科学有效性进行了验证。一系列传统植物通过乙酰胆碱酯酶活性、斑块中β-淀粉样肽的形成、神经营养因子和抗氧化活性发挥作用。一方面,临床前研究确定了治疗 AD 的有前途的候选药物,另一方面,临床证据仍有待确定。目前,根据世界卫生组织的统计,全球有超过 80%的人口依赖天然药物来治疗他们的健康问题。植物含有丰富的初级和次级代谢物,可用于改善健康问题。制药行业面临着有趣的挑战,如由于神经退行性疾病负担过重,成本上升和风险管理不可持续。药物发现正从合成物向草药制剂发生重大转变。

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