IRCCS Centro Neurolesi "Bonino-Pulejo", Via Provinciale Palermo, Contrada Casazza, 98124 Messina, Italy.
Int J Mol Sci. 2020 Jul 4;21(13):4766. doi: 10.3390/ijms21134766.
Parkinson's Disease (PD) is a neurological disease characterized by the progressive degeneration of the nigrostriatal dopaminergic pathway with consequent loss of neurons in the substantia nigra pars compacta and dopamine depletion. The cytoplasmic inclusions of α-synuclein (α-Syn), known as Lewy bodies, are the cytologic hallmark of PD. The presence of α-Syn aggregates causes mitochondrial degeneration, responsible for the increase in oxidative stress and consequent neurodegeneration. PD is a progressive disease that shows a complicated pathogenesis. The current therapies are used to alleviate the symptoms of the disease without changing its clinical course. Recently, phytocompounds with neuroprotective effects and antioxidant properties such as caffeine have aroused the interest of researchers. The purpose of this review is to summarize the preclinical studies present in the literature and clinical trials recorded in ClinicalTrial.gov, aimed at illustrating the effects of caffeine used as a nutraceutical compound combined with the current PD therapies. Therefore, the preventive effects of caffeine in the neurodegeneration of dopaminergic neurons encourage the use of this alkaloid as a supplement to reduce the progress of the PD.
帕金森病(PD)是一种以黑质纹状体多巴胺能通路进行性退化为特征的神经退行性疾病,导致黑质致密部神经元丧失和多巴胺耗竭。α-突触核蛋白(α-Syn)的细胞质包涵体,即路易体,是 PD 的细胞学标志。α-Syn 聚集物的存在导致线粒体退化,这是氧化应激增加和随后神经退行性变的原因。PD 是一种进行性疾病,其发病机制复杂。目前的治疗方法用于缓解疾病症状,而不改变其临床病程。最近,具有神经保护作用和抗氧化特性的植物化合物,如咖啡因,引起了研究人员的兴趣。本综述的目的是总结文献中的临床前研究和 ClinicalTrials.gov 中记录的临床试验,旨在说明咖啡因作为一种营养化合物与目前的 PD 治疗联合使用的效果。因此,咖啡因对多巴胺能神经元神经退行性变的预防作用鼓励使用这种生物碱作为补充剂来减缓 PD 的进展。