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神经病学治疗的饮食营养:现状与未来方向。

Dietary nutrition for neurological disease therapy: Current status and future directions.

机构信息

Department of Clinical Pharmacology, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha 410008, PR China; Institute of Clinical Pharmacology, Central South University, Hunan Key Laboratory of Pharmacogenetics, 110 Xiangya Road, Changsha 410078, PR China; Engineering Research Center of Applied Technology of Pharmacogenomics, Ministry of Education, 110 Xiangya Road, Changsha 410078, PR China; National Clinical Research Center for Geriatric Disorders, 87 Xiangya Road, Changsha 410008, Hunan, PR China.

Department of Pediatrics, Xiangya Hospital, Central South University, Changsha, China.

出版信息

Pharmacol Ther. 2021 Oct;226:107861. doi: 10.1016/j.pharmthera.2021.107861. Epub 2021 Apr 23.

DOI:10.1016/j.pharmthera.2021.107861
PMID:33901506
Abstract

Adequate food intake and relative abundance of dietary nutrients have undisputed effects on the brain function. There is now substantial evidence that dietary nutrition aids in the prevention and remediation of neurologic symptoms in diverse pathological conditions. The newly described influences of dietary factors on the alterations of mitochondrial dysfunction, epigenetic modification and neuroinflammation are important mechanisms that are responsible for the action of nutrients on the brain health. In this review, we discuss the state of evidence supporting that distinct dietary interventions including dietary supplement and dietary restriction have the ability to tackle neurological disorders using Alzheimer's disease, Parkinson's disease, stroke, epilepsy, traumatic brain injury, amyotrophic lateral sclerosis, Huntington's disease and multiple sclerosis as examples. Additionally, it is also highlighting that diverse potential mechanisms such as metabolic control, epigenetic modification, neuroinflammation and gut-brain axis are of utmost importance for nutrient supply to the risk of neurologic condition and therapeutic response. Finally, we also highlight the novel concept that dietary nutrient intervention reshapes metabolism-epigenetics-immunity cycle to remediate brain dysfunction. Targeting metabolism-epigenetics-immunity network will delineate a new blueprint for combating neurological weaknesses.

摘要

充足的食物摄入和饮食营养的相对丰富对大脑功能有毋庸置疑的影响。现在有大量证据表明,饮食营养有助于预防和改善多种病理情况下的神经症状。新描述的饮食因素对线粒体功能障碍、表观遗传修饰和神经炎症改变的影响是营养物质对大脑健康作用的重要机制。在这篇综述中,我们讨论了支持特定饮食干预(包括饮食补充和饮食限制)有能力解决神经疾病的证据状况,以阿尔茨海默病、帕金森病、中风、癫痫、创伤性脑损伤、肌萎缩侧索硬化症、亨廷顿病和多发性硬化症为例。此外,还强调了代谢控制、表观遗传修饰、神经炎症和肠-脑轴等多种潜在机制对于营养供应与神经疾病风险和治疗反应至关重要。最后,我们还强调了一个新的概念,即饮食营养干预重塑代谢-表观遗传学-免疫循环以修复大脑功能障碍。针对代谢-表观遗传学-免疫网络将为对抗神经弱点描绘新蓝图。

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