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基于营养保健品的治疗方法:对抗阿尔茨海默病发病机制的最新进展

Nutraceuticals-based therapeutic approach: recent advances to combat pathogenesis of Alzheimer's disease.

作者信息

Talebi Marjan, Kakouri Eleni, Talebi Mohsen, Tarantilis Petros A, Farkhondeh Tahereh, İlgün Selen, Pourbagher-Shahri Ali Mohammad, Samarghandian Saeed

机构信息

Department of Pharmacognosy, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Food Science and Human Nutrition, School of Food and Nutritional Sciences, Agricultural University of Athens, Athens, Greece.

出版信息

Expert Rev Neurother. 2021 Jun;21(6):625-642. doi: 10.1080/14737175.2021.1923479. Epub 2021 May 16.

Abstract

: Alzheimer's disease (AD) is a progressive neurodegenerative disease accompanying memory deficits. The available pharmaceutical care has some limitations mostly entailing side effects, shelf-life, and patient's compliance. The momentous implications of nutraceuticals in AD have attracted scientists. Several preclinical studies for the investigation of nutraceuticals have been conducted.: This review focuses on the potential use of a nutraceuticals-based therapeutic approach to treat and prevent AD. Increasing knowledge of AD pathogenesis has led to the discovery of new therapeutic targets including pathophysiological mechanisms and various cascades. Hence, the present contribution will attend to the most popular and effective nutraceuticals with proposed brief mechanisms entailing antioxidant, anti-inflammatory, autophagy regulation, mitochondrial homeostasis, and more. Therefore, even though the effectiveness of nutraceuticals cannot be dismissed, it is essential to do further high-quality randomized clinical trials.: According to the potential of nutraceuticals to combat AD as multi-target directed drugs, there is critical importance to assess them as feasible lead compounds for drug discovery and development. To the best of the authors' knowledge, modification of blood-brain barrier permeability, bioavailability, and features of randomized clinical trials should be considered in prospective studies.

摘要

阿尔茨海默病(AD)是一种伴有记忆缺陷的进行性神经退行性疾病。现有的药物治疗存在一些局限性,主要包括副作用、保质期和患者依从性等问题。营养保健品在AD治疗中的重大意义吸引了科学家们。已经开展了多项关于营养保健品的临床前研究。

本综述重点关注基于营养保健品的治疗方法在治疗和预防AD方面的潜在应用。对AD发病机制认识的不断增加,促使人们发现了包括病理生理机制和各种级联反应在内的新治疗靶点。因此,本文将介绍最常用且有效的营养保健品,并简要阐述其作用机制,包括抗氧化、抗炎、自噬调节、线粒体稳态等。所以,尽管营养保健品的有效性不容忽视,但进一步开展高质量的随机临床试验至关重要。

鉴于营养保健品作为多靶点导向药物对抗AD的潜力,将其评估为药物发现和开发的可行先导化合物至关重要。据作者所知,前瞻性研究应考虑血脑屏障通透性的改变、生物利用度以及随机临床试验的特点。

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