Department of Pharmacology, Chitkara College of Pharmacy, Chitkara University, Chandigarh 160009, India.
Natural and Medical Sciences Research Center, University of Nizwa, 616 Birkat Al Mauz, P.O. Box 33, Nizwa, Oman.
Int J Mol Sci. 2021 Apr 14;22(8):4045. doi: 10.3390/ijms22084045.
The mechanisms underlying multifactorial diseases are always complex and challenging. Neurodegenerative disorders (NDs) are common around the globe, posing a critical healthcare issue and financial burden to the country. However, integrative evidence implies some common shared mechanisms and pathways in NDs, which include mitochondrial dysfunction, neuroinflammation, oxidative stress, intracellular calcium overload, protein aggregates, oxidative stress (OS), and neuronal destruction in specific regions of the brain, owing to multifaceted pathologies. The co-existence of these multiple pathways often limits the advantages of available therapies. The nutraceutical-based approach has opened the doors to target these common multifaceted pathways in a slow and more physiological manner to starve the NDs. Peer-reviewed articles were searched via MEDLINE and PubMed published to date for in-depth research and database collection. Considered to be complementary therapy with current clinical management and common drug therapy, the intake of nutraceuticals is considered safe to target multiple mechanisms of action in NDs. The current review summarizes the popular nutraceuticals showing different effects (anti-inflammatory, antioxidant, neuro-protectant, mitochondrial homeostasis, neurogenesis promotion, and autophagy regulation) on vital molecular mechanisms involved in NDs, which can be considered as complementary therapy to first-line treatment. Moreover, owing to its natural source, lower toxicity, therapeutic interventions, biocompatibility, potential nutritional effects, and presence of various anti-oxidative and neuroprotective constituents, the nutraceuticals serve as an attractive option to tackle NDs.
多因素疾病的发病机制往往复杂且具有挑战性。神经退行性疾病(NDs)在全球范围内很常见,给国家的医疗保健带来了严重的问题和经济负担。然而,综合证据表明 NDs 存在一些共同的机制和途径,包括线粒体功能障碍、神经炎症、氧化应激、细胞内钙超载、蛋白质聚集、氧化应激(OS)以及大脑特定区域的神经元破坏,这是多种病理学共同作用的结果。这些多种途径的共存常常限制了现有治疗方法的优势。基于营养保健品的方法为以缓慢且更生理的方式针对这些共同的多方面途径提供了可能性,从而抑制 NDs 的发展。通过 MEDLINE 和 PubMed 搜索了截至目前发表的同行评审文章,以进行深入的研究和数据库收集。营养保健品被认为是对当前临床管理和常见药物治疗的补充疗法,其摄入被认为是安全的,可以针对 NDs 的多种作用机制。目前的综述总结了具有不同作用(抗炎、抗氧化、神经保护、线粒体稳态、神经发生促进和自噬调节)的流行营养保健品,这些作用对 NDs 涉及的重要分子机制有影响,可以被视为一线治疗的补充疗法。此外,由于其天然来源、较低的毒性、治疗干预、生物相容性、潜在的营养作用以及存在各种抗氧化和神经保护成分,营养保健品成为了治疗 NDs 的一个有吸引力的选择。