Chitkara College of Pharmacy, Chitkara University, Rajpura, Punjab, India.
School of Medicine and Pharmaceutical Sciences, Zhejiang University, Hangzhou, China.
Metab Brain Dis. 2022 Jan;37(1):1-16. doi: 10.1007/s11011-021-00820-6. Epub 2021 Aug 26.
During the last three decades, recombinant DNA technology has produced a wide range of hematopoietic and neurotrophic growth factors, including erythropoietin (EPO), which has emerged as a promising protein drug in the treatment of several diseases. Cumulative studies have recently indicated the neuroprotective role of EPO in preclinical models of acute and chronic neurodegenerative disorders, including Alzheimer's disease (AD). AD is one of the most prevalent neurodegenerative illnesses in the elderly, characterized by the accumulation of extracellular amyloid-ß (Aß) plaques and intracellular neurofibrillary tangles (NFTs), which serve as the disease's two hallmarks. Unfortunately, AD lacks a successful treatment strategy due to its multifaceted and complex pathology. Various clinical studies, both in vitro and in vivo, have been conducted to identify the various mechanisms by which erythropoietin exerts its neuroprotective effects. The results of clinical trials in patients with AD are also promising. Herein, it is summarized and reviews all such studies demonstrating erythropoietin's potential therapeutic benefits as a pleiotropic neuroprotective agent in the treatment of Alzheimer's disease.
在过去的三十年中,重组 DNA 技术已经产生了广泛的造血和神经营养生长因子,包括促红细胞生成素(EPO),它已成为治疗多种疾病的有前途的蛋白质药物。最近的累积研究表明,EPO 在急性和慢性神经退行性疾病的临床前模型中具有神经保护作用,包括阿尔茨海默病(AD)。AD 是老年人中最常见的神经退行性疾病之一,其特征是细胞外淀粉样蛋白-β(Aβ)斑块和细胞内神经原纤维缠结(NFTs)的积累,这两者是该疾病的两个特征。不幸的是,由于 AD 的多方面和复杂性病理,它缺乏成功的治疗策略。已经进行了各种体外和体内的临床研究,以确定促红细胞生成素发挥其神经保护作用的各种机制。AD 患者的临床试验结果也很有希望。本文总结并回顾了所有这些研究,这些研究表明促红细胞生成素作为一种多效性神经保护剂,具有治疗阿尔茨海默病的潜在治疗益处。