Pharmaceutical Sciences Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah 6734667149, Iran.
Department of Neuroscience, Faculty of Advanced Technologies in Medical Sciences, Iran University of Medical Sciences, Tehran, Iran.
Oxid Med Cell Longev. 2022 Jan 7;2022:8100195. doi: 10.1155/2022/8100195. eCollection 2022.
Despite the progression in targeting the complex pathophysiological mechanisms of neurodegenerative diseases (NDDs) and spinal cord injury (SCI), there is a lack of effective treatments. Moreover, conventional therapies suffer from associated side effects and low efficacy, raising the need for finding potential alternative therapies. In this regard, a comprehensive review was done regarding revealing the main neurological dysregulated pathways and providing alternative therapeutic agents following SCI. From the mechanistic point, oxidative stress and inflammatory pathways are major upstream orchestras of cross-linked dysregulated pathways (e.g., apoptosis, autophagy, and extrinsic mechanisms) following SCI. It urges the need for developing multitarget therapies against SCI complications. Polyphenols, as plant-derived secondary metabolites, have the potential of being introduced as alternative therapeutic agents to pave the way for treating SCI. Such secondary metabolites presented modulatory effects on neuronal oxidative stress, neuroinflammatory, and extrinsic axonal dysregulated pathways in the onset and progression of SCI. In the present review, the potential role of phenolic compounds as critical phytochemicals has also been revealed in regulating upstream dysregulated oxidative stress/inflammatory signaling mediators and extrinsic mechanisms of axonal regeneration after SCI in preclinical and clinical studies. Additionally, the coadministration of polyphenols and stem cells has shown a promising strategy for improving post-SCI complications.
尽管针对神经退行性疾病 (NDDs) 和脊髓损伤 (SCI) 的复杂病理生理机制的靶向治疗取得了进展,但仍缺乏有效的治疗方法。此外,传统疗法存在相关副作用和疗效低的问题,因此需要寻找潜在的替代疗法。在这方面,我们对揭示 SCI 后主要神经调控途径和提供替代治疗剂进行了全面综述。从机制上讲,氧化应激和炎症途径是 SCI 后交联失调途径(如细胞凋亡、自噬和外在机制)的主要上游协调器。这就需要开发针对 SCI 并发症的多靶点治疗方法。多酚作为植物来源的次生代谢物,具有作为替代治疗剂的潜力,为治疗 SCI 铺平道路。这些次生代谢物在 SCI 的发生和发展过程中对神经元氧化应激、神经炎症和外在轴突失调途径具有调节作用。在本综述中,还揭示了酚类化合物作为关键植物化学物质在调节 SCI 后氧化应激/炎症信号介质和轴突再生的外在机制的上游失调中的潜在作用,在临床前和临床试验中。此外,多酚和干细胞的联合给药显示出改善 SCI 后并发症的有前途的策略。
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