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针刺改善线粒体损伤所致阿尔茨海默病的机制。

Mechanisms of Acupuncture in Improving Alzheimer's Disease Caused by Mitochondrial Damage.

机构信息

Department of Acupuncture, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, 100053, China.

出版信息

Chin J Integr Med. 2022 Mar;28(3):272-280. doi: 10.1007/s11655-022-3511-6. Epub 2022 Mar 1.

Abstract

Alzheimer's disease (AD) is one of the most common neurodegenerative diseases among the elderly and it accounts for nearly 80% of all dementias. The pathogenesis of AD is complicated and enigmatic thus far. The mitochondrial cascade hypothesis assumes that mitochondrial damage may mediate, drive, or contribute to a variety of AD pathologies and may be the main factor in late-onset AD. Currently, there are no widely recognized drugs able to attenuate mitochondrial damage in AD. Notably, increasing evidence supports the efficacy of acupuncture for improving the mitochondrial structure and protecting mitochondrial functions in AD. This review reports the mechanisms by which acupuncture regulates mitochondrial dynamics, energy metabolism, calcium homeostasis and apoptosis. In conclusion, these findings suggest that AD mitochondrial dysfunction represents a reasonable therapeutic target and acupuncture could play a significant role in preventing and treating AD.

摘要

阿尔茨海默病(AD)是老年人中最常见的神经退行性疾病之一,占所有痴呆症的近 80%。AD 的发病机制迄今仍然复杂而神秘。线粒体级联假说假设线粒体损伤可能介导、驱动或促成多种 AD 病理学改变,并且可能是迟发性 AD 的主要因素。目前,尚无被广泛认可的药物能够减轻 AD 中的线粒体损伤。值得注意的是,越来越多的证据支持针灸在改善 AD 中线粒体结构和保护线粒体功能方面的功效。本综述报告了针灸调节线粒体动力学、能量代谢、钙稳态和细胞凋亡的机制。总之,这些发现表明 AD 中线粒体功能障碍代表了一个合理的治疗靶点,针灸可能在预防和治疗 AD 方面发挥重要作用。

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