Chen Jiaxue, Xu Jingke, Huang Ping, Luo Yining, Shi Yuanshu, Ma Ping
School of Basic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu 611137, China.
School of Basic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu 611137, China.
Biomed Pharmacother. 2022 May;149:112866. doi: 10.1016/j.biopha.2022.112866. Epub 2022 Mar 31.
Parkinson's disease (PD) presents a common challenge for people all over the world and has become a major research hotspot due to the large population affected by the illness and the difficulty of clinical treatment. The prevalence of PD is increasing every year, the pathogenesis is complex, and the current treatment is ineffective. Therefore, it has become imperative to find effective drugs for PD. With the advantages of low cost, high safety and high biological activity, Chinese medicine has great advantages in the prevention and treatment of PD. This review systematically summarizes the potential of Chinese medicine for the treatment of PD, showing that Chinese medicine can exert anti-PD effects through various pathways, such as anti-inflammatory and antioxidant pathways, reducing mitochondrial dysfunction, inhibiting endoplasmic reticulum stress and iron death, and regulating intestinal flora. These mainly involve HMGB1/TLR4, PI3K/Akt, NLRP3/ caspase-1/IL-1β, Nrf2/HO-1, SIRT1/Akt1, PINK1/parkin, Bcl-2/Bax, BDNF-TrkB and other signaling pathways. In sum, based on modern phytochemistry, pharmacology and genomic proteomics, Chinese medicine is likely to be a potential candidate for PD treatment, which requires more clinical trials to further elucidate its importance in the treatment of PD.
帕金森病(PD)是全球人们面临的一个常见挑战,由于患病人数众多且临床治疗困难,它已成为一个主要的研究热点。PD的患病率逐年上升,其发病机制复杂,目前的治疗效果不佳。因此,寻找治疗PD的有效药物已变得势在必行。中药具有成本低、安全性高和生物活性高的优点,在PD的防治方面具有很大优势。本综述系统总结了中药治疗PD的潜力,表明中药可通过多种途径发挥抗PD作用,如抗炎和抗氧化途径、减少线粒体功能障碍、抑制内质网应激和铁死亡以及调节肠道菌群。这些主要涉及HMGB1/TLR4、PI3K/Akt、NLRP3/caspase-1/IL-1β、Nrf2/HO-1、SIRT1/Akt1、PINK1/parkin、Bcl-2/Bax、BDNF-TrkB等信号通路。总之,基于现代植物化学、药理学和基因组蛋白质组学,中药很可能是治疗PD的潜在候选药物,这需要更多的临床试验来进一步阐明其在PD治疗中的重要性。