Mittal Arun, Sharma Rupali, Sardana Satish, Goyal Parveen Kumar, Piplani Mona, Pandey Anima
Amity Institute of Pharmacy, Amity University Haryana, Manesar, Gurgaon, Haryana-122413, India.
Department of Pharmacy, Panipat Institute of Engineering and Technology, Panipat, Haryana-122413, India.
CNS Neurol Disord Drug Targets. 2023;22(8):1232-1242. doi: 10.2174/1871527321666220510144127.
Alzheimer's disease (AD) is a degenerative neurological disorder that impairs memory, cognitive abilities, and the ability to do everyday activities. This neurodegenerative disease is growing increasingly common as the world's population ages. Here, we reviewed some of the key findings showing the function of Aβ peptide, oxidative stress, free radical damage Triggering Receptors Expressed cn Myeloid Cells 2 (TREM2), Nitric Oxide (NO) and gut microbiota in the aetiology of AD.
The potentially relevant online medical databases, namely PubMed, Scopus, Google Scholar, Cochrane Library, and JSTOR, were exhaustively researched. In addition, the data reported in the present study were primarily intervened on the basis of the timeline selected from 1 January 2000 to 31 October 2021. The whole framework was designed substantially based on key terms and studies selected by virtue of their relevance to our investigations.
Findings suggested that channels of free radicals, such as transition metal accumulation and genetic factors, are mainly accountable for the redox imbalance that assist to understand better the pathogenesis of AD and incorporating new therapeutic approaches. Moreover, TREM2 might elicit a protective function for microglia in AD. NO causes an increase in oxidative stress and mitochondrial damage, compromising cellular integrity and viability. The study also explored that the gut and CNS communicate with one another and that regulating gut commensal flora might be a viable therapeutic for neurodegenerative illnesses like AD.
There are presently no viable therapies for Alzheimer's disease, but recent breakthroughs in our knowledge of the disease's pathophysiology may aid in the discovery of prospective therapeutic targets.
阿尔茨海默病(AD)是一种退行性神经疾病,会损害记忆、认知能力以及进行日常活动的能力。随着世界人口老龄化,这种神经退行性疾病正变得越来越普遍。在此,我们回顾了一些关键研究结果,这些结果显示了β淀粉样蛋白(Aβ)肽、氧化应激、自由基损伤、髓系细胞触发受体2(TREM2)、一氧化氮(NO)和肠道微生物群在AD病因学中的作用。
对潜在相关的在线医学数据库,即PubMed、Scopus、谷歌学术、考克兰图书馆和JSTOR进行了详尽的研究。此外,本研究报告的数据主要是基于从2000年1月1日至2021年10月31日选定的时间线进行干预的。整个框架的设计主要基于根据与我们的研究相关性所选择的关键术语和研究。
研究结果表明,自由基途径,如过渡金属积累和遗传因素,主要是导致氧化还原失衡的原因,这有助于更好地理解AD的发病机制并纳入新的治疗方法。此外,TREM2可能对AD中的小胶质细胞发挥保护作用。NO会导致氧化应激增加和线粒体损伤,损害细胞完整性和活力。该研究还探讨了肠道和中枢神经系统相互沟通,调节肠道共生菌群可能是治疗AD等神经退行性疾病的一种可行疗法。
目前尚无治疗阿尔茨海默病的有效疗法,但我们对该疾病病理生理学认识的最新突破可能有助于发现潜在的治疗靶点。