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植物药对阿尔茨海默病患者的改善作用。

Ameliorative Effects of Phytomedicines on Alzheimer's Patients.

机构信息

Department of Biochemistry and Genetics, Barkatullah University, 462026 MP Bhopal, India.

Department of Pharmacology, College of Pharmacy, King Khalid University, 62529 Abha, Saudi Arabia.

出版信息

Curr Alzheimer Res. 2022;19(6):420-439. doi: 10.2174/1567205019666220610155608.

Abstract

INTRODUCTION

Alzheimer's disease (AD) is a progressive, neurodegenerative disease that severely affects individuals' cognitive abilities, memory, and quality of life. It affects the elderly population, and there is no permanent prevention or cures available to date, treatments mainly aiming to alleviate the symptoms as and when they appear. Alternate therapeutic approaches are being researched constantly, and there is a growing focus on phytomedicine, herbal medicine, organic compounds, and ayurvedic compounds for the treatment of AD.

METHODS

The current study aims to provide an extensive review of these plants against AD from the currently existing literature. Most relevant keywords like Alzheimer's Disease, phytomedicines, ethnic medicines, the role of phytomedicine in neuroprotection, common phytomedicines against AD, etc., were used to select the plants and their metabolites effective in treating AD. The study focuses on six plants: Panax ginseng, Ginkgo biloba, Bacopa monnieri, Withania somnifera, Curcuma longa, and Lavandula angustifolia. Their active components have been studied along with neuroprotective properties, and evidence of in-vitro, pre-clinical, and clinical studies conducted to prove their therapeutic potential against the disease have been presented.

RESULTS

All plants envisaged in the study show potential for fighting against AD to varying degrees. Their compounds have shown therapeutic effects by reversing the neurological changes such as clearing Aβ plaque and neurofibrillary tangle formation, and ameliorative effects against neurodegeneration through processes including improving concentration, memory, cognition and learning, higher working and cue memory, improved spatial memory, inhibition of NF-κB expression, inhibiting the release of pro-inflammatory cytokines, inhibition of AChE and lipid peroxidase enzymes, and reduction of interleukin levels and tumor necrosis factor-alpha.

CONCLUSION

The present review is a comprehensive and up-to-date analysis supported by the evidentiary proofs from pre-clinical studies, meta-analyses, and review papers related to natural phytochemicals' impact on neurodegenerative disorders like AD.

摘要

简介

阿尔茨海默病(AD)是一种进行性神经退行性疾病,严重影响个体的认知能力、记忆力和生活质量。它影响老年人群,目前尚无永久性预防或治愈方法,治疗主要旨在缓解出现的症状。替代治疗方法正在不断研究,人们越来越关注植物药、草药、有机化合物和阿育吠陀化合物治疗 AD。

方法

本研究旨在从现有文献中对这些植物治疗 AD 进行广泛综述。使用了阿尔茨海默病、植物药、民族药物、植物药在神经保护中的作用、常见治疗 AD 的植物药等最相关的关键词,以选择对 AD 有效的植物及其代谢物。本研究重点关注六种植物:人参、银杏、假马齿苋、睡茄、姜黄和薰衣草。研究了它们的活性成分及其神经保护特性,并介绍了针对该疾病进行的体外、临床前和临床研究的证据,以证明其治疗潜力。

结果

研究中设想的所有植物都在不同程度上显示出对抗 AD 的潜力。它们的化合物通过逆转神经变化(如清除 Aβ斑块和神经原纤维缠结形成)显示出治疗效果,并通过改善注意力、记忆力、认知和学习能力、提高工作和提示记忆、改善空间记忆、抑制 NF-κB 表达、抑制促炎细胞因子释放、抑制 AChE 和脂质过氧化物酶、降低白细胞介素水平和肿瘤坏死因子-α等过程显示出对神经退行性变的改善作用。

结论

本综述是一项全面和最新的分析,得到了临床前研究、荟萃分析和与天然植物化学物质对 AD 等神经退行性疾病影响相关的综述论文的证据支持。

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