Ajenikoko Michael Kunle, Ajagbe Abayomi Oyeyemi, Onigbinde Oluwanisola Akanji, Okesina Akeem Ayodeji, Tijani Ahmad Adekilekun
Department of Anatomy, Faculty of Biomedical Sciences, Kampala International University, Western Campus, Ishaka, Uganda.
Department of Anatomy, Faculty of Basic Medical Sciences, College of Health Sciences, Nile University of Nigeria, P.M.B. 900001 Abuja, Nigeria.
IBRO Neurosci Rep. 2022 Nov 19;14:64-76. doi: 10.1016/j.ibneur.2022.11.005. eCollection 2023 Jun.
Alzheimer's disease (AD) is the most common cause of dementia worldwide. Because Alzheimer's disease has no known treatment, sufferers and their caregivers must concentrate on symptom management. Astrocytes and microglia are now known to play distinct physiological roles in synaptic function, the blood-brain barrier, and neurovascular coupling. Consequently, the search for drugs that can slow the degenerative process in dementia sufferers continues because existing drugs are designed to alleviate the symptoms of Alzheimer's disease. Drugs that address pathological changes without interfering with the normal function of glia, such as eliminating amyloid-beta deposits, are prospective treatments for neuroinflammatory illnesses. Because neuron-astrocytes-microglia interactions are so complex, developing effective, preventive, and therapeutic medications for AD will necessitate novel methodologies and strategic targets. This review focused on existing medications used in treating AD amongst which include Donepezil, Choline Alphoscerate, Galantamine, Dextromethorphan, palmitoylethanolamide, citalopram, resveratrol, and solanezumab. This review summarizes the effects of these drugs on neurons, astrocytes, and microglia interactions based on their pharmacokinetic properties, mechanism of action, dosing, and clinical presentations.
阿尔茨海默病(AD)是全球范围内痴呆最常见的病因。由于阿尔茨海默病尚无已知的治疗方法,患者及其护理人员必须专注于症状管理。现在已知星形胶质细胞和小胶质细胞在突触功能、血脑屏障和神经血管耦合中发挥着不同的生理作用。因此,由于现有药物旨在缓解阿尔茨海默病的症状,寻找能够减缓痴呆患者退行性过程的药物的工作仍在继续。针对病理变化而不干扰胶质细胞正常功能的药物,如清除β-淀粉样蛋白沉积物,是神经炎症性疾病的潜在治疗方法。由于神经元-星形胶质细胞-小胶质细胞之间的相互作用非常复杂,开发用于治疗AD的有效、预防性和治疗性药物将需要新的方法和战略靶点。本综述重点关注用于治疗AD的现有药物,其中包括多奈哌齐、阿法甘油磷酸胆碱、加兰他敏、右美沙芬、棕榈酰乙醇胺、西酞普兰、白藜芦醇和索拉珠单抗。本综述根据这些药物的药代动力学特性、作用机制、给药剂量和临床表现,总结了它们对神经元、星形胶质细胞和小胶质细胞相互作用的影响。