Malík Matěj, Tlustoš Pavel
Department of Agroenvironmental Chemistry and Plant Nutrition, Faculty of Agrobiology, Food and Natural Resources, Czech University of Life Sciences Prague, Kamýcká 129, 165 00 Prague, Czech Republic.
Plants (Basel). 2023 Mar 18;12(6):1364. doi: 10.3390/plants12061364.
Plant-based nootropics are a diverse group of natural drugs that can improve cognitive abilities through various physiological mechanisms, especially in cases where these functions are weakened or impaired. In many cases, the nootropics enhance erythrocyte plasticity and inhibit aggregation, which improves the blood's rheological properties and increases its flow to the brain. Many of these formulations possess antioxidant activity that protects brain tissue from neurotoxicity and improves the brain's oxygen supply. They can induce the synthesis of neuronal proteins, nucleic acids, and phospholipids for constructing and repairing neurohormonal membranes. These natural compounds can potentially be present in a great variety of herbs, shrubs, and even some trees and vines. The plant species reviewed here were selected based on the availability of verifiable experimental data and clinical trials investigating potential nootropic effects. Original research articles, relevant animal studies, meta-analyses, systematic reviews, and clinical trials were included in this review. Selected representatives of this heterogeneous group included (L.) Wettst., (L.) Urban, (Rupr. & Maxim.) Maxim., L., Walp., C.A. Meyer, Kunth, L., (Turcz.) Baill., and (L.) Dunal. The species are depicted and described, together with their active components and nootropic effects, and evidence of their efficacy is presented. The study provides brief descriptions of the representative species, their occurrence, history, and the chemical composition of the principle medicinal compounds, with uses, indications, experimental treatments, dosages, possible side effects, and contraindications. Most plant nootropics must be taken at optimal doses for extended periods before measurable improvement occurs, but they are generally very well tolerated. Their psychoactive properties are not produced by a single molecule but by a synergistic combination of several compounds. The available data suggest that including extracts from these plants in medicinal products to treat cognitive disorders can have substantial potential therapeutic benefits.
植物性促智药是一类多样的天然药物,可通过多种生理机制改善认知能力,尤其是在这些功能减弱或受损的情况下。在许多情况下,促智药可增强红细胞可塑性并抑制聚集,从而改善血液的流变学特性并增加其流向大脑的血流量。这些制剂中的许多都具有抗氧化活性,可保护脑组织免受神经毒性并改善大脑的氧气供应。它们可以诱导神经元蛋白质、核酸和磷脂的合成,用于构建和修复神经激素膜。这些天然化合物可能存在于各种各样的草药、灌木,甚至一些树木和藤本植物中。此处综述的植物物种是根据可验证的实验数据和研究潜在促智作用的临床试验的可用性来选择的。本综述纳入了原始研究文章、相关动物研究、荟萃分析、系统评价和临床试验。这一异类群体的选定代表包括(L.)Wettst.、(L.)Urban、(Rupr. & Maxim.)Maxim.、L.、Walp.、C.A. Meyer、Kunth、L.、(Turcz.)Baill.和(L.)Dunal。对这些物种进行了描述,包括它们的活性成分和促智作用,并展示了其功效的证据。该研究简要介绍了代表性物种、它们的分布、历史以及主要药用化合物的化学成分,以及用途、适应症、实验性治疗、剂量、可能的副作用和禁忌症。大多数植物性促智药必须在可测量的改善出现之前长时间以最佳剂量服用,但它们通常耐受性很好。它们的精神活性并非由单一分子产生,而是由几种化合物的协同组合产生。现有数据表明,将这些植物的提取物纳入治疗认知障碍的药物产品中可能具有巨大的潜在治疗益处。