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一些天然产物对神经免疫疾病的治疗意义:临床研究综述

Therapeutic Implications of Some Natural Products for Neuroimmune Diseases: A Narrative of Clinical Studies Review.

作者信息

Wijeweera Gayathri, Wijekoon Nalaka, Gonawala Lakmal, Imran Yoonus, Mohan Chandra, De Silva K Ranil D

机构信息

Institute for Combinatorial Advanced Research and Education (KDU-CARE), General Sir John Kotelawala Defense University, Sri Lanka.

Interdisciplinary Centre for Innovation in Biotechnology and Neurosciences, Faculty of Medical Sciences, University of Sri Jayewardenepura, Sri Lanka.

出版信息

Evid Based Complement Alternat Med. 2023 Apr 13;2023:5583996. doi: 10.1155/2023/5583996. eCollection 2023.

Abstract

Neuroimmune diseases are a group of disorders that occur due to the dysregulation of both the nervous and immune systems, and these illnesses impact tens of millions of people worldwide. However, patients who suffer from these debilitating conditions have very few FDA-approved treatment options. Neuroimmune crosstalk is important for controlling the immune system both centrally and peripherally to maintain tissue homeostasis. This review aims to provide readers with information on how natural products modulate neuroimmune crosstalk and the therapeutic implications of natural products, including curcumin, epigallocatechin-3-gallate (EGCG), ginkgo special extract, ashwagandha, ginseng, and cannabis to mitigate the progression of neuroimmune diseases, such as Alzheimer's disease, multiple sclerosis, amyotrophic lateral sclerosis, Parkinson's disease, depression, and anxiety disorders. The majority of the natural products based clinical studies mentioned in this study have yielded positive results. To achieve the expected results from natural products based clinical studies, researchers should focus on enhancing bioavailability and determining the synergistic mechanisms of herbal compounds and extracts, which will lead to the discovery of more effective phytomedicines while averting the probable negative effects of natural product extracts. Therefore, future studies developing nutraceuticals to mitigate neuroimmune diseases that incorporate phytochemicals to produce synergistic effects must analyse efficacy, bioavailability, gut-brain axis function safety, chemical modifications, and encapsulation with nanoparticles.

摘要

神经免疫疾病是一类由于神经系统和免疫系统失调而发生的疾病,这些疾病影响着全球数千万人。然而,患有这些使人衰弱病症的患者可用的经美国食品药品监督管理局(FDA)批准的治疗选择非常少。神经免疫相互作用对于在中枢和外周控制免疫系统以维持组织稳态很重要。本综述旨在为读者提供有关天然产物如何调节神经免疫相互作用以及天然产物(包括姜黄素、表没食子儿茶素-3-没食子酸酯(EGCG)、银杏特殊提取物、南非醉茄、人参和大麻)对减轻神经免疫疾病(如阿尔茨海默病、多发性硬化症、肌萎缩侧索硬化症、帕金森病、抑郁症和焦虑症)进展的治疗意义的信息。本研究中提到的大多数基于天然产物的临床研究都取得了积极成果。为了从基于天然产物的临床研究中获得预期结果,研究人员应专注于提高生物利用度并确定草药化合物和提取物的协同机制,这将导致发现更有效的植物药,同时避免天然产物提取物可能产生的负面影响。因此,未来开发用于减轻神经免疫疾病的营养保健品的研究,若将植物化学物质结合起来以产生协同效应,则必须分析功效、生物利用度、肠脑轴功能安全性、化学修饰以及用纳米颗粒进行封装。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f415/10118888/68db8cf91367/ECAM2023-5583996.001.jpg

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