神经营养在神经疾病预防和治疗中的观点。

Perspectives on Neuronutrition in Prevention and Treatment of Neurological Disorders.

机构信息

Department of Personalized and Preventive Medicine, Institute of Interdisciplinary Medicine, 107113 Moscow, Russia.

Department for Nervous Diseases, I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), 119991 Moscow, Russia.

出版信息

Nutrients. 2023 May 28;15(11):2505. doi: 10.3390/nu15112505.

Abstract

The term neuronutrition has been proposed as part of nutritional neuroscience, studying the effects of various dietary components on behavior and cognition. Other researchers underline that neuronutrition includes the use of various nutrients and diets to prevent and treat neurological disorders. The aim of this narrative review was to explore the current understanding of the term neuronutrition as the key concept for brain health, its potential molecular targets, and perspectives of its nutritional approach to the prevention and treatment of Alzheimer's and Parkinson's diseases, multiple sclerosis, anxiety, depressive disorders, migraine, and chronic pain. Neuronutrition can be defined as a part of neuroscience that studies the influence of various aspects of nutrition (nutrients, diet, eating behavior, food environment, etc.) on the development of nervous disorders and includes nutrition, clinical dietetics, and neurology. There is evidence that the neuronutritional approach can influence neuroepigenetic modifications, immunological regulation, metabolic control, and behavioral patterns. The main molecular targets in neuronutrition include neuroinflammation, oxidative/nitrosative stress and mitochondrial dysfunction, gut-brain axis disturbance, and neurotransmitter imbalance. To effectively apply neuronutrition for maintaining brain health, a personalized approach is needed, which includes the adaptation of the scientific findings to the genetic, biochemical, psycho-physiological, and environmental features of each individual.

摘要

神经营养一词被提出作为营养神经科学的一部分,研究各种饮食成分对行为和认知的影响。其他研究人员强调,神经营养包括使用各种营养物质和饮食来预防和治疗神经紊乱。本综述的目的是探讨神经营养作为大脑健康关键概念的当前理解,其潜在的分子靶点,以及其在预防和治疗阿尔茨海默病、帕金森病、多发性硬化症、焦虑症、抑郁症、偏头痛和慢性疼痛方面的营养方法的前景。神经营养可以被定义为神经科学的一部分,研究各种营养方面(营养物质、饮食、饮食行为、食物环境等)对神经紊乱发展的影响,包括营养、临床营养学和神经病学。有证据表明,神经营养方法可以影响神经表观遗传修饰、免疫调节、代谢控制和行为模式。神经营养中的主要分子靶点包括神经炎症、氧化/硝化应激和线粒体功能障碍、肠道-大脑轴紊乱和神经递质失衡。为了有效地应用神经营养来维持大脑健康,需要采用个性化的方法,包括将科学发现适应每个人的遗传、生化、心理生理和环境特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d7f/10255487/6b755e508faa/nutrients-15-02505-g001.jpg

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