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精神活性药物锂作为神经退行性疾病中自噬调节剂的神经营养和神经保护特性概述

An Overview of the Neurotrophic and Neuroprotective Properties of the Psychoactive Drug Lithium as an Autophagy Modulator in Neurodegenerative Conditions.

作者信息

Singh Ajay, Arora Sanjiya, Chavan Manisha, Shahbaz Samen, Jabeen Hafsa

机构信息

Internal Medicine, Sri Ram Murti Smarak Institute of Medical Sciences, Bareilly, IND.

Health Department, Sub District Hospital (SDH) cum Civil Hospital, Fatehabad, Fatehabad, IND.

出版信息

Cureus. 2023 Aug 24;15(8):e44051. doi: 10.7759/cureus.44051. eCollection 2023 Aug.

Abstract

For both short-term and long-term treatment of bipolar disorder, lithium is a prototypical mood stabilizer. Lithium's neuroprotective properties were revealed by cumulative translational research, which opened the door to reforming the chemical as a treatment for neurodegenerative illnesses. The control of homeostatic systems such as oxidative stress, autophagy, apoptosis, mitochondrial function, and inflammation underlies lithium's neuroprotective characteristics. The fact that lithium inhibits the enzymes inositol monophosphatase (IMPase) and glycogen synthase kinase (GSK)-3 may be the cause of the various intracellular reactions. In this article, we review lithium's neurobiological properties, as demonstrated by its neurotrophic and neuroprotective capabilities, as well as translational studies in cells in culture and in animal models of Alzheimer's disease (AD), Parkinson's disease (PD), Huntington's disease (HD), Prion disease, amyotrophic lateral sclerosis (ALS), ischemic stroke, and neuronal ceroid lipofuscinosis (NCL), discussing the justification for the drug's use in the treatment of these neurodegenerative disorders.

摘要

对于双相情感障碍的短期和长期治疗,锂盐是一种典型的心境稳定剂。累积的转化研究揭示了锂盐的神经保护特性,这为将其作为神经退行性疾病的治疗药物进行改良打开了大门。对氧化应激、自噬、细胞凋亡、线粒体功能和炎症等体内平衡系统的控制是锂盐神经保护特性的基础。锂盐抑制肌醇单磷酸酶(IMPase)和糖原合酶激酶(GSK)-3 这两种酶,这可能是引发各种细胞内反应的原因。在本文中,我们回顾锂盐的神经生物学特性,这体现在其神经营养和神经保护能力上,以及在细胞培养和阿尔茨海默病(AD)、帕金森病(PD)、亨廷顿病(HD)、朊病毒病、肌萎缩侧索硬化症(ALS)、缺血性中风和神经元蜡样脂褐质沉积症(NCL)动物模型中的转化研究,讨论该药物用于治疗这些神经退行性疾病的依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/335a/10517711/4c8c18c59a4b/cureus-0015-00000044051-i01.jpg

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