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硫化氢在阿尔茨海默病中作用的机制深入见解:最近的系统评价。

Mechanistic Intimate Insights into the Role of Hydrogen Sulfide in Alzheimer's Disease: A Recent Systematic Review.

机构信息

Faculty of Medical Bioengineering, University of Medicine and Pharmacy "Grigore T. Popa", 700454 Iași, Romania.

Teaching Emergency Hospital "Bagdasar-Arseni" (TEHBA), 041915 Bucharest, Romania.

出版信息

Int J Mol Sci. 2023 Oct 23;24(20):15481. doi: 10.3390/ijms242015481.

Abstract

In the rapidly evolving field of Alzheimer's Disease (AD) research, the intricate role of Hydrogen Sulfide (HS) has garnered critical attention for its diverse involvement in both pathological substrates and prospective therapeutic paradigms. While conventional pathophysiological models of AD have primarily emphasized the significance of amyloid-beta (Aβ) deposition and tau protein hyperphosphorylation, this targeted systematic review meticulously aggregates and rigorously appraises seminal contributions from the past year elucidating the complex mechanisms of HS in AD pathogenesis. Current scholarly literature accentuates HS's dual role, delineating its regulatory functions in critical cellular processes-such as neurotransmission, inflammation, and oxidative stress homeostasis-while concurrently highlighting its disruptive impact on quintessential AD biomarkers. Moreover, this review illuminates the nuanced mechanistic intimate interactions of HS in cerebrovascular and cardiovascular pathology associated with AD, thereby exploring avant-garde therapeutic modalities, including sulfurous mineral water inhalations and mud therapy. By emphasizing the potential for therapeutic modulation of HS via both donors and inhibitors, this review accentuates the imperative for future research endeavors to deepen our understanding, thereby potentially advancing novel diagnostic and therapeutic strategies in AD.

摘要

在阿尔茨海默病(AD)研究领域的快速发展中,硫化氢(HS)的复杂作用因其在病理基质和潜在治疗范例中的广泛参与而受到关键关注。虽然 AD 的传统病理生理学模型主要强调了淀粉样蛋白-β(Aβ)沉积和 tau 蛋白过度磷酸化的重要性,但本目标系统综述细致地汇总并严格评估了过去一年中阐明 HS 在 AD 发病机制中复杂机制的重要贡献。目前的学术文献强调了 HS 的双重作用,描述了它在关键细胞过程中的调节功能,如神经传递、炎症和氧化应激平衡,同时强调了它对 AD 标志性生物标志物的破坏作用。此外,本综述还阐明了 HS 在与 AD 相关的脑血管和心血管病理学中的细微机制相互作用,从而探索了包括硫磺矿泉水吸入和泥疗在内的前沿治疗方式。通过强调通过供体和抑制剂对 HS 进行治疗调节的潜力,本综述强调了未来研究工作的必要性,以加深我们的理解,从而有可能推进 AD 的新型诊断和治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727f/10607039/b4c2e17a0343/ijms-24-15481-g001.jpg

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