Centre for Emerging Diseases, Department of Biotechnology, Jaypee Institute of Information Technology, Noida, UP, India.
Division of Cardiology, Department of Internal Medicine, Taipei Medical University Hospital, Taipei, Taiwan.
J Alzheimers Dis. 2023;96(3):877-912. doi: 10.3233/JAD-220700.
Alzheimer's disease (AD) is characterized by the progressive degeneration of neuronal cells. With the increase in aged population, there is a prevalence of irreversible neurodegenerative changes, causing a significant mental, social, and economic burden globally. The factors contributing to AD are multidimensional, highly complex, and not completely understood. However, it is widely known that aging, neuroinflammation, and excessive production of reactive oxygen species (ROS), along with other free radicals, substantially contribute to oxidative stress and cell death, which are inextricably linked. While oxidative stress is undeniably important in AD, limiting free radicals and ROS levels is an intriguing and potential strategy for deferring the process of neurodegeneration and alleviating associated symptoms. Therapeutic compounds from natural sources have recently become increasingly accepted and have been effectively studied for AD treatment. These phytocompounds are widely available and a multitude of holistic therapeutic efficiencies for treating AD owing to their antioxidant, anti-inflammatory, and biological activities. Some of these compounds also function by stimulating cholinergic neurotransmission, facilitating the suppression of beta-site amyloid precursor protein-cleaving enzyme 1, α-synuclein, and monoamine oxidase proteins, and deterring the occurrence of AD. Additionally, various phenolic, flavonoid, and terpenoid phytocompounds have been extensively described as potential palliative agents for AD progression. Preclinical studies have shown their involvement in modulating the cellular redox balance and minimizing ROS formation, displaying them as antioxidant agents with neuroprotective abilities. This review emphasizes the mechanistic role of natural products in the treatment of AD and discusses the various pathological hypotheses proposed for AD.
阿尔茨海默病(AD)的特征是神经元细胞的进行性退化。随着老年人口的增加,不可逆转的神经退行性变化普遍存在,在全球范围内造成了重大的精神、社会和经济负担。导致 AD 的因素是多方面的、高度复杂的,而且还不完全清楚。然而,众所周知,衰老、神经炎症和活性氧(ROS)的过度产生,以及其他自由基,极大地导致了氧化应激和细胞死亡,这两者是相互关联的。虽然氧化应激在 AD 中是不可否认的重要因素,但限制自由基和 ROS 水平是一种有趣且有潜力的策略,可以延缓神经退行性过程并缓解相关症状。来自天然来源的治疗化合物最近越来越被接受,并已被有效地研究用于 AD 的治疗。这些植物化合物广泛存在,由于其抗氧化、抗炎和生物活性,具有多种整体治疗 AD 的功效。其中一些化合物还通过刺激胆碱能神经传递、抑制β-位淀粉样前体蛋白裂解酶 1、α-突触核蛋白和单胺氧化酶蛋白、阻止 AD 的发生来发挥作用。此外,各种酚类、类黄酮和萜类植物化合物已被广泛描述为 AD 进展的潜在姑息治疗剂。临床前研究表明它们参与调节细胞氧化还原平衡和最小化 ROS 形成,显示出它们作为具有神经保护能力的抗氧化剂的作用。这篇综述强调了天然产物在 AD 治疗中的机制作用,并讨论了 AD 的各种病理假说。
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