Allam Essmat A H, Assi Abdel-Azim, Badary Dalia M, Farrag Magda M Y, Nicola Mariam A
Department of Pharmacology and Toxicology, Faculty of Pharmacy, Assiut University, Assiut, Egypt.
Department of Pharmacology, Faculty of Medicine, Assiut University, Assiut, Egypt.
Planta Med. 2024 Apr;90(4):286-297. doi: 10.1055/a-2245-3624. Epub 2024 Jan 29.
Extracellular senile plaques and intraneuronal neurofibrillary tangles are two devastating brain proteinopathies that are indicative of Alzheimer's disease, the most prevalent type of dementia. Currently, no effective medications are available to stop or reverse Alzheimer's disease. extract, commonly referred to as EGb 761, is a natural product made from the leaves of the tree. It has long been demonstrated to have therapeutic benefits in Alzheimer's disease. The current study assessed the beneficial effects of EGb 761 against Alzheimer's disease in comparison with memantine, a standard treatment for Alzheimer's disease. The scopolamine-heavy metals mixture rat Alzheimer's disease model is a newly created model to study the effects of EGb 761 oral therapy on cognitive performance and other Alzheimer's disease-like changes over a 28-day experimental period. This new Alzheimer's disease model provides better criteria for Alzheimer's disease hallmarks than the conventional scopolamine model. The EGb 761 reversed memory and learning deficits induced by the scopolamine-heavy metals mixture. These outcomes were linked to a more pronounced inhibitory effect on acetylcholinesterase, caspase-3, hippocampal amyloid-beta protein (A1 - 42), phosphorylated tau protein counts, and proinflammatory cytokines (tumor necrosis factor- and interleukin-1) compared to the memantine-treated group. Furthermore, EGb 761 treatment considerably reduced lipid peroxidation (malondialdehyde) and improved reduced glutathione levels compared to memantine. Our results suggest EGb 761's potential in treating central nervous system disorders. It's a promising candidate for future Alzheimer's disease therapeutic exploration. This study also highlights the need for future research to focus on the positive benefits of herbal medicines.
细胞外老年斑和神经元内神经原纤维缠结是两种毁灭性的脑蛋白病,是阿尔茨海默病(最常见的痴呆类型)的指征。目前,尚无有效的药物可阻止或逆转阿尔茨海默病。银杏叶提取物,通常称为EGb 761,是一种由银杏树叶子制成的天然产物。长期以来已证明其对阿尔茨海默病具有治疗益处。本研究评估了EGb 761与美金刚(阿尔茨海默病的一种标准治疗药物)相比对阿尔茨海默病的有益作用。东莨菪碱-重金属混合物大鼠阿尔茨海默病模型是一种新创建的模型,用于研究EGb 761口服治疗在28天实验期内对认知能力及其他类似阿尔茨海默病变化的影响。这种新的阿尔茨海默病模型比传统的东莨菪碱模型为阿尔茨海默病的特征提供了更好的标准。EGb 761逆转了由东莨菪碱-重金属混合物诱导的记忆和学习缺陷。与美金刚治疗组相比,这些结果与对乙酰胆碱酯酶、半胱天冬酶-3、海马淀粉样β蛋白(A1-42)、磷酸化tau蛋白计数及促炎细胞因子(肿瘤坏死因子和白细胞介素-1)更显著的抑制作用有关。此外,与美金刚相比,EGb 761治疗显著降低了脂质过氧化(丙二醛)并提高了还原型谷胱甘肽水平。我们的结果表明EGb 761在治疗中枢神经系统疾病方面的潜力。它是未来阿尔茨海默病治疗探索的一个有前景的候选药物。本研究还强调了未来研究关注草药积极益处的必要性。