利用植物源多酚对抗帕金森病:靶向氧化应激和神经炎症。
Combating Parkinson's disease with plant-derived polyphenols: Targeting oxidative stress and neuroinflammation.
作者信息
Gahtani Reem M, Shoaib Shoaib, Hani Umme, Jayachithra R, Alomary Mohammad N, Chauhan Waseem, Jahan Roshan, Tufail Saba, Ansari Mohammad Azam
机构信息
Department of clinical Laboratory Sciences, King Khalid University, Abha, Saudi Arabia.
Department of Genetics, School of Medicine, University of Alabama at Birmingham, AL, 35205, USA.
出版信息
Neurochem Int. 2024 Sep;178:105798. doi: 10.1016/j.neuint.2024.105798. Epub 2024 Jun 29.
Parkinson's disease (PD) is a devastating neurodegenerative disorder predominantly affecting the elderly, characterized by the loss of dopaminergic neurons in the substantia nigra. Reactive oxygen species (ROS) generation plays a central role in the pathogenesis of PD and other neurodegenerative diseases. An imbalance between cellular antioxidant activity and ROS production leads to oxidative stress, contributing to disease progression. Dopamine metabolism, mitochondrial dysfunction, and neuroinflammation in dopaminergic neurons have been implicated in the pathogenesis of Parkinson's disease. Consequently, there is a pressing need for therapeutic interventions capable of scavenging ROS. Current pharmacological approaches, such as L-dihydroxyphenylalanine (levodopa or L-DOPA) and other drugs, provide symptomatic relief but are limited by severe side effects. Researchers worldwide have been exploring alternative compounds with less toxicity to address the multifaceted challenges associated with Parkinson's disease. In recent years, plant-derived polyphenolic compounds have gained significant attention as potential therapeutic agents. These compounds exhibit neuroprotective effects by targeting pathophysiological responses, including oxidative stress and neuroinflammation, in Parkinson's disease. The objective of this review is to summarize the current understanding of the neuroprotective effects of various polyphenols in Parkinson's disease, focusing on their antioxidant and anti-inflammatory properties, and to discuss their potential as therapeutic candidates. This review highlights the progress made in elucidating the molecular mechanisms of action of these polyphenols, identifying potential therapeutic targets, and optimizing their delivery and bioavailability. Well-designed clinical trials are necessary to establish the efficacy and safety of polyphenol-based interventions in the management of Parkinson's disease.
帕金森病(PD)是一种主要影响老年人的毁灭性神经退行性疾病,其特征是黑质中多巴胺能神经元的丧失。活性氧(ROS)的产生在帕金森病和其他神经退行性疾病的发病机制中起着核心作用。细胞抗氧化活性与ROS产生之间的失衡导致氧化应激,促进疾病进展。多巴胺能神经元中的多巴胺代谢、线粒体功能障碍和神经炎症与帕金森病的发病机制有关。因此,迫切需要能够清除ROS的治疗干预措施。目前的药理学方法,如L-二羟基苯丙氨酸(左旋多巴或L-DOPA)和其他药物,可提供症状缓解,但受到严重副作用的限制。世界各地的研究人员一直在探索毒性较小的替代化合物,以应对与帕金森病相关的多方面挑战。近年来,植物来源的多酚类化合物作为潜在的治疗剂受到了广泛关注。这些化合物通过针对帕金森病中的病理生理反应,包括氧化应激和神经炎症,表现出神经保护作用。本综述的目的是总结目前对各种多酚在帕金森病中神经保护作用的理解,重点关注其抗氧化和抗炎特性,并讨论它们作为治疗候选物的潜力。本综述强调了在阐明这些多酚的分子作用机制、确定潜在治疗靶点以及优化其递送和生物利用度方面所取得的进展。精心设计的临床试验对于确定基于多酚的干预措施在帕金森病管理中的疗效和安全性是必要的。