Salk Institute for Biological Studies, La Jolla, CA, 92037, USA.
Neurochem Int. 2024 Sep;178:105805. doi: 10.1016/j.neuint.2024.105805. Epub 2024 Jul 14.
Dementia is a growing problem around the globe as the world's population continues to age. Multiple studies have identified potentially modifiable risk factors for the development of dementia suggesting that addressing some or all of these risk factors might have a significant impact on the aging population worldwide. However, this is not always as straightforward as it seems since many of these risk factors are currently treated with drugs specific to the risk factor. Moreover, since people can have multiple risk factors, addressing each of them individually could be highly problematic as it would likely lead to negative outcomes associated with polypharmacy and, in the long term, could do significant harm. A potential alternative is to identify compounds that have shown efficacy against a number of these different risk factors. As discussed in this review, there is strong evidence that the flavonol fisetin is one such compound. In animal studies it has shown efficacy against many of the risk factors that have been associated with an increased risk of developing dementia and also exhibits direct neuroprotective effects. Thus, further human research on fisetin in the context of dementia risk factors is clearly warranted.
随着全球人口的老龄化,痴呆症是一个日益严重的问题。多项研究已经确定了痴呆症发展的潜在可改变风险因素,这表明解决其中一些或全部风险因素可能会对全球老龄化人口产生重大影响。然而,这并不总是像看起来那么简单,因为许多这些风险因素目前都是用针对该风险因素的特定药物来治疗的。此外,由于人们可能有多种风险因素,单独解决每一个因素可能会带来很大的问题,因为这可能会导致与多种药物治疗相关的负面后果,从长远来看,还可能会造成严重的伤害。一种潜在的替代方法是确定已经证明对许多这些不同风险因素都有效的化合物。正如本文综述中所讨论的,有强有力的证据表明类黄酮非瑟酮就是这样一种化合物。在动物研究中,它已显示出对与痴呆风险增加相关的许多风险因素的疗效,并且还表现出直接的神经保护作用。因此,在痴呆症风险因素的背景下,对非瑟酮进行进一步的人类研究显然是有必要的。