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神经营养因子在神经退行性疾病治疗中的应用(综述)。

The Use of Neurotrophic Factors as a Promising Strategy for the Treatment of Neurodegenerative Diseases (Review).

机构信息

V. Serbsky National Medical Research Centre for Psychiatry and Narcology, Ministry of Health of the Russian Federation, Moscow, Russia.

Pirogov Russian National Research Medical University, Moscow, Russia.

出版信息

Bull Exp Biol Med. 2024 Aug;177(4):517-527. doi: 10.1007/s10517-024-06218-5. Epub 2024 Sep 12.

DOI:10.1007/s10517-024-06218-5
PMID:39266924
Abstract

The review considers the use of exogenous neurotrophic factors in the treatment of neurodegenerative diseases, such as Alzheimer's disease, Parkinson's disease, multiple sclerosis, and others. This group of diseases is associated with the death of neurons and dysfunction of the nervous tissue. Currently, there is no effective therapy for neurodegenerative diseases, and their treatment remains a serious problem of modern medicine. A promising strategy is the use of exogenous neurotrophic factors. Targeted delivery of these factors to the nervous tissue can improve survival of neurons during the development of neurodegenerative processes and ensure neuroplasticity. There are methods of direct injection of neurotrophic factors into the nervous tissue, delivery using viral vectors, as well as the use of gene cell products. The effectiveness of these approaches has been studied in numerous experimental works and in a number of clinical trials. Further research in this area could provide the basis for the creation of an alternative treatment for neurodegenerative diseases.

摘要

该综述探讨了外源性神经生长因子在治疗神经退行性疾病(如阿尔茨海默病、帕金森病、多发性硬化症等)中的应用。这组疾病与神经元死亡和神经组织功能障碍有关。目前,对于神经退行性疾病尚无有效的治疗方法,其治疗仍然是现代医学的一个严重问题。一种有前途的策略是使用外源性神经生长因子。将这些因子靶向递送至神经组织可以改善神经退行性过程中神经元的存活并确保神经可塑性。有将神经生长因子直接注射到神经组织中的方法,使用病毒载体进行递送,以及使用基因细胞产物的方法。这些方法的有效性已在许多实验工作和一些临床试验中得到研究。该领域的进一步研究可为神经退行性疾病的替代治疗方法提供基础。

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本文引用的文献

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Decreased serum BDNF contributes to the onset of REM sleep behavior disorder in Parkinson's disease patients.血清脑源性神经营养因子水平降低与帕金森病患者 REM 睡眠行为障碍的发生有关。
Neurosci Lett. 2023 Aug 24;812:137380. doi: 10.1016/j.neulet.2023.137380. Epub 2023 Jul 7.
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Building better brains: the pleiotropic function of neurotrophic factors in postnatal cerebellar development.构建更优大脑:神经营养因子在出生后小脑发育中的多效性功能
Front Mol Neurosci. 2023 May 12;16:1181397. doi: 10.3389/fnmol.2023.1181397. eCollection 2023.
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Viral Vectors in Gene Therapy: Where Do We Stand in 2023?
病毒载体在基因治疗中的应用:2023 年我们处于什么位置?
Viruses. 2023 Mar 7;15(3):698. doi: 10.3390/v15030698.
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Hallmarks of neurodegenerative diseases.神经退行性疾病的特征。
Cell. 2023 Feb 16;186(4):693-714. doi: 10.1016/j.cell.2022.12.032.
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A network map of GDNF/RET signaling pathway in physiological and pathological conditions.生理和病理条件下GDNF/RET信号通路的网络图。
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Brain-derived neurotrophic factor is a regulator of synaptic transmission in the adult visual thalamus.脑源性神经营养因子是成年视觉丘脑突触传递的调节剂。
J Neurophysiol. 2022 Nov 1;128(5):1267-1277. doi: 10.1152/jn.00540.2021. Epub 2022 Oct 12.
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Amyotrophic lateral sclerosis.肌萎缩性侧索硬化症。
Lancet. 2022 Oct 15;400(10360):1363-1380. doi: 10.1016/S0140-6736(22)01272-7. Epub 2022 Sep 15.
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Blood levels of brain-derived neurotrophic factor (BDNF) in people with multiple sclerosis (MS): A systematic review and meta-analysis.多发性硬化症患者的脑源性神经营养因子(BDNF)血水平:系统评价和荟萃分析。
Mult Scler Relat Disord. 2022 Sep;65:103984. doi: 10.1016/j.msard.2022.103984. Epub 2022 Jun 18.
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Int J Mol Sci. 2022 May 25;23(11):5938. doi: 10.3390/ijms23115938.
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