Niu Chengu, Dong Miaoxian, Niu Yingcai
Internal Medicine Residency Program, Rochester General Hospital, Rochester, New York, USA.
The Institute of Medicine, Qiqihar Medical University, Qiqihar, China.
Phytother Res. 2024 Dec;38(12):5567-5582. doi: 10.1002/ptr.8342. Epub 2024 Sep 17.
Oxidative stress is recognized to have a central role in the initiation and progression of Parkinson's disease (PD). Within the brain, neurons are particularly sensitive to oxidation due in part to their weak intrinsic antioxidant defense. Theoretically, neurons mostly depend on neighboring astrocytes to provide antioxidant protection by supplying cysteine-containing products for glutathione (GSH) synthesis. Astrocytes and neurons possess several amino acid transport systems for GSH and its precursors. Indeed, GSH is the most abundant intrinsic antioxidant in the central nervous system. The GSH depletion and/or alterations in its metabolism in the brain contribute to the pathogenesis of PD. Noteworthy, polyphenols possess potent antioxidant activity and can augment the GSH redox system. Numerous in vitro and in vivo studies have indicated that polyphenols exhibit potent neuroprotective effects in PD. Epidemiological studies have found an association between the consumption of dietary polyphenols and a lower PD risk. In this review, we summarize current knowledge on the biosynthesis and metabolism of GSH in the brain, with an emphasis on their contribution and therapeutic potential in PD. In particular, we focus on polyphenols that can increase brain GSH levels against PD. Furthermore, some current challenges and future perspectives for polyphenol-based therapies are also discussed.
氧化应激被认为在帕金森病(PD)的发生和发展中起核心作用。在大脑中,神经元对氧化特别敏感,部分原因是其内在抗氧化防御能力较弱。理论上,神经元主要依赖邻近的星形胶质细胞通过提供含半胱氨酸的产物用于谷胱甘肽(GSH)合成来提供抗氧化保护。星形胶质细胞和神经元拥有多种用于GSH及其前体的氨基酸转运系统。事实上,GSH是中枢神经系统中最丰富的内源性抗氧化剂。大脑中GSH的耗竭和/或其代谢改变有助于PD的发病机制。值得注意的是,多酚具有强大的抗氧化活性,并能增强GSH氧化还原系统。大量的体外和体内研究表明,多酚在PD中表现出强大的神经保护作用。流行病学研究发现,饮食中多酚的摄入与较低的PD风险之间存在关联。在这篇综述中,我们总结了目前关于大脑中GSH生物合成和代谢的知识,重点是它们在PD中的作用和治疗潜力。特别是,我们关注能够提高大脑GSH水平以对抗PD的多酚。此外,还讨论了基于多酚疗法目前面临的一些挑战和未来展望。
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