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使用天然产物预防认知衰退/提供神经保护。

The Use of Natural Products for Preventing Cognitive Decline/Providing Neuroprotection.

作者信息

Tabatabaei-Malazy Ozra, Azizi Bayan, Abdollahi Mohammad

机构信息

Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.

Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Handb Exp Pharmacol. 2025;287:207-237. doi: 10.1007/164_2024_732.

Abstract

Neurocognitive disorders are characterized by a decline in various components of cognitive function, resulting in a high rate of morbidity and mortality. Despite multiple efforts, there is still a lack of practical preventive and therapeutic approaches for these diseases, and current pharmaceuticals have failed to manage their progression. Consequently, this chapter aims to provide a concise overview of the existing preclinical and clinical evidence that explores the impact of plant-based therapies on the prevention and treatment of neurocognitive disorders.We thoroughly searched different web databases to identify preclinical and clinical studies that investigate the effect of plant-based medicines on cognitive function in animal models, as well as individuals who are healthy, those with mild cognitive decline, or those with Alzheimer's disease. We included studies that examined plant extracts, multi-component herbal preparations, and phytochemicals such as Nigella sativa Linn., Rosmarinus officinalis L., Ginkgo biloba, and Melissa officinalis. The neuroprotective effects of these plants were associated with their anticholinesterase, anti-inflammatory, and antioxidative activities. None of the included studies reported severe adverse reactions.In conclusion, the results of the preclinical and clinical studies indicate the potential benefits of plant-based therapies on neurocognitive disorders. However, more extended and comprehensive clinical studies must confirm these findings thoroughly.

摘要

神经认知障碍的特征是认知功能的各个组成部分出现衰退,导致高发病率和高死亡率。尽管人们付出了诸多努力,但对于这些疾病仍缺乏切实可行的预防和治疗方法,而且目前的药物未能控制其病情发展。因此,本章旨在简要概述现有的临床前和临床证据,探讨植物疗法对神经认知障碍预防和治疗的影响。我们全面搜索了不同的网络数据库,以确定临床前和临床研究,这些研究调查了植物性药物对动物模型以及健康个体、轻度认知衰退个体或阿尔茨海默病患者认知功能的影响。我们纳入了研究植物提取物、多成分草药制剂以及诸如黑种草、迷迭香、银杏和蜜蜂花等植物化学物质的研究。这些植物的神经保护作用与其抗胆碱酯酶、抗炎和抗氧化活性有关。纳入的研究均未报告严重不良反应。总之,临床前和临床研究结果表明植物疗法对神经认知障碍具有潜在益处。然而,必须通过更广泛、更全面的临床研究来彻底证实这些发现。

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