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全植物提取物治疗神经认知障碍:神经心理学和临床前研究的叙述性综述。

Whole Plant Extracts for Neurocognitive Disorders: A Narrative Review of Neuropsychological and Preclinical Studies.

机构信息

Department of Diagnostics and Public Health, University of Verona, 37134 Verona, Italy.

NBFC, National Biodiversity Future Center, 90133 Palermo, Italy.

出版信息

Nutrients. 2024 Sep 18;16(18):3156. doi: 10.3390/nu16183156.

Abstract

The incidence of neurodegenerative disorders like Alzheimer's or Parkinson's Disease, characterized by a progressive cognitive decline, is rising worldwide. Despite the considerable efforts to unveil the neuropsychological bases of these diseases, there is still an unmet medical need for effective therapies against cognitive deficits. In recent years, increasing laboratory evidence indicates the potential of phytotherapy as an integrative aid to improve cognitive functions. In this review, we describe the data of plant whole extracts or single compounds' efficacy on validated preclinical models and neuropsychological tests, aiming to correlate brain mechanisms underlying rodent behavioral responses to human findings. After a search of the literature, the overview was limited to the following plants: , , , , , , , and . Results showed significant improvements in different cognitive functions, such as learning and memory or visuospatial abilities, in both humans and rodents. However, despite promising laboratory evidence, clinical translation has been dampened by a limited pharmacological characterization of the single bioactive components of the herbal products. Depicting the contribution of the single phytochemicals to the phytocomplex's pharmacological efficacy could enable the comprehension of their potential synergistic activity, leading to phytotherapy inclusion in the existing therapeutic package against cognitive decline.

摘要

神经退行性疾病(如阿尔茨海默病或帕金森病)的发病率在全球范围内呈上升趋势,其特征是认知能力逐渐下降。尽管人们付出了相当大的努力来揭示这些疾病的神经心理学基础,但针对认知缺陷的有效治疗方法仍存在未满足的医疗需求。近年来,越来越多的实验室证据表明,植物疗法作为一种综合辅助疗法,具有改善认知功能的潜力。在这篇综述中,我们描述了植物全提取物或单一化合物在经过验证的临床前模型和神经心理学测试中的功效数据,旨在将啮齿动物行为反应的大脑机制与人类研究结果相关联。在文献检索后,综述仅限于以下几种植物:银杏、贯叶金丝桃、朝鲜蓟、乳蓟、姜黄、人参、南非醉茄和积雪草。结果表明,这些植物在学习和记忆或视觉空间能力等不同认知功能方面都有显著改善,无论是在人类还是啮齿动物中。然而,尽管实验室证据有很大的希望,但由于草药产品中单一生物活性成分的药理学特征有限,临床转化受到了阻碍。描绘单一植物化学物质对植物复合物药理学功效的贡献,可以使我们理解其潜在的协同活性,从而使植物疗法纳入现有的治疗认知能力下降的方案中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9f7/11434991/3085a64b90c6/nutrients-16-03156-g001.jpg

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