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天然产物及其在退行性脑疾病中的神经保护作用:全面综述。

Natural Products and Their Neuroprotective Effects in Degenerative Brain Diseases: A Comprehensive Review.

机构信息

Division of Functional Food Research, Korea Food Research Institute, Wanju 55365, Republic of Korea.

出版信息

Int J Mol Sci. 2024 Oct 18;25(20):11223. doi: 10.3390/ijms252011223.

Abstract

As the global population ages, the incidence of neurodegenerative diseases such as Alzheimer's and Parkinson's is rapidly rising. These diseases present a significant public health challenge, as they severely impair cognitive and motor functions, ultimately leading to a substantial reduction in quality of life and placing a heavy burden on healthcare systems worldwide. Although several therapeutic agents have been developed to manage the symptoms of these diseases, their effectiveness is often limited, and there remains an urgent need for preventive strategies. Growing evidence indicates that bioactive compounds from natural products possess neuroprotective properties through antioxidant and anti-inflammatory effects, modulating key pathways such as phosphatidylinositol 3-kinase/protein kinase B (PI3K/AKT) and brain-derived neurotrophic factor-tropomyosin receptor kinase B-cAMP response element-binding protein (BDNF-TrkB-CREB), which are crucial for neuronal survival. These compounds may also reduce amyloid-beta and tau pathology, as well as enhance cholinergic neurotransmission by inhibiting acetylcholinesterase activity. By targeting oxidative stress, neuroinflammation, and neurodegeneration, natural products offer a promising approach for both prevention and treatment. These findings suggest that natural products may be promising for preventing and treating neurodegenerative diseases. This review aims to explore the pathogenesis of neurodegenerative diseases, the limitations of current therapies, and the potential role of natural products as therapeutic agents.

摘要

随着全球人口老龄化,阿尔茨海默病和帕金森病等神经退行性疾病的发病率正在迅速上升。这些疾病给公共健康带来了巨大挑战,因为它们严重损害了认知和运动功能,最终导致生活质量大幅下降,并给全球医疗系统带来了沉重负担。尽管已经开发出几种治疗这些疾病的药物来控制其症状,但它们的疗效往往有限,因此迫切需要预防策略。越来越多的证据表明,天然产物中的生物活性化合物通过抗氧化和抗炎作用具有神经保护特性,调节了关键途径,如磷脂酰肌醇 3-激酶/蛋白激酶 B(PI3K/AKT)和脑源性神经营养因子-原肌球蛋白受体激酶 B-环磷酸腺苷反应元件结合蛋白(BDNF-TrkB-CREB),这些途径对神经元的存活至关重要。这些化合物还可能通过抑制乙酰胆碱酯酶活性来减少淀粉样蛋白-β和 tau 病理学,并增强胆碱能神经传递。通过靶向氧化应激、神经炎症和神经退行性变,天然产物为预防和治疗提供了一种有前途的方法。这些发现表明,天然产物可能是预防和治疗神经退行性疾病的有希望的方法。本综述旨在探讨神经退行性疾病的发病机制、当前治疗方法的局限性以及天然产物作为治疗剂的潜在作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f07e/11508681/e96ac7dbf785/ijms-25-11223-g001.jpg

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