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大脑衰老的分子和细胞基础:阿尔茨海默病的抗衰老策略。

Molecular and Cellular Foundations of Aging of the Brain: Anti-aging Strategies in Alzheimer's Disease.

机构信息

Chair and Department of Toxicology, Faculty of Pharmacy, Medical University of Lublin, Jaczewskiego 8b Street, 20-090, Lublin, Poland.

出版信息

Cell Mol Neurobiol. 2024 Nov 28;44(1):80. doi: 10.1007/s10571-024-01514-0.

Abstract

Alzheimer's disease (AD) is a condition characterized by the gradual degeneration of the nervous system that poses significant challenges to cognitive function and overall mental health. Given the increasing global life expectancy, there is an urgent need for effective strategies to prevent and manage Alzheimer's disease, with a particular focus on anti-aging interventions. Recent scientific advancements have unveiled several promising strategies for combating Alzheimer's disease (AD), ranging from lifestyle interventions to cutting-edge pharmacological treatments and therapies targeting the underlying biological processes of aging and AD. Regular physical exercise, cognitive engagement, a balanced diet, and social interaction serve as key pillars in maintaining brain health. At the same time, therapies target key pathological mechanisms of AD, such as amyloid-beta accumulation, tau abnormalities, neuroinflammation, mitochondrial dysfunction, and synaptic loss, offering potential breakthroughs in treatment. Moreover, cutting-edge innovations such as gene therapy, stem cell transplantation, and novel drug delivery systems are emerging as potential game-changers in the fight against AD. This review critically evaluates the latest research on anti-aging interventions and their potential in preventing and treating Alzheimer's disease (AD) by exploring the connections between aging mechanisms and AD pathogenesis. It provides a comprehensive analysis of both well-established and emerging strategies, while also identifying key gaps in current knowledge to guide future research efforts.

摘要

阿尔茨海默病(AD)是一种以神经系统逐渐退化为特征的疾病,对认知功能和整体心理健康构成重大挑战。鉴于全球预期寿命的不断增加,迫切需要有效的策略来预防和管理阿尔茨海默病,特别关注抗衰老干预措施。最近的科学进展揭示了几种有希望的对抗阿尔茨海默病(AD)的策略,从生活方式干预到前沿的药物治疗和针对衰老和 AD 潜在生物学过程的治疗。定期进行身体锻炼、认知参与、均衡饮食和社交互动是保持大脑健康的关键支柱。与此同时,治疗方法针对 AD 的关键病理机制,如淀粉样蛋白-β积累、tau 异常、神经炎症、线粒体功能障碍和突触丧失,为治疗提供了潜在的突破。此外,基因治疗、干细胞移植和新型药物输送系统等前沿创新技术正成为对抗 AD 的潜在变革者。本综述通过探讨衰老机制与 AD 发病机制之间的联系,批判性地评估了抗衰老干预措施及其在预防和治疗阿尔茨海默病(AD)方面的最新研究。它对既定和新兴策略进行了全面分析,同时确定了当前知识中的关键差距,以指导未来的研究工作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/043d/11604688/662e25721511/10571_2024_1514_Fig1_HTML.jpg

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