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黄酮类化合物在减轻阿尔茨海默病病理复杂性和治疗障碍中的作用

Role of Flavonoids in Mitigating the Pathological Complexities and Treatment Hurdles in Alzheimer's Disease.

作者信息

Chib Shivani, Dutta Bhaskar Jyoti, Chalotra Rishabh, Abubakar Md, Kumar Puneet, Singh Thakur Gurjeet, Singh Randhir

机构信息

Department of Pharmacology, Central University of Punjab, Bathinda, India.

Department of Pharmacology, National Institute of Pharmaceutical Education and Research (NIPER), Hajipur, India.

出版信息

Phytother Res. 2025 Feb;39(2):747-775. doi: 10.1002/ptr.8406. Epub 2024 Dec 11.

Abstract

With the passage of time, people step toward old age and become more prone to several diseases associated with the age. One such is Alzheimer's disease (AD) which results into neuronal damage and dementia with the progression of age. The existing therapeutics has been hindered by various enkindles like less eminent between remote populations, affordability issues and toxicity profiles. Moreover, lack of suitable therapeutic option further worsens the quality of life in older population. Developing an efficient therapeutic intervention to cure AD is still a challenge for medical fraternity. Recently, alternative approaches attain the attention of researchers to focus on plant-based therapy in mitigating AD. In this context, flavonoids gained centrality as a feasible treatment in modifying various neurological deficits. This review mainly focuses on the pathological facets and economic burden of AD. Furthermore, we have explored the possible mechanism of flavonoids with the preclinical and clinical aspects for curing AD. Flavonoids being potential therapeutic, target the pathogenic factors of AD such as oxidative stress, inflammation, metal toxicity, Aβ accumulation, modulate neurotransmission and insulin signaling. In this review, we emphasized on potential neuroprotective effects of flavonoids in AD pathology, with focus on both experimental and clinical findings. While preclinical studies suggest promising therapeutic benefits, clinical data remains limited and inconclusive. Thus, further high-quality clinical trials are necessary to validate the efficacy of flavonoids in AD. The study aim is to promote the plant-based therapies and encourage people to add flavonoids to regular diet to avail the beneficial effects in preventive therapy for AD.

摘要

随着时间的推移,人们步入老年,更容易患上几种与年龄相关的疾病。其中之一是阿尔茨海默病(AD),它会随着年龄的增长导致神经元损伤和痴呆。现有的治疗方法受到各种因素的阻碍,如偏远人群之间差异不显著、可负担性问题和毒性特征。此外,缺乏合适的治疗选择进一步恶化了老年人群的生活质量。开发一种有效的治疗干预措施来治愈AD仍然是医学界面临的挑战。最近,替代方法引起了研究人员的关注,他们将重点放在基于植物的疗法来缓解AD上。在这种背景下,黄酮类化合物作为改善各种神经功能缺陷的可行治疗方法而受到关注。本综述主要关注AD的病理方面和经济负担。此外,我们探讨了黄酮类化合物在治疗AD的临床前和临床方面的可能机制。黄酮类化合物作为潜在的治疗方法,针对AD的致病因素,如氧化应激、炎症、金属毒性、β淀粉样蛋白(Aβ)积累,调节神经传递和胰岛素信号。在本综述中,我们强调了黄酮类化合物在AD病理中的潜在神经保护作用,重点关注实验和临床研究结果。虽然临床前研究表明有良好的治疗效果,但临床数据仍然有限且尚无定论。因此,需要进一步进行高质量的临床试验来验证黄酮类化合物在AD中的疗效。该研究的目的是推广基于植物的疗法,并鼓励人们在日常饮食中添加黄酮类化合物,以在AD的预防性治疗中获得有益效果。

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