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镁(Mg)与神经退行性变:对受某些神经退行性疾病影响的人类生物样本中镁水平研究的全面综述,包括治疗进展及临床试验,并辅以精选的动物研究。

Magnesium (Mg) and Neurodegeneration: A Comprehensive Overview of Studies on Mg Levels in Biological Specimens in Humans Affected Some Neurodegenerative Disorders with an Update on Therapy and Clinical Trials Supplemented with Selected Animal Studies.

作者信息

Ścibior Agnieszka, Llopis Juan, Dobrakowski Paweł P, Męcik-Kronenberg Tomasz

机构信息

Laboratory of Oxidative Stress, Department of Biomedicine and Environmental Research, Institute of Biological Sciences, Faculty of Medicine, The John Paul II Catholic University of Lublin, Konstantynów St. 1J, 20-708 Lublin, Poland.

Department of Physiology, Institute of Nutrition and Food Technology "José Mataix", Biomedical Research Centre, University of Granada, 18100 Armilla, Spain.

出版信息

Int J Mol Sci. 2024 Nov 23;25(23):12595. doi: 10.3390/ijms252312595.

Abstract

Neurodegenerative diseases, characterized by neuron loss, are a group of neurological disorders that adversely affect the lives of millions of people worldwide. Although several medicines have been approved for managing neurodegenerative diseases, new therapies allowing for a significant slowdown in the progression of neurodegenerative syndromes are constantly being sought. Magnesium (Mg), a crucial mineral necessary for the functioning of organisms, is important to normal central nervous system (CNS) activity. Although the effects of this bioelement on the CNS are relatively well recognized, its role in the pathophysiology of neurological disorders in humans is not yet well characterized. Therefore, the main goal of this review is to collect data about a possible association between Mg and neurodegenerative disorders such as Alzheimer's disease (AD), Parkinson's Disease (PD), and Amyotrophic lateral sclerosis (ALS) in humans. Hence, the levels of Mg in blood, cerebrospinal fluid (CSF), urine, and hair from subjects with AD, PD, and ALS are compiled to detect possible variations in the levels of this mineral in the biological specimens of people with neurodegenerative illnesses. Additionally, the findings from an animal model are summarized to offer the reader a deeper insight into studies on Mg in the context of neuroprotection and neurodegeneration. Data provided in the present review indicate that Mg, due to its neuroprotective, antioxidant, anti-inflammatory, and mitochondrial-supportive properties, could be a potential therapeutic agent for AD, PD, and ALS. However, more epidemiological studies with standardized methods of dietary assessment and Mg measurement are necessary to recognize its exact role in neurodegenerative disorders. Moreover, extensive well-designed clinical trials are also needed to establish definitive therapeutic protocols and optimal dosages, and to ensure long-term safety of this mineral supplementation in AD, PD, and ALS patients.

摘要

神经退行性疾病以神经元丧失为特征,是一类神经系统疾病,对全球数百万人的生活产生不利影响。尽管已有多种药物被批准用于治疗神经退行性疾病,但人们仍在不断寻找能显著减缓神经退行性综合征进展的新疗法。镁(Mg)是生物体正常运作所必需的关键矿物质,对正常的中枢神经系统(CNS)活动至关重要。尽管这种生物元素对中枢神经系统的影响已得到相对充分的认识,但其在人类神经系统疾病病理生理学中的作用尚未得到很好的阐明。因此,本综述的主要目的是收集有关镁与人类神经退行性疾病(如阿尔茨海默病(AD)、帕金森病(PD)和肌萎缩侧索硬化症(ALS))之间可能存在关联的数据。为此,我们汇总了AD、PD和ALS患者血液、脑脊液(CSF)、尿液和毛发中的镁含量,以检测神经退行性疾病患者生物样本中这种矿物质含量的可能变化。此外,还总结了动物模型的研究结果,以便让读者更深入地了解镁在神经保护和神经退行性变方面的研究。本综述提供的数据表明,由于镁具有神经保护、抗氧化、抗炎和支持线粒体的特性,它可能是治疗AD、PD和ALS的潜在药物。然而,需要更多采用标准化饮食评估和镁测量方法的流行病学研究,以明确其在神经退行性疾病中的确切作用。此外,还需要进行广泛的精心设计的临床试验,以建立明确的治疗方案和最佳剂量,并确保在AD、PD和ALS患者中补充这种矿物质的长期安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5276/11641227/05c308bc89c8/ijms-25-12595-g001.jpg

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