Mishra Arun Kumar, Srivastava Alankar, Raj Varsha, Saini Vipin, Khan Gyas, Singh Harpreet, Mishra Amrita, Paliwal Sarvesh
SOS School of Pharmacy, IFTM University, Moradabad, 244102, India.
Pharmacy Academy, IFTM University, Moradabad, 244102, India.
Curr Alzheimer Res. 2024;21(8):538-556. doi: 10.2174/0115672050361294241211071813.
Alzheimer's disease (AD), characterised by gradual memory loss and neurodegeneration, is an important risk to global health. Despite the recent advances in the field of neuroscience, the complex biological mechanisms underlying the aetiology and pathology of AD have not been elucidated yet. The development of amyloid-beta plaques, hyperphosphorylation of tau protein, oxidative stress, and neuroinflammation have been identified as important components. The genesis of AD has been illuminated by advances in molecular techniques, which have shown the contributions of environmental, genetic, and epigenetic variables. Ongoing research is focused on the potential of bioactive compounds as therapeutic agents. Quercetin, epigallocatechin gallate, huperzine A, ginsenosides, omega-3 fatty acids, vitamin E, zinc, bacosides from brahmi, and withanolide A from ashwagandha are among the compounds that have demonstrated encouraging effects in modifying disease pathways. These bioactive substances demonstrate their potential for symptomatic relief by providing neuroprotective, antioxidant, anti-inflammatory, and cognitive-enhancing properties. The present review presents the recent findings on AD pathogenesis, molecular mechanisms, and the impact of natural compounds, offering a comprehensive perspective on current and emerging strategies for managing this debilitating condition.
阿尔茨海默病(AD)以渐进性记忆丧失和神经退行性变 为特征,是对全球健康的一项重大威胁。尽管神经科学领域最近取得了进展,但AD病因和病理背后复杂的生物学机制尚未阐明。β-淀粉样蛋白斑块的形成、tau蛋白的过度磷酸化、氧化应激和神经炎症已被确定为重要组成部分。分子技术的进步揭示了AD的发病机制,这些技术表明了环境、遗传和表观遗传变量的作用。正在进行的研究集中在生物活性化合物作为治疗剂的潜力上。槲皮素、表没食子儿茶素没食子酸酯、石杉碱甲、人参皂苷、ω-3脂肪酸、维生素E、锌、婆罗门参中的胡黄连苷以及南非醉茄中的睡茄内酯A等化合物在改变疾病途径方面已显示出令人鼓舞的效果。这些生物活性物质通过提供神经保护、抗氧化、抗炎和认知增强特性,展现出缓解症状的潜力。本综述介绍了AD发病机制、分子机制以及天然化合物影响方面的最新研究结果,为管理这种使人衰弱的疾病的当前和新兴策略提供了全面的视角。