Cantón-Suárez Alba, Sánchez-Valdeón Leticia, Bello-Corral Laura, Cuevas María J, Estébanez Brisamar
Faculty of Health Sciences, University of Leon, 24071 Leon, Spain.
Health Research Nursing Group (GREIS), University of Leon, 24071 Leon, Spain.
Int J Mol Sci. 2024 Dec 18;25(24):13576. doi: 10.3390/ijms252413576.
Alzheimer's disease is one of the most common neurodegenerative diseases, characterized by a wide range of neurological symptoms that begin with personality changes and psychiatric symptoms, progress to mild cognitive impairment, and eventually lead to dementia. Physical exercise is part of the non-pharmacological treatments used in Alzheimer's disease, as it has been shown to delay the neurodegenerative process by improving the redox state in brain tissue, providing anti-inflammatory effects or stimulating the release of the brain-derived neurotrophic factor that enhances the brain structure and cognitive performance. Here, we reviewed the results obtained from studies conducted in both animal models and human subjects to comprehend how physical exercise interventions can exert changes in the molecular mechanisms underlying the pathophysiological processes in Alzheimer's disease: amyloid β-peptide pathology, tau pathology, neuroglial changes, mitochondrial dysfunction, and oxidative stress. Physical exercise seems to have a protective effect against Alzheimer's disease, since it has been shown to induce positive changes in some of the biomarkers related to the pathophysiological processes of the disease. However, additional studies in humans are necessary to address the current lack of conclusive evidence.
阿尔茨海默病是最常见的神经退行性疾病之一,其特征是出现一系列神经症状,最初表现为性格改变和精神症状,进而发展为轻度认知障碍,最终导致痴呆。体育锻炼是用于治疗阿尔茨海默病的非药物治疗方法之一,因为研究表明,体育锻炼可通过改善脑组织的氧化还原状态、发挥抗炎作用或刺激脑源性神经营养因子的释放来延缓神经退行性过程,而脑源性神经营养因子可增强脑结构和认知能力。在此,我们综述了在动物模型和人类受试者中开展的研究结果,以了解体育锻炼干预如何改变阿尔茨海默病病理生理过程的分子机制,这些机制包括淀粉样β肽病理、tau蛋白病理、神经胶质细胞变化、线粒体功能障碍和氧化应激。体育锻炼似乎对阿尔茨海默病具有保护作用,因为研究表明它可使一些与该疾病病理生理过程相关的生物标志物发生积极变化。然而,鉴于目前缺乏确凿证据,有必要在人类中开展更多研究。