Nahar L, Charoensup R, Kalieva Kulyash, Habibi E, Guo M, Wang D, Kvasnica M, Onder A, Sarker S D
Laboratory of Growth Regulators, Palacký University and Institute of Experimental Botany, The Czech Academy of Sciences, Olomouc, Czechia.
School of Integrative Medicine and Medicinal Plants Innovation Center of Mae Fah Luang University, Chiang Rai, Thailand.
Front Pharmacol. 2025 Mar 19;16:1529194. doi: 10.3389/fphar.2025.1529194. eCollection 2025.
Neurodegenerative diseases such as Alzheimer's, Parkinson's, and Huntington's are on the rise and pose significant challenges due to the lack of effective treatments. This review critically examines the neuroprotective effects of various natural products derived from plants, marine organisms, and fungi. Natural products have long been used in traditional medicine and are gaining attention in modern drug discovery for their unique properties. The review explains how these natural products can protect neurons by influencing the key biological pathways involved in neurodegeneration. It discusses mechanisms including antioxidant effects, anti-inflammatory actions, modulation of cellular signalling, and support for mitochondrial function. A systematic literature search was conducted to minimize bias and ensure rigorous study selection. Preclinical studies using animal models and cell cultures show that secondary metabolites like polyphenols, alkaloids, and terpenoids can significantly reduce neuronal damage. Some clinical trials have shown promising results. However, challenges such as bioavailability, standardization, and dosage must be addressed to translate these findings into clinical practice. The review also evaluates the potential synergy of combining natural products with conventional treatments, offering a complementary therapeutic approach. Natural products represent a promising avenue for developing innovative treatments for neurodegenerative diseases. The review highlights key research gaps and proposes future directions. Future studies should focus on overcoming existing challenges and refining these natural products to improve their efficacy and safety in clinical settings. The application of existing knowledge has the potential to significantly enhance the quality of life for individuals affected by neurodegenerative diseases.
诸如阿尔茨海默病、帕金森病和亨廷顿病等神经退行性疾病正在增加,由于缺乏有效的治疗方法,它们构成了重大挑战。本综述批判性地研究了源自植物、海洋生物和真菌的各种天然产物的神经保护作用。天然产物长期以来一直用于传统医学,因其独特的特性而在现代药物研发中受到关注。该综述解释了这些天然产物如何通过影响神经退行性变所涉及的关键生物学途径来保护神经元。它讨论了包括抗氧化作用、抗炎作用、细胞信号调节以及对线粒体功能的支持等机制。进行了系统的文献检索以尽量减少偏倚并确保严格的研究选择。使用动物模型和细胞培养的临床前研究表明,多酚、生物碱和萜类等次生代谢产物可显著减少神经元损伤。一些临床试验已显示出有希望的结果。然而,必须解决生物利用度、标准化和剂量等挑战,以便将这些发现转化为临床实践。该综述还评估了将天然产物与传统治疗方法相结合的潜在协同作用,提供了一种补充性治疗方法。天然产物是开发神经退行性疾病创新治疗方法的一个有前景的途径。该综述突出了关键的研究空白并提出了未来的方向。未来的研究应专注于克服现有挑战并优化这些天然产物,以提高它们在临床环境中的疗效和安全性。应用现有知识有可能显著提高受神经退行性疾病影响个体的生活质量。