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帕金森病的草药干预措施:临床前研究的系统评价

Herbal Interventions in Parkinson's Disease: A Systematic Review of Preclinical Studies.

作者信息

Zhao Wanlin, Cui Hailiang, Liu Jihong, Sun Hongyu, Zhang Zijuan, Zhang Zhenqiang, Ma Dongrui

机构信息

Academy of Chinese Medical Sciences, Henan University of Chinese Medicine, Zhengzhou, 450046, Henan Province, China.

School of Medical Sciences, Henan University of Chinese Medicine, Zhengzhou, 450046, Henan Province, China.

出版信息

Cell Mol Neurobiol. 2025 May 23;45(1):50. doi: 10.1007/s10571-025-01556-y.

Abstract

Parkinson's disease (PD) is the second most common neurodegenerative disorder, characterized by the progressive degeneration of dopaminergic neurons in the substantia nigra of the midbrain. With its incidence rising annually, the multi-mechanistic pathogenesis of PD presents new opportunities for the development of multi-target therapies. While previous studies have explored the therapeutic potential of natural products in PD, existing reviews often focus on single mechanisms or a limited number of compounds. While previous studies have explored the therapeutic potential of natural products in PD, existing reviews often focus on single mechanisms or a limited number of compounds. This article systematically evaluates preclinical studies published between 2018 and 2025, encompassing 32 bioactive components and 10 categories of traditional Chinese medicine (TCM) formulas. It highlights the therapeutic potential of TCM active ingredients for PD by examining key mechanisms, including oxidative stress, ferroptosis, neuroinflammation, gut microbiota imbalance, mitochondrial dysfunction, autophagy, and endoplasmic reticulum stress. By integrating these insights, this review provides an interdisciplinary perspective to guide the development of next-generation botanical drugs for PD.

摘要

帕金森病(PD)是第二常见的神经退行性疾病,其特征是中脑黑质中多巴胺能神经元的进行性退化。随着其发病率逐年上升,PD的多机制发病机制为多靶点治疗的发展带来了新机遇。虽然先前的研究已经探索了天然产物在PD中的治疗潜力,但现有的综述往往侧重于单一机制或有限数量的化合物。本文系统评价了2018年至2025年间发表的临床前研究,涵盖32种生物活性成分和10类中药方剂。通过研究氧化应激、铁死亡、神经炎症、肠道微生物群失衡、线粒体功能障碍、自噬和内质网应激等关键机制,突出了中药活性成分对PD的治疗潜力。通过整合这些见解,本综述提供了一个跨学科的视角,以指导下一代PD植物药的开发。

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