Shafigh Ensieh, Sadeghi Giti, Jamaat Negar Abbasi, Hassanpour Fatemeh, Solhirad Moslem, Karimi-Zandi Leila
Institute for Cognitive and Brain Sciences, Shahid Beheshti University, Tehran, Iran.
Faculty of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.
Curr Alzheimer Res. 2025 May 23. doi: 10.2174/0115672050386593250521064527.
Alzheimer's Disease (AD) is the most prevalent progressive neurodegenerative disorder, leading to significant cognitive decline and dementia. Oxytocin (OXT), a peptide hormone synthesized in the hypothalamus, has emerged as a critical player in cognitive functioning. Notably, alterations in OXT levels have been reported in individuals with Alzheimer's disease.
This systematic review aims to synthesize existing literature from databases such as PubMed, Scopus, and Web of Science, focusing on the therapeutic potential of OXT in AD treatment. Two independent individuals conducted the screening procedure for all articles.
Our screening revealed that studies investigating OXT therapy primarily involve animal models. These studies consistently demonstrate that, OXT administration mitigates various memory deficits in animal models of AD. These improvements are linked to mechanisms such as reduced microglial-driven inflammation and decreased amyloid-beta (Aβ) deposition, but changes in plaque load do not always correspond directly to cognitive improvement.
While these findings are promising and oxytocin could be a potential therapeutic candidate for AD, the evidence is limited to animal studies. There is a lack of robust human data, making it difficult to draw firm conclusions about oxytocin's efficacy in people with AD. Ongoing and future clinical trials will be crucial to determine whether these preclinical benefits translate to humans.
Despite the limited number of studies examining the effects of OXT on AD and the inherent challenges in conducting such research, the available evidence from animal studies suggests promising results. These findings can serve as a valuable foundation for future human and complementary studies aimed at exploring oxytocin's therapeutic potential in treating AD.
阿尔茨海默病(AD)是最常见的进行性神经退行性疾病,会导致显著的认知衰退和痴呆。催产素(OXT)是一种在下丘脑合成的肽类激素,已成为认知功能中的关键因素。值得注意的是,已有报道称阿尔茨海默病患者的催产素水平存在变化。
本系统评价旨在综合来自PubMed、Scopus和Web of Science等数据库的现有文献,重点关注催产素在AD治疗中的治疗潜力。两名独立人员对所有文章进行筛选程序。
我们的筛选显示,研究催产素治疗的研究主要涉及动物模型。这些研究一致表明,给予催产素可减轻AD动物模型中的各种记忆缺陷。这些改善与小胶质细胞驱动的炎症减少和淀粉样β蛋白(Aβ)沉积减少等机制有关,但斑块负荷的变化并不总是与认知改善直接相关。
虽然这些发现很有前景,催产素可能是AD的潜在治疗候选药物,但证据仅限于动物研究。缺乏有力的人体数据,难以就催产素对AD患者的疗效得出确凿结论。正在进行的和未来的临床试验对于确定这些临床前益处是否能转化为人体疗效至关重要。
尽管研究催产素对AD影响的研究数量有限,且进行此类研究存在固有挑战,但动物研究的现有证据显示出有希望的结果。这些发现可为未来旨在探索催产素治疗AD的治疗潜力的人体研究和补充研究提供宝贵基础。