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线粒体疗法在阿尔茨海默病和帕金森病中的应用:临床前研究的系统评价

Mitotherapy in Alzheimer's and Parkinson's diseases: A systematic review of preclinical studies.

作者信息

Modiri Aynur, Hosseini Leila, Abolhasanpour Nasrin, Azizi Hosein, Sadeh Reza Naghdi

机构信息

Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.

Research Center for Evidence-Based Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

BMC Neurol. 2025 May 27;25(1):227. doi: 10.1186/s12883-025-04241-1.

Abstract

BACKGROUND

Alzheimer's disease (AD) and Parkinson's disease (PD) are prevalent neurodegenerative disorders and strongly affect both the patients' lives and their caregivers. Strategy to improve and restore mitochondrial function, as well as to treat mitochondria-associated diseases, as observed in the pathophysiology of AD and PD. The current study aimed to investigate the potential of mitotherapy in AD and PD in preclinical studies.

METHODS

We conducted a systematic search of articles in English related to mitotherapy in AD and PD animal models published until October 2024 in the selected bibliographic databases, including PubMed, Scopus, EMBASE, and Google Scholar, and the reference lists of relevant review articles published. The quality of the final selected studies was assessed using the Collaborative Approach to Meta-Analysis and Review of Animal Studies (CAMARADES) checklists and the SYRCLE risk of bias tool. The initial search resulted in 231 studies, and after screening the titles and abstracts, 30 studies were recognized. Finally, 7 studies met the inclusion criteria.

RESULTS

Despite restricted knowledge of the mitotherapy mechanisms, evidence shows that exogenous mitochondria exert neuroprotective effects via improving mitochondrial function, reducing oxidative stress and inflammation in preclinical models of AD and PD.

CONCLUSION

This systematic review summarizes the preclinical studies on mitotherapy and provides evidence favoring mitochondria transplantation's protective effects in animal PD and AD models.

摘要

背景

阿尔茨海默病(AD)和帕金森病(PD)是常见的神经退行性疾病,对患者及其护理人员的生活都有严重影响。在AD和PD的病理生理学中可以观察到,改善和恢复线粒体功能以及治疗线粒体相关疾病的策略。本研究旨在探讨临床前研究中米托治疗在AD和PD中的潜力。

方法

我们在选定的文献数据库(包括PubMed、Scopus、EMBASE和谷歌学术)中系统检索了截至2024年10月发表的与AD和PD动物模型中米托治疗相关的英文文章,以及已发表的相关综述文章的参考文献列表。使用动物研究的Meta分析和综述协作方法(CAMARADES)清单和SYRCLE偏倚风险工具评估最终选定研究的质量。初步检索得到231项研究,在筛选标题和摘要后,识别出30项研究。最后,7项研究符合纳入标准。

结果

尽管对米托治疗机制的了解有限,但证据表明,在AD和PD的临床前模型中,外源性线粒体通过改善线粒体功能、降低氧化应激和炎症发挥神经保护作用。

结论

本系统综述总结了米托治疗的临床前研究,并提供了支持线粒体移植在动物PD和AD模型中具有保护作用的证据。

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