姜黄素在神经退行性疾病中的神经保护潜力:细胞和分子信号通路的临床见解

Neuroprotective Potential of Curcumin in Neurodegenerative Diseases: Clinical Insights Into Cellular and Molecular Signaling Pathways.

作者信息

Islam Md Rezaul, Rauf Abdur, Akter Sumiya, Akter Happy, Al-Imran Md Ibrahim Khalil, Fakir Md Naeem Hossain, Thufa Gazi Kaifeara, Islam Md Tazul, Hemeg Hassan A, Abdulmonem Waleed Al, Aljohani Abdullah S M, Iriti Marcello

机构信息

Department of Pharmacy, Faculty of Health and Life Sciences, Daffodil International University, Dhaka, Bangladesh.

Department of Chemistry, University of Swabi, Anbar, Khyber Pakhtunkhwa, Pakistan.

出版信息

J Biochem Mol Toxicol. 2025 Aug;39(8):e70369. doi: 10.1002/jbt.70369.

Abstract

Progressive neuronal loss and dysfunction characterize neurodegenerative diseases (NDs) such as Alzheimer's, Parkinson's, and Huntington's diseases, spinal cord injury, and stroke, making them difficult to treat. Curcumin, a bioactive substance derived from the turmeric plant (Curcuma longa), is interesting due to its potential neuroprotective properties. This review thoroughly shows the cellular and molecular signaling mechanisms that curcumin utilizes to provide neuroprotective effects in NDs. Curcumin regulates several signaling pathways linked to neuroprotection, such as those that reduce oxidative stress, prevent Aβ formation, and decrease neuroinflammation. NF-κB suppression reduces inflammatory responses, while Nrf2 activation boosts antioxidant response element expression. Furthermore, curcumin enhances autophagy and neurotrophic factor expression, facilitating the removal of harmful protein aggregates. The function of curcumin as a metal chelator is emphasized particularly to iron and other metal dysregulations linked to neurodegenerative processes. Curcumin's capacity to regulate metal ion homeostasis is essential since the pathophysiology of NDs is significantly influenced by metal-induced oxidative stress and toxic buildup. It shows potential therapeutic effects by reducing oxidative damage and chelating excess metals. Clinical research indicates that curcumin can penetrate the blood-brain barrier, making it an effective treatment option. The regulation of these pathways reduces neuronal damage and improves neurons' survival and functionality. In addition, curcumin's anti-inflammatory properties and low toxicity make it a promising long-term treatment option for NDs. Therefore, this review emphasizes the potential of curcumin as a targeted neuroprotective compound, presenting recent clinical insights and experimental data. Future studies should optimize curcumin formulations and delivery systems to enhance its bioavailability and therapeutic efficacy.

摘要

进行性神经元丧失和功能障碍是阿尔茨海默病、帕金森病、亨廷顿病、脊髓损伤和中风等神经退行性疾病(NDs)的特征,这使得它们难以治疗。姜黄素是一种从姜黄植物(姜黄)中提取的生物活性物质,因其潜在的神经保护特性而备受关注。这篇综述全面展示了姜黄素在神经退行性疾病中发挥神经保护作用所利用的细胞和分子信号传导机制。姜黄素调节多种与神经保护相关的信号通路,例如那些减少氧化应激、防止β淀粉样蛋白(Aβ)形成以及减轻神经炎症的通路。抑制核因子κB(NF-κB)可减少炎症反应,而激活核因子E2相关因子2(Nrf2)可增强抗氧化反应元件的表达。此外,姜黄素增强自噬和神经营养因子的表达,促进有害蛋白质聚集体的清除。特别强调了姜黄素作为金属螯合剂的功能,尤其是针对与神经退行性过程相关的铁和其他金属失调。姜黄素调节金属离子稳态的能力至关重要,因为神经退行性疾病的病理生理学受到金属诱导的氧化应激和毒性积累的显著影响。它通过减少氧化损伤和螯合过量金属显示出潜在的治疗效果。临床研究表明姜黄素能够穿透血脑屏障,使其成为一种有效的治疗选择。这些信号通路的调节减少了神经元损伤,提高了神经元的存活和功能。此外,姜黄素的抗炎特性和低毒性使其成为神经退行性疾病有前景的长期治疗选择。因此,这篇综述强调了姜黄素作为一种靶向神经保护化合物的潜力,展示了近期的临床见解和实验数据。未来的研究应该优化姜黄素的制剂和给药系统,以提高其生物利用度和治疗效果。

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