Hefti F
Department of Neuroscience, Genentech Inc., South San Francisco, California 94080.
J Neurobiol. 1994 Nov;25(11):1418-35. doi: 10.1002/neu.480251109.
The ability of neurotrophic factors to regulate developmental neuronal survival and adult nervous system plasticity suggests the use of these molecules to treat neurodegeneration associated with human diseases. Solid rationales exist for the use of NGF and neurotrophin-3 in the treatment of neuropathies of the peripheral sensory system, insulin-like growth factor and ciliary neurotrophic factor in motor neuron atrophy, and NGF in Alzheimer's disease. Growth factors have been identified for neurons affected in Parkinson's disease, Huntington's disease, and acute brain and spinal cord injury. Various strategies are actively pursued to deliver neurotrophic factors to the brain, and develop therapeutically useful molecules that mimic neurotrophic factor actions or stimulate their production or receptor mechanisms.
神经营养因子调节发育中神经元存活及成体神经系统可塑性的能力提示,可利用这些分子治疗与人类疾病相关的神经退行性变。使用神经生长因子(NGF)和神经营养素-3治疗外周感觉系统神经病变、胰岛素样生长因子和睫状神经营养因子治疗运动神经元萎缩以及NGF治疗阿尔茨海默病均有充分的理论依据。已确定了针对帕金森病、亨廷顿病以及急性脑和脊髓损伤中受影响神经元的生长因子。目前正在积极探索各种策略,以便将神经营养因子递送至大脑,并开发模拟神经营养因子作用或刺激其产生或受体机制的具有治疗作用的分子。