Pitchumoni S S, Doraiswamy P M
Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, USA.
J Am Geriatr Soc. 1998 Dec;46(12):1566-72. doi: 10.1111/j.1532-5415.1998.tb01544.x.
Accumulating evidence from preclinical and clinical studies supports the hypothesis that oxidative stress may be associated with the onset and progression of Alzheimer's Disease (AD). Antioxidant therapies are being promoted in the lay press to enhance mental functions and delay cognitive losses with aging. An increasing number of physicians are also recommending antioxidant therapies, such as high dose vitamin E, for subjects with AD and other neurodegenerative disorders. High dose vitamin E, ginkgo biloba, and selegiline are three putative antioxidants that have been tested in randomized multicenter trial conditions in the US. This paper summarizes the oxidative stress hypothesis of AD and reviews the strengths and limitations of published antioxidant studies in AD in relation to the role of such therapies in practice.
临床前和临床研究积累的证据支持这样一种假说,即氧化应激可能与阿尔茨海默病(AD)的发病及进展相关。大众媒体正在推广抗氧化疗法,以增强心理功能并延缓因衰老导致的认知衰退。越来越多的医生也在为患有AD和其他神经退行性疾病的患者推荐抗氧化疗法,如高剂量维生素E。高剂量维生素E、银杏叶和司来吉兰是三种经推测具有抗氧化作用的物质,它们已在美国的随机多中心试验条件下进行了测试。本文总结了AD的氧化应激假说,并回顾了已发表的AD抗氧化研究的优势与局限性,以及此类疗法在实际应用中的作用。