摘要
中风后抑郁症是可能在中风后发展的一种常见的精神情感障碍。除了中风诱导的生物胺神经递质类和细胞因子表达的异常情况,我们将会侧重氧化应激的作用及多酚类可能用于中风后抑郁症治疗靶点的假设。本文中,我们讨论了增强局部缺血间脑组织氧化应激的假设,其与中风后抑郁样症状的发病机理相关。有关于中风和抑郁症发病机理的氧化应激作用的确切证据,为此假设提供了支持。中风期间产生的活性氧,会引起中枢组织的氧化应激、脂质过氧化、蛋白氧化及DNA损伤。神经组织中导致的病理生理过程被认为是诱导中风后抑郁症的主要机制。由于含多酚类抗氧化剂防止神经元受氧化应激的能力,通过抑制脂质过氧化和与血管内皮细胞新一代一氧化氮相互作用的能力来缓解缺血性损伤,并且也为了减少炎症;他们也许在局部缺血和中风的过程中起重要作用。
关键词: 重度抑郁症,氧化应激,多酚类,中风后抑郁症,中风
Current Medicinal Chemistry
Title:Oxidative Stress and Post-Stroke Depression: Possible Therapeutic Role of Polyphenols?
Volume: 22 Issue: 3
Author(s): Seyed Fazel Nabavi, Olivia M. Dean, Alyna Turner, Antoni Sureda, Maria Daglia and Seyed Mohammad Nabavi
Affiliation:
关键词: 重度抑郁症,氧化应激,多酚类,中风后抑郁症,中风
摘要: Post-stroke depression is a common neuropsychiatric affective disorder that may develop after a stroke event. In addition to abnormalities in the biogenic amine neurotransmitters and cytokine expression induced by stroke we will focus on the role of oxidative stress and hypothesize that polyphenols may be useful as therapeutics targets for the treatment of post-stroke depression. In this paper, we discuss the hypothesis that increased oxidative stress in cerebral tissues during ischemia is implicated in the pathogenesis of depressive-like symptoms following stroke. There is substantive evidence regarding the role of oxidative stress in the pathogenesis of both stroke and depression, which provides support to this hypothesis. Reactive oxygen species, generated during stroke, cause oxidative stress, lipid peroxidation, protein oxidation, and DNA damage in neural tissues. The resultant pathophysiological processes in the neural tissues could be considered a leading mechanism in the induction of post-stroke depression. Antioxidants including polyphenols therefore, may play an important role in the outcomes of ischemia and stroke, due to their ability to protect neurons against oxidative stress, to mitigate ischemic damage via inhibition of lipid peroxidation and ability to interact with the generation of nitric oxide from the vascular endothelium, and also to decrease inflammation. These data suggest that polyphenols may therefore be a useful new therapeutic target for the treatment of post-stroke depression.
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Nabavi Fazel Seyed, M. Dean Olivia, Turner Alyna, Sureda Antoni, Daglia Maria and Mohammad Nabavi Seyed, Oxidative Stress and Post-Stroke Depression: Possible Therapeutic Role of Polyphenols?, Current Medicinal Chemistry 2015; 22 (3) . https://dx.doi.org/10.2174/0929867321666141106122319
DOI https://dx.doi.org/10.2174/0929867321666141106122319 |
Print ISSN 0929-8673 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-533X |
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