摘要
神经退行性疾病是一种不可治愈的疾病,涉及神经细胞的退化或死亡。阿尔茨海默病(AD)是一种神经退行性疾病,于1906年由德国临床精神病学家和神经解剖学家阿洛伊斯阿尔茨海默发现。这种疾病的主要病理标志是细胞外淀粉样蛋白β(Aβ)斑块和细胞内神经原纤维缠结(NFT)的形成。 AD患者脑中淀粉样蛋白聚集体的积聚导致氧化应激和炎症。这种疾病发展的其他原因是胆碱能耗竭和过度的谷氨酸能神经传递。目前批准并销售用于治疗AD的药物是胆碱酯酶抑制剂(ChEI)和N-甲基 - 天冬氨酸(NMDA)受体拮抗剂。 ChEIs的功能是避免胆碱能耗竭;而NMDA受体拮抗剂的作用是阻断过度的谷氨酸能神经传递。不幸的是,目前针对AD开具的药物在症状缓解方面仅表现出适度改善,并延缓了疾病的进展。本综述将讨论几种多酚类化合物作为AD潜在的自然治疗选择。这篇综述强调了三种化合物 - 姜黄素(Cur),白藜芦醇(Rsv)和表没食子儿茶素-3-没食子酸酯(EGCG)。这些化合物对AD治疗具有巨大的潜力,特别是由于它们的不良事件频率低。然而,目前常规的药物仍然是治疗AD的主要手段。
关键词: 胆碱酯酶抑制剂,姜黄素,表没食子儿茶素-3-没食子酸酯,N-甲基-D-天冬氨酸,神经变性疾病,多酚化合物,白藜芦醇
图形摘要
Current Drug Targets
Title:Natural Polyphenols in the Treatment of Alzheimer’s Disease
Volume: 19 Issue: 8
关键词: 胆碱酯酶抑制剂,姜黄素,表没食子儿茶素-3-没食子酸酯,N-甲基-D-天冬氨酸,神经变性疾病,多酚化合物,白藜芦醇
摘要: Neurodegenerative disease is an incurable disease which involves the degeneration or death of the nerve cells. Alzheimer's Disease (AD) is a neurodegenerative disease discovered in 1906 by Alois Alzheimer, a German clinical psychiatrist and neuroanatomist. The main pathological hallmarks of this disease are the formation of extracellular amyloid β (Aβ) plaques and intracellular neurofibrillary tangle (NFT). The accumulation of the amyloid protein aggregates in the brain of AD patients leads to oxidative stress and inflammation. Other postulated reasons for the development of this disease are cholinergic depletion and excessive glutamatergic neurotransmission. The current drugs approved and marketed for the treatment of AD are cholinesterase inhibitors (ChEIs) and N-methyl-Daspartate (NMDA) receptor antagonists. The function of ChEIs is to avoid cholinergic depletion; whereas the function of NMDA receptor antagonist is to block excessive glutamatergic neurotransmission. Unfortunately, the current drugs prescribed for AD show only modest improvement in terms of symptomatic relief and delay the progression of the disease. This review will discuss about several polyphenolic compounds as potential natural treatment options for AD. Three compounds are highlighted in this review — Curcumin (Cur), Resveratrol (Rsv) and Epigallocatechin-3- gallate (EGCG). These compounds have huge potential for AD treatment, especially due to their low frequency of adverse events. However, the current conventional pharmaceutical drugs remain as the mainstay of treatment for AD.
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Cite this article as:
Natural Polyphenols in the Treatment of Alzheimer’s Disease, Current Drug Targets 2018; 19 (8) . https://dx.doi.org/10.2174/1389450118666170328122527
DOI https://dx.doi.org/10.2174/1389450118666170328122527 |
Print ISSN 1389-4501 |
Publisher Name Bentham Science Publisher |
Online ISSN 1873-5592 |
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