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Multiple Sclerosis: Pathogenesis Mechanism and Biomarkers. 多发性硬化症:发病机制和生物标志物。
Pub Date : 2024-09-04 DOI: 10.2174/0118715249307633240817160735
Ashwani Arya, Manish Dhall, Vineet Mittal, Deepak Kaushik, Priya Mudgal, Tarun Kumar, Manisha Pandey, Renu Kadian, Prerna Sharma, Nidhi Rani, Thakur Gurjeet Singh

Multiple sclerosis (MS) is an unceasing, demyelinating, idiopathic inflammatory, and neurodegenerative disease of the Central Nervous System (CNS.) The disease is characterized by the occurrence of neurological symptoms over a period of days to weeks, abide by partial or absolute diminutions of various durations. In this review, a concise outline on disease activity and progression of MS, pathogenesis with the special prominence on the biomarkers for the MS as therapeutic targets has been discussed by carrying out a comprehensive literature survey employing chief websites and search engines for investigation. Cortical inflammation, neurodegeneration, demyelination, axonal injury, axonal loss, oligodendrocytes, mitochondrial dysfunction, microglia activation, oxidative and nitrosative stress are the pathological hallmarks of the MS. CNS neurofilaments, chitinase and chitinase 3-like proteins, soluble circulating form (sCD163), Chemokine ligand 13 (CXCL13), immunoglobulin M, MicroRNA (miRNA) and messenger Ribonucleic Acid (mRNA), Glial fibrillary acidic protein (GFAP), serum osteopontin, 8-iso-prostaglandin F2α (8-iso-PGF2 α), apo-Lipoprotein E and myelinreactive T cells are some of the therapeutically valuable biomarkers for such multifarious disorder. MS is one of the chronic neurodegenerative diseases with undefined etiology. The study of the pathophysiology of the disease and the involvement of certain biomarkers can help identify new targets for therapeutic intercession, identify individuals at risk of developing the disease later in life, and allow more effective treatment of progressive diseases such as MS.

多发性硬化症(MS)是一种持续性、脱髓鞘、特发性炎症和中枢神经系统(CNS)神经退行性疾病。该病的特征是在数天至数周内出现神经系统症状,并伴随不同持续时间的部分或绝对减轻。在这篇综述中,通过利用主要网站和搜索引擎进行全面的文献调查,简要概述了多发性硬化症的疾病活动和进展、发病机制,并特别强调了作为治疗靶点的多发性硬化症生物标志物。皮层炎症、神经变性、脱髓鞘、轴突损伤、轴突丢失、少突胶质细胞、线粒体功能障碍、小胶质细胞激活、氧化应激和亚硝酸应激是多发性硬化症的病理特征。中枢神经系统神经丝、几丁质酶和几丁质酶 3 样蛋白、可溶性循环形式(sCD163)、趋化因子配体 13(CXCL13)、免疫球蛋白 M、微小核糖核酸(miRNA)和信使核糖核酸(mRNA)、胶质纤维酸性蛋白 (GFAP)、血清骨素、8-异前列腺素 F2α (8-异-PGF2 α)、载脂蛋白 E 和髓鞘反应性 T 细胞是这类多发性疾病的一些具有治疗价值的生物标记物。多发性硬化症是一种病因未明的慢性神经退行性疾病。研究该疾病的病理生理学和某些生物标志物的参与,有助于确定新的治疗干预靶点,识别有晚期发病风险的个体,并能更有效地治疗多发性硬化症等进展性疾病。
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引用次数: 0
Unveiling the Mysteries of the Blood-Brain Barrier: The Problem of the Brain/spinal Pharmacotherapy. 揭开血脑屏障的神秘面纱:脑/脊髓药物疗法问题。
Pub Date : 2024-08-28 DOI: 10.2174/0118715249297247240813104929
Aditya Walia, Amandeep Kaur, Randhir Singh, Nidhi Rani, Rajan Swami

The most critical issue impeding the development of innovative cerebrospinal medications is the blood-brain barrier (BBB). The BBB limits the ability of most medications to penetrate the brain to the CNS. The BBB structure and functions are summarized, with the physical barrier generated by endothelial tight junctions and the transport barrier formed by transporters within the membrane and vesicular processes. The functions of connected cells, particularly the end feet of astrocytic glial cells, microglia, and pericytes, are described. The drugs that cross the blood brain barrier are explained below along with their mechanisms. Some of the associated conditions and problems are given.

阻碍创新脑脊髓药物开发的最关键问题是血脑屏障 (BBB)。血脑屏障限制了大多数药物穿透大脑进入中枢神经系统的能力。本文总结了血脑屏障的结构和功能,包括由内皮紧密连接产生的物理屏障以及由膜内转运体和囊泡过程形成的转运屏障。介绍了连接细胞的功能,特别是星形胶质细胞、小胶质细胞和周细胞的末梢。下文将解释穿过血脑屏障的药物及其机制。还介绍了一些相关的情况和问题。
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引用次数: 0
Investigating the Therapeutic Property of Galium verum L. (GV) for MSG induced Audiogenic Epilepsy (AEs) and Neuroprotection through In-Silico and In-Vitro Analysis. 通过硅内和体外分析研究鹅掌楸(GV)对味精诱发的听源性癫痫(AEs)和神经保护的治疗特性。
Pub Date : 2024-08-27 DOI: 10.2174/0118715249330123240822063420
Mansi Singh, Siva Prasad Panda

Background: Audiogenic Epilepsy (AEs) is a subtype of epileptic seizure that is generally caused by high-intensity sounds. A large number of traditional medicines has been explored in this lieu where our study chased Galium verum L. (Rubiaceae), an herbal plant which is commonly known as Lady's Bedstraw, that contains a highly rich chemical composition including flavonoids (Hispidulin, Quercetin, and Kaempferol), and phenolic acids (chlorogenic acid, caftaric acid, and gallic acid). G verum is well known for its antioxidant, neuroprotective, and anti-inflammatory properties. Recently, the unique role of Adhesion G Protein- Coupled Receptor V1 (ADGRV1) protein in the progression of audiogenic epilepsy has been explored.

Aim and objectives: This study aimed to examine the potent phytoconstituents of the hydroalcoholic extract of G. verum L. (HEGV) using analytical techniques. Additionally, our study sought to evaluate the antioxidant, neuroprotective, anti-inflammatory properties, and antiepileptic potency of HEGV by targeting ADGRV1 via in silico and in vitro analyses using SHSY5Y cells.

Method: HPLC and LC-MS techniques were employed to identify the flavonoids, iridoids, and phenolic acid derivatives present in HEGV. DPPH (2,2-diphenyl-1-picrylhydrazyl), nitric oxide (NO), and hydroxyl (OH) radical scavenging assays were performed to confirm the antioxidant potential of the extract. Additionally, in silico molecular docking and molecular dynamic studies were performed using AutoDock Vina software to analyze the possible interactions between crucial phytoconstituents of HEGV and ADGRV1, followed by cell line analysis. In the in vitro analysis, antioxidant, neuroprotective, and anti-inflammatory properties were assessed via cell viability assay, IL, GABA, and glutamate estimation.

Results: LC-MS and HPLC analyses revealed high concentrations of hispidulin, a major flavonoid found in HEGV. HEGV exhibited moderate-to-high free radical-scavenging activities comparable to those of ascorbic acid. Docking analysis demonstrated that hispidulin has a stronger binding affinity with ADGRV1 (Vina score = -8.6 kcal/mol) than other compounds. Furthermore, cell line analysis revealed that the MSG exacerbates the neurodegeneration and neuroinflammation, whereas, HEGV and Hispidulin both possess neuroprotective, antioxidant, and antiepileptic activities.

Conclusion: HEGV and Hispidulin proved to be promising candidates for treating audiogenic epilepsy by modulating ADGRV1.

背景:听源性癫痫(AEs)是癫痫发作的一种亚型,通常由高强度的声音引起。听源性癫痫是癫痫发作的一种亚型,通常是由高强度的声音引起的。在这一领域,我们的研究追寻的是鹅掌楸(茜草科),这是一种草本植物,俗称 "女贞子",含有非常丰富的化学成分,包括类黄酮(Hispidulin、槲皮素和山柰醇)和酚酸(绿原酸、茶醛酸和没食子酸)。朱砂以其抗氧化、保护神经和抗炎特性而闻名。最近,人们探索了粘附 G 蛋白偶联受体 V1(ADGRV1)蛋白在致听性癫痫进展中的独特作用:本研究旨在利用分析技术研究藜芦水醇提取物(HEGV)中的强效植物成分。此外,我们的研究还试图通过使用 SHSY5Y 细胞进行硅学和体外分析,评估 HEGV 针对 ADGRV1 的抗氧化、神经保护、抗炎特性和抗癫痫效力:方法:采用 HPLC 和 LC-MS 技术鉴定 HEGV 中的黄酮类化合物、虹苷类化合物和酚酸衍生物。进行了 DPPH(2,2-二苯基-1-苦基肼)、一氧化氮(NO)和羟基(OH)自由基清除试验,以确认提取物的抗氧化潜力。此外,还使用 AutoDock Vina 软件进行了硅学分子对接和分子动力学研究,以分析 HEGV 的关键植物成分与 ADGRV1 之间可能存在的相互作用,随后进行了细胞系分析。在体外分析中,通过细胞活力测定、IL、GABA 和谷氨酸评估,评估了抗氧化、神经保护和抗炎特性:LC-MS和HPLC分析表明,HEGV中含有高浓度的糙皮素,这是一种主要的黄酮类化合物。HEGV 表现出与抗坏血酸相当的中高自由基清除活性。对接分析表明,与其他化合物相比,Hepidulin 与 ADGRV1 的结合亲和力更强(Vina score = -8.6 kcal/mol)。此外,细胞系分析表明,味精会加剧神经变性和神经炎症,而 HEGV 和 Hispidulin 都具有神经保护、抗氧化和抗癫痫活性:结论:HEGV和Hispidulin通过调节ADGRV1被证明是治疗听源性癫痫的有效候选药物。
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引用次数: 0
Unraveling the Plausible Role of Potassium Channel Openers in Alzheimer's Disease. 揭示钾离子通道开放因子在阿尔茨海默病中的合理作用
Pub Date : 2024-08-19 DOI: 10.2174/0118715249330827240819040302
Sarvesh Kumar, Bhupesh Sharma, Anjana Sharma, Nitin Sharma
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引用次数: 0
Significance of Neurotransmitters in Cerebral Ischemia: Understanding the Role of Serotonin, Dopamine, Glutamate, and GABA in Stroke Recovery and Treatment. 神经递质在脑缺血中的意义:了解羟色胺、多巴胺、谷氨酸和 GABA 在中风恢复和治疗中的作用。
Pub Date : 2024-08-19 DOI: 10.2174/0118715249302594240801171612
Marjan Nikbakhtzadeh, Sanaz Bordbar, Samaneh Seyedi, Mina Ranjbaran, Ghorbangol Ashabi, Afshin Kheradmand

Brain ischemia occurs following heart failure, thromboembolism, and atherosclerosis, and it is characterized by the disturbance of blood flow resulting from the blockage of blood vessels. After a series of studies, it is deduced that various changes occur following stroke, including neural death and changes in plasticity. Studies have reported that neurotransmitters tend to change following a stroke. These changes that occur surrounding the infarct area following a stroke can be considered new therapeutic targets for stroke rehabilitation. Although various studies have reported that different neurotransmitters have a promising role in either the progression or the rehabilitation following stroke, they have not found any pharmacological interventions to help the previous rehabilitation therapeutics. Phytocompounds also offer potential therapeutic benefits in stroke management due to their antioxidative and anti-inflammatory properties. This article aimed to compile recent advancements in neurotransmitter research related to ischemia and explore the potential use of neurotransmitter agonists/antagonists in ischemic conditions to identify potential drug candidates for treating the severe and prolonged stages of stroke in the future.

脑缺血发生在心力衰竭、血栓栓塞和动脉粥样硬化之后,其特点是血管堵塞导致血流紊乱。经过一系列研究,推断出脑卒中后会发生各种变化,包括神经死亡和可塑性变化。研究报告指出,中风后神经递质往往会发生变化。中风后梗死区周围发生的这些变化可被视为中风康复的新治疗目标。尽管有多项研究报告称,不同的神经递质在中风后的病情发展或康复过程中发挥着重要作用,但这些研究并未发现任何药理干预措施可以帮助之前的康复治疗。植物化合物因其抗氧化和抗炎特性,也为中风治疗提供了潜在的治疗益处。本文旨在梳理与缺血有关的神经递质研究的最新进展,探讨神经递质激动剂/拮抗剂在缺血情况下的潜在用途,以确定未来治疗严重和长期中风阶段的潜在候选药物。
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引用次数: 0
Unveiling the Applications of Phytoconstituents in Neuropathic Pain. 揭示植物成分在神经病理性疼痛中的应用。
Pub Date : 2024-08-13 DOI: 10.2174/0118715249312031240803190651
Rimjhim Priyanshi, Anjana Sharma, Shobhit Kumar, Arpana Gupta, Bhupesh Sharma, Nitin Sharma

Background: Neuropathic pain is a complex chronic condition resulting from the damage or dysfunction of the nervous system. Conventional therapies offer limited success and often come with various adverse effects. Therefore, the exploration of alternative therapies, such as phytoconstituents, may be of substantial interest for their potential to alleviate neuropathic pain.

Objectives: This review systematically examines the diverse roles and mechanisms of various phytoconstituents in modulating neuropathic pain. In this study, a comprehensive analysis of phytoconstituents in neuropathic pain is carried out to understand their mechanism in preventing the disease.

Method: The current search is done in the databases of Google Scholar, PubMed Central, ScienceDirect, and Scopus using the keywords: neuropathic pain, phytoconstituents as analgesics, physiological effects of medicinal plants, and natural products, to find the most relevant articles of the last 10 years.

Result: Out of 125 articles, 112 were included in this study, which revealed that several phytoconstituents inhibit several biomarkers responsible for neuropathic pain. Moreover, this review highlights the underlying molecular pathways and targets through which these bioactive compounds exert their therapeutic effects, emphasizing their potential as novel pharmacological agents.

Conclusion: This study concludes that phytoconstituents may possess potential applications in managing neuropathic pain and could be effectively used as an alternative approach to mitigate the condition with enhanced risk of safety and tolerability.

背景:神经性疼痛是一种复杂的慢性疾病,由神经系统损伤或功能障碍引起。传统疗法的疗效有限,而且往往会产生各种不良反应。因此,探索替代疗法(如植物成分)缓解神经病理性疼痛的潜力可能具有重大意义:本综述系统研究了各种植物成分在调节神经病理性疼痛方面的不同作用和机制。本研究对植物成分在神经病理性疼痛中的作用进行了全面分析,以了解其预防疾病的机制:方法:在 Google Scholar、PubMed Central、ScienceDirect 和 Scopus 等数据库中以神经性疼痛、作为镇痛剂的植物成分、药用植物的生理效应和天然产品为关键词进行检索,以找到过去 10 年中最相关的文章:结果:在125篇文章中,有112篇被纳入本研究,其中揭示了几种植物成分可抑制导致神经病理性疼痛的几种生物标志物。此外,这篇综述还强调了这些生物活性化合物发挥治疗作用的潜在分子途径和靶点,强调了它们作为新型药剂的潜力:本研究的结论是,植物成分可能具有治疗神经病理性疼痛的潜在用途,可有效用作缓解神经病理性疼痛的替代方法,同时提高安全性和耐受性。
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引用次数: 0
Protective Effect of Carvacrol against Oxidative Damage in Aged Rats. 香芹酚对老年大鼠氧化损伤的保护作用
Pub Date : 2024-08-13 DOI: 10.2174/0118715249303906240729074821
Mohammad Amin Forqani, Mahsan Akbarian, Sabiheh Amirahmadi, Mohammad Bagher Khorrami, Mahmoud Hosseini, Fatemeh Forouzanfar

Background: Aging affects cellular functions and impairs tissue homeostasis. Carvacrol, a polyphenolic compound, has been shown to exert a wide range of pharmacological effects, such as antioxidant, anti-inflammatory, and anticancer characteristics.

Methods: This investigation aimed to evaluate the effect of carvacrol in elderly male rats. Carvacrol at a dose of 15 or 30 mg/kg was administrated daily per os for 60 days to aged rats. The liver, heart, and kidney samples were taken for the analysis of oxidative stress markers. Serum samples were used to evaluate liver enzymes (alanine transaminase (ALT) and aspartate aminotransferase (AST)).

Results: The levels of malondialdehyde (MDA) in the liver, heart, and kidney tissues of aged rats were higher. Conversely, the level of thiol was lower in the mentioned tissues than in the young control group. The levels of MDA in the liver, heart, and kidney tissues of aged rats were significantly reduced by carvacrol, which was accompanied by increased levels of total thiol. ALT and AST levels were higher in the serum of aged rats than in the young control ones. Carvacrol decreased ALT and AST levels in the serum of aged rats versus aged control rats.

Conclusion: Carvacrol can be effective in protecting susceptible aged tissues and organs by increasing antioxidant defenses and decreasing liver enzymes.

背景:衰老会影响细胞功能并损害组织的平衡。香芹酚是一种多酚化合物,已被证明具有抗氧化、抗炎和抗癌等多种药理作用:本研究旨在评估香芹酚对老年雄性大鼠的影响。方法:本研究旨在评估香芹酚对老年雄性大鼠的影响。给老年大鼠每天每次口服 15 或 30 毫克/千克的香芹酚,持续 60 天。研究人员采集了大鼠的肝脏、心脏和肾脏样本,用于分析氧化应激标记物。血清样本用于评估肝酶(丙氨酸转氨酶(ALT)和天冬氨酸转氨酶(AST)):结果:老龄大鼠肝脏、心脏和肾脏组织中的丙二醛(MDA)水平较高。相反,上述组织中的硫醇水平低于年轻对照组。香芹酚显著降低了老年大鼠肝脏、心脏和肾脏组织中的 MDA 水平,同时提高了总硫醇水平。老龄大鼠血清中的谷丙转氨酶(ALT)和谷草转氨酶(AST)水平高于年轻对照组。与对照组相比,香芹酚可降低老年大鼠血清中的谷丙转氨酶和谷草转氨酶水平:结论:香芹酚能提高抗氧化防御能力,降低肝酶,从而有效保护易受影响的老年组织和器官。
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引用次数: 0
A Systematic Review of the Anti-seizure and Antiepileptic Effects and Mechanisms of Piperine. 胡椒碱抗癫痫和抗癫痫作用及机制的系统综述。
Pub Date : 2024-07-30 DOI: 10.2174/0118715249297934240630111059
Nasim Rahimi-Dehkordi, Saeid Heidari-Soureshjani, Sahar Rostamian

Introduction and aim: Seizures due to epilepsy in any form cause a wide range of problems in a patient's physical, psychological, and social health. This study aimed to investigate piperine's anti-seizure and antiepileptic effects and mechanisms.

Methods: In this systematic review study, which was conducted according to the principles of PRISMA 2020, the initial search was conducted on November 2, 2023, using EndNote software. Various databases such as PubMed, Cochrane Library, Web of Science, Embase, and Scopus were searched using specific keywords. After screening the articles, a form was designed according to the objectives of the study, and the information related to the included articles was entered in the form, and the studies were reviewed.

Results: Piperine showed its antiepileptic activity by affecting the brain's antioxidant, anti-inflammatory, and anti-apoptotic activity. It also, by modulating brain-derived neurotrophic factor (BDNF) and gamma-aminobutyric acid (GABA)ergic activity, can control seizures. In addition, piperine can help treat seizures and epilepsy by elevating 5-HT levels in the brain, modulating astrocyte and microglia function, modulatory effects on Ca2+ and NA+ channels, increasing antiepileptic drugs bioavailability and influencing protein and gene expression.

Conclusion: In vivo and in vitro studies showed beneficial effects on treating epilepsy. Although clinical studies also showed similar results, these needed to be increased, and more clinical studies needed to be designed in this field.

简介和目的:任何形式的癫痫发作都会给患者的身体、心理和社会健康带来广泛的问题。本研究旨在探讨胡椒碱的抗癫痫作用和机制:本系统综述研究遵循 PRISMA 2020 原则,于 2023 年 11 月 2 日使用 EndNote 软件进行了初步检索。使用特定关键词对 PubMed、Cochrane Library、Web of Science、Embase 和 Scopus 等各种数据库进行了检索。筛选文章后,根据研究目的设计了表格,并将纳入文章的相关信息输入表格,对研究进行了综述:结果:胡椒碱通过影响大脑的抗氧化、抗炎和抗凋亡活性显示出其抗癫痫活性。它还能通过调节脑源性神经营养因子(BDNF)和γ-氨基丁酸(GABA)能活性来控制癫痫发作。此外,胡椒碱还能提高大脑中的 5-HT 水平,调节星形胶质细胞和小胶质细胞的功能,调节 Ca2+ 和 NA+ 通道,提高抗癫痫药物的生物利用度,影响蛋白质和基因的表达,从而帮助治疗癫痫发作和癫痫:结论:体内和体外研究均显示了治疗癫痫的有益效果。尽管临床研究也显示了类似的结果,但这些结果还需要进一步增加,并且需要在这一领域设计更多的临床研究。
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引用次数: 0
Targeting Adenylate Cyclase: A Novel Concept for Stimulation of Neurogenesis and Pharmacotherapy of Alzheimer's Disease. 靶向腺苷酸环化酶:刺激神经发生和阿尔茨海默病药物治疗的新概念
Pub Date : 2024-07-29 DOI: 10.2174/0118715249302264240715060630
Gleb Nikolaevich Zyuz'kov, Larisa Arkad Evna Miroshnichenko, Tatyana Yur Evna Polykova, Elena Vladislavovna Simanina, Alexander Vasil Evich Chayikovskyi

Background: The low effectiveness of existing pharmacotherapy strategies for Alzheimer's disease (AD) makes it necessary to develop a new concept for the treatment of this type of dementia. This search is promising to be carried out within the framework of the paradigm of targeting intracellular signaling pathways in Regenerative-Competent Cells (RCCs).

Objective: The purpose of the research is to study the impact of adenylate cyclase (AC) inhibitor on disorders of the psychoemotional status in aged male C57BL/6 mice, as well as on the dynamics of the content and functioning of RCCs nervous tissue.

Methods: We examined the effect of the AC inhibitor (2',5'-Dideoxyadenosine) on conditioned reflex activity, behavioral and emotional profile in a mouse AD model (16-month-old (aged) male C57BL/6 mice), as well as the functioning of neural stem cells (NSCs), neuronal-committed progenitors (NCPs), and neuroglial cells in the subventricular zone of the cerebral hemispheres (SVZ).

Results: In aged C57BL/6 mice, we found impairments in exploratory behavior, emotional reactivity, and memory, which are the characteristics of senile dementia. Therapy based on AC inhibition led to an increase in the number of NSCs and NPCs in the SVZ due to an increase in their proliferative activity. These changes were more pronounced in NCPs. At the same time, a decrease in the specialization intensity was recorded in NSCs. These phenomena developed against the background of increased secretion of neurotrophic growth factors by oligodendrocytes and microglial cells. The neuroregenerative effects of 2',5'-dideoxyadenosine correlated with the correction of age-related disorders of the psychoemotional status in aged mice.

Conclusion: The results provide the basis for the development of targeted drugs based on AC inhibitors to stimulate neurogenesis as an approach for the effective treatment of AD.

背景:阿尔茨海默病(AD)的现有药物治疗策略效果不佳,因此有必要开发一种治疗这种类型痴呆症的新概念。这一探索有望在针对再生功能细胞(RCC)细胞内信号通路的范例框架内进行:本研究的目的是研究腺苷酸环化酶(AC)抑制剂对老年雄性 C57BL/6 小鼠精神情绪障碍的影响,以及对 RCCs 神经组织含量和功能动态的影响:方法:我们研究了AC抑制剂(2',5'-双脱氧腺苷)对小鼠AD模型(16月龄(老龄)雄性C57BL/6小鼠)的条件反射活动、行为和情感特征的影响,以及对大脑半球(SVZ)室下区神经干细胞(NSCs)、神经元结合祖细胞(NCPs)和神经胶质细胞功能的影响:在老年 C57BL/6 小鼠身上,我们发现了探索行为、情绪反应能力和记忆力的损伤,而这些正是老年痴呆症的特征。基于 AC 抑制的治疗可增加 SVZ 中的 NSCs 和 NPCs 数量,因为它们的增殖活性增加了。这些变化在 NCP 中更为明显。与此同时,NSCs 的特化强度有所下降。这些现象是在少突胶质细胞和小胶质细胞分泌更多神经营养生长因子的背景下出现的。2',5'-双脱氧腺苷的神经再生作用与纠正老年小鼠与年龄有关的精神情绪障碍相关:结论:研究结果为开发基于 AC 抑制剂的靶向药物提供了依据,这些药物可刺激神经发生,从而有效治疗注意力缺失症。
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引用次数: 0
Beta-Site APP-Cleaving Enzyme-1 Inhibitory Role of Natural Flavonoids in the Treatment of Alzheimer's Disease. 天然黄酮类化合物在治疗阿尔茨海默病中的β-位点 APP 分解酶-1 抑制作用
Pub Date : 2024-07-12 DOI: 10.2174/0118715249315049240710063455
Sandeep Singh, Virendra Kushwaha, Shriram Sisodia, Shivendra Kumar, Kantrol Kumar Sahu

Alzheimer's Disease (AD) is a devastating neurological condition characterized by a progressive decline in cognitive function, including memory loss, reasoning difficulties, and disorientation. Its hallmark features include the formation of neurofibrillary tangles and neuritic plaques in the brain, disrupting normal neuronal function. Neurofibrillary tangles, composed of phosphorylated tau protein and neuritic plaques, containing amyloid-β protein (Aβ) aggregates, contribute to the degenerative process. The discovery of the beta-site amyloid precursor protein cleaving enzyme 1 (BACE1) in 1999 revolutionized our understanding of AD pathogenesis. BACE1 plays a crucial role in the production of Aβ, the toxic protein implicated in AD progression. Elevated levels of BACE1 have been observed in AD brains and bodily fluids, underscoring its significance in disease onset and progression. Despite setbacks in clinical trials of BACE1 inhibitors due to efficacy and safety concerns, targeting BACE1 remains a promising therapeutic strategy for early-stage AD. Natural flavonoids have emerged as potential BACE1 inhibitors, demonstrating the ability to reduce Aβ production in neuronal cells and inhibit BACE1 activity. In our review, we delve into the pathophysiology of AD, highlighting the central role of BACE1 in Aβ production and disease progression. We explore the therapeutic potential of BACE1 inhibitors, including natural flavonoids, in controlling AD symptoms. Additionally, we provide insights into ongoing clinical trials and available patents in this field, shedding light on future directions for AD treatment research.

阿尔茨海默病(AD)是一种破坏性神经系统疾病,其特征是认知功能逐渐衰退,包括记忆力减退、推理困难和迷失方向。其特征包括在大脑中形成神经纤维缠结和神经斑块,从而破坏神经元的正常功能。由磷酸化 tau 蛋白组成的神经纤维缠结和含有淀粉样-β 蛋白(Aβ)聚集体的神经斑块是导致退化过程的原因。1999 年,β 位淀粉样前体蛋白裂解酶 1(BACE1)的发现彻底改变了我们对注意力缺失症发病机制的认识。BACE1 在产生 Aβ(一种与注意力缺失症进展有关的毒性蛋白)的过程中发挥着至关重要的作用。据观察,AD 大脑和体液中的 BACE1 水平升高,凸显了它在疾病发生和发展过程中的重要作用。尽管 BACE1 抑制剂的临床试验因疗效和安全性问题而受挫,但针对 BACE1 的治疗仍是一种很有前景的早期 AD 治疗策略。天然类黄酮已成为潜在的 BACE1 抑制剂,它能减少神经细胞中 Aβ 的产生并抑制 BACE1 的活性。在综述中,我们深入探讨了 AD 的病理生理学,强调了 BACE1 在 Aβ 生成和疾病进展中的核心作用。我们探讨了 BACE1 抑制剂(包括天然类黄酮)在控制 AD 症状方面的治疗潜力。此外,我们还深入探讨了该领域正在进行的临床试验和现有专利,为未来的 AD 治疗研究指明了方向。
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Central nervous system agents in medicinal chemistry
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