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Advances in Neurorestoratology-Current status and future developments. 神经修复学的进展现状和未来发展。
Pub Date : 2023-01-01 Epub Date: 2023-06-08 DOI: 10.1016/bs.irn.2023.04.003
Hongyun Huang, Almudena Ramon-Cueto, Wagih El Masri, Gustavo A Moviglia, Hooshang Saberi, Hari Shanker Sharma, Ali Otom, Lin Chen, Dario Siniscalco, Anna Sarnowska

Neurorestoratology constitutes a novel discipline aimed at the restoration of damaged neural structures and impaired neurological functions. This area of knowledge integrates and compiles all concepts and strategies dealing with the neurorestoration. Although currently, this discipline has already been well recognized by physicians and scientists throughout the world, this article aimed at broadening its knowledge to the academic circle and the public society. Here we shortly introduced why and how Neurorestoratology was born since the fact that the central nervous system (CNS) can be repaired and the subsequent scientific evidence of the neurorestorative mechanisms behind, such as neurostimulation or neuromodulation, neuroprotection, neuroplasticity, neurogenesis, neuroregeneration or axonal regeneration or sprouting, neuroreplacement, loop reconstruction, remyelination, immunoregulation, angiogenesis or revascularization, and others. The scope of this discipline is the improvement of therapeutic approaches for neurological diseases and the development of neurorestorative strategies through the comprehensive efforts of experts in the different areas and all articulated by the associations of Neurorestoratology and its journals. Strikingly, this article additionally explores the "state of art" of the Neurorestoratology field. This includes the development process of the discipline, the achievements and advances of novel neurorestorative treatments, the most efficient procedures exploring and evaluating outcome after the application of pioneer therapies, all the joining of a multidisciplinary expert associations and the specialized journals being more and more impact. We believe that in a near future, this discipline will evolve fast, leading to a general application of cell-based comprehensive neurorestorative treatments to fulfill functional recovery demands for patients with neurological deficits or dysfunctions.

神经修复学是一门旨在修复受损神经结构和受损神经功能的新学科。这一知识领域整合并汇编了所有涉及神经修复的概念和策略。尽管目前,这门学科已经得到了全世界医生和科学家的广泛认可,但本文旨在将其知识扩展到学术界和公众社会。在这里,我们简要介绍了神经修复学诞生的原因和方式,因为中枢神经系统(CNS)可以修复,以及随后的神经修复机制的科学证据,如神经刺激或神经调控、神经保护、神经可塑性、神经发生、神经再生或轴突再生或出芽、神经置换、,环路重建、髓鞘再生、免疫调节、血管生成或血运重建等。该学科的范围是通过不同领域专家的综合努力,改进神经疾病的治疗方法,制定神经修复策略,所有这些都由神经修复学协会及其期刊阐述。引人注目的是,本文还探讨了神经修复学领域的“艺术状态”。这包括该学科的发展过程、新型神经修复治疗的成就和进展、探索和评估应用先锋疗法后结果的最有效程序、多学科专家协会的加入以及越来越有影响力的专业期刊。我们相信,在不久的将来,这门学科将迅速发展,导致基于细胞的综合神经修复治疗的广泛应用,以满足神经缺陷或功能障碍患者的功能恢复需求。
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引用次数: 0
Nanodelivery of histamine H3 receptor inverse agonist BF-2649 with H3 receptor antagonist and H4 receptor agonist clobenpropit induced neuroprotection is potentiated by antioxidant compound H-290/51 in spinal cord injury. 抗氧化剂化合物H-290/51在脊髓损伤中增强组胺H3受体反向激动剂BF-2649与H3受体拮抗剂和H4受体激动剂氯苄丙肽的纳米递送诱导的神经保护作用。
Pub Date : 2023-01-01 Epub Date: 2023-09-26 DOI: 10.1016/bs.irn.2023.06.003
Anca D Buzoianu, Aruna Sharma, Dafin F Muresanu, Lianyuan Feng, Hongyun Huang, Lin Chen, Z Ryan Tian, Ala Nozari, José Vicente Lafuente, Per-Ove Sjöqvist, Lars Wiklund, Hari Shanker Sharma

Military personnel are often victims of spinal cord injury resulting in lifetime disability and decrease in quality of life. However, no suitable therapeutic measures are still available to restore functional disability or arresting the pathophysiological progression of disease in victims for leading a better quality of life. Thus, further research in spinal cord injury using novel strategies or combination of available neuroprotective drugs is urgently needed for superior neuroprotection. In this regard, our laboratory is engaged in developing TiO2 nanowired delivery of drugs, antibodies and enzymes in combination to attenuate spinal cord injury induced pathophysiology and functional disability in experimental rodent model. Previous observations show that histamine antagonists or antioxidant compounds when given alone in spinal cord injury are able to induce neuroprotection for short periods after trauma. In this investigation we used a combination of histaminergic drugs with antioxidant compound H-290/51 using their nanowired delivery for neuroprotection in spinal cord injury of longer duration. Our observations show that a combination of H3 receptor inverse agonist BF-2549 with H3 receptor antagonist and H4 receptor agonist clobenpropit induced neuroprotection is potentiated by antioxidant compound H-290/51 in spinal cord injury. These observations suggests that histamine receptors are involved in the pathophysiology of spinal cord injury and induce superior neuroprotection in combination with an inhibitor of lipid peroxidation H-290/51, not reported earlier. The possible mechanisms and significance of our findings in relation to future clinical approaches in spinal cord injury is discussed.

军事人员经常是脊髓损伤的受害者,导致终身残疾和生活质量下降。然而,目前还没有合适的治疗措施来恢复受害者的功能残疾或阻止疾病的病理生理进展,从而提高生活质量。因此,迫切需要使用新的策略或可用的神经保护药物的组合对脊髓损伤进行进一步的研究,以获得更好的神经保护。在这方面,我们的实验室致力于开发TiO2纳米线递送药物、抗体和酶的组合,以减轻实验啮齿动物模型中脊髓损伤诱导的病理生理学和功能残疾。先前的观察表明,在脊髓损伤中单独使用组胺拮抗剂或抗氧化化合物能够在创伤后短时间内诱导神经保护。在这项研究中,我们使用了组胺能药物和抗氧化剂化合物H-290/51的组合,使用它们的纳米线递送对更长时间的脊髓损伤进行神经保护。我们的观察结果表明,H3受体反向激动剂BF-2549与H3受体拮抗剂和H4受体激动剂氯苄丙肽的组合在脊髓损伤中通过抗氧化剂化合物H-290/51增强了诱导的神经保护作用。这些观察结果表明,组胺受体参与脊髓损伤的病理生理学,并与脂质过氧化抑制剂H-290/51联合诱导优越的神经保护作用,这在以前没有报道。讨论了我们的研究结果在脊髓损伤未来临床治疗中的可能机制和意义。
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引用次数: 0
Toward an understanding of the role of the exposome on fragile X phenotypes. 了解暴露体对脆性X表型的作用。
Pub Date : 2023-01-01 Epub Date: 2023-09-12 DOI: 10.1016/bs.irn.2023.08.007
Cara J Westmark

Fragile X syndrome (FXS) is the leading known monogenetic cause of autism with an estimated 21-50% of FXS individuals meeting autism diagnostic criteria. A critical gap in medical care for persons with autism is an understanding of how environmental exposures and gene-environment interactions affect disease outcomes. Our research indicates more severe neurological and metabolic outcomes (seizures, autism, increased body weight) in mouse and human models of autism spectrum disorders (ASD) as a function of diet. Thus, early-life exposure to chemicals in the diet could cause or exacerbate disease outcomes. Herein, we review the effects of potential dietary toxins, i.e., soy phytoestrogens, glyphosate, and polychlorinated biphenyls (PCB) in FXS and other autism models. The rationale is that potentially toxic chemicals in the diet, particularly infant formula, could contribute to the development and/or severity of ASD and that further study in this area has potential to improve ASD outcomes through dietary modification.

脆性X染色体综合征(FXS)是已知的导致自闭症的主要单基因原因,估计有21-50%的FXS患者符合自闭症诊断标准。自闭症患者医疗保健的一个关键差距是对环境暴露和基因-环境相互作用如何影响疾病结果的理解。我们的研究表明,在自闭症谱系障碍(ASD)的小鼠和人类模型中,更严重的神经和代谢结果(癫痫发作、自闭症、体重增加)与饮食有关。因此,早期接触饮食中的化学物质可能会导致或加剧疾病的后果。在此,我们回顾了潜在的膳食毒素,即大豆植物雌激素,草甘膦和多氯联苯(PCB)在FXS和其他自闭症模型中的影响。其基本原理是,饮食中潜在的有毒化学物质,特别是婴儿配方奶粉,可能会导致ASD的发展和/或严重程度,这一领域的进一步研究有可能通过改变饮食来改善ASD的预后。
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引用次数: 0
A2A adenosine receptor agonists, antagonists, inverse agonists and partial agonists. A2A腺苷受体激动剂、拮抗剂、反向激动剂和部分激动剂。
Pub Date : 2023-01-01 Epub Date: 2023-08-25 DOI: 10.1016/bs.irn.2023.08.001
Kenneth A Jacobson, R Rama Suresh, Paola Oliva

The Gs-coupled A2A adenosine receptor (A2AAR) has been explored extensively as a pharmaceutical target, which has led to numerous clinical trials. However, only one selective A2AAR agonist (regadenoson, Lexiscan) and one selective A2AAR antagonist (istradefylline, Nouriast) have been approved by the FDA, as a pharmacological agent for myocardial perfusion imaging (MPI) and as a cotherapy for Parkinson's disease (PD), respectively. Adenosine is widely used in MPI, as Adenoscan. Despite numerous unsuccessful clinical trials, medicinal chemical activity around A2AAR ligands has accelerated recently, particularly through structure-based drug design. New drug-like A2AAR antagonists for PD and cancer immunotherapy have been identified, and many clinical trials have ensued. For example, imaradenant (AZD4635), a compound that was designed computationally, based on A2AAR X-ray structures and biophysical mapping. Mixed A2AAR/A2BAR antagonists are also hopeful for cancer treatment. A2AAR antagonists may also have potential as neuroprotective agents for treatment of Alzheimer's disease.

Gs偶联的A2A腺苷受体(A2AAR)作为一种药物靶点已被广泛探索,并导致了许多临床试验。然而,只有一种选择性A2AAR激动剂(Regadenson,Lexiscan)和一种选择性A2 AAR拮抗剂(istradefyline,Nouriast)分别被美国食品药品监督管理局批准为心肌灌注成像(MPI)的药理学制剂和帕金森病(PD)的联合疗法。腺苷广泛用于MPI,如腺扫描。尽管有许多临床试验不成功,但最近A2AAR配体的药物化学活性加快了,特别是通过基于结构的药物设计。用于PD和癌症免疫疗法的新的类药物A2AAR拮抗剂已经被确定,并且随后进行了许多临床试验。例如,imaradenant(AZD4635),一种基于A2AAR X射线结构和生物物理图谱计算设计的化合物。混合A2AAR/A2BAR拮抗剂也有望用于癌症治疗。A2AAR拮抗剂也可能具有作为治疗阿尔茨海默病的神经保护剂的潜力。
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引用次数: 0
Chemobrain: An accelerated aging process linking adenosine A2A receptor signaling in cancer survivors. 化学脑:癌症幸存者中与腺苷A2A受体信号有关的加速衰老过程。
Pub Date : 2023-01-01 Epub Date: 2023-08-25 DOI: 10.1016/bs.irn.2023.08.003
Alfredo Oliveros, Michael Poleschuk, Peter D Cole, Detlev Boison, Mi-Hyeon Jang

Chemotherapy has a significant positive impact in cancer treatment outcomes, reducing recurrence and mortality. However, many cancer surviving children and adults suffer from aberrant chemotherapy neurotoxic effects on learning, memory, attention, executive functioning, and processing speed. This chemotherapy-induced cognitive impairment (CICI) is referred to as "chemobrain" or "chemofog". While the underlying mechanisms mediating CICI are still unclear, there is strong evidence that chemotherapy accelerates the biological aging process, manifesting as effects which include telomere shortening, epigenetic dysregulation, oxidative stress, mitochondrial defects, impaired neurogenesis, and neuroinflammation, all of which are known to contribute to increased anxiety and neurocognitive decline. Despite the increased prevalence of CICI, there exists a lack of mechanistic understanding by which chemotherapy detrimentally affects cognition in cancer survivors. Moreover, there are no approved therapeutic interventions for this condition. To address this gap in knowledge, this review attempts to identify how adenosine signaling, particularly through the adenosine A2A receptor, can be an essential tool to attenuate accelerated aging phenotypes. Importantly, the adenosine A2A receptor uniquely stands at the crossroads of cancer treatment and improved cognition, given that it is widely known to control tumor induced immunosuppression in the tumor microenvironment, while also posited to be an essential regulator of cognition in neurodegenerative disease. Consequently, we propose that the adenosine A2A receptor may provide a multifaceted therapeutic strategy to enhance anticancer activity, while combating chemotherapy induced cognitive deficits, both which are essential to provide novel therapeutic interventions against accelerated aging in cancer survivors.

化疗对癌症治疗结果有显著的积极影响,减少复发和死亡率。然而,许多癌症幸存的儿童和成人遭受异常化疗对学习、记忆、注意力、执行功能和处理速度的神经毒性影响。这种化疗诱导的认知障碍(CICI)被称为“化学脑”或“化学雾”。虽然介导CICI的潜在机制尚不清楚,但有强有力的证据表明,化疗加速了生物衰老过程,表现为端粒缩短、表观遗传失调、氧化应激、线粒体缺陷、神经发生受损和神经炎症,所有这些都会导致焦虑加剧和神经认知能力下降。尽管CICI的发病率增加,但对化疗对癌症幸存者的认知产生不利影响的机制缺乏了解。此外,目前还没有批准针对这种情况的治疗干预措施。为了解决这一知识空白,本综述试图确定腺苷信号传导,特别是通过腺苷A2A受体,如何成为减弱加速衰老表型的重要工具。重要的是,腺苷A2A受体独特地处于癌症治疗和改善认知的十字路口,因为众所周知它可以控制肿瘤微环境中肿瘤诱导的免疫抑制,同时也被认为是神经退行性疾病认知的重要调节器。因此,我们提出,腺苷A2A受体可以提供一种多方面的治疗策略,以增强抗癌活性,同时对抗化疗诱导的认知缺陷,这两种策略对于为癌症幸存者提供针对加速衰老的新的治疗干预至关重要。
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引用次数: 0
Efficacy and safety of acupuncture in the treatment of post-traumatic headache secondary to mild traumatic brain injury: A systematic evaluation and meta-analysis protocol of randomized controlled trials. 针刺治疗轻度颅脑损伤继发的创伤后头痛的疗效和安全性:随机对照试验的系统评价和荟萃分析方案。
Pub Date : 2023-01-01 Epub Date: 2023-09-15 DOI: 10.1016/bs.irn.2023.03.001
Zhe Wang, Longbiao Xu, Yujie Xu, Yubo Huang, Aruna Sharma, Hari Shanker Sharma

Introduction: Post-traumatic headache secondary to mild traumatic brain injury in patients has become an important factor in their prognosis. Due to the lack of effective pharmacological treatments, non-pharmacological interventions such as acupuncture are considered to have greater potential. However, the efficacy and safety of acupuncture treatment have not been clearly demonstrated. The purpose of this meta-analysis protocol is to investigate the effectiveness and safety of acupuncture in the treatment of headache secondary to mild traumatic brain injury.

Methods and analysis: Seven English and Chinese databases will be selected and searched according to their respective search methods, spanning the period from database creation to April 2022, and the languages will be limited to English and Chinese. Only randomized controlled trials will be included. Study selection, data collection, and risk of bias control will be performed by two independent investigators. Any disagreements will be referred to a third independent investigator for decision and documentation. Revman software will be used to complete our meta-analysis, and risk of bias assessment, subgroup analysis, and sensitivity analysis will be performed to correct the results. Finally we will assess the reliability of our final results using the Recommended Guidelines Development Tool for Assessment.

Ethics and dissemination: All data for this study will be obtained from published journals, so no ethical review will be required. The completed review will be published in a peer-reviewed journal and the findings will be further disseminated through presentation at an appropriate forum or conference.

引言:外伤后头痛继发于轻度颅脑损伤的患者已成为影响其预后的重要因素。由于缺乏有效的药物治疗,针灸等非药物干预措施被认为具有更大的潜力。然而,针灸治疗的有效性和安全性尚未得到明确证明。本荟萃分析方案的目的是研究针灸治疗轻度颅脑损伤继发头痛的有效性和安全性。方法和分析:从数据库创建到2022年4月,将根据各自的搜索方法选择并搜索七个英文和中文数据库,语言仅限于英文和中文。只包括随机对照试验。研究选择、数据收集和偏倚控制风险将由两名独立研究人员进行。任何分歧都将提交给第三位独立调查员进行决定和记录。Revman软件将用于完成我们的荟萃分析,并进行偏倚风险评估、亚组分析和敏感性分析以纠正结果。最后,我们将使用推荐的评估指南开发工具来评估我们最终结果的可靠性。伦理和传播:本研究的所有数据都将从已发表的期刊中获得,因此不需要进行伦理审查。完成的综述将发表在同行评审期刊上,研究结果将通过在适当论坛或会议上发表进一步传播。
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引用次数: 0
Positive and negative cell therapy in randomized control trials for central nervous system diseases. 中枢神经系统疾病随机对照试验中的阳性和阴性细胞治疗。
Pub Date : 2023-01-01 Epub Date: 2023-09-15 DOI: 10.1016/bs.irn.2023.05.017
Di Chen, Hongyun Huang, Hooshang Saberi, Hari Shanker Sharma

Neurorestorative cell therapies have been tested to treat patients with nervous system diseases for over 20 years. Now it is still hard to answer which kinds of cells can really play a role on improving these patients' quality of life. Non-randomized clinical trials or studies could not provide strong evidences in answering this critical question. In this review, we summarized randomized clinical trials of cell therapies for central nervous diseases, such as stroke, spinal cord injury, cerebral palsy (CP), Parkinson's disease (PD), multiple sclerosis (MS), brain trauma, amyotrophic lateral sclerosis (ALS), etc. Most kinds of cell therapies demonstrated negative results for stoke, brain trauma and amyotrophic lateral sclerosis. A few kinds of cell therapies showed neurorestorative effects in this level of evidence-based medicine, such as olfactory ensheating cells for chronic ischemic stroke. Some kinds of cells showed positive or negative effects from different teams in the same or different diseases. We analyzed the possible failed reasons of negative results and the cellular bio-propriety basis of positive results. Based on therapeutic results of randomized control trials and reasonable analysis, we recommend: (1) to further conduct trials for successful cell therapies with positive results to increase neurorestorative effects; (2) to avoid in repeating failed cell therapies with negative results in same diseases because it is nonsense for them to be done with similar treatment methods, such as cell dosage, transplanting way, time of window, etc. Furthermore, we strongly suggest not to do non-randomized clinical trials for cells that had shown negative results in randomized clinical trials.

20多年来,神经修复细胞疗法已被用于治疗神经系统疾病患者。现在还很难回答哪种细胞真正能在改善这些患者的生活质量方面发挥作用。非随机临床试验或研究无法为回答这一关键问题提供有力证据。在这篇综述中,我们总结了细胞疗法治疗中枢神经疾病的随机临床试验,如中风、脊髓损伤、脑瘫(CP)、帕金森病(PD)、多发性硬化症(MS)、脑外伤、肌萎缩侧索硬化症(ALS)等。大多数类型的细胞疗法对中风、脑外伤和肌萎缩侧索硬化症都有负面影响。在这一级别的循证医学中,有几种细胞疗法显示出神经修复作用,例如嗅觉吞噬细胞治疗慢性缺血性中风。某些类型的细胞在相同或不同的疾病中表现出来自不同团队的阳性或阴性影响。我们分析了阴性结果可能失败的原因以及阳性结果的细胞生物学适当性基础。基于随机对照试验的治疗结果和合理的分析,我们建议:(1)进一步进行成功的细胞治疗试验,并取得积极的结果,以提高神经修复效果;(2) 避免在相同的疾病中重复失败的细胞治疗,因为用类似的治疗方法(如细胞剂量、移植方式、窗口时间等)进行治疗是无稽之谈。此外,我们强烈建议不要对随机临床试验中显示阴性结果的细胞进行非随机临床试验。
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引用次数: 0
Involvement of brain metabolism in neurodevelopmental disorders. 脑代谢与神经发育障碍的关系。
Pub Date : 2023-01-01 Epub Date: 2023-09-14 DOI: 10.1016/bs.irn.2023.08.004
Pavel Kotchetkov, Nicole Blakeley, Baptiste Lacoste

Neurodevelopmental disorders (NDDs) affect a significant portion of the global population and have a substantial social and economic impact worldwide. Most NDDs manifest in early childhood and are characterized by deficits in cognition, communication, social interaction and motor control. Due to a limited understanding of the etiology of NDDs, current treatment options primarily focus on symptom management rather than on curative solutions. Moreover, research on NDDs is problematic due to its reliance on a neurocentric approach. However, recent studies are broadening the scope of research on NDDs, to include dysregulations within a diverse network of brain cell types, including vascular and glial cells. This review aims to summarize studies from the past few decades on potential new contributions to the etiology of NDDs, with a special focus on metabolic signatures of various brain cells. In particular, we aim to convey how the metabolic functions are intimately linked to the onset and/or progression of common NDDs such as autism spectrum disorders, fragile X syndrome, Rett syndrome and Down syndrome.

神经发育障碍(ndd)影响了全球人口的很大一部分,并在全球范围内产生了重大的社会和经济影响。大多数ndd表现在儿童早期,其特征是认知、沟通、社会互动和运动控制方面的缺陷。由于对ndd病因的了解有限,目前的治疗方案主要侧重于症状管理,而不是治疗方案。此外,由于ndd的研究依赖于神经中心方法,因此存在问题。然而,最近的研究正在扩大ndd的研究范围,包括多种脑细胞类型网络中的失调,包括血管细胞和神经胶质细胞。这篇综述旨在总结过去几十年来对ndd病因学的潜在新贡献的研究,特别关注各种脑细胞的代谢特征。特别是,我们的目标是传达代谢功能如何与常见ndd(如自闭症谱系障碍、脆性X综合征、Rett综合征和唐氏综合征)的发生和/或进展密切相关。
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引用次数: 0
The dopamine hypothesis of autism spectrum disorder: A comprehensive analysis of the evidence. 自闭症谱系障碍的多巴胺假说:证据的综合分析。
Pub Date : 2023-01-01 Epub Date: 2023-09-10 DOI: 10.1016/bs.irn.2023.08.009
Denis Pavăl

Despite intensive research into the etiopathogenesis of autism spectrum disorder (ASD), limited progress has been achieved so far. Among the plethora of models seeking to clarify how ASD arises, a coherent dopaminergic model was lacking until recently. In 2017, we provided a theoretical framework that we designated "the dopamine hypothesis of ASD". In the meantime, numerous studies yielded empirical evidence for this model. 4 years later, we provided a second version encompassing a refined and reconceptualized framework that accounted for these novel findings. In this chapter, we will review the evidence backing the previous versions of our model and add the most recent developments to the picture. Along these lines, we intend to lay out a comprehensive analysis of the supporting evidence for the dopamine hypothesis of ASD.

尽管对自闭症谱系障碍(ASD)的发病机制进行了深入的研究,但迄今为止取得的进展有限。在众多试图阐明ASD如何产生的模型中,直到最近还缺乏一个连贯的多巴胺能模型。2017年,我们提出了一个理论框架,我们称之为“ASD的多巴胺假说”。与此同时,大量研究为这一模型提供了经验证据。4年后,我们提供了第二个版本,其中包含了一个经过改进和重新概念化的框架,以解释这些新发现。在本章中,我们将回顾支持我们模型先前版本的证据,并将最新的发展添加到画面中。沿着这些思路,我们打算对自闭症的多巴胺假说的支持证据进行全面的分析。
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引用次数: 0
A review of traditional Chinese medicine Curcumae Rhizoma for treatment of glioma. 中药莪术治疗胶质瘤的研究进展。
Pub Date : 2023-01-01 Epub Date: 2023-09-19 DOI: 10.1016/bs.irn.2023.07.004
Qijia Tan, Jiamin Lu, Jingtong Liang, Yuchen Zhou, Chunrong Yang, Zhiqiang Zhang, Cong Li

Glioma is the most common primary central nervous tumor and its malignant and high recurrence rate are seriously threatening patient's life. The prognosis of glioma patients is still poor with a variety of modern treatments. Traditional Chinese medicine (TCM) is widely used in the adjuvant treatment or alternative medicine of glioma. Curcumae Rhizoma is one of the most commonly used in traditional Chinese medicine prescriptions for its anti-tumor characteristics. There are also many studies that reveals the anti-tumor effect of its active ingredients and some of which have been made into drugs and have been used in clinical practice. This review summarizes the new research progress on Curcumae Rhizoma for the treatment of glioma in recent years.

胶质瘤是最常见的原发性中枢神经肿瘤,其恶性和高复发率严重威胁患者的生命。神经胶质瘤患者的预后仍然很差,采用了各种现代治疗方法。中医药广泛应用于胶质瘤的辅助治疗或替代药物治疗。姜黄以其抗肿瘤的特点,成为中药方剂中最常用的药材之一。也有许多研究揭示了其活性成分的抗肿瘤作用,其中一些已被制成药物并用于临床实践。综述了近年来莪术治疗胶质瘤的研究进展。
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International review of neurobiology
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