何首乌及其化学成分对抗认知障碍和阿尔茨海默病的临床前证据和基本机制

IF 1.2 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Journal of Pharmacopuncture Pub Date : 2024-06-30 DOI:10.3831/KPI.2024.27.2.70
Jihyun Cha, Ji Hwan Yun, Ji Hye Choi, Jae Ho Lee, Byung Tae Choi, Hwa Kyoung Shin
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引用次数: 0

摘要

目标:认知障碍从轻微到严重不等,会对日常功能、生活质量和工作能力产生不利影响。尽管在过去十年中做出了巨大努力,但仍有 200 多种有前景的候选药物在临床试验中失败。草药因其悠久的历史和安全性,正逐渐成为治疗痴呆症的潜在药物,这使其在药物开发方面具有重要价值。本综述旨在研究何首乌对认知功能的影响机制:本研究主要关注何首乌及其化学成分对认知行为结果的影响,包括莫里斯水迷宫、被动回避测试和Y迷宫,以及认知障碍和阿尔茨海默病(AD)的致病靶点,如淀粉样沉积、淀粉样前体蛋白、tau高磷酸化和认知能力下降。此外,我们还对何首乌影响认知功能的机制进行了全面评估。我们回顾了对实验模型进行临床前研究的最新数据,尤其是何首乌对认知功能衰退和注意力缺失症的影响:结果:根据最新研究,何首乌及其生物活性成分、二苯乙烯和大黄素可影响认知行为结果,并调节认知障碍和注意力缺失症的病理目标。它们的作用机制包括减少氧化和线粒体损伤、调节神经炎症、阻止细胞凋亡、促进神经发生和突触生成:这篇综述全面汇集了目前有关何首乌治疗作用的注意力缺失症和其他认知障碍模型的实验。我们相信,这些发现可作为未来临床试验的基础,并有可能应用于人类神经系统疾病的治疗。
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Preclinical Evidence and Underlying Mechanisms of Polygonum multiflorum and Its Chemical Constituents Against Cognitive Impairments and Alzheimer's Disease.

Objectives: Cognitive impairments, ranging from mild to severe, adversely affect daily functioning, quality of life, and work capacity. Despite significant efforts in the past decade, more than 200 promising drug candidates have failed in clinical trials. Herbal remedies are gaining interest as potential treatments for dementia due to their long history and safety, making them valuable for drug development. This review aimed to examine the mechanisms behind the effect of Polygonum multiflorum on cognitive function.

Methods: This study focused primarily on the effects of Polygonum multiflorum and its chemical constituents on cognitive behavioral outcomes including the Morris water maze, the passive avoidance test, and the Y maze, as well as pathogenic targets of cognitive impairment and Alzheimer's disease (AD) like amyloid deposition, amyloid precursor protein, tau hyperphosphorylation, and cognitive decline. Additionally, a thorough evaluation of the mechanisms behind Polygonum multiflorum's impact on cognitive function was conducted. We reviewed the most recent data from preclinical research done on experimental models, particularly looking at Polygonum multiflorum's effects on cognitive decline and AD.

Results: According to recent research, Poligonum multiflorum and its bioactive components, stilbene, and emodin, influence cognitive behavioral results and regulate the pathological target of cognitive impairment and AD. Their mechanisms of action include reducing oxidative and mitochondrial damage, regulating neuroinflammation, halting apoptosis, and promoting increased neurogenesis and synaptogenesis.

Conclusion: This review serves as a comprehensive compilation of current experiments on AD and other cognitive impairment models related to the therapeutic effects of Polygonum multiflorum. We believe that these findings can serve as a basis for future clinical trials and have potential applications in the treatment of human neurological disorders.

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来源期刊
Journal of Pharmacopuncture
Journal of Pharmacopuncture INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
2.10
自引率
7.10%
发文量
42
审稿时长
10 weeks
期刊介绍: The Journal of Pharmacopuncture covers a wide range of basic and clinical science research relevant to all aspects of the biotechnology of integrated approaches using both pharmacology and acupuncture therapeutics, including research involving pharmacology, acupuncture studies and pharmacopuncture studies. The subjects are mainly divided into three categories: pharmacology (applied phytomedicine, plant sciences, pharmacology, toxicology, medicinal plants, traditional medicines, herbal medicine, Sasang constitutional medicine, herbal formulae, foods, agricultural technologies, naturopathy, etc.), acupuncture (acupressure, electroacupuncture, laser acupuncture, moxibustion, cupping, etc.), and pharmacopuncture (aqua-acupuncture, meridian pharmacopuncture, eight-principles pharmacopuncture, animal-based pharmacopuncture, mountain ginseng pharmacopuncture, bee venom therapy, needle embedding therapy, implant therapy, etc.). Other categories include chuna treatment, veterinary acupuncture and related animal studies, alternative medicines for treating cancer and cancer-related symptoms, etc. Broader topical coverage on the effects of acupuncture, the medical plants used in traditional and alternative medicine, pharmacological action and other related modalities, such as anthroposophy, homeopathy, ayurveda, bioelectromagnetic therapy, chiropractic, neural therapy and meditation, can be considered to be within the journal’s scope if based on acupoints and meridians. Submissions of original articles, review articles, systematic reviews, case reports, brief reports, opinions, commentaries, medical lectures, letters to the editor, photo-essays, technical notes, and book reviews are encouraged. Providing free access to the full text of all current and archived articles on its website (www.journal.ac), also searchable through a Google Scholar search.
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