用植物多酚对抗帕金森病:针对氧化应激和神经炎症。

IF 4.4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Neurochemistry international Pub Date : 2024-06-29 DOI:10.1016/j.neuint.2024.105798
Reem M. Gahtani , Shoaib Shoaib , Umme Hani , R. Jayachithra , Mohammad N. Alomary , Waseem Chauhan , Roshan Jahan , Saba Tufail , Mohammad Azam Ansari
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引用次数: 0

摘要

帕金森病(PD)是一种以黑质多巴胺能神经元缺失为特征的破坏性神经退行性疾病,主要影响老年人。活性氧(ROS)的产生在帕金森病和其他神经退行性疾病的发病机制中起着核心作用。细胞抗氧化活性与 ROS 生成之间的失衡会导致氧化应激,从而导致疾病进展。多巴胺代谢、线粒体功能障碍和多巴胺能神经元的神经炎症与帕金森病的发病机制有关。因此,迫切需要能够清除 ROS 的治疗干预措施。目前的药理学方法,如左旋多巴或左旋多巴酸(L-DOPA)和其他药物,可缓解症状,但受到严重副作用的限制。世界各地的研究人员一直在探索毒性较小的替代化合物,以应对帕金森病带来的多方面挑战。近年来,植物多酚类化合物作为潜在的治疗药物备受关注。这些化合物通过针对帕金森病的病理生理反应,包括氧化应激和神经炎症,表现出神经保护作用。本综述旨在总结目前对各种多酚在帕金森病中的神经保护作用的认识,重点关注它们的抗氧化和抗炎特性,并讨论它们作为候选治疗药物的潜力。本综述强调了在阐明这些多酚的分子作用机制、确定潜在治疗靶点以及优化其输送和生物利用度方面所取得的进展。要确定基于多酚的干预措施在治疗帕金森病方面的疗效和安全性,必须进行精心设计的临床试验。
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Combating Parkinson's disease with plant-derived polyphenols: Targeting oxidative stress and neuroinflammation

Parkinson's disease (PD) is a devastating neurodegenerative disorder predominantly affecting the elderly, characterized by the loss of dopaminergic neurons in the substantia nigra. Reactive oxygen species (ROS) generation plays a central role in the pathogenesis of PD and other neurodegenerative diseases. An imbalance between cellular antioxidant activity and ROS production leads to oxidative stress, contributing to disease progression. Dopamine metabolism, mitochondrial dysfunction, and neuroinflammation in dopaminergic neurons have been implicated in the pathogenesis of Parkinson's disease. Consequently, there is a pressing need for therapeutic interventions capable of scavenging ROS. Current pharmacological approaches, such as L-dihydroxyphenylalanine (levodopa or L-DOPA) and other drugs, provide symptomatic relief but are limited by severe side effects. Researchers worldwide have been exploring alternative compounds with less toxicity to address the multifaceted challenges associated with Parkinson's disease. In recent years, plant-derived polyphenolic compounds have gained significant attention as potential therapeutic agents. These compounds exhibit neuroprotective effects by targeting pathophysiological responses, including oxidative stress and neuroinflammation, in Parkinson's disease. The objective of this review is to summarize the current understanding of the neuroprotective effects of various polyphenols in Parkinson's disease, focusing on their antioxidant and anti-inflammatory properties, and to discuss their potential as therapeutic candidates. This review highlights the progress made in elucidating the molecular mechanisms of action of these polyphenols, identifying potential therapeutic targets, and optimizing their delivery and bioavailability. Well-designed clinical trials are necessary to establish the efficacy and safety of polyphenol-based interventions in the management of Parkinson's disease.

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来源期刊
Neurochemistry international
Neurochemistry international 医学-神经科学
CiteScore
8.40
自引率
2.40%
发文量
128
审稿时长
37 days
期刊介绍: Neurochemistry International is devoted to the rapid publication of outstanding original articles and timely reviews in neurochemistry. Manuscripts on a broad range of topics will be considered, including molecular and cellular neurochemistry, neuropharmacology and genetic aspects of CNS function, neuroimmunology, metabolism as well as the neurochemistry of neurological and psychiatric disorders of the CNS.
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