咖啡因是阿尔茨海默病的潜在治疗干预手段吗?

Ying-jiu Zhai, Y Mukish Yelanchezian, A. Kwakowsky
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引用次数: 0

摘要

咖啡因是世界上最常用的兴奋剂。越来越多的证据表明,咖啡因可能具有神经保护作用,可以延缓几种神经退行性疾病的发病或治疗,尤其是阿尔茨海默病(AD)。在阿尔茨海默病的发展过程中,加速的记忆丧失和认知能力下降伴随着两种神经病理学特征,淀粉样蛋白和tau蛋白的积累。阿尔茨海默病在确诊前的长期潜伏期,加上患病时间延长,极大地增加了公共卫生负担,因为患者在其生命末期的大部分时间都处于严重残疾和严重依赖的状态。此外,目前的药物治疗只能提供边际效益,因此迫切需要开发新的治疗方案。来自临床试验的支持证据表明,咖啡因具有抗痴呆和阿尔茨海默病的神经保护作用,但需要更多的研究来加强和证实这些观察结果。这篇小型综述通过评估与该主题相关的临床试验的大量基础,简要介绍了咖啡因/咖啡对认知和阿尔茨海默病的影响。
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Is caffeine a potential therapeutic intervention for Alzheimer's disease?
Caffeine is the most commonly used stimulant drug in the world. Increasing evidence has indicated that caffeine may have a neuroprotective effect in delaying the onset or treatment of several neurodegenerative disorders, especially Alzheimer's disease (AD). During the progression of AD, accelerated memory loss and cognitive decline are accompanied by two neuropathological hallmarks, the accumulation of amyloid- and tau proteins. The long incubation nature of AD before definitive diagnosis combined with extended duration of life spent with illness contribute significantly to the public health burden, as patients spend much of their end life in a state of severe disability and heavy dependence. Moreover, current drug treatments only provide marginal benefits, creating an urgent need for developing new therapeutic options. There is supportive evidence from clinical trials that caffeine has neuroprotective properties against dementia and AD, but more research is needed to strengthen and confirm these observations. This mini-review presents a short synopsis of the effect of caffeine/coffee on cognition and Alzheimer's disease by evaluating a substantial basis of clinical trials that are related to this topic.
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