PDE-5 可恢复阿尔茨海默病患者的认知和代谢功能

Nikhat Firdosh, Bindu Singh Yadav, Shaaista Rahman, Hansraj Kumar
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摘要

鉴于预期寿命的延长和人口老龄化的不断加剧,针对认知功能衰退寻求新的、有效的诊断方法和疗法的前景十分广阔。本综述基于 pde-5 恢复阿尔茨海默病患者(AD)的认知和代谢功能。PDE5抑制剂通常被称为PDE5i,是治疗肺动脉高压(PAH)和勃起功能障碍(ED)的常用药物。它们在这些疾病中的已知作用机制是通过阻碍由 PDE5 介导的血管肌细胞中环磷酸鸟苷(cGMP)的分解,增加依赖一氧化氮的血管扩张。一种著名的天然 PDE5 抑制剂是来自 Epimedium brevicornum 的黄酮类物质 icariin。鉴于它能增强 APP/PS1 转基因小鼠的学习和记忆能力,因此在同类产品中脱颖而出。NO/cGMP信号通路可能受到刺激,从而达到这种效果,减轻了治疗小鼠的生理病理改变。Icarimin 是一种乙酰胆碱酯酶抑制剂,这使它在开发创新性注意力缺失症治疗方法方面更具吸引力。天然化学物质经常通过平行过程发挥作用。总之,尽管PDE抑制剂在体外和某些体内疾病模型中的表现极具前景,但从临床试验中可以得出相互矛盾的结论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PDE-5 Restore Cognitive and Metabolic Function in Patients with Alzheimer’s Disease (AD)
Given that life expectancy is increasing and the human population is constantly aging, the quest for new, effective diagnostic methods and therapies in the context of cognitive decline is wide open. The present review was based on the pde-5 restore cognitive and metabolic function in patients with Alzheimer’s disease (AD). PDE5 inhibitors, often known as PDE5i, are frequently given medications for the treatment of pulmonary arterial hypertension (PAH) and erectile dysfunction (ED). Their known mechanism in these disorders is to increase vasodilation that is dependent on nitric oxide by obstructing the breakdown of cyclic guanosine monophosphate (cGMP) in vascular myocytes that is mediated by PDE5. One well-known natural PDE5 inhibitor is the flavonoid icariin, which comes from Epimedium brevicornum. Given that it enhances learning and memory in APP/PS1 transgenic mice, it stands out among the other examples in this class. The NO/cGMP signaling pathway is probably stimulated in order to achieve this effect, which lessens the physio-pathological alterations in treated mice. Icarimin is an AChE inhibitor, which makes it an even more appealing possibility for the development of innovative AD treatments. Natural chemicals frequently operate through parallel processes. In conclusion, conflicting findings from clinical trials can be gleaned from PDE inhibitors, despite their extremely promising performances in vitro and in certain in vivo illness models.
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