IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY
Kashif Abbas, Mohd Mustafa, Mudassir Alam, Safia Habib, Waleem Ahmad, Mohd Adnan, Md Imtaiyaz Hassan, Nazura Usmani
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引用次数: 0

摘要

阿尔茨海默病(AD)的特征是淀粉样蛋白-β(Aβ)斑块堆积、神经纤维缠结、神经炎症和认知能力逐渐下降,对全球健康构成了重大挑战。越来越多的证据表明,膳食中的多酚类物质可以通过多方面的神经保护机制来降低淀粉样蛋白-β的风险和病情发展。多酚通过抑制β/γ-分泌酶的活性、防止Aβ聚集和增强清除途径来调节淀粉样蛋白的蛋白稳态。它们具有很强的抗氧化性,能中和活性氧,螯合氧化还原活性金属,并通过 Nrf2 信号激活细胞保护酶。本综述探讨了膳食多酚对注意力缺失症发挥神经保护作用的潜在治疗靶点、信号传导途径和分子机制,重点关注它们在调节淀粉样蛋白蛋白稳态、氧化应激、神经炎症和脑血管健康方面的作用。多酚通过抑制 NF-κB 信号传导和上调脑源性神经营养因子来减轻神经炎症,支持神经可塑性和神经发生。它们还通过改善脑血流、维持血脑屏障完整性和调节血管生成来增强脑血管健康。本综述探讨了多酚发挥神经保护作用的分子和细胞途径,重点关注它们的抗氧化、抗炎和淀粉样蛋白调节作用。我们还讨论了多酚类物质对注意力缺失症主要病理的影响,包括 Aβ 沉积、tau 过度磷酸化、氧化应激和神经炎症。来自临床和临床前研究的见解凸显了多酚类物质在预防或减缓注意力缺失症进展方面的潜力。未来的研究应探索结合遗传和生活方式因素的个性化饮食策略,以优化多酚对神经的保护作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Multi-target approach to Alzheimer's disease prevention and treatment: antioxidant, anti-inflammatory, and amyloid- modulating mechanisms.

Alzheimer's disease (AD) is characterized by amyloid-β (Aβ) plaque accumulation, neurofibrillary tangles, neuroinflammation, and progressive cognitive decline, posing a significant global health challenge. Growing evidence suggests that dietary polyphenols may reduce the risk and progression of AD through multifaceted neuroprotective mechanisms. Polyphenols regulate amyloid proteostasis by inhibiting β/γ-secretase activity, preventing Aβ aggregation, and enhancing clearance pathways. Their strong antioxidant properties neutralize reactive oxygen species, chelate redox-active metals, and activate cytoprotective enzymes via Nrf2 signaling. This review examines the potential therapeutic targets, signaling pathways, and molecular mechanisms by which dietary polyphenols exert neuroprotective effects in AD, focusing on their roles in modulating amyloid proteostasis, oxidative stress, neuroinflammation, and cerebrovascular health. Polyphenols mitigate neuroinflammation by suppressing NF-κB signaling and upregulating brain-derived neurotrophic factor, supporting neuroplasticity and neurogenesis. They also enhance cerebrovascular health by improving cerebral blood flow, maintaining blood-brain barrier integrity, and modulating angiogenesis. This review examines the molecular and cellular pathways through which polyphenols exert neuroprotective effects, focusing on their antioxidant, anti-inflammatory, and amyloid-modulating roles. We also discuss their influence on key AD pathologies, including Aβ deposition, tau hyperphosphorylation, oxidative stress, and neuroinflammation. Insights from clinical and preclinical studies highlight the potential of polyphenols in preventing or slowing AD progression. Future research should explore personalized dietary strategies that integrate genetic and lifestyle factors to optimize the neuroprotective effects of polyphenols.

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来源期刊
Neurogenetics
Neurogenetics 医学-临床神经学
CiteScore
3.90
自引率
0.00%
发文量
24
审稿时长
6 months
期刊介绍: Neurogenetics publishes findings that contribute to a better understanding of the genetic basis of normal and abnormal function of the nervous system. Neurogenetic disorders are the main focus of the journal. Neurogenetics therefore includes findings in humans and other organisms that help understand neurological disease mechanisms and publishes papers from many different fields such as biophysics, cell biology, human genetics, neuroanatomy, neurochemistry, neurology, neuropathology, neurosurgery and psychiatry. All papers submitted to Neurogenetics should be of sufficient immediate importance to justify urgent publication. They should present new scientific results. Data merely confirming previously published findings are not acceptable.
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