大黄素治疗阿尔茨海默病的研究进展
摘要
制、多靶点发挥抗AD功效,包括调节神经递质系统,促进乙酰胆碱合成与释放以改善认知记忆;抑制β-淀粉样
蛋白(Aβ)聚集、调节相关激酶减少Tau蛋白过度磷酸化,减缓AD病理进程;具备抗氧化与抗炎能力,上调抗氧
化酶活性、降低氧化产物水平、抑制小胶质细胞过度活化、减少炎症因子释放;还能调节肠道菌群平衡,经脑肠轴
影响神经功能。然而,这些机制相互关联且目前对其联系研究不足,如氧化应激与炎症、神经递质调节与Aβ代谢
关系中大黄素的协同作用未深入探究。后续研究可借助基因编辑技术、AD转基因动物模型、系统生物学方法及加入
Nrf2抑制剂、p-NF-κB抑制剂等进行干预实验,深入解析大黄素抗AD机制网络,这将助力理解AD发病机制,为
AD治疗提供精准理论依据,推动大黄素及其他中药在AD治疗领域的研发,有效治疗AD,提升患者生活质量。
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[1]仲丽丽,赵秦妍,路鑫,等.阿尔茨海默病作用
机制研究进展与治疗[J].中医药学报,2023,51(11):
116-123.
[2]Li, Z., Bi, H., Jiang, H., et al. Neuroprotective effect
of emodin against A lzheimer's disease via Nrf2 signaling
in U251 cells and APP/PS1 mice[J]. Molecular medicine
reports,2021,23(2):108.
[3]Li, Q., Gao, J., Pang, X., et al. Molecular mechanisms
of action of emodin: as an anti-cardiovascular disease drug[J].
Frontiers in pharmacology,2020,11:559607.
[4]Zhang, Y., Pu, W., Bousquenaud, M., et al. Emodin
inhibits inflammation, carcinogenesis, and cancer progression
in the AOM/DSS model of colitisas sociated intestinal
tumorigenesis[J].Frontiers in oncology,2021,10:564674.
[5]吴丛宇,周悦,上官璐茜,等.大黄素的药理作
用机制研究进展[J].中国药科大学学报,2023,54(05):
634-643.
[6]刘雅楠,牛芬溪,刘悦,等.金属离子稳态失衡与
阿尔茨海默病[J].中国药理学通报,2022,38(01):9-12.
[7]翟明锋.老年鼠肠道菌群对自发性痫样放电及癫
痫发作阈值影响的巨噬细胞及小胶质细胞机制[D].安徽
医科大学,2023.
[8]Dou, K.X., Tan, M.S., Tan, C.C., et al. Comparative
safety and effectiveness of cholinesterase inhibitors and
memantine for Alzheimer's disease: a net work meta-analysis
of 41 randomized controlled trials[J].Alzheimer's Research &
Therapy, 2018,10(1):126.
[9]Saunders, I.T., Mir, H., Kapur, N., et al. Emodin
inhibits colon cancer by altering BCL-2 family proteins and cell
survival pathways[J].Cancer Cell I nternational, 2019, 19:98.
[10]Tong, H., Huang, Z., Chen, H., et al. Emodin
reverses gemcitabine resistance of pancreatic cancer celllines
through inhibition of IKKβ/NF-κB signaling pathway[J].
Onco Targets and therapy,2020,13:983-9848.
[11]Liu, J., Sun, Y., Zheng, H., et al. Emodin attenuated
the kidney damage of high-fat-diet micevia the upregulation
of glucagon-like peptide-1 receptor [J]. BioMed Research In
ternational.2021,2021:6662704.
[12]高丙鹏,田静,靳银山,等.大黄素通过调控
ROS和NLRP3炎症体通路改善草酸钙结晶诱导的肾
小管上皮细胞损伤[J].现代泌尿外科,2021,26(06):
525-528+540.
[13]龙丹丹,张清,占凯,等.大黄素对四氯化碳诱
导肝纤维化大鼠的干预作用[J].广西医学,2020,42(16):
2120-2124.
[14]戚运,陈苏宁.大黄素改善肠屏障机制研究进展[J/OL].中华中医药学刊,1-10.
[15]Raulin, A.C., Doss, S.V., Trottier, Z.A., et al.
ApoE in Alzheimer's disease: pathophysiology and therapeutic
strategies[J].Molecular Neurodegeneration,2022, 17(1):72.
[16]王英全,梁景宏,贾瑞霞,等.2020-2050年中
国阿尔茨海默病患病情况预测研究[J].阿尔茨海默病及相
关病,2019,2(01):289-298.
[17]Chen, Z.R., Huang, J.B., Yang, S.L., et al.
Role of cholinergic signaling in Alzheimer's disease[J].
Molecules,2022,27(6):1816.
[18]Singh, S.P., Gupta, D. Discovery of potential
inhibitor against human acetyl cholinesterase: a molecular
docking and molecular dynamics investigation[J].
Computational Biology and Chemistry,2017,68:224-230.
[19]Hampel, H., Mesulam, M.M., Cuello, A.C., et al.
The cholinergic system in the pathophysiology and treatment
of Alzheimer's disease[J].The Journal Of Prevention of
Alzheimer's Disease,2018,141(7):1917-1933.
[20]曾楚华,刘思文,王雨,等.固本健脑液通过
调节APP代谢途径对AD大鼠发挥神经保护作用[J].中药
材,2023,12(46):3097.
[21]O'Brien, R.J., Wong., P.C. Amyloid precursor
protein processing and Alzhei mer's disease[J].Annual Review
of Neuroscience,2011,34(1):185-204.
[22]苏梓南,李凯,张根发.阿尔茨海默病β淀粉样
蛋白沉积斑块和寡聚体致病假说及其面临的挑战[J].中华
老年多器官疾病杂志,2023,22:157.
[23]Perry, V.H., Teeling, J. Microglia and macrophages
of the central nervous system:the contribution of
microglia priming and systemic inflammation to chronic
neurodegeneration[J]. Seminars in Immunopathology, 2013,
35(5): 601-612.
[24]Cui, B., Zhang, S.L., Wang, Y.T., et al. Farrerol
attenuates β-amyloid-induced oxidative stress and
inflammation through Nrf2/Keap1 pathway in a microglia
cellline[J]. Biomedicine & Pharmacotherapy,2019.109:112-119.
[25]郭 美 娜.PGC-1α通 过 调 控VDR的 表 达 抑 制
氧化应激改善阿尔茨海默病的机制研究[D].江苏大学,
2021.
[26]Dong, Y.T., Cao, K., Tian, L.C., et al. Stimulation
of SIRT1 attenuates the level of oxidative stress in the brains
of APP/PS1 double transgenic mice and in primary neurons
exposed to oligomers of the Amyloid-β peptide[J]. Journal
of Alzheimer's Disease,2018,63(1):283-301.
[27]刘芳彤,樊浩楠,沈立新,等.细菌铁离子摄
取系统与宿主免疫[J].微生物学通报,2019,46(12):
3432-3439.
[28]Zhang, Y., Fan, B.Y., Pang, Y.L., et al.
Neuroprotective effect of deferoxa mine on erastininduced
ferroptosis in primary cortical neurons[J].Neural Re generation
Research, 2020, 15(8):1539-1545.
[29]刘雅楠,牛芬溪,刘悦,等.金属离子稳态失衡
与阿尔茨海默病[J].中国药理学通报,2022,38(01):
9-12.
[30]郭佳旗,魏颖鸿,张慧,等.早老素阿尔茨海默
病发病机制及基于神经递质治疗的研究进展[J].分子生物
医学,2021,27(19):3761.
[31]Martens,Y.A., Zhao, N., Liu C.C., et al. ApoE
cascade hypothesis in the athogenesis of Alzheimer's disease
and related dementias[J]. Neuron,2022,110(8): 1304-1317.
[32]陈雪梅,胡博,唐晓姝,等.紫苏籽油对小鼠肠
道微生物及抗氧化能力的影响[J].食品与发酵工业,1-10.
[33]Abelein, A. Metal binding of Alzheimer's amyloid-β
and it seffect on peptide self-assembly[J].Accounts of Chemical
Research,2023,56(19):2653-2663.
[34]宋博雅,刘军,郝琳.肠道菌群影响阿尔茨海默
病病理机制的研究进展[J].生理科学进展,2024,55(01):
28-33.
[35]杨璐,李庆华,许玲,等.粪菌移植对阿尔茨海
默病小鼠学习记忆能力的影响[J].郑州大学学报(医学
版),2017,52(06):702-706.
[36]王晶,郑加平.肠道菌群与神经退行性疾病相关
性研究进展[J].中国医药科学,2022,12(14):44-47.
[37]Evans, L., Price, T., Hubert, N., et al. Emodin
inhibited pathological cardiac hypertrophy in response
to angiotensin-induced hypertension and altered the gut
mcrobiome[J].Biomolecules.2023,13(9):1274.
[38]夏能银.大黄素抗阿尔茨海默病的作用及机制研
究[D].武汉轻工大学,2024.
[39]Velazquez, R., Ferreira, E., Knowles, S., et al.
Lifelong choline supplement ation ameliorates Alzheimer's
disease pathology and associated cognitive deficits by attenuating
microglia activation[J]. Aging Cell.2019, 18(6): 13037.
[40]杨梦艳,周小涛,张继川,等.小胶质细胞在阿
尔茨海默病中的作用及潜在的应用价值[J].中国病理生理
杂志,2023,39(10):1884-1890.
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