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膳食抗氧化剂在阿尔茨海默病治疗中的作用及其潜在机制

The Role of Dietary Antioxidants and Their Potential Mechanisms in Alzheimer's Disease Treatment.

作者信息

Knight Emily, Geetha Thangiah, Broderick Tom L, Babu Jeganathan Ramesh

机构信息

Department of Nutritional Sciences, Auburn University, Auburn, AL 36849, USA.

Boshell Metabolic Diseases and Diabetes Program, Auburn University, Auburn, AL 36849, USA.

出版信息

Metabolites. 2023 Mar 17;13(3):438. doi: 10.3390/metabo13030438.

Abstract

Alzheimer's disease (AD) is a progressive neurodegenerative disorder associated with cognitive decline and characterized by amyloid-β plaques and neurofibrillary tau tangles. Although AD's exact pathophysiology remains unclear, oxidative stress is known to play a role in the neurodegenerative process. Since no curative treatment exists, antioxidants represent a potential treatment for AD due to their ability to modulate oxidative stress. Therefore, this review aims to examine the impact of antioxidant supplementation and its potential mechanisms on cognitive function. The review primarily discusses research articles published between 2012 and 2022 reporting the results of clinical trials involving antioxidant supplementation on cognitive function in individuals with AD. Antioxidant supplementation included probiotics, selenium, melatonin, resveratrol, rosmarinic acid, carotenoids, curcumin, vitamin E, and coenzyme Q. While the studies included in this review did not provide much evidence for the beneficial role of antioxidant supplements on cognitive function in AD, the results varied from antioxidant to antioxidant and among trials examining the same antioxidant. Furthermore, many of the studies' findings face several limitations, including short trial durations, small sample sizes, and a lack of diversity among study participants. As a result, more research is required to examine the impact of antioxidant supplementation on cognitive function in AD.

摘要

阿尔茨海默病(AD)是一种与认知衰退相关的进行性神经退行性疾病,其特征为β淀粉样蛋白斑块和神经原纤维缠结。尽管AD的确切病理生理学仍不清楚,但已知氧化应激在神经退行性过程中起作用。由于目前尚无治愈性治疗方法,抗氧化剂因其调节氧化应激的能力而成为AD的一种潜在治疗方法。因此,本综述旨在探讨补充抗氧化剂的影响及其对认知功能的潜在作用机制。该综述主要讨论了2012年至2022年间发表的研究文章,这些文章报告了涉及对AD患者补充抗氧化剂的认知功能的临床试验结果。抗氧化剂补充剂包括益生菌、硒、褪黑素、白藜芦醇、迷迭香酸、类胡萝卜素、姜黄素、维生素E和辅酶Q。虽然本综述纳入的研究没有提供太多证据证明抗氧化剂补充剂对AD患者认知功能的有益作用,但不同抗氧化剂之间以及在研究同一抗氧化剂的试验之间结果存在差异。此外,许多研究结果面临若干局限性,包括试验持续时间短、样本量小以及研究参与者缺乏多样性。因此,需要更多研究来探讨补充抗氧化剂对AD患者认知功能的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff40/10054164/fd12ede22f35/metabolites-13-00438-g001.jpg

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