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铜在神经退行性疾病中的作用及天然化合物的治疗潜力洞察

Insights Into the Role of Copper in Neurodegenerative Diseases and the Therapeutic Potential of Natural Compounds.

作者信息

Zhong Guangcheng, Wang Xinyue, Li Jiaqi, Xie Zhouyuan, Wu Qiqing, Chen Jiaxin, Wang Yiyun, Chen Ziying, Cao Xinyue, Li Tianyao, Liu Jinman, Wang Qi

机构信息

Science and Technology Innovation Center, Guangzhou University of Chinese Medicine, Guangzhou, China.

The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.

出版信息

Curr Neuropharmacol. 2024;22(10):1650-1671. doi: 10.2174/1570159X22666231103085859.

Abstract

Neurodegenerative diseases encompass a collection of neurological disorders originating from the progressive degeneration of neurons, resulting in the dysfunction of neurons. Unfortunately, effective therapeutic interventions for these diseases are presently lacking. Copper (Cu), a crucial trace element within the human body, assumes a pivotal role in various biological metabolic processes, including energy metabolism, antioxidant defense, and neurotransmission. These processes are vital for the sustenance, growth, and development of organisms. Mounting evidence suggests that disrupted copper homeostasis contributes to numerous age-related neurodegenerative diseases, such as Alzheimer's disease (AD), Parkinson's disease (PD), Huntington's disease (HD), amyotrophic lateral sclerosis (ALS), Wilson's disease (WD), Menkes disease (MD), prion diseases, and multiple sclerosis (MS). This comprehensive review investigates the connection between the imbalance of copper homeostasis and neurodegenerative diseases, summarizing pertinent drugs and therapies that ameliorate neuropathological changes, motor deficits, and cognitive impairments in these conditions through the modulation of copper metabolism. These interventions include Metal-Protein Attenuating Compounds (MPACs), copper chelators, copper supplements, and zinc salts. Moreover, this review highlights the potential of active compounds derived from natural plant medicines to enhance neurodegenerative disease outcomes by regulating copper homeostasis. Among these compounds, polyphenols are particularly abundant. Consequently, this review holds significant implications for the future development of innovative drugs targeting the treatment of neurodegenerative diseases.

摘要

神经退行性疾病包括一系列起源于神经元进行性退化的神经系统疾病,导致神经元功能障碍。不幸的是,目前缺乏针对这些疾病的有效治疗干预措施。铜(Cu)是人体中的一种关键微量元素,在各种生物代谢过程中起着核心作用,包括能量代谢、抗氧化防御和神经传递。这些过程对生物体的维持、生长和发育至关重要。越来越多的证据表明,铜稳态的破坏会导致许多与年龄相关的神经退行性疾病,如阿尔茨海默病(AD)、帕金森病(PD)、亨廷顿病(HD)、肌萎缩侧索硬化症(ALS)、威尔逊病(WD)、门克斯病(MD)、朊病毒病和多发性硬化症(MS)。这篇综述全面研究了铜稳态失衡与神经退行性疾病之间的联系,总结了通过调节铜代谢来改善这些疾病中神经病理变化、运动缺陷和认知障碍的相关药物和疗法。这些干预措施包括金属-蛋白质衰减化合物(MPACs)、铜螯合剂、铜补充剂和锌盐。此外,这篇综述强调了天然植物药衍生的活性化合物通过调节铜稳态来改善神经退行性疾病预后的潜力。在这些化合物中,多酚类物质尤为丰富。因此,这篇综述对未来开发治疗神经退行性疾病的创新药物具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bd4/11284712/1c0e582d7a37/CN-22-1650_F1.jpg

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