Research Centre for Food and Nutrition, Council for Agricultural Research and Economics (CREA-AN), Rome, Italy.
Departamento de Farmacia, Facultad de Química, Universidad Nacional Autónoma de México, Ciudad de México, Mexico.
Phytother Res. 2024 Jun;38(6):3169-3189. doi: 10.1002/ptr.8200. Epub 2024 Apr 14.
Alzheimer's disease (AD) is a progressive neurodegenerative disorder characterized by the accumulation of amyloid-beta plaques and neurofibrillary tangles, leading to neuronal loss. Curcumin, a polyphenolic compound derived from Curcuma longa, has shown potential neuroprotective effects due to its anti-inflammatory and antioxidant properties. This review aims to synthesize current preclinical data on the anti-neuroinflammatory mechanisms of curcumin in the context of AD, addressing its pharmacokinetics, bioavailability, and potential as a therapeutic adjunct. An exhaustive literature search was conducted, focusing on recent studies within the last 10 years related to curcumin's impact on neuroinflammation and its neuroprotective role in AD. The review methodology included sourcing articles from specialized databases using specific medical subject headings terms to ensure precision and relevance. Curcumin demonstrates significant neuroprotective properties by modulating neuroinflammatory pathways, scavenging reactive oxygen species, and inhibiting the production of pro-inflammatory cytokines. Despite its potential, challenges remain regarding its limited bioavailability and the scarcity of comprehensive human clinical trials. Curcumin emerges as a promising therapeutic adjunct in AD due to its multimodal neuroprotective benefits. However, further research is required to overcome challenges related to bioavailability and to establish effective dosing regimens in human subjects. Developing novel delivery systems and formulations may enhance curcumin's therapeutic potential in AD treatment.
阿尔茨海默病(AD)是一种进行性神经退行性疾病,其特征是淀粉样β斑块和神经原纤维缠结的积累,导致神经元丧失。姜黄素是一种源自姜黄的多酚化合物,由于其抗炎和抗氧化特性,显示出潜在的神经保护作用。本综述旨在综合目前关于 AD 中姜黄素的抗神经炎症机制的临床前数据,讨论其药代动力学、生物利用度以及作为治疗辅助剂的潜力。进行了全面的文献检索,重点关注最近 10 年内与姜黄素对神经炎症的影响及其在 AD 中的神经保护作用相关的研究。综述方法包括使用特定的医学主题词从专业数据库中获取文章,以确保准确性和相关性。姜黄素通过调节神经炎症途径、清除活性氧和抑制促炎细胞因子的产生,显示出显著的神经保护特性。尽管有潜力,但仍存在一些挑战,包括其有限的生物利用度和缺乏全面的人体临床试验。由于其多模式的神经保护益处,姜黄素作为 AD 的治疗辅助剂具有广阔的前景。然而,仍需要进一步研究来克服与生物利用度相关的挑战,并在人体中确定有效的剂量方案。开发新的递送系统和制剂可能会提高姜黄素在 AD 治疗中的治疗潜力。