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阿尔茨海默病中神经炎症的调控:植物化学物质通过肠-脑轴的保护作用。

Taming neuroinflammation in Alzheimer's disease: The protective role of phytochemicals through the gut-brain axis.

机构信息

Department of Integrative Biology, Kyungpook National University, Daegu 41566, Republic of Korea.

School of Food Science and Biotechnology, Kyungpook National University, Daegu 41566, Republic of Korea.

出版信息

Biomed Pharmacother. 2024 Sep;178:117277. doi: 10.1016/j.biopha.2024.117277. Epub 2024 Aug 9.

Abstract

Alzheimer's disease (AD) is a progressive degenerative neurological condition characterized by cognitive decline, primarily affecting memory and logical thinking, attributed to amyloid-β plaques and tau protein tangles in the brain, leading to neuronal loss and brain atrophy. Neuroinflammation, a hallmark of AD, involves the activation of microglia and astrocytes in response to pathological changes, potentially exacerbating neuronal damage. The gut-brain axis is a bidirectional communication pathway between the gastrointestinal and central nervous systems, crucial for maintaining brain health. Phytochemicals, natural compounds found in plants with antioxidant and anti-inflammatory properties, such as flavonoids, curcumin, resveratrol, and quercetin, have emerged as potential modulators of this axis, suggesting implications for AD prevention. Intake of phytochemicals influences the gut microbial composition and its metabolites, thereby impacting neuroinflammation and oxidative stress in the brain. Consumption of phytochemical-rich foods may promote a healthy gut microbiota, fostering the production of anti-inflammatory and neuroprotective substances. Early dietary incorporation of phytochemicals offers a non-invasive strategy for modulating the gut-brain axis and potentially reducing AD risk or delaying its onset. The exploration of interventions targeting the gut-brain axis through phytochemical intake represents a promising avenue for the development of preventive or therapeutic strategies against AD initiation and progression.

摘要

阿尔茨海默病(AD)是一种进行性神经退行性疾病,其特征是认知能力下降,主要影响记忆力和逻辑思维,归因于大脑中的淀粉样β斑块和tau 蛋白缠结,导致神经元丧失和脑萎缩。神经炎症是 AD 的一个标志,涉及小胶质细胞和星形胶质细胞对病理变化的激活,可能会加剧神经元损伤。肠脑轴是胃肠道和中枢神经系统之间的双向通讯途径,对维持大脑健康至关重要。植物化学物质是植物中具有抗氧化和抗炎特性的天然化合物,如类黄酮、姜黄素、白藜芦醇和槲皮素,它们已成为该轴的潜在调节剂,这表明它们可能对 AD 的预防有影响。植物化学物质的摄入会影响肠道微生物组成及其代谢物,从而影响大脑中的神经炎症和氧化应激。摄入富含植物化学物质的食物可能会促进健康的肠道微生物群,促进产生抗炎和神经保护物质。早期饮食中摄入植物化学物质是一种非侵入性的策略,可以调节肠脑轴,从而降低 AD 的风险或延缓其发病。通过摄入植物化学物质来探索针对肠脑轴的干预措施,为预防或治疗 AD 的发生和进展提供了有希望的策略。

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