1.1)宁波大学医学院附属医院康复科,宁波 315211;2.2)宁波大学医学院,浙江省病理生理学技术研究重点实验室,宁波 315211
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国家自然科学基金(82001155),浙江省自然科学基金(LQ19H090005),宁波市科技局/重大项目(2019B10034),宁波市科技局计划项目(202002N3165),宁波大学教研项目(JYXMXZD2021029),宁波大学科研基金项目(XYL20030),宁波大学“大学生科技创新计划”(2021SRIP1917,2021SRIP1912)和宁波大学王宽诚幸福基金资助.
1.1)The Affiliated Hospital of Medical School, Ningbo University, Ningbo 315211, China;2.2)Ningbo University School of Medicine, Zhejiang Provincial Key Laboratory of Pathophysiology, Ningbo 315211, China
This work was supported by grants from The National Natural Science Foundation of China (82001155), the Natural Science Foundation of Zhejiang Province (LQ19H090005), the Ningbo Science and Technology Bureau (2019B10034), the Ningbo Science and Technology Plan Project (202002N3165), Ningbo University Teaching and Research Project (JYXMXZD2021029), the Scientific Research Fund Project of Ningbo University (XYL20030), the Student Research, Innovation Program (SRIP) of Ningbo University (2021SRIP1917, 2021SRIP1912), and the K. C. Wong Magna Fund in Ningbo University.
阿尔茨海默病 (Alzheimer’s disease, AD)是一种以进行性认知障碍和记忆减退为主要特征的中枢神经退行性疾病, 已经成为老年医学中最棘手的、亟待解决的问题之一. AD的病理机制仍不清楚,尚无特效治疗药物. 目前,探索AD神经再生逐渐成为研究的热点领域,通过诱导神经再生可以有效地改善AD的症状. 研究表明,运用药物、物理刺激或干细胞移植方法,可以提高大脑成体神经再生,是延缓AD的病理症状和认知障碍的有效治疗策略. 本文综述诱导神经再生的方法及其治疗AD的作用机制,为神经再生治疗实施提供理论依据.
Alzheimer?s disease (AD) is a neurodegenerative disease characterized by progressive cognitive impairment and memory loss in the central nervous system, which has become one of the most difficult problems and urgent to solve in geriatrics. However, the pathological mechanism of AD is still unclear, and there is no specific medicine for AD. Currently, the exploration of nerve regeneration in AD has gradually attracted increasing attention. Increasing BDNF or NGF expression by neurotrophic solution or adeno-associated virus can regulate the survival of nerve cells and the plasticity of synapses. AChEI drugs can inhibit the decomposition of ACh and activate the nAChRs receptor, which enhance growth, communication and survival of neurons. Brain stimulation techniques such as repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS) can activate synaptic activity in neuronal circuits. Exogenous NSCs transplantation or BDNF combined with NSCs transplantation can not only directly increase the number of neurons, but also indirectly improve pathology surroundings by stimulating the secretion of neurotrophic factors and exosomes. Studies have demonstrated that the treatment of neurotrophic solution, physical stimulation or stem cell transplantation can enhance adult neurogenesis in the brain, which is considered to be effective strategy to alleviate pathological symptoms as well as cognitive impairment of AD. However, the optimal intervention strategy and the quality of treatment need to be further evaluated. Our paper reviews the methods of inducing nerve regeneration and elucidates its therapeutic mechanism of AD, which may provide a theoretical basis for the implementation of nerve regeneration therapy.
高君妍,林苏扬,潘召韬,马宇涛,储超扬,单江晖,沈巍,谢凯,王钦文,徐淑君,李丽萍.诱导神经再生治疗阿尔茨海默病的机制研究进展[J].生物化学与生物物理进展,2021,48(8):875-887
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