综述与专论: 化学和物理干预治疗阿尔茨海默病的机制
CSTR:
作者:
作者单位:

1)宁波大学医学院附属医院康复科,宁波 315211;2)宁波大学医学院生理与药理学科,宁波 315211

作者简介:

李丽萍 Tel: 0574-87609594, E-mail: liliping@nbu.edu.cn谢凯 Tel: 0574-87035543, E-mail: xiekai88@126.comLI Li-Ping. Tel: 86-574-87609594, E-mail: liliping@nbu.edu.cnXIE Kai. Tel: 86-574-87035543, E-mail: xiekai88@126.com

通讯作者:

中图分类号:

基金项目:

国家自然科学基金(82001155), 浙江省自然科学基金 (LY23H090004), 浙江省省属高校基本科研业务费专项资金 (SJLY2023008),浙江省医药卫生科技计划(2022KY1144),浙江 省中医药科技计划(2023ZL162), 宁波大学教研项目(JYXMXZD2021029), 浙江省大学生科技创新活动计划(新苗人才计 划)(2022R405A045), 宁波大学“ 大学生科技创新计划” (2022SRIP1901, 2022SRIP1912) 和宁波大学王宽诚幸福基金 资助。


Review: The Mechanism of Chemical and Physical Intervention on Prevention and Treatment of Alzheimer’s Disease
Author:
Affiliation:

1)Rehabilitative Department, the Affiliated Hospital of Medical School, Ningbo University, Ningbo 315211, China;2)Department of Physiology and Pharmacology, Ningbo University School of Medicine, Ningbo 315211, China

Fund Project:

This work was supported by grants from The National Natural Science Foundation of China (82001155), the Natural Science Foundation of Zhejiang Province (LY23H090004), the Fundamental Research Funds for the Provincial Universities of Zhejiang (SJLY2023008), the Medical Health Science and Technology Project of Zhejiang Provincial Health Commission (2022KY1144), Zhejiang Traditional Chinese Medicine Science and Technology Planning Project (2023ZL162), Ningbo University Teaching and Research Project (JYXMXZD2021029), College Students’ Scientific and Technological Innovation Project (Xin Miao Talent Plan) of Zhejiang Province (2022R405A045), the Student Research, Innovation Program (SRIP) of Ningbo University (2022SRIP1901, 2022SRIP1912), and the K. C. Wong Magna Fund in Ningbo University.

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    阿尔茨海默病 (Alzheimers’ disease, AD) 是一种常见的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,发病人数多,波及范围广,已成为老年医学中最严峻的问题之一。临床上AD的药物治疗效果有限,且存在一定的局限性与副作用。目前,物理干预AD的治疗方法正逐渐受到人们的关注和重视,研究表明,物理干预如嗅觉干预、光疗法、脑电刺激、声光刺激、温度干预等能通过提高神经发生、神经保护、调控神经元兴奋性和可塑性、提高脑血流量、改善代谢、减少Aβ沉积和Tau蛋白过度磷酸化等,从而改善AD症状与认知功能。本文综述了不同物理干预对AD的作用机制以及疗效,为物理干预用于实施预防和延缓AD提供理论基础。

    Abstract:

    Alzheimer’s disease (AD) is a common central neurodegenerative disease characterized by progressive cognitive impairment and memory loss. It has become one of the most serious problems in geriatric medicine with a large number of incidences and a wide range of effects. Clinical drug treatment of AD has limited effects, and there are certain limitations and side effects. At present, the treatment methods of chemical and physical intervention for AD are gradually attracting people’s attention. Olfactory intervention stimulated by odor or electrode can enhance excitability and synaptic transmission of olfactory neurons. Therapy of photobiomodulation can raise cerebral blood flow, promote nerve excitation and neuronal plasticity. Photothermal therapy can be used to decompose of Aβ aggregates. γ oscillations induced by 40 Hz audiovisual stimulation is mainly targeted to decrease amyloid plaques. Repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS) regulate neuronal activity and excitability in the brain by directly inducing action potentials and increasing the resting membrane potential of cortical neurons, respectively. Transcranial alternating current stimulation (tACS) modulates cognitive function through entrainment and resonance effects that bring large populations of neurons into local oscillating networks. Exposure to a thermoneutral environment can reduce insoluble Aβ while repeated short-term cold exposure at 4℃ can block hypothermia-induced Tau hyperphosphorylation. Studies have shown that chemical and physical intervention such as olfactory intervention, light therapy, electrical brain stimulation, acoustic and optical stimulation, temperature intervention can improve metabolism by improving neurogenesis, neuroprotection, neuronal excitability, neuronal plasticity, cerebral blood flow, reducing Aβ deposition and Tau hyperphosphorylation to improve AD symptoms and cognitive function. This article reviews the mechanism and efficacy of different physical interventions on AD, so as to provide a theoretical basis for the implementation of physical interventions to prevent and delay AD.

    参考文献
    相似文献
    引证文献
引用本文

潘召韬,马宇涛,肖彪,林苏扬,高君妍,单江晖,储超扬,沈巍,谢凯,李丽萍.综述与专论: 化学和物理干预治疗阿尔茨海默病的机制[J].生物化学与生物物理进展,2023,50(10):2287-2304

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2022-09-05
  • 最后修改日期:2023-09-06
  • 接受日期:2022-11-22
  • 在线发布日期: 2023-10-20
  • 出版日期: 2023-10-20