Research Progress on The Mechanisms of Inducing Nerve Regeneration in The Treatment of Alzheimerʼs Disease
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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

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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.

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    Abstract:

    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.

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GAO Jun-Yan, LIN Su-Yang, PAN Zhao-Tao, MA Yu-Tao, CHU Chao-Yang, SHAN Jiang-Hui, SHEN Wei, XIE Kai, WANG Qin-Wen, XU Shu-Jun, LI Li-Ping. Research Progress on The Mechanisms of Inducing Nerve Regeneration in The Treatment of Alzheimerʼs Disease[J]. Progress in Biochemistry and Biophysics,2021,48(8):875-887

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History
  • Received:April 25,2021
  • Revised:June 08,2021
  • Accepted:June 15,2021
  • Online: August 24,2021
  • Published: August 20,2021