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

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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 (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.

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    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.

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PAN Zhao-Tao, MA Yu-Tao, XIAO Biao, LIN Su-Yang, GAO Jun-Yan, SHAN Jiang-Hui, CHU Chao-Yang, SHEN Wei, XIE Kai, LI Li-Ping.Review: The Mechanism of Chemical and Physical Intervention on Prevention and Treatment of Alzheimer’s Disease[J]. Progress in Biochemistry and Biophysics,2023,50(10):2287-2304

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History
  • Received:September 05,2022
  • Revised:September 06,2023
  • Accepted:November 22,2022
  • Online: October 20,2023
  • Published: October 20,2023