Brazilian Journal of Implantology and Health Sciences,
Год журнала:
2023,
Номер
5(5), С. 3239 - 3250
Опубликована: Ноя. 17, 2023
A
abordagem
terapêutica
no
tratamento
do
Alzheimer
é
um
tema
de
elevada
relevância
na
prática
clínica
contemporânea,
dada
a
crescente
incidência
desta
condição
neurodegenerativa.
Os
recentes
avanços
neste
campo
têm
introduzido
uma
variedade
estratégias
terapêuticas
que
não
apenas
visam
aliviar
os
sintomas,
mas
também
prometem
substanciais
melhorias
qualidade
vida
dos
pacientes
acometidos
por
esta
doença.
O
propósito
deste
estudo
conduzir
análise
exaustiva
e
profunda
das
inovações
terapêuticas,
com
o
intuito
alcançar
entendimento
minucioso
cada
intervenção
avaliar
sua
viabilidade
contexto
clínico.
Este
processo
envolveu
busca
criteriosa
artigos
científicos
em
bases
dados
devidamente
indexadas.
seleção
referências
pautou-se
pela
avaliação
da
pertinência
atualidade,
priorizando
estudos
exploraram
eficácia
diversas
abordagens
se
destacaram
pelo
caráter
inovador
âmbito
Alzheimer.
organização
seguiu
as
diretrizes
estritas
estilo
Vancouver,
garantindo,
dessa
forma,
acurácia
integridade
revisão.
No
Alzheimer,
destaca-se
série
intervenções
cruciais
demonstrado
promissores
avanços.
Entre
elas,
merece
destaque
terapia
icariina,
destaca
seu
mecanismo
ação
nível
molecular
potencial
impacto
modulação
microbioma
intestinal.
Além
disso,
significativos
sido
observados
aplicação
baseadas
nanocarregadores
para
mitigação
efeitos
patológicos
proteínas
beta-amiloide
tau
doença
Alzheimer.
Esta
revisão
integrativa
diversidade
farmacológicas
disponíveis
enfatiza
importância
personalizada
multidisciplinar.
consideração
particularidades
clínicas
características
únicas
paciente
emerge
como
pilar
essencial
otimização
resultados
terapêuticos.
vigilância
constante
segurança
longo
prazo
apresenta
responsabilidade
inalienável
cuidado
desses
pacientes.
Pharmaceuticals,
Год журнала:
2024,
Номер
17(3), С. 348 - 348
Опубликована: Март 7, 2024
Investigations
into
cholinesterase
inhibition
have
received
attention
from
researchers
in
recent
years
for
the
treatment
of
Alzheimer’s
disease.
Cholinesterase
enzymes,
namely,
acetylcholinesterase
(AChE)
and
butyrylcholinesterase
(BChE),
hold
pivotal
significance
disease
(AD)
treatment.
In
this
study,
we
utilized
ethanolic
extract
Astragalus
crenatus
followed
by
liquid
chromatography–electrospray
ionization
tandem
mass
spectrometry
(LC-ESI-MS/MS)
to
separate
identify
at
least
21
compounds
extract.
Rosmarinic
acid
exhibited
highest
concentration
(96.675
±
1.3
mg/g
extract),
succeeded
hesperidin
(79.613
1.2
hesperetin
(75.102
1.4
rutin
(68.156
1.6
chlorogenic
(67.645
1.5
fisetin
(66.647
2.3
hyperoside
(63.173
extract).
A.
efficiently
inhibited
both
AChE
BChE
activities
a
dosage-dependent
manner.
Molecular
docking
was
employed
scrutinize
anticholinesterase
mechanisms
identified
phytocompounds.
Notably,
network
pharmacology
analysis
executed
most
efficacious
compound.
Based
on
binding
energies,
emerged
as
potent
inhibitor
against
BChE,
exhibiting
scores
−10.5
Kcal/mol
−9.8
Kcal/mol,
respectively.
Due
its
dual
activities,
holds
promise
development
novel
therapeutics
aimed
neurological
disorders,
particularly
AD.
European Journal of Neuroscience,
Год журнала:
2024,
Номер
60(1), С. 3466 - 3490
Опубликована: Май 10, 2024
Abstract
In
females,
Alzheimer's
disease
(AD)
incidences
increases
as
compared
to
males
due
estrogen
deficiency
after
menopause.
Estrogen
therapy
is
the
mainstay
for
menopause
and
associated
complications.
Estrogen,
a
hormone
with
multifaceted
physiological
functions,
has
been
implicated
in
AD
pathophysiology.
plays
crucial
role
amyloid
precursor
protein
(APP)
processing
overall
neuronal
health
by
regulating
various
factors
such
brain‐derived
neurotrophic
factor
(BDNF),
intracellular
calcium
signalling,
death
domain‐associated
(Daxx)
translocation,
glutamatergic
excitotoxicity,
Voltage‐Dependent
Anion
Channel,
Insulin‐Like
Growth
Factor
1
Receptor,
estrogen‐metabolising
enzymes
apolipoprotein
E
(ApoE)
polymorphisms.
All
these
impact
physiology
of
postmenopausal
women.
replacement
therapies
play
an
important
treatment
strategy
prevent
However,
use
may
lead
increased
risks
breast
cancer,
venous
thromboembolism
cardiovascular
disease.
Various
therapeutic
approaches
have
used
mitigate
effects
on
AD.
These
include
therapy,
Selective
Receptor
Modulators
(SERMs),
Beta
(ERβ)‐Selective
Agonists,
Transdermal
Delivery,
Localised
Combination
Therapies,
Metabolism
Modulation
Alternative
Estrogenic
Compounds
like
genistein
from
soy,
notable
phytoestrogen
plant
sources.
mechanism
via
which
modulate
women
not
explained
earlier
thoroughly.
Present
review
will
enlighten
all
molecular
mechanisms
Along‐with
this,
association
between
estrogen,
ApoE
polymorphisms
also
be
discussed
Molecules,
Год журнала:
2024,
Номер
29(21), С. 5131 - 5131
Опубликована: Окт. 30, 2024
The
most
prevalent
chronic
neurodegenerative
illness
in
the
world
is
Alzheimer's
disease
(AD).
It
results
mental
symptoms
including
behavioral
abnormalities
and
cognitive
impairment,
which
have
a
substantial
financial
psychological
impact
on
relatives
of
patients.
review
discusses
various
pathophysiological
mechanisms
contributing
to
AD,
amyloid
beta,
tau
protein,
inflammation,
other
factors,
while
emphasizing
need
for
effective
disease-modifying
therapeutics
that
alter
progression
rather
than
merely
alleviating
symptoms.
This
mainly
covers
medications
are
now
being
studied
clinical
trials
or
recently
approved
by
FDA
fall
under
treatment
(DMT)
category,
alters
targeting
underlying
biological
DMTs
focus
improving
patient
outcomes
slowing
decline,
enhancing
neuroprotection,
supporting
neurogenesis.
Additionally,
amyloid-targeting
therapies,
tau-targeting
neuroprotective
others.
evaluation
specifically
looked
at
studies
FDA-approved
novel
Phase
II
III
development
were
carried
out
between
2021
2024.
A
thorough
US
government
database
identified
biologics
small
molecule
drugs
14
agents
I,
34
II,
11
might
be
completed
2028.
Abstract
Frailty
is
a
geriatric,
multi‐dimensional
syndrome
that
reflects
multisystem
physiological
change
and
transversal
measure
of
reduced
resilience
to
negative
events.
It
characterized
by
weakness,
frequent
falls,
cognitive
decline,
increased
hospitalization
dead
represents
risk
factor
for
the
development
Alzheimer's
disease
(AD).
The
fact
frailty
recognized
as
reversible
condition
encourages
identification
earlier
biomarkers
timely
predict
prevent
its
occurrence.
SAMP8
(Senescence‐Accelerated
Mouse
Prone‐8)
mice
represent
most
appropriate
preclinical
model
this
aim
were
used
in
study
carry
transcriptional
metabolic
analyses
brain
plasma,
respectively,
upon
characterization
at
cognitive,
motor,
structural,
neuropathological
level
2.5,
6,
9
months
age.
At
2.5
months,
started
displaying
memory
deficits,
muscle
motor
impairment.
Functional
alterations
associated
with
neurodevelopmental
deficiency
neuronal
density
glial
cell
loss.
Through
transcriptomics,
we
identified
specific
genetic
signatures
well
distinguishing
6
whereas
plasma
metabolomics
allowed
segregate
from
SAMR1
already
age
detecting
constitutively
lower
levels
acylcarnitines
lipids
all
ages
investigated
correlating
functional
deficits
signs.
Our
findings
suggest
central
level,
metabolomic
changes
might
allow
early
assess
frail
leading
dementia
development,
which
paves
foundation
future
investigation
clinical
setting.
International Journal of Molecular Sciences,
Год журнала:
2024,
Номер
25(17), С. 9690 - 9690
Опубликована: Сен. 7, 2024
Alzheimer’s
disease
(AD)
still
prevails
and
continues
to
increase
indiscriminately
throughout
the
21st
century,
is
thus
responsible
for
depreciating
quality
of
health
associated
sectors.
AD
a
progressive
neurodegenerative
disorder
marked
by
significant
amassment
beta-amyloid
plaques
neurofibrillary
tangles
near
hippocampus,
leading
consequent
loss
cognitive
abilities.
Conventionally,
amyloid
tau
hypotheses
have
been
established
as
most
prominent
in
providing
detailed
insight
into
pathogenesis
revealing
associative
biomarkers
intricately
involved
progression.
Nanotheranostic
deliberates
rational
thought
toward
designing
efficacious
nanosystems
strategic
endeavors
diagnosis
therapeutic
implications.
The
exceeding
advancements
this
field
enable
scientific
community
envisage
conceptualize
pharmacokinetic
monitoring
drug,
sustained
targeted
drug
delivery
responses,
fabrication
anti-amyloid
therapeutics,
enhanced
accumulation
across
blood–brain
barrier
(BBB),
giving
an
optimistic
approach
towards
personalized
precision
medicine.
Current
methods
idealized
on
design
bioengineering
array
nanoparticulate
systems
offer
higher
affinity
neurocapillary
endothelial
cells
BBB.
They
recently
attracted
intriguing
attention
early
diagnostic
measures
taken
manage
progression
disease.
In
article,
we
tend
furnish
comprehensive
outlook,
mechanism
conventional
pathogenesis,
new
findings.
We
also
summarize
shortcomings
diagnostic,
prognostic,
approaches
undertaken
alleviate
AD,
unique
window
nanotheranostic
without
disregarding
potential
drawbacks,
side
effects,
safety
concerns.
Brazilian Journal of Implantology and Health Sciences,
Год журнала:
2024,
Номер
6(2), С. 1211 - 1227
Опубликована: Фев. 13, 2024
A
abordagem
terapêutica
na
DA
está
em
constante
evolução,
abrangendo
desde
avanços
farmacológicos
até
estratégias
inovadoras
que
visam
aprimorar
a
neuroplasticidade.
Essa
diversidade
de
opções
terapêuticas
reflete
um
esforço
contínuo
para
oferecer
tratamentos
mais
eficazes
e
abrangentes
os
afetados
pela
DA,
destacando
importância
do
desenvolvimento
nesse
cenário
desafiador.
Trata-se
estudo
cujo
objetivo
foi
identificar
abordagens
destinadas
à
prevenção
da
progressão
doença
Alzheimer.
Nesse
sentido,
desenvolvida
uma
revisão
sistemática
literatura,
utilizando
as
bases
dados
Scielo,
Lilacs
Medline.
Como
conclusão,
tem-se
Alzheimer
são
diversas
evolução.
Embora
haja
promissores,
especialmente
farmacológicas
como
o
uso
anticorpos
monoclonais,
terapia
genética
nanotecnologia,
desafios
persistem,
incluindo
variação
eficácia
específicos
necessidade
contínua
avaliação
potenciais
efeitos
adversos
longo
prazo.