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小檗碱治疗阿尔茨海默病的药理作用研究进展

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阿尔茨海默病(AD)是一种以学习、记忆、认知功能进行性减退为特点的中枢神经系统退行性疾病,目前AD的治疗药物十分有限且效果欠佳。小檗碱(BBR)是天然的异喹啉(类季铵)生物碱,药理作用广泛,研究发现其在治疗AD方面具有良好的潜力,其作用靶点主要涉及抑制β淀粉样蛋白(Aβ)生成、聚集和神经毒性,抑制Tau蛋白过度磷酸化,促进磷酸化Tau蛋白自噬清除,抑制胆碱酯酶活性,抑制神经炎症和氧化应激,调节神经元凋亡,改善线粒体功能,改善糖脂代谢,抑制单胺氧化酶活性,调节肠道微生物群等。BBR生物利用度较低的问题也得到了有效改善,通过对潜在靶点的分析,以期为BBR防治AD的进一步研究提供参考。
Pharmacological Effect of Berberine on Alzheimer's Disease:A Review
Alzheimer's disease(AD),a degenerative disease of the central nervous system,is characterized by progressive degradation of learning,memory,and cognitive functions.Currently,few drugs are available for treating AD,and their effects are limited.Berberine(BBR)is a natural isoquinoline(quaternary ammonium-like)with a wide range of pharmacological effects.Studies have proven that BBR has good potential in the treatment of AD.Specifically,BBR can inhibit the generation,aggregation,and neurotoxicity of amyloid-β and the hyperphosphorylation of Tau protein,promote the clearance of phosphorylated Tau protein,reduce the cholinesterase activity,neuroinflammation,and oxidative stress,regulate neuronal apoptosis,improve the mitochondrial function and glucose and lipid metabolism,suppress the monoamine oxidase activity,and modulate gut microbiota.In addition,researchers have ameliorated the low bioavailability of BBR.Probing into the potential targets is hoped to provide a reference for further research on the prevention and treatment of AD by BBR.

berberineAlzheimer's diseaseamyloid-βTau proteinneuroinflammation

王雪婧、钟光成、李舒婷、张千、罗柏榤、王奇

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广州中医药大学科技创新中心,广州 510405

小檗碱 阿尔茨海默病 β淀粉样蛋白 Tau蛋白 神经炎症

2025

中国实验方剂学杂志
中国中医科学院中药研究所 中国中西医结合学会中药专业委员会

中国实验方剂学杂志

北大核心
影响因子:1.62
ISSN:1005-9903
年,卷(期):2025.31(2)