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1.黑龙江中医药大学基础医学院,哈尔滨 150000
2.惠州学院生命科学学院,惠州 516007
3.黑龙江中医药大学中医基础理论研究实验室/黑龙江省重点实验室,哈尔滨 150000
赵腾宇,Email:617123264@qq.com,研究方向:中医防治老年病。
周妍妍,Email:13339319259@163.com。
收稿:2025-04-08,
修回:2025-06-19,
录用:2025-06-30,
纸质出版:2025-12-28
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赵腾宇,潘鹏宇,周禹含等.中医药调控SIRT1治疗阿尔茨海默病的研究进展[J].重庆医科大学学报,2025,50(12):1634-1643.
Zhao Tengyu,Pan Pengyu,Zhou Yuhan,et al.Research advances in the traditional Chinese medicine regulation of silent information regulator 1 in the treatment of Alzheimer’s disease[J].Journal of Chongqing Medical University,2025,50(12):1634-1643.
赵腾宇,潘鹏宇,周禹含等.中医药调控SIRT1治疗阿尔茨海默病的研究进展[J].重庆医科大学学报,2025,50(12):1634-1643. DOI: 10.13406/j.cnki.cyxb.003932.
Zhao Tengyu,Pan Pengyu,Zhou Yuhan,et al.Research advances in the traditional Chinese medicine regulation of silent information regulator 1 in the treatment of Alzheimer’s disease[J].Journal of Chongqing Medical University,2025,50(12):1634-1643. DOI: 10.13406/j.cnki.cyxb.003932.
阿尔茨海默病(Alzheimer’s disease,AD)是一种以进行性认知衰退和神经元退变为核心特征的神经退行性疾病,其病理机制复杂,且目前缺乏有效治愈手段。沉默信息调节因子1(silent information regulator 1,SIRT1)是一种NAD⁺依赖的去乙酰化酶,能够通过调控
β
-淀粉样蛋白(amyloid-β,A
β
)生成与清除、抑制tau蛋白异常磷酸化、减轻神经炎症反应及促进线粒体生物合成等多重机制发挥明显神经保护作用,进而影响AD的病程进展。近年来,大量研究表明,中医药的多种干预手段可有效激活SIRT1信号通路,减少A
β
沉积与tau蛋白磷酸化,改善线粒体功能,减少细胞凋亡,并减少氧化应激与炎症水平,延缓AD的发展。然而,迄今尚缺乏系统性综述以阐明中医药调控SIRT1通路治疗AD的研究现状。故本文就SIRT1的结构与功能、SIRT1信号通路在AD过程中的作用及中医药调控SIRT1信号通路改善AD的研究现状进行综述,以期为AD的基础研究和临床新药开发提供参考。
Alzheimer’s disease(AD) is a neurodegenerative disorder with the core features of progressive cognitive decline and neuronal degeneration. AD has complex pathological mechanisms,and there is still a lack of effective methods to cure AD. Silent information regulator 1(SIRT1) is an NAD⁺-dependent deacetylase that can exert a significant neuroprotective effect through multiple mechanisms such as regulating the generation and clearance of
β
-amyloid protein(A
β
),inhibiting the abnormal phosphorylation of tau protein,alleviating neuroinflammatory responses,and promoting mitochondrial biosynthesis,thereby influencing the progression of AD. In recent years,a large number of studies have shown that various traditional Chinese medicine(TCM) interventions can effectively activate the SIRT1 signaling pathway,reduce A
β
deposition and tau protein phosphorylation,improve mitochondrial function,reduce cell apoptosis,and alleviate oxidative stress and inflammation,thereby delaying the development of AD. However up to now,there is still a lack of systematic reviews to clarify the current research status of TCM regulation of the SIRT1 pat
hway in the treatment of AD. Therefore,this article reviews the current status of research on the structure and function of SIRT1,the role of the SIRT1 signaling pathway in the course of AD,and TCM regulation of the SIRT1 signaling pathway in improving AD,in order to provide a reference for the basic research on AD and clinical new drug development.
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