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纸质出版日期:2015
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黎巍威, 王琳琳, 富宏, 等. 加味五子衍宗方的神经保护作用机制研究现状[J]. 中国实验方剂学杂志, 2015,21(6):219-223.
LI Wei-wei, WANG Lin-lin, FU Hong, et al. Research Status of Neuroprotective Effect of Jiawei Wuzi Yanzong Fang[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(6): 219-223.
黎巍威, 王琳琳, 富宏, 等. 加味五子衍宗方的神经保护作用机制研究现状[J]. 中国实验方剂学杂志, 2015,21(6):219-223. DOI: 10.13422/j.cnki.syfjx.2015060219.
LI Wei-wei, WANG Lin-lin, FU Hong, et al. Research Status of Neuroprotective Effect of Jiawei Wuzi Yanzong Fang[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(6): 219-223. DOI: 10.13422/j.cnki.syfjx.2015060219.
阿尔茨海默病(Alzheimer's disease
AD)是一种以进行性记忆认知障碍、行为异常、人格改变为主要特征的神经退行性疾病
目前全球对AD的治疗效果不佳
其原因主要在于AD发病因素复杂
干预过晚
越来越多的学者提出治疗AD应及早着手
多靶点干预。本课题组在中医"补肾益精促智"和"未病先防"原则的指导下
采用现代生物医学技术
对补肾益精促智方"加味五子衍宗方"防治阿尔茨海默病前期——轻度认知功能障碍(mild cognitive impairment
MCI)的作用及机制进行了深入研究。临床研究证实该方可改善MCI患者的临床症状
延缓MCI患者向AD发展。高效液相色谱-光电二极管阵列检测器-串联质谱分析方法共检出58种复方主要成分
并对其饮片来源进行了归属。鉴定或推测了其中51种成分的结构
建立了加味五子衍宗方的HPLC指纹图谱。整体及离体药理研究证实加味五子衍宗方及其有效组分可有效改善AD大鼠的行为学症状
并可从多条通路、多个靶点发挥调节中枢胆碱能系统
拮抗Aβ神经毒性、氧化应激损伤及炎症损伤等AD致病因素的作用
这为该方的科学应用及开发提供了实验室依据。
Alzheimer's disease (AD) is a neurodegenerative disease with characteristics of progressive cognitive impairment
abnormal behavior and personality change. There is no effective treatment method for AD in a global context as AD is a multifactorially complex disease. Intervention to AD is always late. More and more researchers proposed that early intervention and multiple targetsare needed in AD treatment. In the guidance of the principles of nourishing the kidney
strengthening the essence
and prevention before disease onset
we studied the neuroprtective effects of Jiawei Wuzi Yanzong Fang on mild cognitive impairment. Clinic study showed Jiawei Wuzi Yanzong Fang can improve the clinical symtoms of mild cognitive impairment(MCI) patients
delay the development of MCI to AD
the mechanism is related to the inhibition activity of acetylcholine esterase
and reduce the oxidative damage of DNA in mitochondria and the Aβ level in serum. Imageology study also proved that this prescription can prevent and cure the hippocampal volume shrikage as it can reduce the hippocampal index and the temporal angle width. We also used the method of high performance liquid chromatography-photodiode array detector-tandem mass spectrum (HPLC-PDA-MS/MS) to analyze the prescription's compositions. Then we constructed the HPLC Fingerprint of the Jiawei Wuzi Yanzong Fang. Finally
the further experiments in vivo and in vitro confirmed that the Jiawei Wuzi Yanzong Fang and its effective compositions could improve the AD rats models' behavioristics symptomes
regulate the central nervous cholinergic system
inhibit the impairment induced by Aβ
oxidative stress and inflammation. Thus we concluded that the Jiawei Wuzi Yanzong Fang and its effective compositions could exerts neuroprtective effect at multipletargets and in multiplepathways.
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