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From small to big molecules: how do we prevent and delay the progression of age-related neurodegeneration?
Yuen-Shan Ho1, David Chun-Hei Poon, Tin-Fung Chan
1Laboratory of Neurodegenerative Diseases, Department of Anatomy, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.
Abstract:
Age-related neurodegeneration in the brain and retina is complicated. It comprises a series of events encompassing different modes of degeneration in neurons, as well as inflammation mediated by glial cells. Systemic inflammation and risk factors can contribute to disease progression. Age-related conditions such as Alzheimer's disease (AD), Parkinson's disease (PD) and Age-related Macular Degeneration (AMD) affect patients for 5 to 20 years and are highly associated with risk factors such as hyperhomocysteinaemia, hypercholesterolaemia, hypertension, and symptoms of mood disorder. The long duration of the degeneration and the wide array of systemic factors provide the opportunity for nutraceutical intervention to prevent or delay disease progression. Small molecules such as phenolic compounds are candidates for neuroprotection because they have anti-oxidant activities and can modulate intracellular signaling pathways. Bigger entities such as oligosaccharides and polysaccharides have often been neglected because of their complex structure. However, certain big molecules can provide neuroprotective effects. They may also have a wide spectrum of action against risk factors. In this review we use an integrative approach to the potential uses of nutraceutical products to prevent age-related neurodegeneration. These include direct effects of phenolic compounds and polysaccharides on neurons to antagonize various neurodegenerative mechanisms in AD, PD and AMD, and indirect effects of these compounds on peripheral disease-related risk factors.
Insights
Nutraceuticals like phenolic compounds and polysaccharides show promise in preventing neurodegeneration. This review explores their direct neuronal effects and indirect impact on risk factors for Alzheimer
Area of Science:
- Neuroscience and Nutraceutical Science
- Gerontology and Age-Related Diseases
Background:
- Age-related neurodegeneration involves neuronal and glial cell dysfunction, exacerbated by systemic inflammation and risk factors.
- Conditions like Alzheimer's disease (AD), Parkinson's disease (PD), and Age-related Macular Degeneration (AMD) are chronic, multifactorial diseases.
- Established risk factors include hyperhomocysteinemia, hypercholesterolemia, hypertension, and mood disorders.
Purpose of the Study:
- To review the potential of nutraceuticals for preventing or delaying age-related neurodegeneration.
- To explore the direct neuroprotective effects of compounds like phenolic compounds and polysaccharides.
- To assess the indirect impact of nutraceuticals on peripheral disease-related risk factors.
Main Methods:
- Integrative review of scientific literature on nutraceuticals and neurodegeneration.
- Analysis of studies investigating small molecules (phenolic compounds) and large molecules (polysaccharides).
- Examination of effects on neuronal pathways and systemic risk factors.
Main Results:
- Phenolic compounds demonstrate neuroprotection via antioxidant activities and modulation of intracellular signaling.
- Polysaccharides, despite complex structures, offer neuroprotective benefits and broad action against risk factors.
- Nutraceuticals can act directly on neuronal degeneration mechanisms and indirectly on peripheral risk factors.
Conclusions:
- Nutraceuticals, including phenolic compounds and polysaccharides, represent a viable strategy for preventing age-related neurodegeneration.
- An integrative approach targeting both direct neuronal effects and indirect risk factor modulation is effective.
- Further research into nutraceutical interventions can offer new therapeutic avenues for AD, PD, and AMD.
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