- 期刊Neural regeneration research(Neural Regen Res)
- 发表时间2026-09-30
- 作者Huang ZH, Shi YL, Zeng YY, Xiao X, Cheng YT, Zheng YS, Chen YN, Liu SY, Gong HB, Sun WY, Tan HL, Bi W, 等
- DOI10.4103/NRR.NRRONLINE-D-26-00502
- PMID42828445
摘要机译
左旋多巴诱导的运动障碍是帕金森病长期左旋多巴治疗的普遍且几乎不可避免的并发症,显著损害患者的生活质量。尽管具有临床意义,但左旋多巴诱导的运动障碍仍然没有得到足够的了解,有效的治疗策略仍然有限。枸杞糖肽,从枸杞L.
最近被广泛报道具有神经免疫活性。在这项研究中,左旋多巴诱导的运动障碍是通过慢性左旋多巴给药在多个帕金森病动物模型中诱导的,包括突触核蛋白alpha-overexpressing小鼠和谷胱甘肽过氧化物酶4条件敲除小鼠,然后用枸杞糖肽治疗。
使用异常不自主运动评分的行为评估表明,枸杞糖肽显著减轻了这些模型中左旋多巴诱导的运动障碍样症状。在机制上,枸杞糖肽通过恢复膜脂质氧化稳态来保存黑质多巴胺能神经元,从而延缓神经元损失,并适度改善大脑中多巴胺代谢稳态。
总的来说,这些研究结果表明枸杞糖肽通过多巴胺能神经保护有效减轻左旋多巴诱导的运动障碍,并支持其作为与左旋多巴联合使用的综合策略,以减少左旋多巴诱导的运动障碍发展和改善帕金森病症状管理。
展开英文摘要原文
Levodopa-induced dyskinesia is a prevalent and almost inevitable complication of long-term levodopa therapy in Parkinson's disease, significantly impairing patients' quality of life. Despite its clinical significance, levodopa-induced dyskinesia remains insufficiently understood, and effective therapeutic strategies are still limited. Wolfberry glycopeptides, bioactive components extracted from Lycium barbarum L. have recently been widely reported to possess neuroimmune activities. In this study, levodopa-induced dyskinesia was induced through chronic levodopa administration in multiple Parkinson's disease animal models, including synuclein alpha-overexpressing mice and glutathione peroxidase 4 conditional knockdown mice, and then treated with wolfberry glycopeptides. Behavioral assessment using abnormal involuntary movements scoring showed that wolfberry glycopeptides significantly alleviated levodopa-induced dyskinesia-like symptoms across these models. Mechanistically, wolfberry glycopeptides preserved nigral dopaminergic neurons by restoring membrane lipid oxidative homeostasis, thereby delaying neuronal loss, and modestly improving dopamine metabolic homeostasis in the brain. Collectively, these findings demonstrate that wolfberry glycopeptides effectively mitigate levodopa-induced dyskinesia through dopaminergic neuroprotection and support their use as an integrative strategy in combination with levodopa to reduce levodopa-induced dyskinesia development and improve Parkinson's disease symptom management.
相关物质
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