Exploring Withanolides from Withania somnifera: A Promising Avenue for Alzheimer’s Disease Treatment
摘要
This review focuses on withanolides from Withania somnifera as neuroprotective agents against Alzheimer’s disease, highlighting their clinical, cellular and molecular mechanisms of action.
Recent FindingsWithanolides, natural steroidal lactones from W. somnifera, enhance memory and provide significant neuroprotection both in vitro and in vivo. They inhibit amyloid-β protein oligomer aggregation, prevent tau protein hyperphosphorylation, and exert antioxidant effects by modulating the Kaep-1/Nrf2 pathway. In addition, they inhibit acetylcholinesterase and pseudo-cholinesterase, thereby improving memory and cognition. Withanolides reduce inflammation by lowering pro-inflammatory markers, such as IL-1β, IL-6, MCP-1, and TNF-α, and prevent neuronal apoptosis by decreasing Bax/caspase-3 and cyto-c expression. They also enhance neuroplasticity by increasing the levels of brain-derived neurotropic factor (BDNF) and glial fibrillary protein (GFAP), providing neuroprotection. Clinical trials have confirmed cognitive enhancement, memory improvement, and stress relief in patients with Alzheimer’s disease.
ConclusionWithanolides offer neuroprotection in Alzheimer’s disease through antioxidant and anti-inflammatory activities, inhibition of amyloid-β aggregation, tau hyperphosphorylation, and acetylcholine enhancement. Current in vitro and in vivo data indicate that withanolides have strong potential to be effective treatments for Alzheimer’s disease.