Traditional Chinese medicine compounds regulate autophagy for treating neurodegenerative disease: A mechanism review

Biomed Pharmacother. 2021 Jan:133:110968. doi: 10.1016/j.biopha.2020.110968. Epub 2020 Nov 11.

Abstract

Neurodegenerative diseases (NDs) are common chronic diseases related to progressive damage of the nervous system. Globally, the number of people with an ND is dramatically increasing consistent with the fast aging of society and one of the common features of NDs is the abnormal aggregation of diverse proteins. Autophagy is the main process by which misfolded proteins and damaged organelles are removed from cells. It has been found that the impairment of autophagy is associated with many NDs, suggesting that autophagy has a vital role in the neurodegeneration process. Recently, more and more studies have reported that autophagy inducers display a protective role in different ND experimental models, suggesting that enhancement of autophagy could be a potential therapy for NDs. In this review, the evidence for beneficial effects of traditional Chinese medicine (TCM) regulate autophagy in the models of Alzheimer's disease (AD), Parkinson's disease (PD), and other NDs are presented and common autophagy-related mechanisms are identified. The results demonstrate that TCM which regulate autophagy are potential therapeutic candidates for ND treatment.

Keywords: Autophagy; Neurodegenerative disease; Neuroprotection; Traditional Chinese medicine.

Publication types

  • Review

MeSH terms

  • Animals
  • Autophagy / drug effects*
  • Autophagy-Related Proteins / metabolism
  • Drugs, Chinese Herbal / therapeutic use*
  • Humans
  • Medicine, Chinese Traditional*
  • Nerve Degeneration*
  • Neurodegenerative Diseases / drug therapy*
  • Neurodegenerative Diseases / metabolism
  • Neurodegenerative Diseases / pathology
  • Neurons / drug effects*
  • Neurons / metabolism
  • Neurons / pathology

Substances

  • Autophagy-Related Proteins
  • Drugs, Chinese Herbal