Pharmacological Treatment of Vascular Dementia: A Molecular Mechanism Perspective.

Vascular dementia central cholinergic system neuroinflammation neuronal apoptosis oxidative stress pharmacological treatment synaptic plasticity

Journal

Aging and disease
ISSN: 2152-5250
Titre abrégé: Aging Dis
Pays: United States
ID NLM: 101540533

Informations de publication

Date de publication:
Feb 2021
Historique:
received: 10 03 2020
accepted: 27 04 2020
entrez: 3 2 2021
pubmed: 4 2 2021
medline: 4 2 2021
Statut: epublish

Résumé

Vascular dementia (VaD) is a neurodegenerative disease, with cognitive dysfunction attributable to cerebrovascular factors. At present, it is the second most frequently occurring type of dementia in older adults (after Alzheimer's disease). The underlying etiology of VaD has not been completely elucidated, which limits its management. Currently, there are no approved standard treatments for VaD. The drugs used in VaD are only suitable for symptomatic treatment and cannot prevent or reduce the occurrence and progression of VaD. This review summarizes the current status of pharmacological treatment for VaD, from the perspective of the molecular mechanisms specified in various pathogenic hypotheses, including oxidative stress, the central cholinergic system, neuroinflammation, neuronal apoptosis, and synaptic plasticity. As VaD is a chronic cerebrovascular disease with multifactorial etiology, combined therapy, targeting multiple pathophysiological factors, may be the future trend in VaD.

Identifiants

pubmed: 33532143
doi: 10.14336/AD.2020.0427
pii: ad-12-1-308
pmc: PMC7801279
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

308-326

Informations de copyright

copyright: © 2021 Kuang et al.

Déclaration de conflit d'intérêts

Declaration of interest The authors declare no conflict of interest.

Références

Zhongguo Ying Yong Sheng Li Xue Za Zhi. 2015 Mar;31(2):170-3, 177
pubmed: 26248428
Mol Neurobiol. 2017 Jul;54(5):3670-3682
pubmed: 27206432
Am J Chin Med. 2018;46(6):1203-1223
pubmed: 30149759
BMC Complement Altern Med. 2015 Nov 23;15:415
pubmed: 26597908
J Cell Physiol. 2017 Aug;232(8):2145-2157
pubmed: 27891586
Exp Neurol. 2017 Jan;287(Pt 1):75-83
pubmed: 27539743
Lancet Neurol. 2008 Apr;7(4):310-8
pubmed: 18296124
Aging Dis. 2019 Oct 1;10(5):964-976
pubmed: 31595195
Am J Alzheimers Dis Other Demen. 2004 Nov-Dec;19(6):333-9
pubmed: 15633941
Neurology. 2007 Jul 31;69(5):448-58
pubmed: 17664404
Neuropharmacology. 2018 May 15;134(Pt B):226-239
pubmed: 29273521
Nan Fang Yi Ke Da Xue Xue Bao. 2015 Nov;35(11):1552-6
pubmed: 26607074
Molecules. 2019 Jan 18;24(2):
pubmed: 30669383
Aging Dis. 2017 Jul 21;8(4):410-419
pubmed: 28840056
Neurosci Lett. 2015 Feb 5;587:113-9
pubmed: 25534501
Front Physiol. 2019 Oct 01;10:1246
pubmed: 31632292
Int J Mol Sci. 2017 Jan 05;18(1):
pubmed: 28067784
Front Mol Neurosci. 2016 Feb 05;9:10
pubmed: 26903802
Mol Neurobiol. 2016 Jul;53(5):3494-3502
pubmed: 26887382
Eur J Neurol. 2001 Jul;8(4):361-2
pubmed: 11422435
Mol Pharmacol. 2006 Mar;69(3):1033-40
pubmed: 16354769
Mol Neurobiol. 2017 Oct;54(8):5952-5960
pubmed: 27686075
J Ethnopharmacol. 2017 Mar 22;200:60-65
pubmed: 28216440
Aging Dis. 2019 Jun 01;10(3):637-651
pubmed: 31165007
J Stroke Cerebrovasc Dis. 2018 Feb;27(2):277-285
pubmed: 29241675
Lancet Neurol. 2016 Jan;15(1):116-24
pubmed: 26300044
Molecules. 2012 Dec 13;17(12):14918-27
pubmed: 23519263
J Neurosci. 2010 Jun 16;30(24):8180-9
pubmed: 20554868
J Neurol Sci. 2003 Dec 15;216(1):119-26
pubmed: 14607313
CNS Neurosci Ther. 2018 Jan;24(1):39-46
pubmed: 29110407
J Ethnopharmacol. 2016 Nov 4;192:390-397
pubmed: 27616028
Alzheimers Dement (N Y). 2018 Mar 22;4:108-117
pubmed: 29955654
Exp Neurobiol. 2011 Jun;20(2):92-9
pubmed: 22110366
Annu Rev Med. 2017 Jan 14;68:413-430
pubmed: 28099083
J Pharmacol Sci. 2019 Feb;139(2):105-111
pubmed: 30642751
Lancet. 2013 Jun 8;381(9882):2016-23
pubmed: 23746902
Environ Int. 2020 Feb;135:105414
pubmed: 31874349
Nat Rev Neurosci. 2002 Mar;3(3):175-90
pubmed: 11994750
Biosci Rep. 2018 Oct 31;38(5):
pubmed: 30287501
J Stroke Cerebrovasc Dis. 2016 Jan;25(1):122-8
pubmed: 26456198
Nat Rev Neurol. 2014 Nov;10(11):634-42
pubmed: 25266297
Evid Based Complement Alternat Med. 2012;2012:450838
pubmed: 23346201
Neurobiol Dis. 2019 May;125:77-91
pubmed: 30660740
Neuropharmacology. 2017 May 15;118:137-147
pubmed: 28342896
Acta Pharmacol Sin. 2013 Jan;34(1):119-28
pubmed: 23202804
Mol Med Rep. 2019 Nov;20(5):4587-4593
pubmed: 31702039
Nutrients. 2016 May 02;8(5):
pubmed: 27144579
Nature. 1993 Jan 7;361(6407):31-9
pubmed: 8421494
Stroke. 2003 Oct;34(10):2323-30
pubmed: 12970516
Pak J Pharm Sci. 2017 Jul;30(4(Suppl.)):1403-1406
pubmed: 29043988
Neurology. 1997 Oct;49(4):1096-105
pubmed: 9339696
Alzheimer Dis Assoc Disord. 2014 Jul-Sep;28(3):206-18
pubmed: 24632990
Sci Rep. 2017 Apr 6;7(1):717
pubmed: 28386082
Br J Psychiatry. 2009 Nov;195(5):382-90
pubmed: 19880924
J Stroke Cerebrovasc Dis. 2015 Nov;24(11):2434-46
pubmed: 26324516
Exp Ther Med. 2016 Dec;12(6):3729-3734
pubmed: 28101164
Curr Neurovasc Res. 2016;13(1):10-21
pubmed: 26500103
J Neurochem. 2017 Feb;140(3):476-484
pubmed: 27874976
Circ Res. 2003 Jul 25;93(2):170-7
pubmed: 12816884
J Neuroimmunol. 2016 Oct 15;299:164-171
pubmed: 27725116
Circulation. 2017 Aug 8;136(6):516-525
pubmed: 28784822
Neurotox Res. 2020 Apr;37(4):847-856
pubmed: 31808139
Front Cell Neurosci. 2019 Aug 13;13:351
pubmed: 31456664
Mol Neurobiol. 2018 Jul;55(7):6076-6093
pubmed: 29170981
Dement Geriatr Cogn Disord. 2005;20(6):338-44
pubmed: 16192723
Evid Based Complement Alternat Med. 2015;2015:102734
pubmed: 25705233
Brain. 2018 Jul 1;141(7):1917-1933
pubmed: 29850777
Lancet. 2002 Apr 13;359(9314):1283-90
pubmed: 11965273
Neurotox Res. 2017 May;31(4):532-544
pubmed: 28092019
BMC Complement Altern Med. 2015 Apr 22;15:125
pubmed: 25898017
Nat Immunol. 2009 Mar;10(3):241-7
pubmed: 19221555
Neurology. 1992 Mar;42(3 Pt 1):473-80
pubmed: 1549205
Oxid Med Cell Longev. 2019 Sep 3;2019:8416105
pubmed: 31565154
Sci Rep. 2017 Aug 30;7(1):10052
pubmed: 28855592
Zhong Yao Cai. 2015 Nov;38(11):2353-7
pubmed: 27356391
J Neurosci. 2005 Oct 5;25(40):9176-84
pubmed: 16207877
Neurology. 1993 Feb;43(2):250-60
pubmed: 8094895
Neurosci Lett. 2017 Jun 9;651:72-78
pubmed: 28458021
Free Radic Biol Med. 1996;20(4):625-6
pubmed: 8904306
Acta Biochim Biophys Sin (Shanghai). 2017 Jan;49(1):83-89
pubmed: 27864280
Neuropharmacology. 2012 Feb;62(2):1004-10
pubmed: 22056419
Phytomedicine. 2018 Jan 1;38:125-134
pubmed: 29425645
Behav Brain Res. 2016 Oct 15;313:334-344
pubmed: 27424778
J Nat Med. 2015 Jul;69(3):358-65
pubmed: 25808015
Curr Neurovasc Res. 2016;13(4):289-302
pubmed: 27586843
Neurology. 2003 Aug 26;61(4):479-86
pubmed: 12939421
Cochrane Database Syst Rev. 2019 Mar 20;3:CD003154
pubmed: 30891742
Lancet Neurol. 2020 Jan;19(1):81-92
pubmed: 31494009
Mol Pharmacol. 1997 Apr;51(4):535-41
pubmed: 9106616
J Physiol Biochem. 2013 Dec;69(4):737-50
pubmed: 23580160
Aging Dis. 2017 Jul 21;8(4):486-505
pubmed: 28840062
CNS Neurosci Ther. 2012 Sep;18(9):745-53
pubmed: 22943141
Mol Pharmacol. 2009 Jan;75(1):101-12
pubmed: 18952768
Neurochem Int. 2018 Jan;112:239-254
pubmed: 28782592
CNS Neurosci Ther. 2017 Oct;23(10):818-826
pubmed: 28851042
Int J Neurosci. 2012 Sep;122(9):494-9
pubmed: 22519891
Eur J Neurol. 2003 Nov;10(6):633-40
pubmed: 14641507
Lancet. 1996 Apr 27;347(9009):1141-5
pubmed: 8609748
Chin J Integr Med. 2017 Sep;23(9):696-702
pubmed: 26577108
Psychiatry Res. 2018 Sep;267:281-288
pubmed: 29945070
Stroke. 2013 Aug;44(8):2333-7
pubmed: 23723308
Lancet. 1998 Oct 24;352(9137):1347-51
pubmed: 9802273
Stroke. 2010 Jun;41(6):1213-21
pubmed: 20395618
Acta Physiol (Oxf). 2014 Mar;210(3):524-33
pubmed: 24286671
Arterioscler Thromb Vasc Biol. 2019 Aug;39(8):1542-1549
pubmed: 31294622
Brain Res. 2016 Jul 1;1642:419-425
pubmed: 27086971
IUBMB Life. 2018 Jan;70(1):60-70
pubmed: 29247598
J Neurosci Res. 2016 Dec;94(12):1588-1603
pubmed: 27662637
Eur Rev Med Pharmacol Sci. 2019 May;23(10):4474-4480
pubmed: 31173324
Nat Med. 2015 Jul;21(7):677-87
pubmed: 26121197
Eur J Pharmacol. 2010 Jun 25;636(1-3):96-101
pubmed: 20362569
Pharmacol Res. 2019 Jun;144:227-234
pubmed: 31028905
Int J Mol Sci. 2019 Mar 13;20(6):
pubmed: 30871254
Zhongguo Zhong Yao Za Zhi. 2019 Aug;44(16):3423-3428
pubmed: 31602904
Zhongguo Zhong Xi Yi Jie He Za Zhi. 2016 May;36(5):619-23
pubmed: 27386658
Mol Neurobiol. 2018 Apr;55(4):3290-3299
pubmed: 28488208
J Neuroimmunol. 2018 Jul 15;320:48-57
pubmed: 29759140
Mol Neurobiol. 2016 Oct;53(8):5664-70
pubmed: 26482461
Neurol Res. 2018 Jan;40(1):68-77
pubmed: 29126372
Neural Regen Res. 2018 Apr;13(4):664-672
pubmed: 29722318
Neurosci Lett. 2016 Feb 26;615:9-14
pubmed: 26592482
Eur J Pharmacol. 2019 Aug 15;857:172454
pubmed: 31202803
J Cell Biochem. 2019 Apr;120(4):5108-5117
pubmed: 30552710
Neuroscience. 2009 Aug 18;162(2):317-27
pubmed: 19409967
Neurochem Int. 2019 May;125:82-90
pubmed: 30771374
Oncogene. 2002 May 23;21(23):3727-38
pubmed: 12032841
Mol Neurobiol. 2018 Oct;55(10):7677-7690
pubmed: 29435917
CNS Drugs. 2003;17(12):905-14
pubmed: 12962529
J Neuroinflammation. 2019 Aug 19;16(1):168
pubmed: 31426811
Theranostics. 2020 Jan 1;10(1):74-90
pubmed: 31903107
Neurol Res. 2018 Jan;40(1):1-10
pubmed: 29125058
J Stroke Cerebrovasc Dis. 2014 Nov-Dec;23(10):2626-2634
pubmed: 25294055
Eur J Pharmacol. 2010 Feb 25;628(1-3):155-63
pubmed: 19962976
Eur J Pharmacol. 2018 Aug 5;832:56-66
pubmed: 29778746
Neurochem Res. 2008 Mar;33(3):450-8
pubmed: 17721818
Neuron. 2013 Nov 20;80(4):844-66
pubmed: 24267647
Nutrients. 2017 Dec 02;9(12):
pubmed: 29207476
Chin Med. 2018 Mar 20;13:14
pubmed: 29560022
CNS Neurosci Ther. 2016 Mar;22(3):220-9
pubmed: 26813743
Nat Rev Neurosci. 2013 Jun;14(6):401-16
pubmed: 23674053
J Ethnopharmacol. 2012 Nov 21;144(2):313-21
pubmed: 23022689
Mol Neurobiol. 2017 Sep;54(7):5074-5084
pubmed: 27544235
Lancet Neurol. 2019 Jul;18(7):684-696
pubmed: 31097385
Biomed Pharmacother. 2019 Dec;120:109492
pubmed: 31593895
Aging (Albany NY). 2020 Jan 6;12(1):543-570
pubmed: 31905173
J Med Food. 2016 Feb;19(2):196-204
pubmed: 26714236
Clin Exp Hypertens. 2018;40(2):192-201
pubmed: 28872356
Braz J Med Biol Res. 2019 Nov 07;52(11):e8371
pubmed: 31721903
J Biol Chem. 2000 May 26;275(21):16023-9
pubmed: 10821856
Cerebellum. 2002 Dec;1(4):277-87
pubmed: 12879966
Neuroimmunomodulation. 2016;23(5-6):318-331
pubmed: 28419991
Int J Clin Pract. 2004 Apr;58(4):346-53
pubmed: 15161118
Physiol Int. 2018 Mar 1;105(1):38-52
pubmed: 29602294
J Pineal Res. 2009 Sep;47(2):156-63
pubmed: 19552637
Adv Exp Med Biol. 2012;740:217-34
pubmed: 22453944
Eur Rev Med Pharmacol Sci. 2018 Aug;22(16):5377-5384
pubmed: 30178865
Front Biosci (Elite Ed). 2020 Jan 1;12:79-94
pubmed: 31585870
J Neurotrauma. 2020 May 15;37(10):1255-1265
pubmed: 31914858
J Am Coll Cardiol. 2019 Jul 2;73(25):3326-3344
pubmed: 31248555
Glia. 2017 Sep;65(9):1471-1490
pubmed: 28581123
Stroke. 1996 Jan;27(1):30-6
pubmed: 8553399
Exp Ther Med. 2020 Mar;19(3):1940-1946
pubmed: 32104252

Auteurs

Huang Kuang (H)

1Department of Physiology, College of Medicine, Nanchang University, Nanchang, China.

Zhi-Feng Zhou (ZF)

1Department of Physiology, College of Medicine, Nanchang University, Nanchang, China.

Yu-Ge Zhu (YG)

1Department of Physiology, College of Medicine, Nanchang University, Nanchang, China.

Zhi-Kai Wan (ZK)

1Department of Physiology, College of Medicine, Nanchang University, Nanchang, China.

Mei-Wen Yang (MW)

2Department of Nurse, Nanchang University Hospital, Nanchang 330006, Jiangxi, China.

Fen-Fang Hong (FF)

3Department of Experimental Teaching Center, Nanchang University, Nanchang, China.

Shu-Long Yang (SL)

1Department of Physiology, College of Medicine, Nanchang University, Nanchang, China.
3Department of Experimental Teaching Center, Nanchang University, Nanchang, China.

Classifications MeSH