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Plant-derived bioactive compounds and their novel role in central nervous system disorder treatment via ATF4 targeting: A systematic literature review - 16/06/24

Doi : 10.1016/j.biopha.2024.116811 
Nan Zhang a, Shun Zhang b, Xiaoyu Dong b,
a Department of Neurology, the Seventh Clinical College of China Medical University, No. 24 Central Street, Xinfu District, Fushun, Liaoning 113000, China 
b Department of Neurology, Shengjing Hospital of China Medical University, No. 36 Sanhao street, Heping District, Shenyang, Liaoning 110000, China 

Corresponding author.

Abstract

Central nervous system (CNS) disorders exhibit exceedingly intricate pathogenic mechanisms. Pragmatic and effective solutions remain elusive, significantly compromising human life and health. Activating transcription factor 4 (ATF4) participates in the regulation of multiple pathophysiological processes, including CNS disorders. Considering the widespread involvement of ATF4 in the pathological process of CNS disorders, the targeted regulation of ATF4 by plant-derived bioactive compounds (PDBCs) may become a viable strategy for the treatment of CNS disorders. However, the regulatory relationship between PDBCs and ATF4 remains incompletely understood. Here, we aimed to comprehensively review the studies on PDBCs targeting ATF4 to ameliorate CNS disorders, thereby offering novel directions and insights for the treatment of CNS disorders. A computerized search was conducted on PubMed, Embase, Web of Science, and Google Scholar databases to identify preclinical experiments related to PDBCs targeting ATF4 for the treatment of CNS disorders. The search timeframe was from the inception of the databases to December 2023. Two assessors conducted searches using the keywords "ATF4," "Central Nervous System," "Neurological," "Alzheimer's disease," "Parkinson's Disease," "Stroke," "Spinal Cord Injury," "Glioblastoma," "Traumatic Brain Injury," and "Spinal Cord Injury." Overall, 31 studies were included, encompassing assessments of 27 PDBCs. Combining results from in vivo and in vitro studies, we observed that these PDBCs, via ATF4 modulation, prevent the deposition of amyloid-like fibers such as Aβ, tau, and α-synuclein. They regulate ERS, reduce the release of inflammatory factors, restore mitochondrial membrane integrity to prevent oxidative stress, regulate synaptic plasticity, modulate autophagy, and engage anti-apoptotic mechanisms. Consequently, they exert neuroprotective effects in CNS disorders. Numerous PDBCs targeting ATF4 have shown potential in facilitating the restoration of CNS functionality, thereby presenting expansive prospects for the treatment of such disorders. However, future endeavors necessitate high-quality, large-scale, and comprehensive preclinical and clinical studies to further validate this therapeutic potential.

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Graphical Abstract




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Highlights

ATF4 is widely implicated in the pathological mechanisms of Central nervous system (CNS) disorders.
The studies of 27 plant-derived bioactive compounds (PDBCs) targeting ATF4 for the treatment of CNS disorders incorporated into the study.
The PDBCs exert their effects in the treatment of CNS disorders by modulating ATF4.

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Abbreviations : ACT, AD, AGEs, ALT, ARE, ASD, AST, ATF4, ATG5, Bax, BBB, Bcl2, BDNF, BH3, BIM, BiP, BZip, Caspase, CBD, CD68, CDS, C/EBP, C-fos, CHOP, CIRI, C-jun, --Clau, CNS, CREB, CUB, CUMS, DAI, DAU, DDIT4, DEGs, DMSO, DR5, EBI, ECH, EGCG, EIF2α, ER, ERS, EsA, FKB, GADD34, GBM, GE, GPX4, GRAS, GRP78, GSH, HEK293, HFD, ICR, IL-1β, IRE1α, ISR, LC3, LPS, LWA, MCA, MCAO, MNSS, MPP+, MPTP, MTOR, NADPH, NBP, NDDS, NFTs, NH, NHDC, NLCs, NLRP3, NMDAR, NMPA, NOXA, Nrf2, OGD/R, 6-OHDA, PD, PERK, PP1, PRISMA, PS1, PUMA, Rea, Rg1, ROS, RSV, SAH, SAMP8, SCI, SD, SLC7A11, TBI, TG, THC, TMA, TMP, TPA, TRB3, UORFs, UPR, US-FDA, VB, VD, WA, XBP1, Xn

Keywords : ATF4, plant-derived bioactive compounds, CNS disorders, neuroprotection, systematic review


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