PMID- 32445451 OWN - NLM STAT- MEDLINE DCOM- 20210426 LR - 20210616 IS - 1873-4286 (Electronic) IS - 1381-6128 (Linking) VI - 26 IP - 39 DP - 2020 TI - AMPK and its Activator Berberine in the Treatment of Neurodegenerative Diseases. PG - 5054-5066 LID - 10.2174/1381612826666200523172334 [doi] AB - Neurodegenerative disorders are heterogeneous diseases associated with either acute or progressive neurodegeneration, causing the loss of neurons and axons in the central nervous system (CNS), showing high morbidity and mortality, and there are only a few effective therapies. Here, we summarized that the energy sensor adenosine 5'-monophosphate (AMP)-activated protein kinase (AMPK), and its agonist berberine can combat the common underlying pathological events of neurodegeneration, including oxidative stress, neuroinflammation, mitochondrial disorder, glutamate excitotoxicity, apoptosis, autophagy disorder, and disruption of neurovascular units. The abovementioned effects of berberine may primarily depend on activating AMPK and its downstream targets, such as the mammalian target of rapamycin (mTOR), sirtuin1 (SIRT1), nuclear factor erythroid-2 related factor-2 (Nrf2), nuclear factor-kappaB (NF-kappaB), phosphoinositide 3-kinase/protein kinase B (PI3K/Akt), nicotinamide adenine dinucleotide (NAD+), and p38 mitogen-activated protein kinase (p38 MAPK). It is hoped that this review will provide a strong basis for further scientific exploration and development of berberine's therapeutic potential against neurodegeneration. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.net. FAU - Qin, Siru AU - Qin S AD - Acupuncture Research Center, Tianjin University of Traditional Chinese Medicine, Tianjin, China FAU - Tang, Huiling AU - Tang H AD - Acupuncture Research Center, Tianjin University of Traditional Chinese Medicine, Tianjin, China FAU - Li, Wei AU - Li W AD - Acupuncture Research Center, Tianjin University of Traditional Chinese Medicine, Tianjin, China FAU - Gong, Yinan AU - Gong Y AD - Acupuncture Research Center, Tianjin University of Traditional Chinese Medicine, Tianjin, China FAU - Li, Shanshan AU - Li S AD - Acupuncture Research Center, Tianjin University of Traditional Chinese Medicine, Tianjin, China FAU - Huang, Jin AU - Huang J AD - Acupuncture Research Center, Tianjin University of Traditional Chinese Medicine, Tianjin, China FAU - Fang, Yuxin AU - Fang Y AD - Acupuncture Research Center, Tianjin University of Traditional Chinese Medicine, Tianjin, China AD - Acu-moxibustion and Tuina Department, Tianjin University of Traditional Chinese Medicine, Tianjin, China FAU - Yuan, Wenjuan AU - Yuan W AD - The First people's hospital of Lanzhou city, Gansu, China FAU - Liu, Yangyang AU - Liu Y AD - Acupuncture Research Center, Tianjin University of Traditional Chinese Medicine, Tianjin, China AD - Acu-moxibustion and Tuina Department, Tianjin University of Traditional Chinese Medicine, Tianjin, China FAU - Wang, Shenjun AU - Wang S AD - Acupuncture Research Center, Tianjin University of Traditional Chinese Medicine, Tianjin, China AD - Acu-moxibustion and Tuina Department, Tianjin University of Traditional Chinese Medicine, Tianjin, China FAU - Guo, Yongming AU - Guo Y AD - Acupuncture Research Center, Tianjin University of Traditional Chinese Medicine, Tianjin, China AD - Acu-moxibustion and Tuina Department, Tianjin University of Traditional Chinese Medicine, Tianjin, China FAU - Guo, Yi AU - Guo Y AD - College of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, China FAU - Xu, Zhifang AU - Xu Z AD - Acupuncture Research Center, Tianjin University of Traditional Chinese Medicine, Tianjin, China AD - Acu-moxibustion and Tuina Department, Tianjin University of Traditional Chinese Medicine, Tianjin, China LA - eng GR - 2018015/Tianjin Municipal Bureau of Labor and Social Security/ GR - 81704146, 81273868/National Natural Science Foundation of China (NSFC)/ GR - 2018KJ024, 2017KJ150/Tianjin Education Commission/ PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United Arab Emirates TA - Curr Pharm Des JT - Current pharmaceutical design JID - 9602487 RN - 0I8Y3P32UF (Berberine) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) SB - IM MH - AMP-Activated Protein Kinases MH - Autophagy MH - *Berberine/pharmacology MH - Humans MH - *Neurodegenerative Diseases/drug therapy MH - Phosphatidylinositol 3-Kinases OTO - NOTNLM OT - AMPK OT - Neurodegenerative diseases OT - apoptosis OT - berberine OT - glutamate excitotoxicity OT - mitochondrial disorder OT - neuroinflammation OT - oxidative stress EDAT- 2020/05/24 06:00 MHDA- 2021/04/27 06:00 CRDT- 2020/05/24 06:00 PHST- 2019/12/16 00:00 [received] PHST- 2020/04/14 00:00 [accepted] PHST- 2020/05/24 06:00 [pubmed] PHST- 2021/04/27 06:00 [medline] PHST- 2020/05/24 06:00 [entrez] AID - CPD-EPUB-106864 [pii] AID - 10.2174/1381612826666200523172334 [doi] PST - ppublish SO - Curr Pharm Des. 2020;26(39):5054-5066. doi: 10.2174/1381612826666200523172334.