Recent advances in understanding Alzheimer's Disease: diagnosis and management strategies.

Faculty reviews Pub Date : 2023-10-10 eCollection Date: 2023-01-01 DOI:10.12703/r/12-24
Anna Marin, Andrew E Budson
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Abstract

As the rates of Alzheimer's Disease (AD) increase in the world due to the aging of the population, research has made tremendous advances to target the two hallmark pathologies of AD: amyloid-β (Aβ) plaque deposition and neurofibrillary tangles of hyperphosphorylated tau. Here, we discuss recent advances in the clinical evaluation and management of AD, with a focus on new hypotheses related to the etiology of AD and new evidence related to AD-mimicking neurodegenerative diseases. Though recent clinical studies suggest anti-amyloid disease modifying agents may slow the progression of AD, there is currently no medication that stops it. Moreover, slowing the progression will result in more individuals in the mild cognitive impairment (MCI) and mild dementia stages of AD. Given this reality, we evaluate the development of non-pharmacological strategies to help sustain cognitive function and quality of life.

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了解阿尔茨海默病的最新进展:诊断和管理策略。
随着人口老龄化,阿尔茨海默病(AD)的发病率在全球范围内增加,针对AD的两种标志性病理学的研究取得了巨大进展:淀粉样蛋白-β(Aβ)斑块沉积和过度磷酸化tau的神经原纤维缠结。在这里,我们讨论了AD临床评估和管理的最新进展,重点是与AD病因相关的新假设和与模拟AD的神经退行性疾病相关的新证据。尽管最近的临床研究表明,抗淀粉样蛋白疾病调节剂可能会减缓AD的进展,但目前还没有药物可以阻止它。此外,减缓进展将导致更多的人处于AD的轻度认知障碍(MCI)和轻度痴呆阶段。鉴于这一现实,我们评估了非药物策略的发展,以帮助维持认知功能和生活质量。
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