淀粉样蛋白β靶向治疗阿尔茨海默病:目前和未来

Cai Huimin, Fu Xiaofeng, Quan Shuiyue, Ren Ziye, Chu Changbiao, Jia Longfei
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摘要

阿尔茨海默病(AD)是一种常见且具有破坏性的疾病。然而,目前的对症治疗无法改变疾病的进展。幸运的是,许多正在进行的疾病改善疗法的试验可能为阿尔茨海默病的治疗和预防提供新的见解。由于长期以来的淀粉样蛋白级联假说,针对淀粉样蛋白β (a β)的药物治疗的开发一直是阿尔茨海默病研究的主要焦点。最近一些抗a β单克隆抗体的阳性结果和批准似乎是AD治疗的一个里程碑。在这篇综述中,我们重点介绍了不同的a β靶向治疗AD的基本原理和现状,包括那些已经上市的和正在临床试验的治疗方法。我们还讨论了a β靶向治疗AD的挑战和未来前景。
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Amyloid-β-targeted therapies for Alzheimer's disease: currently and in the future
Alzheimer’s disease (AD) is common and devastating. However, current symptomatic treatments are unable to alter the progression of the disease. Fortunately, many ongoing trials of disease-modifying therapies may provide new insights into the treatment and prevention of AD. Due to the long-held amyloid cascade hypothesis, the development of pharmacotherapies targeting amyloid-β (Aβ) has been a major focus in AD research. The recent positive results and approval of several anti- Aβ monoclonal antibodies seem to be a milestone for AD treatment. In this review, we highlight the rationale and status of different Aβ-targeted therapies for AD, including those now on the market and those in clinical trials. We also discuss the challenges and future perspectives of Aβ-targeted therapies for AD.
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