揭开神经炎症介质作为生物标志物在阿尔茨海默病诊断、预后和治疗中的作用的神秘面纱:综述。

IF 4.9 Q1 CHEMISTRY, MEDICINAL ACS Pharmacology and Translational Science Pub Date : 2024-09-26 eCollection Date: 2024-10-11 DOI:10.1021/acsptsci.4c00457
Rohit R Doke, Ganesh J Lamkhade, Kuldeep Vinchurkar, Sudarshan Singh
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引用次数: 0

摘要

神经炎症介质在阿尔茨海默病(AD)的发病机制中起着关键作用,影响着其发病、进展和严重程度。人们对阿尔茨海默病的确切发病机制仍不完全清楚,因此目前的治疗方法主要集中在控制症状上,而不是预防或治愈该病。淀粉样蛋白和tau假说是最广为接受的AD病理学解释;然而,它们并不能完全解释AD中观察到的神经元变性。越来越多的证据强调了神经炎症在AD病理学中的关键作用。神经炎症假说为理解AD的驱动机制提供了一种很有希望的新方法。这篇综述探讨了神经炎症生物标志物在 AD 诊断、预后和治疗中的重要性。它深入探讨了 AD 神经炎症的内在机制,强调了细胞因子、趋化因子和 ROS 等各种介质的参与。此外,这篇综述还讨论了神经炎症生物标志物作为诊断工具、预后指标和 AD 治疗靶点的潜力。通过了解神经炎症与注意力缺失症病理之间错综复杂的相互作用,本综述旨在帮助制定有效的诊断和治疗计划,以对抗这种使人衰弱的神经系统疾病。此外,它还阐述了神经成像技术和生物流体分析在鉴定和监测 AD 患者神经炎症生物标志物方面的最新进展。
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Demystifying the Role of Neuroinflammatory Mediators as Biomarkers for Diagnosis, Prognosis, and Treatment of Alzheimer's Disease: A Review.

Neuroinflammatory mediators play a pivotal role in the pathogenesis of Alzheimer's Disease (AD), influencing its onset, progression, and severity. The precise mechanisms behind AD are still not fully understood, leading current treatments to focus mainly on managing symptoms rather than preventing or curing the condition. The amyloid and tau hypotheses are the most widely accepted explanations for AD pathology; however, they do not completely account for the neuronal degeneration observed in AD. Growing evidence underscores the crucial role of neuroinflammation in the pathology of AD. The neuroinflammatory hypothesis presents a promising new approach to understanding the mechanisms driving AD. This review examines the importance of neuroinflammatory biomarkers in the diagnosis, prognosis, and treatment of AD. It delves into the mechanisms underlying neuroinflammation in AD, highlighting the involvement of various mediators such as cytokines, chemokines, and ROS. Additionally, this review discusses the potential of neuroinflammatory biomarkers as diagnostic tools, prognostic indicators, and therapeutic targets for AD management. By understanding the intricate interplay between neuroinflammation and AD pathology, this review aims to help in the development of efficient diagnostic and treatment plans to fight this debilitating neurological condition. Furthermore, it elaborates recent advancements in neuroimaging techniques and biofluid analysis for the identification and monitoring of neuroinflammatory biomarkers in AD patients.

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来源期刊
ACS Pharmacology and Translational Science
ACS Pharmacology and Translational Science Medicine-Pharmacology (medical)
CiteScore
10.00
自引率
3.30%
发文量
133
期刊介绍: ACS Pharmacology & Translational Science publishes high quality, innovative, and impactful research across the broad spectrum of biological sciences, covering basic and molecular sciences through to translational preclinical studies. Clinical studies that address novel mechanisms of action, and methodological papers that provide innovation, and advance translation, will also be considered. We give priority to studies that fully integrate basic pharmacological and/or biochemical findings into physiological processes that have translational potential in a broad range of biomedical disciplines. Therefore, studies that employ a complementary blend of in vitro and in vivo systems are of particular interest to the journal. Nonetheless, all innovative and impactful research that has an articulated translational relevance will be considered. ACS Pharmacology & Translational Science does not publish research on biological extracts that have unknown concentration or unknown chemical composition. Authors are encouraged to use the pre-submission inquiry mechanism to ensure relevance and appropriateness of research.
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