动物模型中的阿尔茨海默病生物标志物:缩小翻译差距。

American journal of neurodegenerative disease Pub Date : 2013-06-21 Print Date: 2013-01-01
Jonathan J Sabbagh, Jefferson W Kinney, Jeffrey L Cummings
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引用次数: 0

摘要

阿尔茨海默病(AD)的患病率不断上升,正迅速成为世界上最大的健康和经济挑战之一。人们越来越需要开发和实施可靠的AD生物标志物,以帮助诊断、告知疾病进展和监测治疗效果。临床前模型允许在临床试验开始之前评估候选生物标志物和评估管道药物,并为推进生物标志物的发现提供了转化机会。快速和廉价的数据可以从外周标记物的检查中获得,尽管它们目前缺乏成像技术(如MRI或PET)的灵敏度和一致性。动物模型中的血浆和脑脊液(CSF)生物标志物可以帮助在临床人群中开发和实施类似的方法。这些生物标志物在决定将治疗推进到人体试验方面也可能是无价的。AD模型的纵向研究可以确定生物标志物的初始表现和进展,也可用于评估药物的疾病改善功效。临床前系统中生物标志物方法的改进不仅有助于药物开发,而且可能有助于AD患者的诊断和疾病监测。
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Alzheimer's disease biomarkers in animal models: closing the translational gap.

The rising prevalence of Alzheimer's disease (AD) is rapidly becoming one of the largest health and economic challenges in the world. There is a growing need for the development and implementation of reliable biomarkers for AD that can be used to assist in diagnosis, inform disease progression, and monitor therapeutic efficacy. Preclinical models permit the evaluation of candidate biomarkers and assessment of pipeline agents before clinical trials are initiated and provide a translational opportunity to advance biomarker discovery. Fast and inexpensive data can be obtained from examination of peripheral markers, though they currently lack the sensitivity and consistency of imaging techniques such as MRI or PET. Plasma and cerebrospinal fluid (CSF) biomarkers in animal models can assist in development and implementation of similar approaches in clinical populations. These biomarkers may also be invaluable in decisions to advance a treatment to human testing. Longitudinal studies in AD models can determine initial presentation and progression of biomarkers that may also be used to evaluate disease-modifying efficacy of drugs. The refinement of biomarker approaches in preclinical systems will not only aid in drug development, but may facilitate diagnosis and disease monitoring in AD patients.

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