阿尔茨海默病:一种假说

J. Chan
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摘要

这一假说从一个新的角度探讨了阿尔茨海默病(AD)。人们普遍观察到,阿尔茨海默病患者最初表现为“近期”记忆丧失。最近的记忆不断被创造和更新,而“存档”记忆则不需要更新,阿尔茨海默病患者保留的时间更长。值得注意的是,记忆的产生和更新需要神经元中蛋白质的产生和合成;在AD患者中,神经退行性变与患者合成的新蛋白质的数量有关。在神经元蛋白质合成中,DNA转录mRNA,然后将其翻译成细胞质中的蛋白质。在这个过程中,解压缩的DNA双螺旋很容易受到攻击,如果它不能自我修复,就会进入细胞凋亡。一个健康的人可以在没有神经退化的情况下创造和更新记忆,即使在痴呆症患者中,也不是每种蛋白质合成都会受到攻击或神经元损伤。然而,合成的蛋白质越多,攻击的可能性就越大。我在这里提出,与AD是一种相关性疾病相一致,AD患者的免疫系统已经下降到无法根除攻击因子和修复在神经元蛋白质合成过程中受到攻击的DNA损伤的程度。
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Alzheimerâs Disease: A Hypothesis
This hypothesis explores Alzheimer’s Disease (AD) from a new perspective. It has been widely observed that AD patients present initially with “recent” memory loss. Recent memories are constantly created and updated, in contrast to “archived” memories, which do not require updating and which AD patients retain longer. Notably, memory creation and updating require the production and synthesis of proteins in neurons; and in AD patients, neurodegeneration is relative to the number of new proteins that the patient has synthesized. In neuronal protein synthesis, DNA transcribes mRNA, which is then translated into proteins in the cytoplasm. During this process, the unzipped DNA double helix is vulnerable to assault and can subsequently enter apoptosis if it is unable to repair itself. A healthy individual can create and update memories without neurodegeneration, and even among dementia patients, not every protein synthesis is subject to assault or neuronal damage. However, the more proteins are synthesized, the greater the probability of assault. I propose here that, consistent with AD being an agerelated disease, AD patients’ immune systems have declined to the point where they are unable to eradicate assault agents and to repair DNA damage sustained from assaults during neuronal protein synthesis.
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