阿尔茨海默病的未来治疗

A. Keskin, Nazlı Durmaz, G. Uncu, E. Erzurumluoglu, Z. Yıldırım, N. Tuncer, D. O. Adapınar
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引用次数: 7

摘要

阿尔茨海默病是一种与年龄相关的进行性神经退行性疾病。阿尔茨海默病(AD)的两个主要神经病理学标志是细胞外β淀粉样蛋白(A β)斑块和细胞内神经原纤维缠结(nft)。一些可能与A β斑块和nft形成重叠的其他致病机制已经被描述,包括炎症、氧化损伤、铁调节失调、胆固醇代谢。到目前为止,这种疾病只有对症治疗,都试图平衡神经递质紊乱。为了阻止疾病的进展,他们必须干扰导致临床症状的致病步骤,包括细胞外β淀粉样蛋白斑块的沉积和细胞内神经原纤维缠结的形成、炎症和干细胞。在这篇综述中,我们讨论了目前正在I-III期试验中研究的新的潜在的AD疾病改善疗法。
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Future Treatment of Alzheimer Disease
Alzheimer’s disease is an age-related progressive neurodegenerative disorder. The two major neuropathologic hallmarks of Alzheimer’s disease (AD) are extracellular Amyloid beta (A β ) plaques and intracellular neurofibrillary tangles (NFTs). A number of additional pathogenic mechanisms, possibly overlapping with A β plaques and NFTs formation, have been described, including inflammation, oxidative damage, iron dysregulation, cholesterol metabolism. To date, only symptomatic treatments exist for this disease, all trying to counterbalance the neurotransmitter disturbance. To block the progression of the disease they have to interfere with the pathogenic steps responsible for the clinical symptoms, including the deposition of extracellular amyloid β plaques and intracellular neurofibrillary tangle formation, inflammation and stem cell. In this review, we discuss new potential disease-modi-fying therapies for AD that are currently being studied in phase I–III trials.
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