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[阿尔茨海默病中的神经肽]

[Neuropeptides in Alzheimer's disease].

作者信息

Jiménez-Corral C, Morán-Sánchez J C, Alonso-Navarro H

机构信息

Sección de Neurología, Servicio de Medicina Interna, Hospital General de Soria, Soria, Spain.

出版信息

Rev Neurol. 2006;42(6):354-9.

Abstract

INTRODUCTION

Of approximately 200 peptides that are known to exist in the body, 80 carry out functions as neurotransmitters and about 20 have been linked to Alzheimer's disease (AD).

DEVELOPMENT

In this article we review the most salient studies that have been conducted on neuropeptides such as corticotropin-releasing hormone, thyrotropin-releasing hormone, somatostatin, neuropeptide Y, oxytocin, arginine vasopressin, galanin and insulin, as well as the insulin-like growth factors, the glucagon-like peptides, vasoactive intestinal peptide, cholecystokinin, substance P, opioid peptides and the neuropeptide NAP. Although attempts are made to find a causal association with AD, in many cases the findings are contradictory or not very conclusive.

CONCLUSIONS

The most notable points could be the reduction in substance P in the cerebral cortex, hippocampus, basal ganglia and cephalospinal fluid; the diminished levels of somatostatin in the same structures except for the basal ganglia; the reduction in the amount of vasopressin except in the temporal lobe; and the increased levels of dynorphin and leucine enkephalin.

摘要

引言

已知人体中存在约200种肽,其中80种作为神经递质发挥作用,约20种与阿尔茨海默病(AD)有关。

进展

在本文中,我们回顾了关于促肾上腺皮质激素释放激素、促甲状腺激素释放激素、生长抑素、神经肽Y、催产素、精氨酸加压素、甘丙肽和胰岛素等神经肽,以及胰岛素样生长因子、胰高血糖素样肽、血管活性肠肽、胆囊收缩素、P物质、阿片肽和神经肽NAP的最显著研究。尽管人们试图找出与AD的因果关系,但在许多情况下,研究结果相互矛盾或不太具有决定性。

结论

最值得注意的点可能是大脑皮质、海马体、基底神经节和脑脊液中P物质的减少;除基底神经节外,相同结构中生长抑素水平的降低;除颞叶外,加压素含量的减少;以及强啡肽和亮氨酸脑啡肽水平的升高。

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