Shoji Mikio
Department of Neurology, Institute of Brain Science, Hirosaki University School of Medicine, Hirosaki 036-8562.
Rinsho Byori. 2006 May;54(5):503-8.
Recent progress in the treatment for Alzheimer's disease (AD) emphasizes the need for early diagnosis of AD. It is also becoming a noteworthy issue to determine if a patient with mild cognitive impairment (MCI) has incipient AD. Three cerebrospinal fluid (CSF) biomarkers: beta-amyloid42 (Abeta42), total tau (t-tau) and phosphorylated tau (p-tau) have been evaluated in numerous scientific papers. Summary of these large-scale studies suggested that measurements of Abeta40/42 and t-tau in CSF are clinically useful for the diagnosis of AD, especially when they are combined. Studies showed that measurement of p-tau improves the early and differential diagnosis of AD. They are also useful markers to identify incipient AD in MCI cases. Early diagnosis of AD using these assays is an evidence-based biomarker that can be the basis for treatment with drugs aimed at targeting the degenerating processes of AD.
阿尔茨海默病(AD)治疗方面的最新进展凸显了对AD进行早期诊断的必要性。确定轻度认知障碍(MCI)患者是否患有早期AD也正成为一个值得关注的问题。三种脑脊液(CSF)生物标志物:β-淀粉样蛋白42(Aβ42)、总tau蛋白(t-tau)和磷酸化tau蛋白(p-tau)已在众多科学论文中得到评估。这些大规模研究的总结表明,脑脊液中Aβ40/42和t-tau的测量在AD诊断中具有临床实用性,尤其是当它们结合使用时。研究表明,p-tau的测量可改善AD的早期诊断和鉴别诊断。它们也是识别MCI病例中早期AD的有用标志物。使用这些检测方法对AD进行早期诊断是一种基于证据的生物标志物,可为旨在针对AD退化过程的药物治疗提供依据。