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β免疫疗法:对阿尔茨海默病潜在治疗的经验教训。

A beta immunotherapy: Lessons learned for potential treatment of Alzheimer's disease.

作者信息

Schenk Dale B, Seubert Peter, Grundman Michael, Black Ron

机构信息

Elan Pharmaceuticals, San Francisco, CA 94080, USA.

出版信息

Neurodegener Dis. 2005;2(5):255-60. doi: 10.1159/000090365.

DOI:10.1159/000090365
PMID:16909006
Abstract

Amyloid-beta (A beta) immunotherapy for treatment of Alzheimer's disease (AD) was first described in 1999 and has been very informative regarding the role of A beta in AD. Through the efforts of many laboratories we now know that it is possible to reduce amyloid burden and many related AD pathologies in numerous animal models of the disease. Furthermore, initial clinical testing with AN1792, composed of A beta(1-42 )and an adjuvant, has yielded very important insights into both the clinical potential of the approach and the impact of A beta peptide on the disease. A brief review of our current understanding of A beta immunotherapy is described. These findings have led to newer alternative A beta immunotherapy approaches that include both active and passive approaches that are currently in clinical testing in both the USA and Europe.

摘要

用于治疗阿尔茨海默病(AD)的β-淀粉样蛋白(Aβ)免疫疗法于1999年首次被描述,它为了解Aβ在AD中的作用提供了很多信息。通过众多实验室的努力,我们现在知道,在该疾病的众多动物模型中,降低淀粉样蛋白负荷以及许多相关的AD病理特征是可能的。此外,由Aβ(1-42)和一种佐剂组成的AN1792的初步临床试验,为该方法的临床潜力以及Aβ肽对疾病的影响提供了非常重要的见解。本文简要回顾了我们目前对Aβ免疫疗法的理解。这些发现催生了更新的替代性Aβ免疫疗法,包括主动和被动方法,目前正在美国和欧洲进行临床试验。

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引用本文的文献

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Chronic pre-treatment with memantine prevents amyloid-beta protein-mediated long-term potentiation disruption.慢性预处理美金刚可预防淀粉样β蛋白介导的长时程增强破坏。
Neural Regen Res. 2013 Jan 5;8(1):49-55. doi: 10.3969/j.issn.1673-5374.2013.01.006.
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Chronic brain inflammation causes a reduction in GluN2A and GluN2B subunits of NMDA receptors and an increase in the phosphorylation of mitogen-activated protein kinases in the hippocampus.
慢性脑部炎症会导致海马体中N-甲基-D-天冬氨酸(NMDA)受体的GluN2A和GluN2B亚基减少,以及丝裂原活化蛋白激酶的磷酸化增加。
Mol Brain. 2014 Apr 24;7:33. doi: 10.1186/1756-6606-7-33.
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Effects of acidic oligosaccharide sugar chain on amyloid oligomer-induced impairment of synaptic plasticity in rats.酸性寡糖糖链对大鼠淀粉样寡聚体诱导的突触可塑性损伤的影响。
Metab Brain Dis. 2014 Sep;29(3):683-90. doi: 10.1007/s11011-014-9521-8. Epub 2014 Apr 11.
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