Laboratory for Alzheimer's Disease, RIKEN Brain Science Institute, Wako, Saitama, Japan.
J Alzheimers Dis. 2009;17(4):729-36. doi: 10.3233/JAD-2009-1090.
Alzheimer's disease (AD) is clinically characterized as a progressive dementia starting with memory dysfunction and characterized pathologically as neurodegeneration accompanied by deposition of amyloid-beta, neurofibrillary tangles, and neuronal loss. AD research has endeavored to explain the clinical symptoms of AD through pathological changes and to develop various therapies for AD. Fulfillment of these goals, however, remains on the horizon. In this article, I review the relationship between neuropathological changes that occur in the brain and clinical progression of AD, and propose a hypothesis that brain aging, characterized by neurofibrillary tangles in entorhinal cortex, is pre-requisite for development of AD.
阿尔茨海默病(AD)临床上表现为以记忆功能障碍为首发症状的进行性痴呆,病理特征为神经退行性变,伴有β淀粉样蛋白沉积、神经纤维缠结和神经元丢失。AD 研究一直致力于通过病理改变来解释 AD 的临床症状,并开发各种 AD 治疗方法。然而,这些目标仍遥遥无期。在本文中,我回顾了大脑中发生的神经病理变化与 AD 临床进展之间的关系,并提出了一个假设,即以内侧颞叶的神经纤维缠结为特征的脑老化是 AD 发生的前提。