Neugroschl Judith, Sano Mary
Mount Sinai School of Medicine, New York, NY, USA.
Mt Sinai J Med. 2010 Jan-Feb;77(1):3-16. doi: 10.1002/msj.20165.
The transition from either epidemiological observation or the bench to rigorously tested clinical trials in patients with Alzheimer's disease is crucial in understanding which treatments are beneficial to patients. The amyloid hypothesis has undergone scrutiny recently, as many trials aimed at reducing amyloid and plaque have been completed or are in the testing phase. Examples include modulation of the secretases involved in beta amyloid formation, anti-aggregation agents, and immunotherapeutic trials. Other therapies targeting hyperphosphorylated tau and novel targets such as enhancement of mitochondrial function, serotonin receptors, receptor for advanced glycation end products, and nerve growth factor, as well as other strategies, are discussed. A brief review of the current Food and Drug Administration-approved treatments is included.
从流行病学观察或实验室研究过渡到对阿尔茨海默病患者进行严格测试的临床试验,对于了解哪些治疗方法对患者有益至关重要。淀粉样蛋白假说最近受到了审视,因为许多旨在减少淀粉样蛋白和斑块的试验已经完成或正处于测试阶段。例子包括调节参与β淀粉样蛋白形成的分泌酶、抗聚集剂和免疫治疗试验。还讨论了针对过度磷酸化tau蛋白的其他疗法以及诸如增强线粒体功能、血清素受体、晚期糖基化终产物受体和神经生长因子等新靶点,以及其他策略。文中还简要回顾了目前美国食品药品监督管理局批准的治疗方法。