Deparatment of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
J Alzheimers Dis. 2010;19(3):781-93. doi: 10.3233/JAD-2010-1275.
The number of people living with Alzheimer's disease (AD), the major cause of dementia, is projected to increase dramatically over the next few decades, making the search for treatments and tools to measure the progression of AD increasingly urgent. The antisaccade task, a hands- and language-free measure of inhibitory control, has been utilized in AD as a potential diagnostic test. While antisaccades do not appear to differentiate AD from healthy aging better than measures of episodic memory, they may still be beneficial. Specifically, antisaccades may provide not only a functional index of the Dorsolateral Prefrontal Cortex (DLPFC), which is damaged in the later stages of AD, but also a tool for monitoring the progression of AD. Further work is required to: 1) strengthen the link between antisaccade errors, in AD, with the DLPFC; 2) insure that antisaccade errors do not result from memory, visuospatial, or other deficits associated with AD; and 3) further validate the clinical analogue of the antisaccade task.
预计在未来几十年内,患有阿尔茨海默病(AD)的人数将大幅增加,AD 是痴呆的主要病因,因此寻找治疗方法和工具来衡量 AD 的进展变得越来越紧迫。反扫视任务是一种无需手部和语言参与的抑制控制测量方法,已在 AD 中用作潜在的诊断测试。虽然反扫视在区分 AD 与健康衰老方面似乎并不优于情景记忆测量,但它们仍然可能有益。具体来说,反扫视不仅可以提供背外侧前额叶皮层(DLPFC)的功能指标,该区域在 AD 的后期阶段受损,而且还可以作为监测 AD 进展的工具。需要进一步开展工作:1)加强 AD 中反扫视错误与 DLPFC 之间的联系;2)确保反扫视错误不是由与 AD 相关的记忆、视觉空间或其他缺陷引起的;3)进一步验证反扫视任务的临床类似物。