Alzheimer Disease Research Center, Washington University School of Medicine, 4488 Forest Park Avenue, Suite 130, St Louis, MO 63108, USA.
Clin Geriatr Med. 2010 Feb;26(1):125-47. doi: 10.1016/j.cger.2009.12.003.
The cellular mechanisms underlying neuronal loss and neurodegeneration have been an area of interest in the last decade. Although neurodegenerative diseases such as Alzheimer disease, Parkinson disease, and Huntington disease each have distinct clinical symptoms and pathologies, they all share common mechanisms such as protein aggregation, oxidative injury, inflammation, apoptosis, and mitochondrial injury that contribute to neuronal loss. Although cerebrovascular disease has different causes from the neurodegenerative disorders, many of the same common disease mechanisms come into play following a stroke. Novel therapies that target each of these mechanisms may be effective in decreasing the risk of disease, abating symptoms, or slowing down their progression. Although most of these therapies are experimental, and require further investigation, a few seem to offer promise.
在过去的十年中,神经元丧失和神经退行性变的细胞机制一直是研究的热点。尽管阿尔茨海默病、帕金森病和亨廷顿病等神经退行性疾病都具有独特的临床症状和病理,但它们都具有共同的机制,如蛋白质聚集、氧化损伤、炎症、细胞凋亡和线粒体损伤,这些机制导致神经元丧失。尽管脑血管疾病的病因与神经退行性疾病不同,但中风后许多相同的常见疾病机制都会发挥作用。针对这些机制的新型治疗方法可能有助于降低疾病风险、减轻症状或减缓疾病进展。尽管这些疗法大多处于实验阶段,需要进一步研究,但其中一些似乎有希望。