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阿尔茨海默病:病因发病机制及治疗策略的现状

Alzheimer's disease: current status of etiopathogenesis and therapeutic strategies.

作者信息

Khairallah Mervat Ibrahim, Kassem Lobna Abdel Aal

机构信息

Department of Physiology, Faculty of Pharmacy, German University, Cairo, Egypt.

出版信息

Pak J Biol Sci. 2011 Feb 15;14(4):257-72. doi: 10.3923/pjbs.2011.257.272.

Abstract

Alzheimer's Disease (AD) is one of the most common age-related neurodegenerative diseases. It is the most prevalent form of dementia, a general term for memory loss. It is characterized by progressive cognitive dysfunction, various behavioral and neuro-psychiatric disturbances that seriously interfere with daily life. Scientists have identified factors that appear to play a role in the development of AD but no definitive causes have been found for this complex disorder. The pathogenesis of Alzheimer's disease is highly complex. While several pathologies characterize this disease, amyloid plaques and neurofibrillary tangles are hallmark neuropathological lesions in AD brain. Current AD therapies are merely palliative and only temporarily slow cognitive decline and treatments that address the underlying pathologic mechanisms of AD are still lacking. In this review, we focus on the current aspects of AD ranging from the key risk factors for AD, the underlying pathogenic events and the novel medications including disease-modifying properties.

摘要

阿尔茨海默病(AD)是最常见的与年龄相关的神经退行性疾病之一。它是痴呆最普遍的形式,痴呆是记忆丧失的统称。其特征为进行性认知功能障碍、各种严重干扰日常生活的行为和神经精神障碍。科学家已确定了一些似乎在AD发病过程中起作用的因素,但尚未找到这种复杂疾病的确切病因。阿尔茨海默病的发病机制高度复杂。虽然有几种病理特征可表征这种疾病,但淀粉样斑块和神经原纤维缠结是AD大脑中的标志性神经病理病变。目前的AD疗法只是姑息性的,只能暂时减缓认知衰退,而针对AD潜在病理机制的治疗方法仍然缺乏。在这篇综述中,我们聚焦于AD的当前各方面,包括AD的关键风险因素、潜在致病事件以及具有疾病修饰特性的新型药物。

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