Department of Neurological and Psychiatric Sciences, DENOTHE Excellence Centre, University of Florence, Largo Brambilla 3, 50134 Firenze, Italy.
J Neurol Sci. 2012 Nov 15;322(1-2):31-4. doi: 10.1016/j.jns.2012.05.033. Epub 2012 Jun 12.
Reductions in cerebral metabolism sufficient to impair cognition in normal individuals also occur in Alzheimer's disease (AD). FDG PET studies have shown that decreased glucose metabolism in AD precedes clinical diagnosis and the degree of clinical disability in AD correlates closely to the magnitude of the reduction in brain metabolism. This suggests that the clinical deterioration and metabolic impairment in AD are related closely. Diminished metabolism can lead to the hyperphosphorylation of tau and increased production of amyloid beta peptide, hallmarks of AD. These observations suggest also that early mitochondrially therapeutic interventions may be an important target in delaying AD progression in elderly individuals and in treating AD patients.
在正常个体中,足以损害认知的大脑代谢减少也会发生在阿尔茨海默病(AD)中。FDG PET 研究表明,AD 中葡萄糖代谢的降低先于临床诊断,AD 的临床残疾程度与大脑代谢减少的程度密切相关。这表明 AD 中的临床恶化和代谢损伤密切相关。代谢减少可导致 tau 的过度磷酸化和淀粉样β肽的产生增加,这是 AD 的标志。这些观察结果还表明,早期针对线粒体的治疗干预可能是延缓老年人 AD 进展和治疗 AD 患者的重要目标。