Department of Pharmacology and Croatian Institute for Brain Research, School of Medicine, University of Zagreb, Salata 11, HR 10000, Zagreb, Croatia.
J Neural Transm (Vienna). 2013 Jan;120(1):233-52. doi: 10.1007/s00702-012-0877-9. Epub 2012 Aug 12.
Experimental models that faithfully mimic the developmental pathology of sporadic Alzheimer's disease (sAD) in humans are important for testing the novel therapeutic approaches in sAD treatment. Widely used transgenic mice AD models have provided valuable insights into the molecular mechanisms underlying the memory decline but, due to the particular β-amyloid-related gene manipulation, they resemble the familial but not the sporadic AD form, and are, therefore, inappropriate for this purpose. In line with the recent findings of sAD being recognised as an insulin resistant brains state (IRBS), a new, non-transgenic, animal model has been proposed as a representative model of sAD, developed by intracerebroventricular application of the betacytotoxic drug streptozotocin (STZ-icv). The STZ-icv-treated animals (mostly rats and mice) develop IRBS associated with memory impairment and progressive cholinergic deficits, glucose hypometabolism, oxidative stress and neurodegeneration that share many features in common with sAD in humans. The therapeutic strategies (acetylcholinesterase inhibitors, antioxidants and many other drugs) that have been tested until now on the STZ-icv animal model have been reviewed and the comparability of the drugs' efficacy in this non-transgenic sAD model and the results from clinical trials on sAD patients, evaluated.
实验模型能够忠实地模拟人类散发性阿尔茨海默病(sAD)的发育病理学,对于测试 sAD 治疗中的新治疗方法非常重要。广泛使用的转基因小鼠 AD 模型为理解记忆衰退的分子机制提供了有价值的见解,但由于特定的β淀粉样蛋白相关基因操作,它们类似于家族性 AD 而不是散发性 AD 形式,因此不适合用于该目的。根据最近发现 sAD 被认为是胰岛素抵抗脑状态(IRBS),提出了一种新的非转基因动物模型,作为 sAD 的代表性模型,通过侧脑室给予β细胞毒性药物链脲佐菌素(STZ-icv)来开发。STZ-icv 处理的动物(主要是大鼠和小鼠)会发展为与记忆障碍和进行性胆碱能缺陷、葡萄糖代谢低下、氧化应激和神经退行性变相关的 IRBS,这些与人类 sAD 有许多共同特征。迄今为止,在 STZ-icv 动物模型上测试的治疗策略(乙酰胆碱酯酶抑制剂、抗氧化剂和许多其他药物)已经被回顾,并评估了这些药物在这种非转基因 sAD 模型中的疗效的可比性,以及在 sAD 患者的临床试验中的结果。