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[血管紧张素转换酶与阿尔茨海默病]

[Angiotensin converting enzyme and Alzheimer's disease].

作者信息

Kugaevskaia E V

出版信息

Biomed Khim. 2013 Jan-Feb;59(1):5-24.

Abstract

Alzheimer's disease (AD) is an incurable degenerative disease of the central nervous system, leading to dementia. The basis of AD is neurodegenerative process that leads to death of neurons in the cerebral cortex. This neurodegenerative process is associated with the formation of neurofibrillary tangles in the brain and the deposition of senile plaques, the main component of which is a beta-amyloid peptide (Abeta). Risk factors for AD are age, as well as hypertension, atherosclerosis, diabetes and hypercholesterolemia in the pathogenesis of which involved angiotensin converting enzyme (ACE)--key enzyme of the renin-angiotensin (RAS) and kallikrein-kinin (KKS) systems. Recently it was discovered that ACE, along with other metallopeptidases, participates in the metabolism of Abeta, cleaving the bonds at the N-terminal and C-terminal region of the molecule Abeta. The role of the ACE in the degradation processes of Abeta takes an interest. It is associated with the fact that the using of ACE inhibitors is the main therapeutic approach used in the treatment of various forms of hypertension and other cardiovascular diseases. However, until now not been resolved, can be used antihypertensive drugs that inhibit RAS for the treatment or prevention of AD. Currently, there are numerous studies on finding the relationship between RAS and AD.

摘要

阿尔茨海默病(AD)是一种无法治愈的中枢神经系统退行性疾病,可导致痴呆。AD的病理基础是神经退行性过程,该过程导致大脑皮质中的神经元死亡。这种神经退行性过程与大脑中神经原纤维缠结的形成以及老年斑的沉积有关,老年斑的主要成分是β-淀粉样肽(Aβ)。AD的危险因素包括年龄,以及高血压、动脉粥样硬化、糖尿病和高胆固醇血症,在这些疾病的发病机制中涉及血管紧张素转换酶(ACE)——肾素-血管紧张素(RAS)和激肽释放酶-激肽(KKS)系统的关键酶。最近发现,ACE与其他金属肽酶一起参与Aβ的代谢,切割Aβ分子N端和C端区域的键。ACE在Aβ降解过程中的作用引起了人们的兴趣。这与以下事实有关:使用ACE抑制剂是治疗各种形式高血压和其他心血管疾病的主要治疗方法。然而,直到现在仍未解决的问题是,抑制RAS的抗高血压药物是否可用于治疗或预防AD。目前,有许多关于寻找RAS与AD之间关系的研究。

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