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本文引用的文献

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Memantine in patients with Alzheimer's disease receiving donepezil: new analyses of efficacy and safety for combination therapy.盐酸美金刚治疗正在接受多奈哌齐治疗的阿尔茨海默病患者的疗效和安全性的新分析:联合治疗。
Alzheimers Res Ther. 2013 Jan 21;5(1):6. doi: 10.1186/alzrt160. eCollection 2013.
2
The memory ameliorating effects of INM-176, an ethanolic extract of Angelica gigas, against scopolamine- or Aβ(1-42)-induced cognitive dysfunction in mice.当归属醇提物 INM-176 改善东莨菪碱或 Aβ(1-42)诱导的小鼠认知功能障碍的记忆作用。
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Aβ₁₋₄₂-RAGE interaction disrupts tight junctions of the blood-brain barrier via Ca²⁺-calcineurin signaling.Aβ₁₋₄₂- RAGE 相互作用通过 Ca²⁺-钙调神经磷酸酶信号破坏血脑屏障的紧密连接。
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Microglial scavenger receptors and their roles in the pathogenesis of Alzheimer's disease.小胶质细胞清道夫受体及其在阿尔茨海默病发病机制中的作用。
Int J Alzheimers Dis. 2012;2012:489456. doi: 10.1155/2012/489456. Epub 2012 May 15.
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Regulatory review of novel therapeutics--comparison of three regulatory agencies.新型治疗药物的监管审查——三个监管机构的比较。
N Engl J Med. 2012 Jun 14;366(24):2284-93. doi: 10.1056/NEJMsa1200223. Epub 2012 May 16.
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Gantenerumab for the treatment of Alzheimer's disease.甘露特纳单抗治疗阿尔茨海默病。
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Increased cerebral metabolism after 1 year of deep brain stimulation in Alzheimer disease.阿尔茨海默病患者接受一年深部脑刺激后大脑代谢增加。
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8
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Amyloid-β contributes to blood-brain barrier leakage in transgenic human amyloid precursor protein mice and in humans with cerebral amyloid angiopathy.淀粉样蛋白-β导致转人类淀粉样前体蛋白小鼠和伴有脑淀粉样血管病的人类血脑屏障渗漏。
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治疗阿尔茨海默病的药物在后期开发中的成败。

Successes and failures for drugs in late-stage development for Alzheimer's disease.

机构信息

The Cleo Roberts Center for Clinical Research, Banner Sun Health Research Institute, 10515 West Santa Fe Drive, Sun City, AZ, 85351, USA.

出版信息

Drugs Aging. 2013 Oct;30(10):783-92. doi: 10.1007/s40266-013-0108-6.

DOI:10.1007/s40266-013-0108-6
PMID:23943247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4000701/
Abstract

To date, symptomatic medications prevail as the mainstay of treatment options for Alzheimer's disease (AD). There have been tremendous investments made to increase the numbers of drugs approved and the targets engaged, in an effort to alter the disease course or pathophysiology of AD. Unfortunately, almost all studies have not met expectations and no new drug (beyond medical foods) has been approved for the treatment of AD in the last decade. This review is a comparison of novel AD therapies in the late phases of clinical testing, including recent high-profile clinical failures, and agents in development with relatively unexplored mechanisms of action, with a focus on their potential as therapeutic agents and their proposed advantages over the treatments currently in use.

摘要

迄今为止,对症药物仍然是治疗阿尔茨海默病 (AD) 的主要选择。为了改变 AD 的病程或病理生理学,人们投入了大量资金来增加已批准药物的数量和作用靶点。不幸的是,几乎所有研究都没有达到预期效果,在过去十年中,没有一种新药(除了医用食品)被批准用于 AD 的治疗。本综述比较了处于临床测试后期的新型 AD 疗法,包括最近备受瞩目的临床失败案例,以及作用机制相对未知的研发药物,重点关注它们作为治疗药物的潜力及其相对于目前使用的治疗方法的优势。