Sutphen Courtney L, Fagan Anne M, Holtzman David M
Department of Neurology, Washington University School of Medicine, St. Louis, Missouri; Charles F. and Joanne Knight Alzheimer's Disease Research Center, Washington University School of Medicine, St. Louis, Missouri; Hope Center for Neurological Disorders, Washington University School of Medicine, St. Louis, Missouri.
Department of Neurology, Washington University School of Medicine, St. Louis, Missouri; Charles F. and Joanne Knight Alzheimer's Disease Research Center, Washington University School of Medicine, St. Louis, Missouri; Hope Center for Neurological Disorders, Washington University School of Medicine, St. Louis, Missouri; Department of Development Biology (DMH), Washington University School of Medicine, St. Louis, Missouri.
Biol Psychiatry. 2014 Apr 1;75(7):520-6. doi: 10.1016/j.biopsych.2013.07.031. Epub 2013 Sep 5.
Alzheimer's disease (AD) is a growing health crisis around the world. Although significant progress has been made in our understanding of AD pathogenesis, there is currently no effective treatment to delay onset or prevent the disease. The focus has now shifted to the identification and treatment of AD in the early clinical stages as well as before cognitive symptoms emerge-during the long preclinical stage. It is possible that diagnosis of individuals with AD will be more accurate when clinical symptoms and signs are combined with biomarkers, which can improve both the diagnostic and prognostic accuracy of AD and its differentiation from the other neurodegenerative diseases. This review discusses fluid and imaging biomarkers that have shown promise in such areas, as well as some of the current challenges that face the field.
阿尔茨海默病(AD)在全球范围内是日益严重的健康危机。尽管我们对AD发病机制的理解已取得显著进展,但目前尚无有效治疗方法来延缓发病或预防该疾病。现在重点已转向在临床早期以及认知症状出现之前的漫长临床前期识别和治疗AD。当临床症状和体征与生物标志物相结合时,AD患者的诊断可能会更准确,这可以提高AD的诊断和预后准确性以及其与其他神经退行性疾病的鉴别。本综述讨论了在这些领域已显示出前景的体液和影像生物标志物,以及该领域目前面临的一些挑战。