阿尔茨海默病中的记忆丧失。
Memory loss in Alzheimer's disease.
作者信息
Jahn Holger
机构信息
University Hospital Hamburg-Eppendorf, Dept of Psychiatry and Psychotherapy, Hamburg, Germany.
出版信息
Dialogues Clin Neurosci. 2013 Dec;15(4):445-54. doi: 10.31887/DCNS.2013.15.4/hjahn.
Loss of memory is among the first symptoms reported by patients suffering from Alzheimer's disease (AD) and by their caretakers. Working memory and long-term declarative memory are affected early during the course of the disease. The individual pattern of impaired memory functions correlates with parameters of structural or functional brain integrity. AD pathology interferes with the formation of memories from the molecular level to the framework of neural networks. The investigation of AD memory loss helps to identify the involved neural structures, such as the default mode network, the influence of epigenetic and genetic factors, such as ApoE4 status, and evolutionary aspects of human cognition. Clinically, the analysis of memory assists the definition of AD subtypes, disease grading, and prognostic predictions. Despite new AD criteria that allow the earlier diagnosis of the disease by inclusion of biomarkers derived from cerebrospinal fluid or hippocampal volume analysis, neuropsychological testing remains at the core of AD diagnosis.
记忆丧失是阿尔茨海默病(AD)患者及其护理人员报告的首批症状之一。工作记忆和长期陈述性记忆在疾病进程早期就会受到影响。记忆功能受损的个体模式与大脑结构或功能完整性的参数相关。AD病理学从分子水平到神经网络框架都会干扰记忆的形成。对AD记忆丧失的研究有助于确定所涉及的神经结构,如默认模式网络,表观遗传和遗传因素(如载脂蛋白E4状态)的影响,以及人类认知的进化方面。临床上,对记忆的分析有助于AD亚型的定义、疾病分级和预后预测。尽管新的AD标准通过纳入源自脑脊液或海马体积分析的生物标志物允许对该疾病进行更早诊断,但神经心理学测试仍然是AD诊断的核心。