Mukhin V N
Ross Fiziol Zh Im I M Sechenova. 2013 Jun;99(6):674-81.
Alzheimer's disease is the most common cause of the declarative memory disorder: 30-40% cases of dementia among all of age groups, and 50-60% among the people older 65 years. In addition, disorder of declarative memory is the genuine symptom of the disease, which certainly appears on early stage of the disease and it is an obligate diagnostic symptom. Proponents of the "cholinergic theory" of pathogenesis of Alzheimer's disease suggest that the basis disorder of declarative memory is cholinergic dysfunction. Several neurodynamic mechanisms associated with declarative memory depend on the level of acetylcholine in hippocampus and neocortex. It is believed that dysfunction of the basal cholinergic system in Alzheimer's disease leads to the impairment of these mechanisms. In this review, we summarize available literature data concerning the mechanisms of Alzheimer's disease.
在所有年龄组的痴呆病例中占30 - 40%,在65岁以上人群中占50 - 60%。此外,陈述性记忆障碍是该疾病的典型症状,肯定会在疾病早期出现,并且是一项必要的诊断症状。阿尔茨海默病发病机制的“胆碱能理论”支持者认为,陈述性记忆的基础障碍是胆碱能功能障碍。与陈述性记忆相关的几种神经动力学机制取决于海马体和新皮质中乙酰胆碱的水平。人们认为,阿尔茨海默病中基底胆碱能系统的功能障碍会导致这些机制受损。在本综述中,我们总结了有关阿尔茨海默病机制的现有文献数据。