Shinagawa Shunichiro, Shigeta Masahiro
Department of Psychiatry, The Jikei University School of Medicine.
Brain Nerve. 2014 May;66(5):507-16.
Alzheimer's disease (AD) is a neurodegenerative disorder, and is the commonest cause of dementia. Acetylcholinesterase inhibitors (AChEIs) were developed under the cholinergic hypothesis of AD. Therapeutic strategies with these drugs aimed to enhance cholinergic neurotransmission in specific parts of the brain, and to improve the clinical symptoms of AD. Donepezil, galantamine and rivastigmine are commonly used AChEIs in pharmacotherapy for AD, slowing the progression and controlling the symptoms of AD. Although these drugs have different pharmacological properties, there is no clear evidence of differences between them with respect to efficacy. It is possible to adapt AChEIs for the pharmacotherapy of other conditions, such as vascular dementia, dementia with Lewy bodies, and Down syndrome.
阿尔茨海默病(AD)是一种神经退行性疾病,也是痴呆最常见的病因。乙酰胆碱酯酶抑制剂(AChEIs)是在AD的胆碱能假说基础上研发出来的。使用这些药物的治疗策略旨在增强大脑特定部位的胆碱能神经传递,并改善AD的临床症状。多奈哌齐、加兰他敏和卡巴拉汀是AD药物治疗中常用的AChEIs,可减缓AD的进展并控制其症状。尽管这些药物具有不同的药理特性,但在疗效方面尚无明确证据表明它们之间存在差异。AChEIs有可能适用于其他病症的药物治疗,如血管性痴呆、路易体痴呆和唐氏综合征。