Adlard Paul A, Tran Bob A, Finkelstein David I, Desmond Patricia M, Johnston Leigh A, Bush Ashley I, Egan Gary F
Division of Mental Health, The Florey Institute of Neuroscience and Mental Health, University of Melbourne Parkville, VIC, Australia.
Department of Radiology, University of Melbourne Parkville, VIC, Australia.
Front Neurosci. 2014 Oct 31;8:327. doi: 10.3389/fnins.2014.00327. eCollection 2014.
Alzheimer's disease (AD) is the most common cause of dementia worldwide. As advancing age is the greatest risk factor for developing AD, the number of those afflicted is expected to increase markedly with the aging of the world's population. The inability to definitively diagnose AD until autopsy remains an impediment to establishing effective targeted treatments. Neuroimaging has enabled in vivo visualization of pathological changes in the brain associated with the disease, providing a greater understanding of its pathophysiological development and progression. However, neuroimaging biomarkers do not yet offer clear advantages over current clinical diagnostic criteria for them to be accepted into routine clinical use. Nonetheless, current insights from neuroimaging combined with the elucidation of biochemical and molecular processes in AD are informing the ongoing development of new imaging techniques and their application. Much of this research has been greatly assisted by the availability of transgenic mouse models of AD. In this review we summarize the main efforts of neuroimaging in AD in humans and in mouse models, with a specific focus on β-amyloid, and discuss the potential of new applications and novel approaches.
阿尔茨海默病(AD)是全球痴呆最常见的病因。由于高龄是患AD的最大风险因素,预计随着世界人口老龄化,患病人数将显著增加。在尸检之前无法明确诊断AD仍然是阻碍建立有效靶向治疗方法的一个因素。神经影像学能够在活体中可视化与该疾病相关的大脑病理变化,有助于更深入地了解其病理生理发展和进程。然而,神经影像学生物标志物相对于目前的临床诊断标准尚未显示出明显优势,因此尚未被纳入常规临床应用。尽管如此,目前神经影像学的见解与对AD生化和分子过程的阐释相结合,正在为新成像技术的不断发展及其应用提供信息。AD转基因小鼠模型的可用性极大地推动了这项研究的进展。在这篇综述中,我们总结了人类和小鼠模型中AD神经影像学的主要研究成果,特别关注β-淀粉样蛋白,并讨论了新应用和新方法的潜力。