Ma Xiao-Wei, Li Jin-Ze, Zhang Tian-Tai, Du Guan-Hua
Yao Xue Xue Bao. 2014 Sep;49(9):1211-7.
Neuropathological, clinical epidemiology and animal models studies provide clear evidence for the activation of neuroinflammation in Alzheimer's disease (AD), and long-term use of non-steroidal anti-inflammatory drugs (NSAIDs) is linked with reduced risk to develop the disease. But the clinical trials got a negative outcome with traditional NSAIDs treating AD. The therapeutic effects of NSAIDs on Alzheimer's disease are still not clear based on the present research. Profound study for anti-inflammatory mechanisms and standardized clinical trials are needed. As cause and effect relationships between neuroinflammation and AD are being worked out, the challenge is how to realize the effect of traditional NSAIDs on treating AD.
神经病理学、临床流行病学和动物模型研究为阿尔茨海默病(AD)中神经炎症的激活提供了明确证据,长期使用非甾体抗炎药(NSAIDs)与降低患该病的风险相关。但传统NSAIDs治疗AD的临床试验结果为阴性。基于目前的研究,NSAIDs对阿尔茨海默病的治疗效果仍不明确。需要对其抗炎机制进行深入研究并开展标准化临床试验。随着神经炎症与AD之间的因果关系逐渐明晰,挑战在于如何实现传统NSAIDs对AD的治疗效果。