Rafii Michael S, Aisen Paul S
BMC Med. 2015 Mar 25;13:62. doi: 10.1186/s12916-015-0297-4.
Alzheimer's disease (AD) is the foremost cause of dementia worldwide. Clinically, AD manifests as progressive memory impairment followed by a gradual decline in other cognitive abilities leading to complete functional dependency. Recent biomarker studies indicate that AD is characterized by a long asymptomatic phase, with the development of pathology occurring at least a decade prior to the onset of any symptoms. Current FDA-approved treatments target neurotransmitter abnormalities associated with the disease but do not affect what is believed to be the underlying etiology. In this review, we briefly discuss the most recent therapeutic strategies being employed in AD clinical trials, as well the scientific rationale with which they have been developed.
阿尔茨海默病(AD)是全球痴呆症的首要病因。临床上,AD表现为进行性记忆障碍,随后其他认知能力逐渐下降,最终导致完全功能依赖。最近的生物标志物研究表明,AD的特征是存在一个漫长的无症状期,病理变化至少在任何症状出现前十年就已发生。目前美国食品药品监督管理局(FDA)批准的治疗方法针对与该疾病相关的神经递质异常,但并未影响被认为是潜在病因的因素。在本综述中,我们简要讨论了AD临床试验中采用的最新治疗策略及其制定的科学依据。