Ermilov Victor V, Nesterova Alla A
Department of Forensic Medicine and Pathology, Volgograd State Medical University, 8 Dvinskaya, app 85, 400087, Volgograd, Russia.
Department of Histology, Embryology, Cytology, Volgograd State Medical University, 49 Universitetskiy pr, app 149, 400011, Volgograd, Russia.
Adv Exp Med Biol. 2016;854:119-25. doi: 10.1007/978-3-319-17121-0_17.
Involvement of new biotechnology and genetic engineering methods to the study of the aging organism allowed to select a group of neurodegenerative diseases (NDD) which have a similar mechanism of pathogenesis including pathological processes of protein aggregation and its deposition in the structures of nerve tissue. The development of eye and brain from one embryonic germ layer, community of ethiopathogenetic and morphological manifestations of age-related macular degeneration (AMD) and Alzheimer's disease (AD), a common pathway of β-amyloid precursor protein (APP) are associated with the pathological aggregation of fibrillar β-amyloid (Aβ) protein and the development of β-amyloidopathy in structural elements of the eye and the brain. The review demonstrates the keynote of AMD and AD pathogenesis is β-amyloidopathy that is a manifestation of proteinopathy leading to cytotoxicity, neurodegeneration and the development of pathological apoptosis activated by the formation of intracellular Aβ. This view on the problem predetermines the development of new strategies for the creating of ophthalmogeriatric and neuroprotective drugs affecting the pathogenesis and including all stages of Aβ formation and pathological aggregation.
新生物技术和基因工程方法应用于衰老机体的研究,使得能够选出一组神经退行性疾病(NDD),它们具有相似的发病机制,包括蛋白质聚集及其在神经组织结构中的沉积等病理过程。眼睛和大脑由同一个胚胎胚层发育而来,年龄相关性黄斑变性(AMD)和阿尔茨海默病(AD)在病因发病机制和形态学表现上具有共同性,β-淀粉样前体蛋白(APP)的共同途径与纤维状β-淀粉样蛋白(Aβ)的病理聚集以及眼和脑结构元件中β-淀粉样病变的发展相关。该综述表明,AMD和AD发病机制的关键是β-淀粉样病变,这是一种蛋白病变的表现,导致细胞毒性、神经退行性变以及由细胞内Aβ形成激活的病理性凋亡的发展。对该问题的这种看法决定了开发新策略以创建影响发病机制并涵盖Aβ形成和病理聚集所有阶段的眼科老年病学和神经保护药物。