Charidimou Andreas
J Alzheimers Dis. 2016;50(1):9-11. doi: 10.3233/JAD-151042.
Cerebral amyloid angiopathy- related inflammation (CAA-ri) is an aggressive disease subtype of CAA with characteristic clinical and radiological findings. CAA-ri is an important diagnosis to reach in clinical practice, as patients typically respond to prompt immunosuppressive treatment. A definitive diagnosis of CAA-ri still requires a brain biopsy, and hence developing non-invasive diagnostic criteria and biomarkers for this syndrome are key priorities in the field. CAA-ri has gained additional interest for its notable similarities to amyloid-related imaging abnormalities, a complication of immunotherapy treatments in Alzheimer's disease patients. In this commentary, the current state of biomarkers research for CAA-ri and recently suggested diagnostic criteria are put into context.
脑淀粉样血管病相关炎症(CAA-ri)是CAA的一种侵袭性疾病亚型,具有特征性的临床和影像学表现。CAA-ri是临床实践中需要做出的重要诊断,因为患者通常对及时的免疫抑制治疗有反应。CAA-ri的确诊仍需要脑活检,因此为该综合征制定非侵入性诊断标准和生物标志物是该领域的关键优先事项。CAA-ri因其与淀粉样蛋白相关成像异常(阿尔茨海默病患者免疫治疗的一种并发症)的显著相似性而受到更多关注。在这篇评论中,将CAA-ri生物标志物研究的现状和最近提出的诊断标准进行了阐述。