Gao Lin-Ben, Yu Xiao-Fei, Chen Qin, Zhou Dong
Respiratory Department of Internal Medicine, No. 73 People's Hospital of Haiyang City, Shandong, China -
Minerva Med. 2016 Apr;107(2):108-13. Epub 2016 Mar 2.
Pathologically, Alzheimer's Disease is characterized by amyloidal protein plaques that lead to dementia in the elderly population. While advances have been made in therapeutics over the course of the last 20 years, the drugs generally target the symptoms rather than the underlying pathology. Unfortunately, despite the advances, the mechanisms behind Alzheimer's Disease have still not been clearly identified. Some of these current treatments include acetylcholinesterase inhibitors and N-methyl-D-aspartate receptor agonists. Recently, the pathophysiology behind this disease is becoming more clearly understood and this has led to some novel therapeutic targets that may be able to break the barrier and target the underlying disease. In this review, we will discuss Alzheimer's Disease pathology and the pharmacological therapy that has been in use for a long time as well as novel therapies.
在病理学上,阿尔茨海默病的特征是淀粉样蛋白斑块,这会导致老年人群出现痴呆症。尽管在过去20年的治疗方面取得了进展,但药物通常针对症状而非潜在的病理状况。不幸的是,尽管有这些进展,阿尔茨海默病背后的机制仍未明确。目前的一些治疗方法包括乙酰胆碱酯酶抑制剂和N-甲基-D-天冬氨酸受体激动剂。最近,这种疾病背后的病理生理学正变得越来越清晰,这导致了一些可能能够突破障碍并针对潜在疾病的新治疗靶点。在这篇综述中,我们将讨论阿尔茨海默病的病理学、长期使用的药物治疗以及新疗法。