Department of Neurology, XuanWu Hospital of Capital Medical University, Beijing, P. R. China, Department of Neurology, the First Hospital of Tsinghua University, Beijing, P. R. China.
School of Medical Sciences, Faculty of Medicine, UNSW Australia, New South Wales, Australia.
Front Biosci (Landmark Ed). 2018 Jan 1;23(7):1272-1291. doi: 10.2741/4643.
Pathophysiological changes of Alzheimer's Disease (AD) begin decades before clinical symptoms become apparent, providing an important window for early diagnosis and intervention. Prodromal stage of AD, a great opportunity for effective treatment and postponing the disease onset, has drawn extensive attention. The application of different biomarkers including neuroimaging, biochemical substances and genes makes AD-related pathology detectable and exploring novel biomarkers with relatively non-invasive and low cost has intrigued a wide range of interests. To identify individuals with high risk of conversion to AD and apply the research concept of prodromal AD into clinical practice, the utility of various biomarkers for distinguishing prodromal AD is evaluated in this review. Additionally, clinical management focusing on the stage of prodromal AD is summarized in this review for dementia prevention.
阿尔茨海默病(AD)的病理生理变化在临床症状出现前数十年就已经开始,这为早期诊断和干预提供了重要窗口。AD 的前驱期是进行有效治疗和推迟发病的绝佳机会,因此受到了广泛关注。应用神经影像学、生化物质和基因等不同的生物标志物使 AD 相关的病理变化能够被检测到,探索具有相对非侵入性和低成本的新型生物标志物引起了广泛关注。为了识别有较高 AD 转化风险的个体,并将前驱期 AD 的研究理念应用于临床实践,本综述评估了各种生物标志物在区分前驱期 AD 中的作用。此外,本综述还总结了针对前驱期 AD 阶段的临床管理,以预防痴呆。