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脑淀粉样血管病的动物模型

Animal models of cerebral amyloid angiopathy.

作者信息

Jäkel Lieke, Van Nostrand William E, Nicoll James A R, Werring David J, Verbeek Marcel M

机构信息

Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Departments of Neurology and Laboratory Medicine, Radboud Alzheimer Centre, Nijmegen, The Netherlands.

Department of Neurosurgery, Stony Brook University, Stony Brook, NY, U.S.A.

出版信息

Clin Sci (Lond). 2017 Sep 28;131(19):2469-2488. doi: 10.1042/CS20170033. Print 2017 Oct 15.

Abstract

Cerebral amyloid angiopathy (CAA), due to vascular amyloid β (Aβ) deposition, is a risk factor for intracerebral haemorrhage and dementia. CAA can occur in sporadic or rare hereditary forms, and is almost invariably associated with Alzheimer's disease (AD). Experimental (animal) models are of great interest in studying mechanisms and potential treatments for CAA. Naturally occurring animal models of CAA exist, including cats, dogs and non-human primates, which can be used for longitudinal studies. However, due to ethical considerations and low throughput of these models, other animal models are more favourable for research. In the past two decades, a variety of transgenic mouse models expressing the human Aβ precursor protein (APP) has been developed. Many of these mouse models develop CAA in addition to senile plaques, whereas some of these models were generated specifically to study CAA. In addition, other animal models make use of a second stimulus, such as hypoperfusion or hyperhomocysteinemia (HHcy), to accelerate CAA. In this manuscript, we provide a comprehensive review of existing animal models for CAA, which can aid in understanding the pathophysiology of CAA and explore the response to potential therapies.

摘要

脑淀粉样血管病(CAA)是由于血管淀粉样β蛋白(Aβ)沉积所致,是脑出血和痴呆的一个危险因素。CAA可呈散发性或罕见的遗传性形式,且几乎总是与阿尔茨海默病(AD)相关。实验(动物)模型对于研究CAA的机制和潜在治疗方法具有重要意义。存在自然发生的CAA动物模型,包括猫、狗和非人灵长类动物,可用于纵向研究。然而,由于伦理考量以及这些模型的低通量,其他动物模型更有利于研究。在过去二十年中,已经开发出了多种表达人Aβ前体蛋白(APP)的转基因小鼠模型。这些小鼠模型中的许多除了出现老年斑外还会发生CAA,而其中一些模型是专门为研究CAA而构建的。此外,其他动物模型利用第二种刺激因素,如灌注不足或高同型半胱氨酸血症(HHcy),来加速CAA的发展。在本手稿中,我们对现有的CAA动物模型进行了全面综述,这有助于理解CAA的病理生理学并探索对潜在治疗的反应。

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