[神经退行性疾病发病机制的现代概念与治疗策略]
[Modern conception of the pathogenesis of neurodegenerative diseases and therapeutic strategy].
作者信息
Litvinenko I V, Krasakov I V, Bisaga G N, Skulyabin D I, Poltavsky I D
机构信息
Kirov Military Medical Academy, St. Petersburg, Russia.
出版信息
Zh Nevrol Psikhiatr Im S S Korsakova. 2017;117(6. Vyp. 2):3-10. doi: 10.17116/jnevro2017117623-10.
Here we discuss the pathogenesis of the inflammatory and degenerative nervous system disorders on the example of Parkinson's disease, Alzheimer's disease, multiple sclerosis. Common mechanisms of neurodegeneration in these diseases are reviewed. The role of neurodegeneration as the main process leading to the resistant disability of patients with multiple sclerosis is discussed. The authors consider a contribution of inflammatory process and chronic infection to the manifestation and progressing of a neurodegenerative disease and discuss the use of treatment not usually indicated including interferon, anti-inflammatory drugs, statin, vitamin D, monoclonal antibodies, correction of the intestinal microbiota in Parkinson's disease and Alzheimer's disease.
在此,我们以帕金森病、阿尔茨海默病、多发性硬化症为例,探讨炎症性和退行性神经系统疾病的发病机制。综述了这些疾病中神经退行性变的共同机制。讨论了神经退行性变作为导致多发性硬化症患者顽固性残疾的主要过程所起的作用。作者们考虑了炎症过程和慢性感染在神经退行性疾病的表现和进展中的作用,并讨论了使用通常未被提及的治疗方法,包括干扰素、抗炎药、他汀类药物、维生素D、单克隆抗体,以及在帕金森病和阿尔茨海默病中对肠道微生物群的校正。