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当前阿尔茨海默病神经退行性机制的概念。

Current Concepts of Neurodegenerative Mechanisms in Alzheimer's Disease.

机构信息

Department of Pathology, Faculty of Medicine, International Medical University, 57000 Kuala Lumpur, Malaysia.

Department of Applied Sciences, Nilai University, 71800 Negeri Sembilan, Malaysia.

出版信息

Biomed Res Int. 2018 Mar 8;2018:3740461. doi: 10.1155/2018/3740461. eCollection 2018.

Abstract

Neurodegenerative diseases are hereditary or sporadic conditions that result in the progressive loss of the structure and function of neurons as well as neuronal death. Although a range of diseases lie under this umbrella term, Alzheimer's disease (AD) and Parkinson's disease (PD) are the most common neurodegenerative diseases that affect a large population around the globe. Alzheimer's disease is characterized by the abnormal accumulation of extracellular amyloid- plaques and intraneuronal neurofibrillary tangles in brain regions and manifests as a type of dementia in aged individuals that results in memory loss, multiple cognitive abnormalities, and intellectual disabilities that interfere with quality of life. Since the discovery of AD, a wealth of new information has emerged that delineates the causes, mechanisms of disease, and potential therapeutic agents, but an effective remedy to cure the diseases has not been identified yet. This could be because of the complexity of the disease process, as it involves various contributing factors that include environmental factors and genetic predispositions. This review summarizes the current understanding on neurodegenerative mechanisms that lead to the emergence of the pathology of AD.

摘要

神经退行性疾病是遗传性或散发性疾病,导致神经元的结构和功能逐渐丧失以及神经元死亡。虽然有一系列疾病属于这一范畴,但阿尔茨海默病 (AD) 和帕金森病 (PD) 是最常见的神经退行性疾病,影响着全球大量人群。阿尔茨海默病的特征是脑区细胞外淀粉样斑块和细胞内神经原纤维缠结的异常积累,并以老年个体的痴呆症为表现,导致记忆力丧失、多种认知异常和智力障碍,从而影响生活质量。自 AD 被发现以来,大量新信息的出现描绘了病因、疾病机制和潜在的治疗药物,但尚未确定有效的治疗方法。这可能是由于疾病过程的复杂性,因为它涉及到各种包括环境因素和遗传易感性在内的致病因素。本综述总结了导致 AD 病理学出现的神经退行性机制的现有认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef33/5863339/1294659c182a/BMRI2018-3740461.001.jpg

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