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药物重定位在阿尔茨海默病治疗中的应用及未来展望的研究进展。

Insights into the Drug Repositioning Applied to the Alzheimer's Disease Treatment and Future Perspectives.

机构信息

Department of Chemistry, Federal University of Lavras, Lavras/MG, 37200-000, Brazil.

Department of Health Sciences, Federal University of Espírito Santo, São Mateus/ES, 29932-540, Brazil.

出版信息

Curr Alzheimer Res. 2018;15(12):1161-1178. doi: 10.2174/1567205015666180813150703.

Abstract

Alzheimer's disease is known to be a chronic disease, with an estimated prevalence of about 10-30%, considering the population over 60 years of age. Most patients with this disorder (> 95%) present the sporadic form, being characterized by a late onset (80-90 years of age), and it is the consequence of the failure to clear the amyloid-β (Aβ) peptide from the interstices of the brain. Significant numbers of genetic risk factors for the sporadic disease have been researched. Some existing drugs for Alzheimer's disease provide symptomatic benefit for up to 12 months, but there are no approved disease- modifying therapies. In this line, a complementary strategy based on repositioning drugs which are approved for the treatment of other disorders could be interesting. It is noteworthy the fact that some clinical trials indicate that several classes of drugs own potent and beneficial effects on the Alzheimer's disease treatment. In this present work, we present the details and evaluation of these alternative treatments. It has highlighted several compounds with relevant evidence for this purpose, which deserves further investigation to clarify optimal treatment conditions in the clinical trials of patients with Alzheimer's disease.

摘要

阿尔茨海默病是一种慢性疾病,考虑到 60 岁以上的人群,其患病率估计约为 10-30%。大多数患有这种疾病的患者(>95%)表现为散发性形式,发病较晚(80-90 岁),是由于大脑间隙中淀粉样β(Aβ)肽清除失败所致。已经研究了大量与散发性疾病相关的遗传风险因素。一些现有的阿尔茨海默病药物可提供长达 12 个月的症状缓解,但尚无批准的疾病修正疗法。在这方面,基于重新定位已批准用于治疗其他疾病的药物的补充策略可能很有趣。值得注意的是,一些临床试验表明,几类药物对阿尔茨海默病的治疗具有强大而有益的作用。在本研究中,我们介绍了这些替代治疗方法的细节和评估。它强调了一些具有相关证据的化合物,值得进一步研究以澄清临床试验中阿尔茨海默病患者的最佳治疗条件。

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