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阿尔茨海默病的脑血管改变。

Cerebrovascular Alterations in Alzheimer Disease.

机构信息

From the Weill Cornell Medicine, Feil Family Brain and Mind Research Institute, New York (C.I.).

Department of Neurology and Epidemiology, Johns Hopkins University, Baltimore, MD (R.F.G.).

出版信息

Circ Res. 2018 Aug 3;123(4):406-408. doi: 10.1161/CIRCRESAHA.118.313400.

DOI:10.1161/CIRCRESAHA.118.313400
PMID:30355253
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6214471/
Abstract

Alzheimer’s disease, the leading cause of cognitive impairment in the elderly, has traditionally been considered a disease of neurons. Structural and function alterations of cerebral blood vessels also occur, but direct evidence of a causal involvement in the pathobiology of the disease has been lacking. This Viewpoint will review new data that may help shed light into the intriguing association between vascular and neurodegenerative pathology.

摘要

阿尔茨海默病是导致老年人认知障碍的主要原因,传统上被认为是一种神经元疾病。大脑血管的结构和功能也会发生改变,但直接证据表明其在疾病的病理生物学中起因果作用一直缺乏。本观点将回顾新的数据,这些数据可能有助于阐明血管和神经退行性病理之间令人着迷的关联。

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本文引用的文献

1
Concomitant vascular and neurodegenerative pathologies double the risk of dementia.同时存在血管和神经退行性病变会使痴呆的风险增加一倍。
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The Neurovascular Unit Coming of Age: A Journey through Neurovascular Coupling in Health and Disease.神经血管单元的成熟:健康与疾病中神经血管耦合的历程
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Associations Between Midlife Vascular Risk Factors and 25-Year Incident Dementia in the Atherosclerosis Risk in Communities (ARIC) Cohort.社区动脉粥样硬化风险(ARIC)队列研究中中年血管危险因素与25年痴呆症发病的关联
JAMA Neurol. 2017 Oct 1;74(10):1246-1254. doi: 10.1001/jamaneurol.2017.1658.
4
Association Between Vascular Pathology and Rate of Cognitive Decline Independent of Alzheimer's Disease Pathology.血管病理学与认知衰退速率之间的关联,独立于阿尔茨海默病病理学。
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5
Association Between Midlife Vascular Risk Factors and Estimated Brain Amyloid Deposition.中年血管危险因素与估计的脑淀粉样蛋白沉积之间的关联。
JAMA. 2017 Apr 11;317(14):1443-1450. doi: 10.1001/jama.2017.3090.
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Lesion location and cognitive impact of cerebral small vessel disease.脑小血管病的病变位置与认知影响
Clin Sci (Lond). 2017 Apr 25;131(8):715-728. doi: 10.1042/CS20160452.
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Intracranial atherosclerosis and dementia: The Atherosclerosis Risk in Communities (ARIC) Study.颅内动脉粥样硬化与痴呆:社区动脉粥样硬化风险(ARIC)研究
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Alzheimers Dement. 2017 Jun;13(6):613-623. doi: 10.1016/j.jalz.2016.11.003. Epub 2016 Dec 23.
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Early role of vascular dysregulation on late-onset Alzheimer's disease based on multifactorial data-driven analysis.基于多因素数据驱动分析的血管调节异常在迟发性阿尔茨海默病中的早期作用。
Nat Commun. 2016 Jun 21;7:11934. doi: 10.1038/ncomms11934.
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The Cellular Phase of Alzheimer's Disease.阿尔茨海默病的细胞期。
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