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用于阿尔茨海默病和帕金森病诊断的正电子发射断层扫描放射性药物:当前和未来的前景。

PET Radiopharmaceuticals for Alzheimer's Disease and Parkinson's Disease Diagnosis, the Current and Future Landscape.

机构信息

Nuclear Medicine Department, and Neuroimaging Center, Technical University of Munich, 81675 Munich, Germany.

Department of Nuclear Medicine, Philipps-University of Marburg, 35043 Marburg, Germany.

出版信息

Molecules. 2020 Feb 21;25(4):977. doi: 10.3390/molecules25040977.

Abstract

Ironically, population aging which is considered a public health success has been accompanied by a myriad of new health challenges, which include neurodegenerative disorders (NDDs), the incidence of which increases proportionally to age. Among them, Alzheimer's disease (AD) and Parkinson's disease (PD) are the most common, with the misfolding and the aggregation of proteins being common and causal in the pathogenesis of both diseases. AD is characterized by the presence of hyperphosphorylated τ protein (tau), which is the main component of neurofibrillary tangles (NFTs), and senile plaques the main component of which is β-amyloid peptide aggregates (Aβ). The neuropathological hallmark of PD is α-synuclein aggregates (α-syn), which are present as insoluble fibrils, the primary structural component of Lewy body (LB) and neurites (LN). An increasing number of non-invasive PET examinations have been used for AD, to monitor the pathological progress (hallmarks) of disease. Notwithstanding, still the need for the development of novel detection tools for other proteinopathies still remains. This review, although not exhaustively, looks at the timeline of the development of existing tracers used in the imaging of Aβ and important moments that led to the development of these tracers.

摘要

具有讽刺意味的是,人口老龄化被认为是公共卫生的成功,但它也伴随着许多新的健康挑战,包括神经退行性疾病(NDDs),其发病率与年龄成正比。其中,阿尔茨海默病(AD)和帕金森病(PD)最为常见,蛋白质错误折叠和聚集是这两种疾病发病机制中的共同和因果因素。AD 的特征是存在过度磷酸化的τ蛋白(tau),它是神经原纤维缠结(NFTs)的主要成分,而老年斑的主要成分是β-淀粉样肽聚集物(Aβ)。PD 的神经病理学特征是α-突触核蛋白聚集物(α-syn),它以不溶性纤维的形式存在,是路易体(LB)和神经元(LN)的主要结构成分。越来越多的非侵入性 PET 检查被用于 AD,以监测疾病的病理进展(标志物)。尽管如此,仍然需要开发新的检测工具来检测其他蛋白质病。本文综述了现有的用于成像 Aβ 的示踪剂的发展时间表,以及导致这些示踪剂发展的重要时刻,尽管并不详尽。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57be/7070523/17f89b05b7cc/molecules-25-00977-g001.jpg

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