Park Kee Hyung, Lim Jae Sung, Seo Sang Won, Jeong Yong, Noh Young, Koh Seong Ho, Bae Jae Sung, Park Sun Ah, Yang Soh Jeong, Kim Hee Jin, Chin Juhee, Roh Jee Hoon, An Seong Soo A
Department of Neurology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
Department of Neurology, Hallym University Sacred Heart Hospital, Hallym Neurological Institute, Hallym University College of Medicine, Anyang, Korea.
Dement Neurocogn Disord. 2020 Jun;19(2):39-53. doi: 10.12779/dnd.2020.19.2.39.
Because of repeated failures of clinical trials, the concept of Alzheimer's disease (AD) has been changing rapidly in recent years. As suggested by the National Institute on Aging and the Alzheimer's Association Research Framework, the diagnosis and classification of AD is now based on biomarkers rather than on symptoms, allowing more accurate identification of proper candidates for clinical trials by pathogenesis and disease stage. Recent development in neuroimaging has provided a way to reveal the complex dynamics of amyloid and tau in the brain , and studies of blood biomarkers are taking another leap forward in diagnosis and treatment of AD. In the field of basic and translational research, the development of animal models and a deeper understanding of the role of neuroinflammation are taking a step closer to clarifying the pathogenesis of AD. Development of big data and the Internet of Things is also incorporating dementia care and research into other aspects. Large-scale genetic research has identified genetic abnormalities that can provide a foundation for precision medicine along with the aforementioned digital technologies. Through the first international conference of the Korean Dementia Association, experts from all over the world gathered to exchange opinions with association members on these topics. The Academic Committee of the Korean Dementia Association briefly summarizes the contents of the lectures to convey the depth of the conference and discussions. This will be an important milestone in understanding the latest trends in AD's pathogenesis, diagnostic and therapeutic research and in establishing a future direction.
由于临床试验屡屡失败,近年来阿尔茨海默病(AD)的概念一直在迅速变化。正如美国国立衰老研究所和阿尔茨海默病协会研究框架所建议的,AD的诊断和分类现在基于生物标志物而非症状,从而能够根据发病机制和疾病阶段更准确地识别临床试验的合适候选者。神经影像学的最新进展提供了一种揭示大脑中淀粉样蛋白和tau蛋白复杂动态变化的方法,血液生物标志物的研究在AD的诊断和治疗方面也取得了又一次飞跃。在基础研究和转化研究领域,动物模型的开发以及对神经炎症作用的更深入理解正朝着阐明AD的发病机制迈进了一步。大数据和物联网的发展也将痴呆症护理和研究纳入了其他方面。大规模基因研究已经确定了基因异常,这些异常连同上述数字技术可为精准医学提供基础。通过韩国痴呆症协会的首届国际会议,来自世界各地的专家齐聚一堂,就这些主题与协会成员交流意见。韩国痴呆症协会学术委员会简要总结了讲座内容,以传达会议和讨论的深度。这将是理解AD发病机制、诊断和治疗研究的最新趋势以及确立未来方向的一个重要里程碑。