Liaoning Provincial Center for Clinical Research on Neurological Diseases, the First Affiliated Hospital, Dalian Medical University, Dalian 116021, China; Liaoning Provincial Key Laboratory for Research on the Pathogenic Mechanisms of Neurological Diseases, the First Affiliated Hospital, Dalian Medical University, Dalian 116021, China;.
Department of Medicinal Chemistry, School of Chemistry and Chemical Engineering, Liaoning Normal University, Dalian 116029, China.
Prog Neuropsychopharmacol Biol Psychiatry. 2021 Mar 8;105:110124. doi: 10.1016/j.pnpbp.2020.110124. Epub 2020 Oct 6.
Alzheimer's disease (AD) is the most common neurodegenerative disease in elderly population and the leading cause of dementia worldwide. While senile plaques and neurofibrillary tangles have been proposed as the principal histopathologic hallmarks of AD, the exact etiology of this disease is still far from being clearly understood. AD has been recognized as pathological consequences of complex interactions among genetic, aging, medical, life style and psychosocial factors. Recently, the roles of neuroticism personality traits in AD incidence and progression have come into focus. More specifically, increasing evidence has further shown that the trait anxiety, one major component of neuroticism predicting the individual vulnerability in response to stress, is a risk factor for AD and may correlated with various AD pathologies. In this review, we summarized recent literature on the association of trait anxiety with AD. We also discussed the possible neuroendocrinological and neurochemical mechanisms of this association, which may provide clinical implications for AD diagnosis and therapy.
阿尔茨海默病(AD)是老年人群中最常见的神经退行性疾病,也是全球痴呆症的主要病因。虽然老年斑和神经纤维缠结已被提出作为 AD 的主要组织病理学特征,但该病的确切病因仍远未被清楚地了解。AD 被认为是遗传、衰老、医学、生活方式和社会心理因素之间复杂相互作用的病理后果。最近,神经质人格特质在 AD 发病和进展中的作用引起了关注。更具体地说,越来越多的证据进一步表明,特质焦虑是神经质的一个主要组成部分,它预测个体对压力的易感性,是 AD 的一个危险因素,并且可能与各种 AD 病理相关。在这篇综述中,我们总结了特质焦虑与 AD 相关的最新文献。我们还讨论了这种关联的可能神经内分泌和神经化学机制,这可能为 AD 的诊断和治疗提供临床意义。