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阿尔茨海默病中的小胶质细胞生物标志物。

Microglia Biomarkers in Alzheimer's Disease.

机构信息

Department of Neurology, Qingdao Municipal Hospital, Qingdao University, No.5 Donghai Middle Road, Qingdao, China.

Department of Neurology and Institute of Neurology, Huashan Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Shanghai Medical College, Fudan University, Shanghai, China.

出版信息

Mol Neurobiol. 2021 Jul;58(7):3388-3404. doi: 10.1007/s12035-021-02348-3. Epub 2021 Mar 12.

Abstract

Early detection and clinical diagnosis of Alzheimer's disease (AD) have become an extremely important link in the prevention and treatment of AD. Because of the occult onset, the diagnosis and treatment of AD based on clinical symptoms are increasingly challenged by current severe situations. Therefore, molecular diagnosis models based on early AD pathological markers have received more attention. Among the possible pathological mechanisms, microglia which are necessary for normal brain function are highly expected and have been continuously studied in various models. Several AD biomarkers already exist, but currently there is a paucity of specific and sensitive microglia biomarkers which can accurately measure preclinical AD. Bringing microglia biomarkers into the molecular diagnostic system which is based on fluid and neuroimaging will play an important role in future scientific research and clinical practice. Furthermore, developing novel, more specific, and sensitive microglia biomarkers will make it possible to pharmaceutically target chemical pathways that preserve beneficial microglial functions in response to AD pathology. This review discusses microglia biomarkers in the context of AD.

摘要

早期发现和临床诊断阿尔茨海默病(AD)已成为 AD 防治中极其重要的环节。由于隐匿性发病,基于临床症状的 AD 诊断和治疗正日益受到当前严峻形势的挑战。因此,基于早期 AD 病理标志物的分子诊断模型受到了更多关注。在可能的病理机制中,对正常大脑功能至关重要的小胶质细胞备受期待,并在各种模型中不断得到研究。目前已经存在一些 AD 生物标志物,但缺乏特异性和敏感性高的小胶质细胞生物标志物,无法准确测量临床前 AD。将小胶质细胞生物标志物纳入基于体液和神经影像学的分子诊断系统,将在未来的科学研究和临床实践中发挥重要作用。此外,开发新型、更特异、更敏感的小胶质细胞生物标志物,将有可能针对 AD 病理,靶向药物作用于保留有益小胶质细胞功能的化学途径。本文综述了 AD 中小胶质细胞生物标志物的相关研究。

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