Department of Pathophysiology, School of Basic Medicine and Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China; Wuhan Center for Brain Science, Huazhong University of Science and Technology, Wuhan, 430030, China; Department of Physiology, School of Basic Medicine, Huazhong University of Science and Technology, Wuhan, 430030, China.
Department of Pediatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Ageing Res Rev. 2021 Jul;68:101321. doi: 10.1016/j.arr.2021.101321. Epub 2021 Mar 13.
Alzheimer's disease (AD), manifested by memory loss and a decline in cognitive functions, is the most prevalent neurodegenerative disease accounting for 60-80 % of dementia cases. But, to-date, there is no effective treatment available to slow or stop the progression of AD. Exosomes are small extracellular vesicles that carry constituents, such as functional messenger RNAs, non-coding RNAs, proteins, lipids, DNA, and other bioactive substances of their source cells. In the brain, exosomes are likely to be sourced by almost all cell types and involve in cell communication to regulate cellular functions. The yet, accumulated evidence on the roles of exosomes and their constituents in the AD pathological process suggests their significance as additional biomarkers and therapeutic targets for AD. This review summarizes the current reported research findings on exosomes roles in the pathogenesis, diagnosis, and treatment of AD.
阿尔茨海默病(AD)以记忆丧失和认知功能下降为特征,是最常见的神经退行性疾病,占痴呆病例的 60-80%。但是,迄今为止,尚无有效的治疗方法可以减缓或阻止 AD 的进展。外泌体是一种小型细胞外囊泡,携带其来源细胞的成分,如功能性信使 RNA、非编码 RNA、蛋白质、脂质、DNA 和其他生物活性物质。在大脑中,外泌体可能来自几乎所有的细胞类型,并参与细胞通讯以调节细胞功能。然而,关于外泌体及其成分在 AD 病理过程中的作用的累积证据表明,它们作为 AD 的附加生物标志物和治疗靶点具有重要意义。本综述总结了目前关于外泌体在 AD 发病机制、诊断和治疗中的作用的研究结果。