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解读昼夜节律紊乱与阿尔茨海默病的相互作用机制

Deciphering the Interacting Mechanisms of Circadian Disruption and Alzheimer's Disease.

作者信息

Uddin Md Sahab, Sumsuzzman Dewan Md, Jeandet Philippe, Behl Tapan, Rauf Abdur, Amran Md Shah, Ashraf Ghulam Md

机构信息

Department of Pharmacy, Southeast University, Dhaka, Bangladesh.

Pharmakon Neuroscience Research Network, Dhaka, Bangladesh.

出版信息

Neurochem Res. 2021 Jul;46(7):1603-1617. doi: 10.1007/s11064-021-03325-x. Epub 2021 Apr 19.

Abstract

Alzheimer's disease (AD) is one of the crucial causative factors for progressive dementia. Neuropathologically, AD is characterized by the extracellular accumulation of amyloid beta plaques and intracellular neurofibrillary tangles in cortical and limbic regions of the human brain. The circadian system is one of the many affected physiological processes in AD, the dysfunction of which may reflect in the irregularity of the sleep/wake cycle. The interplay of circadian and sleep disturbances inducing AD progression is bidirectional. Sleep-associated pathological alterations are frequently evident in AD. Understanding the interrelation between circadian disruption and AD may allow for earlier identification of AD pathogenesis as well as better suited approaches and potential therapies to combat dementia. In this article, we examine the existing literature related to the molecular mechanisms of the circadian clock and interacting mechanisms of circadian disruption and AD pathogenesis.

摘要

阿尔茨海默病(AD)是进行性痴呆的关键致病因素之一。在神经病理学上,AD的特征是淀粉样β斑块在细胞外堆积,以及神经原纤维缠结在人类大脑皮质和边缘区域的细胞内形成。昼夜节律系统是AD中众多受影响的生理过程之一,其功能障碍可能表现为睡眠/觉醒周期的紊乱。昼夜节律紊乱和睡眠障碍与AD进展之间的相互作用是双向的。与睡眠相关的病理改变在AD中常常很明显。了解昼夜节律紊乱与AD之间的相互关系,可能有助于更早地识别AD的发病机制,以及找到更合适的方法和潜在疗法来对抗痴呆症。在本文中,我们研究了与生物钟分子机制以及昼夜节律紊乱与AD发病机制相互作用机制相关的现有文献。

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