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神经退行性疾病的生物标志物。

Biomarkers for neurodegenerative diseases.

机构信息

Clinical Memory Research Unit, Department of Clinical Sciences Malmö, Lund University, Lund, Sweden.

Memory Clinic, Skåne University Hospital, Malmö, Sweden.

出版信息

Nat Med. 2021 Jun;27(6):954-963. doi: 10.1038/s41591-021-01382-x. Epub 2021 Jun 3.

Abstract

Biomarkers for neurodegenerative diseases are needed to improve the diagnostic workup in the clinic but also to facilitate the development and monitoring of effective disease-modifying therapies. Positron emission tomography methods detecting amyloid-β and tau pathology in Alzheimer's disease have been increasingly used to improve the design of clinical trials and observational studies. In recent years, easily accessible and cost-effective blood-based biomarkers detecting the same Alzheimer's disease pathologies have been developed, which might revolutionize the diagnostic workup of Alzheimer's disease globally. Relevant biomarkers for α-synuclein pathology in Parkinson's disease are also emerging, as well as blood-based markers of general neurodegeneration and glial activation. This review presents an overview of the latest advances in the field of biomarkers for neurodegenerative diseases. Future directions are discussed regarding implementation of novel biomarkers in clinical practice and trials.

摘要

神经退行性疾病的生物标志物不仅有助于改善临床诊断,还能促进有效的疾病修饰疗法的研发和监测。正电子发射断层扫描(PET)方法可用于检测阿尔茨海默病中的淀粉样蛋白-β和 tau 病理学,该方法已越来越多地用于改进临床试验和观察性研究的设计。近年来,已经开发出了一些易于获取且具有成本效益的血液生物标志物,这些标志物可用于检测相同的阿尔茨海默病病理学,这可能会在全球范围内彻底改变阿尔茨海默病的诊断方法。在帕金森病中与 α-突触核蛋白病理学相关的生物标志物也正在出现,以及用于检测一般神经退行性变和神经胶质激活的血液标志物。本综述介绍了神经退行性疾病生物标志物领域的最新进展。还讨论了将新型生物标志物应用于临床实践和试验的未来方向。

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