Applied Translational Genetics Group, School of Biological Sciences, University of Auckland, 3a Symonds Street, Auckland 1010, New Zealand.
Centre for Brain Research, Faculty of Medical and Health Sciences, University of Auckland, Auckland 1010, New Zealand.
Int J Mol Sci. 2021 Dec 6;22(23):13168. doi: 10.3390/ijms222313168.
Alzheimer's disease (AD) is one of the looming health crises of the near future. Increasing lifespans and better medical treatment for other conditions mean that the prevalence of this disease is expected to triple by 2050. The impact of AD includes both the large toll on individuals and their families as well as a large financial cost to society. So far, we have no way to prevent, slow, or cure the disease. Current medications can only alleviate some of the symptoms temporarily. Many animal models of AD have been created, with the first transgenic mouse model in 1995. Mouse models have been beset by challenges, and no mouse model fully captures the symptomatology of AD without multiple genetic mutations and/or transgenes, some of which have never been implicated in human AD. Over 25 years later, many mouse models have been given an AD-like disease and then 'cured' in the lab, only for the treatments to fail in clinical trials. This review argues that small animal models are insufficient for modelling complex disorders such as AD. In order to find effective treatments for AD, we need to create large animal models with brains and lifespan that are closer to humans, and underlying genetics that already predispose them to AD-like phenotypes.
阿尔茨海默病(AD)是未来不久即将面临的健康危机之一。预期寿命的延长和对其他疾病的更好治疗意味着到 2050 年,这种疾病的患病率将增加两倍。AD 的影响包括对个人及其家庭的巨大损失,以及对社会的巨大经济成本。到目前为止,我们还没有办法预防、减缓或治愈这种疾病。目前的药物只能暂时缓解一些症状。已经创建了许多 AD 的动物模型,第一个转基因小鼠模型于 1995 年出现。小鼠模型一直面临挑战,没有一个小鼠模型可以完全捕捉到 AD 的症状,而没有多种基因突变和/或转基因,其中一些从未被认为与人类 AD 有关。25 年多以后,许多小鼠模型被赋予了类似 AD 的疾病,然后在实验室中“治愈”,但这些治疗方法在临床试验中失败了。这篇综述认为,小动物模型不足以模拟 AD 等复杂疾病。为了找到 AD 的有效治疗方法,我们需要创建具有与人类更接近的大脑和寿命的大型动物模型,以及已经使它们容易出现 AD 样表型的潜在遗传学。