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阿尔茨海默病:关键神经元内元素脑血流减少是病因。

Alzheimer's Disease: A Decreased Cerebral Blood Flow to Critical Intraneuronal Elements Is the Cause.

机构信息

Department of Neurosurgery (Retired), University of California, Davis, Sacramento, CA, USA.

出版信息

J Alzheimers Dis. 2022;85(4):1419-1422. doi: 10.3233/JAD-215479.

DOI:10.3233/JAD-215479
PMID:34958043
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8925103/
Abstract

Normally, an adequate cerebral blood flow arrives at individual cerebral neurons in which the blood flow augments activity of intraneuronal mitochondria, which is the source of intraneuronal ATP, the energy source of cerebral neurons. With a decrease in cerebral blood flow that can occur as a function of normal aging phenomena, less blood results in decreased mitochondria, decreased ATP, and a decrease in neuronal activity, which can eventually lead to Alzheimer's disease. It has been found that placement of the omentum directly on an Alzheimer's disease brain can lead to improved cognitive function.

摘要

通常情况下,充足的脑血流会到达单个脑细胞,使脑细胞内的线粒体活动增强,而线粒体是脑细胞内 ATP 的来源,也是脑细胞的能量来源。随着正常衰老现象的发生,脑血流量减少,导致线粒体减少、ATP 减少和神经元活动减少,最终可能导致阿尔茨海默病。现已发现,将大网膜直接置于阿尔茨海默病大脑上,可以改善认知功能。

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本文引用的文献

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N Engl J Med. 2021 May 6;384(18):1762-1763. doi: 10.1056/NEJMe2103722.
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Surg Neurol Int. 2017 Jul 7;8:133. doi: 10.4103/sni.sni_116_17. eCollection 2017.
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Laparoscopic harvesting of omental pedicle flap for cerebral revascularization in children with moyamoya disease.腹腔镜下采集大网膜蒂瓣用于烟雾病患儿的脑血运重建
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Omental Approach to Functional Recovery After Cerebrovascular Disease.脑血管疾病后功能恢复的网膜入路
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J Alzheimers Dis. 2014;42 Suppl 3:S277-80. doi: 10.3233/JAD-132405.
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Omental transposition in treatment of Alzheimer disease.大网膜移位术治疗阿尔茨海默病
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Late-onset dementia: structural brain damage and total cerebral blood flow.迟发性痴呆:脑结构损伤与全脑血流量
Radiology. 2005 Sep;236(3):990-5. doi: 10.1148/radiol.2363041454. Epub 2005 Jul 12.
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Omental transposition to the brain as a surgical method for treating Alzheimer's disease.大网膜移位至脑部作为治疗阿尔茨海默病的一种手术方法。
Neurol Res. 2003 Sep;25(6):625-34. doi: 10.1179/016164103101201922.
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Ann N Y Acad Sci. 2002 Nov;977:454-67. doi: 10.1111/j.1749-6632.2002.tb04851.x.