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阿尔茨海默病的亚型:问题、争议和意义。

Subtypes of Alzheimer's disease: questions, controversy, and meaning.

机构信息

Penn/CHOP Lifespan Brain Institute, University of Pennsylvania, Philadelphia, PA 19104, USA; Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, USA.

Clinical Memory Research Unit, Department of Clinical Sciences Malmö, Lund University, Sweden; Memory Clinic, Skåne University Hospital, Malmö, Sweden.

出版信息

Trends Neurosci. 2022 May;45(5):342-345. doi: 10.1016/j.tins.2022.02.001. Epub 2022 Feb 25.

DOI:10.1016/j.tins.2022.02.001
PMID:35227519
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11108088/
Abstract

The distribution of Alzheimer's disease (AD) tau pathology varies systematically and causes a diverse array of syndromes. This forum article provides a brief overview of key controversies in untangling the complexity of AD subtypes, explores potential causes of AD variability in the population, and discusses clinical relevance and future directions of research into AD heterogeneity.

摘要

阿尔茨海默病(AD)tau 病理学的分布具有系统性,会导致多种综合征。本文简要概述了在梳理 AD 亚型的复杂性方面存在的主要争议,探讨了 AD 变异性在人群中潜在的原因,并讨论了 AD 异质性研究的临床相关性和未来方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c2c/11108088/4029c4bb60a5/nihms-1993911-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c2c/11108088/4029c4bb60a5/nihms-1993911-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c2c/11108088/4029c4bb60a5/nihms-1993911-f0001.jpg

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本文引用的文献

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Genetically identical twins show comparable tau PET load and spatial distribution.同卵双胞胎显示出可比的 tau PET 负荷和空间分布。
Brain. 2022 Oct 21;145(10):3571-3581. doi: 10.1093/brain/awac004.
2
Four distinct trajectories of tau deposition identified in Alzheimer's disease.阿尔茨海默病中tau 沉积的四种不同轨迹。
Nat Med. 2021 May;27(5):871-881. doi: 10.1038/s41591-021-01309-6. Epub 2021 Apr 29.
3
Differential patterns of gray matter volumes and associated gene expression profiles in cognitively-defined Alzheimer's disease subgroups.
阿尔茨海默病谱系中不同tau蛋白和萎缩簇的多模态纵向特征分析。
Sci Rep. 2025 May 25;15(1):18142. doi: 10.1038/s41598-025-98338-9.
4
Insulin signaling disruption exacerbates memory impairment and seizure susceptibility in an epilepsy model with Alzheimer's disease-like pathology.在具有阿尔茨海默病样病理的癫痫模型中,胰岛素信号传导中断会加剧记忆障碍和癫痫易感性。
J Neural Transm (Vienna). 2025 Feb 22. doi: 10.1007/s00702-025-02896-1.
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Machine learning prediction of tau-PET in Alzheimer's disease using plasma, MRI, and clinical data.利用血浆、磁共振成像和临床数据对阿尔茨海默病中的tau正电子发射断层扫描进行机器学习预测。
Alzheimers Dement. 2025 Feb;21(2):e14600. doi: 10.1002/alz.14600.
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Scrutinizing neurodegenerative diseases: decoding the complex genetic architectures through a multi-omics lens.审视神经退行性疾病:通过多组学视角解码复杂的遗传结构
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