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治疗阿尔茨海默病的靶点:淀粉样蛋白与非淀粉样蛋白。今天的共识在哪里?一项 CTAD 工作组的报告。

Therapeutic Targets for Alzheimer's Disease: Amyloid Vs. Non-Amyloid. Where Does Consensus Lie Today? An CTAD Task Force Report.

机构信息

Serge Gauthier, McGill Center for Studies in Aging, Montreal, Canada,

出版信息

J Prev Alzheimers Dis. 2022;9(2):231-235. doi: 10.14283/jpad.2022.29.

Abstract

There was consensus that both amyloid and tau pathologies should be targeted in Alzheimer's disease, as well as additional pathophysiological mechanisms such as neuroinflammation. The selection of one or both of these targets may depend upon a personalized approach that takes into account the genetic and acquired factors that cause AD in any given person as well as their stage of disease as reflected in a biomarker profile. The validation of this therapeutic approach will be made possible by new methodologies for subdividing into predominant pathology, by efficient methods for identifying people in the earliest stages of disease, and by combination studies.

摘要

与会者一致认为,阿尔茨海默病的治疗靶点既应该针对淀粉样蛋白和 tau 病理,也应该针对神经炎症等其他病理生理机制。选择一个或两个靶点的依据可能是一种个体化方法,该方法考虑到导致特定个体发生 AD 的遗传和获得性因素,以及反映在生物标志物图谱中的疾病阶段。通过用于主要病理学分类的新方法学、用于识别疾病早期阶段人群的有效方法以及联合研究,将有可能验证这种治疗方法。

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