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阿尔茨海默病中的成人神经发生。

Adult neurogenesis in Alzheimer's disease.

机构信息

Genetics and Aging Research Unit, MassGeneral Institute for Neurodegenerative Disease, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Charlestown, Massachusetts, USA.

McCance Center for Brain Health, Massachusetts General Hospital, Boston, Massachusetts, USA.

出版信息

Hippocampus. 2023 Apr;33(4):307-321. doi: 10.1002/hipo.23504. Epub 2023 Feb 7.

Abstract

Alzheimer's disease (AD) is the most common form of age-related dementia, characterized by progressive memory loss and cognitive disturbances. The hippocampus, where adult hippocampal neurogenesis (AHN), a relatively novel form of brain plasticity that refers to the birth of new neurons, occurs, is one of the first brain regions to be affected in AD patients. Recent studies showed that AHN persists throughout life in humans, but it drops sharply in AD patients. Next questions to consider would be whether AHN impairment is a contributing factor to learning and memory impairment in AD and whether restoring AHN could ameliorate or delay cognitive dysfunction. Here, we outline and discuss the current knowledge about the state of AHN in AD patients, AHN impairment as a potentially relevant mechanism underlying memory deficits in AD, therapeutic potential of activating AHN in AD, and the mechanisms of AHN impairment in AD.

摘要

阿尔茨海默病(AD)是最常见的与年龄相关的痴呆症形式,其特征是进行性记忆丧失和认知障碍。海马体是成年海马神经发生(AHN)发生的地方,AHN 是一种相对较新的脑可塑性形式,指的是新神经元的产生,它是 AD 患者最早受影响的大脑区域之一。最近的研究表明,AHN 在人类一生中持续存在,但在 AD 患者中急剧下降。接下来要考虑的问题是,AHN 损伤是否是 AD 患者学习和记忆障碍的一个促成因素,以及恢复 AHN 是否可以改善或延缓认知功能障碍。在这里,我们概述和讨论了目前关于 AD 患者 AHN 状态、AHN 损伤作为 AD 中记忆缺陷的潜在相关机制、AD 中激活 AHN 的治疗潜力以及 AD 中 AHN 损伤的机制的知识。

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