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阿尔茨海默病:给临床医生的简短综述

Alzheimer's disease: a mini-review for the clinician.

作者信息

Madnani Rishi S

机构信息

Bates College, Lewiston, ME, United States.

出版信息

Front Neurol. 2023 Jun 22;14:1178588. doi: 10.3389/fneur.2023.1178588. eCollection 2023.

Abstract

Alzheimer's disease (AD), the most common form of dementia, is a striking example of the connection between neurophysiological abnormalities and higher-order cognitive deficiencies. Since its initial description in 1906, research into the pathophysiology and etiology of AD has led to the illumination of an incredibly complex set of genetic and molecular mechanisms for the disease's progression, characterized by much more than the neuropathological hallmarks of beta-amyloid (Aβ) plaques and neurofibrillary tangles (NFTs). In this review, findings relating the neurodegeneration present in AD to its clinical presentation and treatment are summarized, with an emphasis on the interconnectedness of disease pathophysiology. Further, diagnostic guidelines are provided based on the National Institute on Aging-Alzheimer's Association (NIA-AA) workgroup's clinical recommendations. Through the dissemination of detailed but digestible open access resources such as this one, we can move towards an increase in the equity and accessibility of education for the modern clinician.

摘要

阿尔茨海默病(AD)是最常见的痴呆形式,是神经生理异常与高阶认知缺陷之间联系的一个显著例子。自1906年首次被描述以来,对AD病理生理学和病因学的研究揭示了一系列极其复杂的遗传和分子机制,这些机制推动了该疾病的进展,其特征远不止β-淀粉样蛋白(Aβ)斑块和神经原纤维缠结(NFTs)这些神经病理学特征。在这篇综述中,总结了与AD中存在的神经退行性变及其临床表现和治疗相关的研究结果,重点是疾病病理生理学的相互关联性。此外,还根据美国国立衰老研究所-阿尔茨海默病协会(NIA-AA)工作组的临床建议提供了诊断指南。通过传播诸如本文这样详细但易于理解的开放获取资源,我们可以朝着提高现代临床医生教育的公平性和可及性迈进。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3390/10325860/e1ba1bc39109/fneur-14-1178588-g001.jpg

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