Faculty of Medicine, University of Southampton, Southampton, Hampshire, UK.
Biomedical and Life Sciences, Lancaster University, Lancaster, UK.
Alzheimers Dement. 2024 Feb;20(2):1421-1435. doi: 10.1002/alz.13512. Epub 2023 Oct 28.
This editorial summarizes advances from the Clearance of Interstitial Fluid and Cerebrospinal Fluid (CLIC) group, within the Vascular Professional Interest Area (PIA) of the Alzheimer's Association International Society to Advance Alzheimer's Research and Treatment (ISTAART). The overarching objectives of the CLIC group are to: (1) understand the age-related physiology changes that underlie impaired clearance of interstitial fluid (ISF) and cerebrospinal fluid (CSF) (CLIC); (2) understand the cellular and molecular mechanisms underlying intramural periarterial drainage (IPAD) in the brain; (3) establish novel diagnostic tests for Alzheimer's disease (AD), cerebral amyloid angiopathy (CAA), retinal amyloid vasculopathy, amyloid-related imaging abnormalities (ARIA) of spontaneous and iatrogenic CAA-related inflammation (CAA-ri), and vasomotion; and (4) establish novel therapies that facilitate IPAD to eliminate amyloid β (Aβ) from the aging brain and retina, to prevent or reduce AD and CAA pathology and ARIA side events associated with AD immunotherapy.
本社论总结了血管专业兴趣领域(PIA)中清除间隙液和脑脊液(CLIC)小组在阿尔茨海默病协会国际研究推进治疗(ISTAART)中的进展。CLIC 小组的总体目标是:(1)了解年龄相关的生理学变化,这些变化是间隙液(ISF)和脑脊液(CSF)清除功能障碍(CLIC)的基础;(2)了解脑内壁旁引流(IPAD)的细胞和分子机制;(3)建立阿尔茨海默病(AD)、脑淀粉样血管病(CAA)、视网膜淀粉样血管病、淀粉样相关成像异常(ARIA)、自发性和医源性 CAA 相关炎症(CAA-ri)以及血管运动的新型诊断测试;(4)建立新的治疗方法,促进 IPAD 从衰老的大脑和视网膜中清除淀粉样β(Aβ),以预防或减少 AD 和 CAA 病理学以及与 AD 免疫疗法相关的 ARIA 副作用。