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从识别到治疗:神经退行性疾病病理学中生物标志物的意义。

From Recognition to Remedy: The Significance of Biomarkers in Neurodegenerative Disease Pathology.

机构信息

Department of Neurosurgery, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.

Department of Vascular Neurosurgery, National Institute of Neurology and Neurovascular Diseases, 077160 Bucharest, Romania.

出版信息

Int J Mol Sci. 2023 Nov 9;24(22):16119. doi: 10.3390/ijms242216119.

Abstract

With the inexorable aging of the global populace, neurodegenerative diseases (NDs) like Alzheimer's disease (AD), Parkinson's disease (PD), and amyotrophic lateral sclerosis (ALS) pose escalating challenges, which are underscored by their socioeconomic repercussions. A pivotal aspect in addressing these challenges lies in the elucidation and application of biomarkers for timely diagnosis, vigilant monitoring, and effective treatment modalities. This review delineates the quintessence of biomarkers in the realm of NDs, elucidating various classifications and their indispensable roles. Particularly, the quest for novel biomarkers in AD, transcending traditional markers in PD, and the frontier of biomarker research in ALS are scrutinized. Emergent susceptibility and trait markers herald a new era of personalized medicine, promising enhanced treatment initiation especially in cases of SOD1-ALS. The discourse extends to diagnostic and state markers, revolutionizing early detection and monitoring, alongside progression markers that unveil the trajectory of NDs, propelling forward the potential for tailored interventions. The synergy between burgeoning technologies and innovative techniques like -omics, histologic assessments, and imaging is spotlighted, underscoring their pivotal roles in biomarker discovery. Reflecting on the progress hitherto, the review underscores the exigent need for multidisciplinary collaborations to surmount the challenges ahead, accelerate biomarker discovery, and herald a new epoch of understanding and managing NDs. Through a panoramic lens, this article endeavors to provide a comprehensive insight into the burgeoning field of biomarkers in NDs, spotlighting the promise they hold in transforming the diagnostic landscape, enhancing disease management, and illuminating the pathway toward efficacious therapeutic interventions.

摘要

随着全球人口不可避免地老龄化,神经退行性疾病(NDs),如阿尔茨海默病(AD)、帕金森病(PD)和肌萎缩侧索硬化症(ALS),带来了日益严峻的挑战,其对社会经济的影响更加突出。应对这些挑战的关键在于阐明和应用生物标志物,以实现及时诊断、严密监测和有效的治疗方法。本综述阐述了 NDs 领域中生物标志物的精髓,阐明了各种分类及其不可或缺的作用。特别是,探讨了 AD 中新型生物标志物的探索,超越了 PD 中传统标志物的研究,以及 ALS 中生物标志物研究的前沿。新兴的易感性和特征标志物预示着个性化医疗的新时代,有望在 SOD1-ALS 等情况下增强治疗的启动。论述扩展到诊断和状态标志物,彻底改变了早期检测和监测,以及进展标志物揭示了 NDs 的轨迹,为定制干预提供了潜力。新兴技术与创新技术(如组学、组织学评估和成像)之间的协同作用被强调,突出了它们在生物标志物发现中的关键作用。回顾迄今取得的进展,本综述强调了多学科合作的迫切需要,以克服未来的挑战,加速生物标志物的发现,并开创一个理解和管理 NDs 的新时代。通过全景视角,本文努力提供对 NDs 中生物标志物新兴领域的全面了解,突出其在改变诊断格局、加强疾病管理和阐明有效治疗干预途径方面的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6552/10671641/1f0c73de5220/ijms-24-16119-g001.jpg

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