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阿尔茨海默病与自杀:一项综合文献综述。

Alzheimer's Disease and Suicide: An Integrative Literature Review.

作者信息

Rodrigues Juliano Flávio Rubatino, Rodrigues Livia Peregrino, de Araújo Filho Gerardo Maria

机构信息

Faculdade de Medicina de Marília (FAMEMA), Marília, SP, Brazil.

Faculdade de Medicina de São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil.

出版信息

Curr Alzheimer Res. 2024;20(11):758-768. doi: 10.2174/0115672050292472240216052614.

DOI:10.2174/0115672050292472240216052614
PMID:38409712
Abstract

INTRODUCTION

Suicide has been described in patients with Alzheimer's disease. Some promising medications for treating Alzheimer's disease have had their studies suspended because they increase the risk of suicide. Understanding the correlations between suicide and Alzheimer's disease is essential in an aging world.

METHODS

A search was carried out on electronic websites (PubMed and Scielo) using the MeSH Terms "suicide" and "Alzheimer" (1986-2023). Of a total of 115 articles, 26 were included in this review.

RESULTS

Depression and the allele ε4 of Apolipoprotein (APOE4) were demonstrated to be the main risk factors for suicide in patients with Alzheimer's disease.

CONCLUSION

Adequately delineating which elderly people are vulnerable to suicide is important so that new treatments for Alzheimer's disease can be successful. This review showed a need for new studies to investigate the interface between Alzheimer's disease and suicide.

摘要

引言

阿尔茨海默病患者中存在自杀现象。一些治疗阿尔茨海默病的有前景的药物研究已被暂停,因为它们会增加自杀风险。在老龄化社会中,了解自杀与阿尔茨海默病之间的关联至关重要。

方法

在电子网站(PubMed和Scielo)上使用医学主题词“自杀”和“阿尔茨海默病”进行检索(1986 - 2023年)。在总共115篇文章中,本综述纳入了26篇。

结果

抑郁症和载脂蛋白ε4等位基因(APOE4)被证明是阿尔茨海默病患者自杀的主要危险因素。

结论

明确哪些老年人易发生自杀很重要,这样阿尔茨海默病的新治疗才能取得成功。本综述表明需要开展新的研究来探究阿尔茨海默病与自杀之间的关系。

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本文引用的文献

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WNT-β Catenin Signaling as a Potential Therapeutic Target for Neurodegenerative Diseases: Current Status and Future Perspective.WNT-β连环蛋白信号通路作为神经退行性疾病的潜在治疗靶点:现状与未来展望
Diseases. 2023 Jun 25;11(3):89. doi: 10.3390/diseases11030089.
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Medical Assistance in Dying in Neurology.神经内科的安乐死医疗协助
Neurol Clin. 2023 Aug;41(3):443-454. doi: 10.1016/j.ncl.2023.03.002. Epub 2023 Apr 20.
3
APOE Peripheral and Brain Impact: APOE4 Carriers Accelerate Their Alzheimer Continuum and Have a High Risk of Suicide in PM Polluted Cities.
载脂蛋白 E 外周和大脑影响:载脂蛋白 E4 携带者加速其阿尔茨海默病连续体,并在 PM 污染城市有高自杀风险。
Biomolecules. 2023 May 31;13(6):927. doi: 10.3390/biom13060927.
4
Air pollution is associated with faster cognitive decline in Alzheimer's disease.空气污染与阿尔茨海默病患者认知能力下降速度加快有关。
Ann Clin Transl Neurol. 2023 Jun;10(6):964-973. doi: 10.1002/acn3.51779. Epub 2023 Apr 27.
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Ethical Considerations at the Intersection Between Psychedelic-Assisted Psychotherapy and Medical Assistance in Dying.迷幻剂辅助心理治疗与医疗协助死亡交叉点上的伦理考量
AJOB Neurosci. 2023 Apr-Jun;14(2):139-141. doi: 10.1080/21507740.2023.2188297.
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Association of 5α-Reductase Inhibitors With Dementia, Depression, and Suicide.5α-还原酶抑制剂与痴呆、抑郁和自杀的关联。
JAMA Netw Open. 2022 Dec 1;5(12):e2248135. doi: 10.1001/jamanetworkopen.2022.48135.
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Suicide-Related Single Nucleotide Polymorphisms, and : Association with Dementia in Older Adults.与自杀相关的单核苷酸多态性,以及:与老年人痴呆症的关联。
Genes (Basel). 2022 Nov 21;13(11):2174. doi: 10.3390/genes13112174.
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Depression and Suicide Risk in Mild Cognitive Impairment: The Role of Alzheimer's Disease Biomarkers.轻度认知障碍中的抑郁和自杀风险:阿尔茨海默病生物标志物的作用。
Psicothema. 2022 Nov;34(4):553-561. doi: 10.7334/psicothema2022.103.
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Proc Natl Acad Sci U S A. 2022 Jul 26;119(30):e2122236119. doi: 10.1073/pnas.2122236119. Epub 2022 Jul 12.
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Gerontologist. 2022 Aug 12;62(7):956-963. doi: 10.1093/geront/gnac042.