Pradeepkiran Jangampalli Adi, Baig Javaria, Islam Md Ariful, Kshirsagar Sudhir, Reddy P Hemachandra
Internal Medicine Department, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA.
Pharmacology & Neuroscience Department, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA.
Aging Dis. 2024 Apr 24;16(2):658-682. doi: 10.14336/AD.2024.0286.
Alzheimer's disease (AD) is a age-related neurodegenerative disease and is a major public health concern both in Texas, US and Worldwide. This neurodegenerative disease is mainly characterized by amyloid-beta (Aβ) and phosphorylated Tau (p-Tau) accumulation in the brains of patients with AD and increasing evidence suggests that these are key biomarkers in AD. Both Aβ and p-tau can be detected through various imaging techniques (such as positron emission tomography, PET) and cerebrospinal fluid (CSF) analysis. The presence of these biomarkers in individuals, who are asymptomatic or have mild cognitive impairment can indicate an increased risk of developing AD in the future. Furthermore, the combination of Aβ and p-tau biomarkers is often used for more accurate diagnosis and prediction of AD progression. Along with AD being a neurodegenerative disease, it is associated with other chronic conditions such as cardiovascular disease, obesity, depression, and diabetes because studies have shown that these comorbid conditions make people more vulnerable to AD. In the first part of this review, we discuss that biofluid-based biomarkers such as Aβ, p-Tau in cerebrospinal fluid (CSF) and Aβ & p-Tau in plasma could be used as an alternative sensitive technique to diagnose AD. In the second part, we discuss the underlying molecular mechanisms of chronic conditions linked with AD and how they affect the patients in clinical care.
阿尔茨海默病(AD)是一种与年龄相关的神经退行性疾病,在美国得克萨斯州乃至全球都是一个重大的公共卫生问题。这种神经退行性疾病的主要特征是AD患者大脑中β淀粉样蛋白(Aβ)和磷酸化tau蛋白(p-Tau)的积累,越来越多的证据表明这些是AD的关键生物标志物。Aβ和p-tau都可以通过各种成像技术(如正电子发射断层扫描,PET)和脑脊液(CSF)分析来检测。在无症状或有轻度认知障碍的个体中,这些生物标志物的存在可能表明未来患AD的风险增加。此外,Aβ和p-tau生物标志物的组合通常用于更准确地诊断和预测AD的进展。除了作为一种神经退行性疾病,AD还与其他慢性疾病如心血管疾病、肥胖、抑郁症和糖尿病有关,因为研究表明这些合并症会使人们更容易患AD。在本综述的第一部分,我们讨论了基于生物流体的生物标志物,如脑脊液(CSF)中的Aβ、p-Tau以及血浆中的Aβ和p-Tau,可作为诊断AD的一种替代敏感技术。在第二部分,我们讨论了与AD相关的慢性疾病的潜在分子机制以及它们在临床护理中如何影响患者。