Park Kyung Won
Department of Neurology, Dong-A University College of Medicine, 26 Daesingongwon-Ro, Seo-Gu, Busan, 49201 Korea.
Department of Translational Biomedical Sciences, Graduate School, Dong-A University, 26 Daesingongwon-Ro, Seo-Gu, Busan, 49201 Korea.
Nucl Med Mol Imaging. 2024 Jun;58(4):227-236. doi: 10.1007/s13139-024-00848-3. Epub 2024 Feb 20.
Alzheimer's disease (AD) is the most common cause of dementia, which is characterized by a progressive neurodegenerative disorder that is extremely difficult to treat and severely reduces quality of life. Amyloid beta (Aβ) has been the primary target of experimental therapies owing to the neurotoxicity of Aβ and the brain Aβ load detected in humans by amyloid positron emission tomography (PET) imaging. Recently completed phase 2 and 3 trials of third-generation anti-amyloid immunotherapies indicated clinical efficacy in significantly reducing brain Aβ load and inhibiting the progression of cognitive decline. Anti-amyloid immunotherapies are the first effective disease-modifying therapies for AD, and aducanumab and lecanemab were recently approved through the US Food and Drug Administration's accelerated approval pathway. However, these therapies still exhibit insufficient clinical efficacy and are associated with amyloid-related imaging abnormalities. Further advances in the field of AD therapeutics are required to revolutionize clinical AD treatment, dementia care, and preventive cognitive healthcare.
阿尔茨海默病(AD)是痴呆症最常见的病因,其特征是一种进行性神经退行性疾病,极难治疗且严重降低生活质量。由于β淀粉样蛋白(Aβ)的神经毒性以及通过淀粉样蛋白正电子发射断层扫描(PET)成像在人类中检测到的脑Aβ负荷,Aβ一直是实验性治疗的主要靶点。最近完成的第三代抗淀粉样蛋白免疫疗法的2期和3期试验表明,在显著降低脑Aβ负荷和抑制认知衰退进展方面具有临床疗效。抗淀粉样蛋白免疫疗法是首批对AD有效的疾病修饰疗法,阿杜卡单抗和来卡奈单抗最近通过美国食品药品监督管理局的加速批准途径获得批准。然而,这些疗法的临床疗效仍然不足,并且与淀粉样蛋白相关的成像异常有关。需要AD治疗领域的进一步进展来彻底改变临床AD治疗、痴呆症护理和预防性认知保健。