Singh Mandeep Kumar, Kohat Komal, Chenchula Santenna, Amerneni Lakshmi Sahitya, Chavan Madhav Rao, Bhatt Shvetank
School of Pharmacy and Technology Management (SPTM), SVKM's Narsee Monjee Institute of Management Studies (NMIMS) Deemed to University, Shirpur, 425405, India.
Amity Institute of Pharmacy, Amity University, Gwalior, India.
Mol Neurobiol. 2025 Feb;62(2):2314-2332. doi: 10.1007/s12035-024-04384-1. Epub 2024 Aug 5.
In recent years, significant advancements have been made in understanding Alzheimer's disease from both neurobiological and clinical perspectives. Exploring the complex systems underlying AD has unveiled insights that could potentially revolutionize therapeutic approaches. Recent investigations have highlighted intricate interactions among genetic, molecular, and environmental factors in AD. Optimism arises from neurobiological advancements and diverse treatment options, potentially slowing or halting disease progression. Amyloid-beta plaques and tau protein tangles crucially influence AD onset and progression. Emerging treatments involve diverse strategies, such as approaches targeting multiple pathways involved in AD pathogenesis, such as inflammation, oxidative stress, and synaptic dysfunction pathways. Clinical trials using humanized monoclonal antibodies, focusing on immunotherapies eliminating amyloid-beta, have shown promise. Nonpharmacological interventions such as light therapy, electrical stimulation, cognitive training, physical activity, and dietary changes have drawn attention for their potential to slow cognitive aging and enhance brain health. Precision medicine, which involves tailoring therapies to individual genetic and molecular profiles, has gained traction. Ongoing research and interdisciplinary collaboration are expected to yield more effective treatments.
近年来,在从神经生物学和临床角度理解阿尔茨海默病方面取得了重大进展。探索阿尔茨海默病背后的复杂系统揭示了一些见解,这些见解可能会彻底改变治疗方法。最近的研究强调了阿尔茨海默病中遗传、分子和环境因素之间的复杂相互作用。神经生物学的进步和多样的治疗选择带来了乐观情绪,有可能减缓或阻止疾病进展。淀粉样蛋白斑块和tau蛋白缠结对阿尔茨海默病的发病和进展至关重要。新兴的治疗方法涉及多种策略,例如针对阿尔茨海默病发病机制中涉及的多种途径的方法,如炎症、氧化应激和突触功能障碍途径。使用人源化单克隆抗体的临床试验,专注于消除淀粉样蛋白的免疫疗法,已显示出前景。非药物干预措施,如光疗、电刺激、认知训练、体育活动和饮食改变,因其减缓认知衰老和增强大脑健康的潜力而受到关注。精准医学,即根据个体的遗传和分子特征量身定制治疗方法,已经获得了认可。正在进行的研究和跨学科合作有望产生更有效的治疗方法。