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免疫疗法治疗帕金森病和阿尔茨海默病:一种有前途的疾病修饰治疗方法。

Immunotherapy for Parkinson's Disease and Alzheimer's Disease: A Promising Disease-Modifying Therapy.

机构信息

Weill Cornell Medicine-Qatar, Qatar Foundation, Education City, Doha P.O. Box 24144, Qatar.

出版信息

Cells. 2024 Sep 12;13(18):1527. doi: 10.3390/cells13181527.

Abstract

Alzheimer's disease (AD) and Parkinson's disease (PD) are two neurodegenerative diseases posing a significant disease burden due to their increasing prevalence and socio-economic cost. Traditional therapeutic approaches for these diseases exist but provide limited symptomatic relief without addressing the underlying pathologies. This review examines the potential of immunotherapy, specifically monoclonal antibodies (mAbs), as disease-modifying treatments for AD and PD. We analyze the pathological mechanisms of AD and PD, focusing on the roles of amyloid-beta (Aβ), tau (τ), and alpha-synuclein (α-syn) proteins. We discuss the latest advancements in mAb therapies targeting these proteins, evaluating their efficacy in clinical trials and preclinical studies. We also explore the challenges faced in translating these therapies from bench to bedside, including issues related to safety, specificity, and clinical trial design. Additionally, we highlight future directions for research, emphasizing the need for combination therapies, improved biomarkers, and personalized treatment strategies. This review aims to provide insights into the current state and future potential of antibody-based immunotherapy in modifying the course of AD and PD, ultimately improving patient outcomes and quality of life.

摘要

阿尔茨海默病(AD)和帕金森病(PD)是两种神经退行性疾病,由于其发病率不断上升和社会经济成本高昂,给社会带来了巨大的疾病负担。虽然针对这些疾病存在传统的治疗方法,但这些方法只能提供有限的症状缓解,而无法解决潜在的病理问题。本综述探讨了免疫疗法,特别是单克隆抗体(mAbs)作为 AD 和 PD 疾病修饰治疗的潜力。我们分析了 AD 和 PD 的病理机制,重点关注淀粉样蛋白-β(Aβ)、tau(τ)和α-突触核蛋白(α-syn)蛋白的作用。我们讨论了针对这些蛋白的 mAb 治疗的最新进展,评估了它们在临床试验和临床前研究中的疗效。我们还探讨了将这些疗法从实验室转化到临床应用所面临的挑战,包括安全性、特异性和临床试验设计等方面的问题。此外,我们还强调了未来的研究方向,包括需要联合治疗、改进生物标志物和个性化治疗策略。本综述旨在深入了解基于抗体的免疫疗法在改变 AD 和 PD 病程方面的现状和未来潜力,最终改善患者的预后和生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c5c/11429902/3a63c69e2d91/cells-13-01527-g001.jpg

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