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对生物标志物和治疗神经疾病的研究进展 - 小脑功能障碍和新兴疗法的作用。

Advances in understanding biomarkers and treating neurological diseases - Role of the cerebellar dysfunction and emerging therapies.

机构信息

Natural Products & Nanobiotechnology Research Lab, Department of Community Medicine, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS), (Saveetha University), Thandalam, Chennai, Tamil Nadu 602105, India.

出版信息

Ageing Res Rev. 2024 Nov;101:102519. doi: 10.1016/j.arr.2024.102519. Epub 2024 Sep 27.

Abstract

Cerebellar dysfunction is increasingly recognized as a critical factor in various neurological diseases, including Alzheimer's disease (AD), Parkinson's disease (PD), and amyotrophic lateral sclerosis (ALS). Research has revealed distinct cerebellar atrophy patterns in conditions such as AD and multiple system atrophy, and studies in mice have highlighted its impact on motor control and cognitive functions. Emerging research into autism spectrum disorder (ASD) has identified key targets, such as elevated levels of chemokine receptors and ZIC family genes. Biomarkers, including cerebrospinal fluid (CSF), genetic markers, and advances in AI and bioinformatics, are enhancing early diagnosis and personalized treatment across neurodegenerative disorders. Notable advancements include improved diagnostic tools, gene therapy, and novel clinical trials. Despite progress, challenges such as the bloodbrain barrier and neuroinflammation persist. Current therapies for AD, PD, HD, and ALS, including antisense oligonucleotides and stem cell treatments, show promise but require further investigation. A comprehensive approach that integrates diagnostic methods and innovative therapies is essential for effective management and improved patient outcomes.

摘要

小脑功能障碍越来越被认为是各种神经疾病的关键因素,包括阿尔茨海默病(AD)、帕金森病(PD)和肌萎缩侧索硬化症(ALS)。研究揭示了 AD 和多系统萎缩等疾病中存在明显的小脑萎缩模式,而在小鼠中的研究则强调了其对运动控制和认知功能的影响。对自闭症谱系障碍(ASD)的新兴研究确定了关键靶点,如趋化因子受体和 ZIC 家族基因水平升高。生物标志物,包括脑脊液(CSF)、遗传标志物以及人工智能和生物信息学的进步,正在增强神经退行性疾病的早期诊断和个性化治疗。值得注意的进展包括改进的诊断工具、基因治疗和新的临床试验。尽管取得了进展,但仍存在血脑屏障和神经炎症等挑战。目前针对 AD、PD、HD 和 ALS 的治疗方法,包括反义寡核苷酸和干细胞治疗,显示出希望,但需要进一步研究。综合诊断方法和创新疗法的综合方法对于有效管理和改善患者预后至关重要。

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