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现在和未来:阿尔茨海默病的诊断、预防和治疗策略。

Now and future: Strategies for diagnosis, prevention and therapies for Alzheimer's disease.

机构信息

Department of Neurology, Institute on Aging and Brain Disorders, the First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei 230001, China; Neurodegenerative Disorder Research Center, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei 230026, China.

Institute of Neuroscience, University Hospital Gui de Chauliac-Montpellier, Montpellier 34295, France.

出版信息

Sci Bull (Beijing). 2024 Dec 15;69(23):3777-3784. doi: 10.1016/j.scib.2024.09.042. Epub 2024 Sep 28.

Abstract

After a number of failed drug studies on Alzheimer's disease (AD) over the past decade, clinical trials of AD started to show encouraging results and were approved or pending approval for clinical use. However, controversies on the clinically meaningful benefits and risks of brain edema and microhemorrhages have reminded us to think further about monitoring treatment and developing new drug targets. The goal of this review is to find insights from clinical trials that aimed at two key pathological features of AD, i.e., amyloid-β (Aβ) and tau protein, and to explore other targets such as anti-inflammation in AD. The complex pathophysiology of AD may require combination therapies rather than monotherapy. Throughout the course of AD, multiple pathways are disrupted, presenting a multitude of possible therapeutic targets for designing prevention and intervention for AD.

摘要

在过去十年中,针对阿尔茨海默病(AD)的多项药物研究均以失败告终,而 AD 的临床试验开始显示出令人鼓舞的结果,并已获准或正在等待批准用于临床应用。然而,关于脑水肿和微出血的临床意义上的获益和风险的争议提醒我们进一步思考监测治疗和开发新的药物靶点。本综述的目的是从针对 AD 的两个关键病理特征,即淀粉样蛋白-β(Aβ)和 tau 蛋白的临床试验中寻找启示,并探讨 AD 中的其他靶点,如抗炎。AD 的复杂病理生理学可能需要联合治疗而不是单一疗法。在 AD 的整个病程中,多个途径被打乱,为设计 AD 的预防和干预措施提供了大量可能的治疗靶点。

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