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阿尔茨海默病的血液生物标志物:推进非侵入性诊断和预后评估。

Blood-Based Biomarkers in Alzheimer's Disease: Advancing Non-Invasive Diagnostics and Prognostics.

机构信息

Regional Centre for Biotechnology, Faridabad 121001, India.

Department of Clinical Pharmacology and Therapeutic Medicine, IPGMER and SSKM Hospital, Kolkata 700020, India.

出版信息

Int J Mol Sci. 2024 Oct 10;25(20):10911. doi: 10.3390/ijms252010911.

Abstract

Alzheimer's disease (AD), the most prevalent form of dementia, is expected to rise dramatically in incidence due to the global population aging. Traditional diagnostic approaches, such as cerebrospinal fluid analysis and positron emission tomography, are expensive and invasive, limiting their routine clinical use. Recent advances in blood-based biomarkers, including amyloid-beta, phosphorylated tau, and neurofilament light, offer promising non-invasive alternatives for early AD detection and disease monitoring. This review synthesizes current research on these blood-based biomarkers, highlighting their potential to track AD pathology and enhance diagnostic accuracy. Furthermore, this review uniquely integrates recent findings on protein-protein interaction networks and microRNA pathways, exploring novel combinations of proteomic, genomic, and epigenomic biomarkers that provide new insights into AD's molecular mechanisms. Additionally, we discuss the integration of these biomarkers with advanced neuroimaging techniques, emphasizing their potential to revolutionize AD diagnostics. Although large-scale validation is still needed, these biomarkers represent a critical advancement toward more accessible, cost-effective, and early diagnostic tools for AD.

摘要

阿尔茨海默病(AD)是最常见的痴呆症形式,预计由于全球人口老龄化,其发病率将大幅上升。传统的诊断方法,如脑脊液分析和正电子发射断层扫描,既昂贵又具有侵入性,限制了它们在常规临床中的应用。基于血液的生物标志物的最新进展,包括淀粉样蛋白-β、磷酸化 tau 和神经丝轻链,为早期 AD 检测和疾病监测提供了有前途的非侵入性替代方法。本综述综合了当前关于这些基于血液的生物标志物的研究,强调了它们在跟踪 AD 病理学和提高诊断准确性方面的潜力。此外,本综述还独特地整合了蛋白质-蛋白质相互作用网络和 microRNA 途径的最新发现,探索了新的蛋白质组学、基因组学和表观基因组学生物标志物组合,为 AD 的分子机制提供了新的见解。此外,我们还讨论了这些生物标志物与先进的神经影像学技术的整合,强调它们有可能彻底改变 AD 的诊断。尽管仍需要大规模验证,但这些生物标志物代表了 AD 更易获得、更具成本效益和早期诊断工具的重要进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dec8/11507237/3e48356f9152/ijms-25-10911-g001.jpg

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