Department of Pharmacology, Graduate School of Pharmaceutical Sciences, Tohoku University, 980-8578 Sendai, Japan.
Florey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne, VIC 3010, Australia.
J Integr Neurosci. 2024 Oct 10;23(10):188. doi: 10.31083/j.jin2310188.
Neurodegenerative dementias and related diseases, such as Alzheimer's disease, dementia with Lewy bodies, and Parkinson's disease have no fundamental cure yet. Degenerative proteins begin to accumulate before the onset of the symptoms of these diseases, and the early detection of these symptoms can lead to early therapeutic intervention. Therefore, early and simpler diagnostic methods are required. This review focuses on blood biomarkers, which are less expensive and easier to use than cerebrospinal fluid biomarkers and diagnostic imaging. A variety of approaches exist for establishing diagnostic methods for neurodegenerative dementias using blood biomarkers, such as disease differentiation using a single molecule, methods that combine multiple biomarkers, studies that search for important markers by comprehensively analyzing many molecules, and methods that combine other data. Finally, we discuss the future prospects for blood biomarker research based on the characteristics of each approach.
神经退行性痴呆症和相关疾病,如阿尔茨海默病、路易体痴呆和帕金森病,目前尚无根本治愈方法。在这些疾病出现症状之前,变性蛋白就开始积累,如果能早期发现这些症状,就可以进行早期的治疗干预。因此,需要更早期、更简单的诊断方法。本综述重点关注血液生物标志物,与脑脊液生物标志物和诊断成像相比,血液生物标志物更便宜、更容易使用。使用血液生物标志物建立神经退行性痴呆症诊断方法有多种途径,如使用单个分子进行疾病区分、结合多个生物标志物的方法、通过综合分析许多分子寻找重要标志物的研究,以及结合其他数据的方法。最后,我们根据每种方法的特点,讨论了血液生物标志物研究的未来前景。