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衰老相关的感觉衰退与阿尔茨海默病。

Aging-associated sensory decline and Alzheimer's disease.

作者信息

Hong Suji, Baek Seung-Hyun, Lai Mitchell K P, Arumugam Thiruma V, Jo Dong-Gyu

机构信息

The School of Pharmacy, Sungkyunkwan University, Suwon, 16419, Republic of Korea.

Department of Pharmacology, Yong Loo Lin School of Medicine, Singapore, 117600, Singapore.

出版信息

Mol Neurodegener. 2024 Dec 4;19(1):93. doi: 10.1186/s13024-024-00776-y.

Abstract

Multisensory decline is common as people age, and aging is the primary risk of Alzheimer's Disease (AD). Recent studies have begun to shed light on the possibility that age-related sensory decline could accelerate AD pathogenesis, or be a prodromal indicator of AD. Sensory impairments, specifically in taste and smell, often emerge before cognitive symptoms in AD, indicating their potential as early biomarkers. Olfactory dysfunction has been frequently associated with AD and may offer valuable insights into early detection. Hearing impairment is significantly associated with AD, but its causal impact on AD progression remains unclear. The review also discusses visual and tactile deficits in AD, including retinal thinning and changes in tactile perception, highlighting their links to disease progression. Focusing on molecular mechanisms, the review explores the roles of amyloid-β (Aβ) accumulation and tau protein pathology in sensory decline and their bidirectional relationship with AD. In summary, the evidence presented conclusively supports advocating for an integrated approach to understanding AD and sensory decline, to enhance early detection, implementing preventive strategies, and developing therapeutic interventions for AD. This approach underscores the significance of sensory health in addressing neurodegenerative diseases, particularly AD.

摘要

随着年龄的增长,多感官衰退很常见,而衰老又是阿尔茨海默病(AD)的主要风险因素。最近的研究开始揭示与年龄相关的感官衰退可能加速AD发病机制,或者是AD前驱指标的可能性。感官障碍,特别是味觉和嗅觉障碍,通常在AD的认知症状出现之前就已出现,这表明它们有可能作为早期生物标志物。嗅觉功能障碍经常与AD相关,可能为早期检测提供有价值的见解。听力障碍与AD显著相关,但其对AD进展的因果影响仍不清楚。该综述还讨论了AD中的视觉和触觉缺陷,包括视网膜变薄和触觉感知变化,强调了它们与疾病进展的联系。聚焦于分子机制,该综述探讨了淀粉样β(Aβ)积累和tau蛋白病理在感官衰退中的作用以及它们与AD的双向关系。总之,所呈现的证据确凿地支持倡导采用综合方法来理解AD和感官衰退,以加强早期检测、实施预防策略并开发针对AD的治疗干预措施。这种方法强调了感官健康在应对神经退行性疾病,特别是AD方面的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbad/11616278/0e63a017ba31/13024_2024_776_Fig1_HTML.jpg

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