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阿尔茨海默病生物标志物的进展

Advances in Alzheimer's Disease Biomarkers.

作者信息

Li Kuan, Gao Yujie, Liu Muxi, Chen Yizhao

机构信息

Department of Neurosurgery, The First Affiliated Hospital of Guangzhou Medical University, Guangdong, Guangzhou, China.

Department of Arts and Social Science, Philosophy Faculty, University of Zurich, Zurich, Switzerland.

出版信息

Curr Alzheimer Res. 2024;21(11):791-803. doi: 10.2174/0115672050366767241223050957.

DOI:10.2174/0115672050366767241223050957
PMID:39757626
Abstract

Alzheimer's disease (AD) is a neurodegenerative condition characterized by gradual onset and complex pathological mechanisms. Clinically, it presents with progressive cognitive decline and behavioral impairments, making it one of the most common causes of dementia. The intricacies of its pathogenesis are not fully understood, and current treatment options are limited, with diagnosis typically occurring at intermediate to advanced stages. The development of new biomarkers offers a crucial avenue for the early diagnosis of AD and improving patient outcomes. Several biomarkers with high specificity have been identified. This article reviews biomarkers related to tau protein, β-amyloid, and blood cells to deepen our understanding of AD and emphasize the advantages and disadvantages of various biomarkers in order to explore further and mine new biomarkers for AD diagnosis.

摘要

阿尔茨海默病(AD)是一种神经退行性疾病,其特征为起病隐匿且病理机制复杂。临床上,它表现为进行性认知功能减退和行为障碍,是痴呆最常见的病因之一。其发病机制的复杂性尚未完全明了,目前的治疗选择有限,诊断通常在疾病的中晚期进行。新生物标志物的开发为AD的早期诊断和改善患者预后提供了关键途径。已经确定了几种具有高特异性的生物标志物。本文综述了与tau蛋白、β-淀粉样蛋白和血细胞相关的生物标志物,以加深我们对AD的理解,并强调各种生物标志物的优缺点,从而进一步探索和挖掘用于AD诊断的新生物标志物。

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1
Advances in Alzheimer's Disease Biomarkers.阿尔茨海默病生物标志物的进展
Curr Alzheimer Res. 2024;21(11):791-803. doi: 10.2174/0115672050366767241223050957.
2
Plasma phosphorylated tau 217 and phosphorylated tau 181 as biomarkers in Alzheimer's disease and frontotemporal lobar degeneration: a retrospective diagnostic performance study.血浆磷酸化 tau 217 和磷酸化 tau 181 作为阿尔茨海默病和额颞叶变性的生物标志物:一项回顾性诊断性能研究。
Lancet Neurol. 2021 Sep;20(9):739-752. doi: 10.1016/S1474-4422(21)00214-3.
3
Brain Amyloid-β Deposition and Blood Biomarkers in Patients with Clinically Diagnosed Alzheimer's Disease.临床诊断为阿尔茨海默病患者的脑淀粉样蛋白-β沉积与血液生物标志物。
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Amyloid β (Aβ) and phospho-tau (p-tau) as diagnostic biomarkers in Alzheimer's disease.淀粉样蛋白 β (Aβ) 和磷酸化 tau (p-tau) 作为阿尔茨海默病的诊断生物标志物。
Clin Chem Lab Med. 2011 Mar;49(3):367-74. doi: 10.1515/CCLM.2011.087. Epub 2011 Feb 23.
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Serum proteomics reveals early biomarkers of Alzheimer's disease: The dual role of APOE-ε4.血清蛋白质组学揭示阿尔茨海默病的早期生物标志物:APOE-ε4的双重作用。
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[Research progress of MCP-1 in the pathogenesis of Alzheimer's disease].[MCP-1在阿尔茨海默病发病机制中的研究进展]
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Predictive Accuracy of Blood-Derived Biomarkers for Amyloid-β Brain Deposition Along with the Alzheimer's Disease Continuum: A Systematic Review.血源性生物标志物预测淀粉样β脑沉积与阿尔茨海默病连续体的准确性:系统评价。
J Alzheimers Dis. 2021;84(1):393-407. doi: 10.3233/JAD-210496.

本文引用的文献

1
Levels of plasma brain-derived tau and p-tau181 in Alzheimer's disease and rapidly progressive dementias.阿尔茨海默病和快速进展性痴呆症患者血浆脑源性tau 和 p-tau181 水平。
Alzheimers Dement. 2024 Jan;20(1):745-751. doi: 10.1002/alz.13516. Epub 2023 Oct 19.
2
Amyloid Precursor Protein and Alzheimer's Disease.淀粉样前体蛋白与阿尔茨海默病。
Int J Mol Sci. 2023 Sep 30;24(19):14794. doi: 10.3390/ijms241914794.
3
The Role of Tau Proteoforms in Health and Disease.tau 蛋白异构体在健康和疾病中的作用。
Mol Neurobiol. 2023 Sep;60(9):5155-5166. doi: 10.1007/s12035-023-03387-8. Epub 2023 Jun 2.
4
CSF Biomarkers in the Early Diagnosis of Mild Cognitive Impairment and Alzheimer's Disease.脑脊液生物标志物在轻度认知障碍和阿尔茨海默病的早期诊断中的应用。
Int J Mol Sci. 2023 May 19;24(10):8976. doi: 10.3390/ijms24108976.
5
Perfusion CT imaging as a diagnostic and prognostic tool for dementia: prospective case-control study.灌注CT成像作为痴呆症的诊断和预后工具:前瞻性病例对照研究。
Postgrad Med J. 2022 Jan 19. doi: 10.1136/postmj/postgradmedj-2021-141264.
6
Alzheimer's disease: Insights and new prospects in disease pathophysiology, biomarkers and disease-modifying drugs.阿尔茨海默病:疾病病理生理学、生物标志物和疾病修饰药物的新见解和新展望。
Biochem Pharmacol. 2023 May;211:115522. doi: 10.1016/j.bcp.2023.115522. Epub 2023 Mar 28.
7
Nigrosome and Neuromelanin Imaging as Tools to Differentiate Parkinson's Disease and Parkinsonism.黑质小体和神经黑色素成像作为鉴别帕金森病和帕金森综合征的工具
Ann Indian Acad Neurol. 2022 Nov-Dec;25(6):1029-1035. doi: 10.4103/aian.aian_285_22. Epub 2022 Nov 22.
8
Physiological Roles of β-amyloid in Regulating Synaptic Function: Implications for AD Pathophysiology.β-淀粉样蛋白在调节突触功能中的生理作用:对 AD 病理生理学的影响。
Neurosci Bull. 2023 Aug;39(8):1289-1308. doi: 10.1007/s12264-022-00985-9. Epub 2022 Nov 28.
9
Microglia and Alzheimer's Disease.小胶质细胞与阿尔茨海默病。
Int J Mol Sci. 2022 Oct 27;23(21):12990. doi: 10.3390/ijms232112990.
10
Animal models of Alzheimer's disease: Applications, evaluation, and perspectives.阿尔茨海默病动物模型:应用、评估与展望。
Zool Res. 2022 Nov 18;43(6):1026-1040. doi: 10.24272/j.issn.2095-8137.2022.289.