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阿尔茨海默病生物标志物发现与诊断的进展

"Advances in biomarker discovery and diagnostics for alzheimer's disease".

作者信息

Bhatia Vandana, Chandel Anjali, Minhas Yavnika, Kushawaha Shiv Kumar

机构信息

Department of Pharmacology, Laureate Institute of Pharmacy Kathog, Kangra, 177101, India.

Laureate Institute of Pharmacy Kathog, Kangra, 176031, India.

出版信息

Neurol Sci. 2025 Jun;46(6):2419-2436. doi: 10.1007/s10072-025-08023-y. Epub 2025 Feb 1.


DOI:10.1007/s10072-025-08023-y
PMID:39893357
Abstract

BACKGROUND: Alzheimer's disease (AD) is a progressive neurodegenerative disorder characterized by intracellular neurofibrillary tangles with tau protein and extracellular β-amyloid plaques. Early and accurate diagnosis is crucial for effective treatment and management. OBJECTIVE: The purpose of this review is to investigate new technologies that improve diagnostic accuracy while looking at the current diagnostic criteria for AD, such as clinical evaluations, cognitive testing, and biomarker-based techniques. METHODS: A thorough review of the literature was done in order to assess both conventional and contemporary diagnostic methods. Multimodal strategies integrating clinical, imaging, and biochemical evaluations were emphasised. The promise of current developments in biomarker discovery was also examined, including mass spectrometry and artificial intelligence. RESULTS: Current diagnostic approaches include cerebrospinal fluid (CSF) biomarkers, imaging tools (MRI, PET), cognitive tests, and new blood-based markers. Integrating these technologies into multimodal diagnostic procedures enhances diagnostic accuracy and distinguishes dementia from other conditions. New technologies that hold promise for improving biomarker identification and diagnostic reliability include mass spectrometry and artificial intelligence. CONCLUSION: Advancements in AD diagnostics underscore the need for accessible, minimally invasive, and cost-effective techniques to facilitate early detection and intervention. The integration of novel technologies with traditional methods may significantly enhance the accuracy and feasibility of AD diagnosis.

摘要

背景:阿尔茨海默病(AD)是一种进行性神经退行性疾病,其特征为细胞内出现含tau蛋白的神经原纤维缠结以及细胞外β-淀粉样斑块。早期准确诊断对于有效治疗和管理至关重要。 目的:本综述旨在研究在审视AD当前诊断标准(如临床评估、认知测试和基于生物标志物的技术)的同时提高诊断准确性的新技术。 方法:为评估传统和现代诊断方法对文献进行了全面综述。强调了整合临床、影像学和生化评估的多模式策略。还研究了生物标志物发现方面当前进展的前景,包括质谱分析和人工智能。 结果:当前诊断方法包括脑脊液(CSF)生物标志物、成像工具(MRI、PET)、认知测试和新型血液标志物。将这些技术整合到多模式诊断程序中可提高诊断准确性,并将痴呆与其他疾病区分开来。有望改善生物标志物识别和诊断可靠性的新技术包括质谱分析和人工智能。 结论:AD诊断方面的进展凸显了对便于早期检测和干预的可及、微创且经济有效的技术的需求。将新技术与传统方法相结合可能会显著提高AD诊断的准确性和可行性。

相似文献

[1]
"Advances in biomarker discovery and diagnostics for alzheimer's disease".

Neurol Sci. 2025-6

[2]
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[3]
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[7]
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[8]
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[9]
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[10]
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Alzheimers Res Ther. 2018-3-20

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Inflammopharmacology. 2025-8

[2]
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[3]
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本文引用的文献

[1]
Demystifying the Role of Neuroinflammatory Mediators as Biomarkers for Diagnosis, Prognosis, and Treatment of Alzheimer's Disease: A Review.

ACS Pharmacol Transl Sci. 2024-9-26

[2]
The Crosstalk Between Amyloid-β, Retina, and Sleep for the Early Diagnosis of Alzheimer's Disease: A Narrative Review.

J Alzheimers Dis Rep. 2024-6-25

[3]
AI for the prediction of early stages of Alzheimer's disease from neuroimaging biomarkers - A narrative review of a growing field.

Neurol Sci. 2024-11

[4]
Leveraging electronic health records and knowledge networks for Alzheimer's disease prediction and sex-specific biological insights.

Nat Aging. 2024-3

[5]
Diagnostic Accuracy of a Plasma Phosphorylated Tau 217 Immunoassay for Alzheimer Disease Pathology.

JAMA Neurol. 2024-3-1

[6]
Blood-based biomarkers for Alzheimer's disease: Current state and future use in a transformed global healthcare landscape.

Neuron. 2023-9-20

[7]
Rationale for a Multi-Factorial Approach for the Reversal of Cognitive Decline in Alzheimer's Disease and MCI: A Review.

Int J Mol Sci. 2023-1-14

[8]
The Alzheimer's Association appropriate use recommendations for blood biomarkers in Alzheimer's disease.

Alzheimers Dement. 2022-12

[9]
Emerging Biomarkers of Multiple Sclerosis in the Blood and the CSF: A Focus on Neurofilaments and Therapeutic Considerations.

Int J Mol Sci. 2022-3-21

[10]
Means, mechanisms and consequences of adenine methylation in DNA.

Nat Rev Genet. 2022-7

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