Olesen O F
Ugeskr Laeger. 1994 Feb 21;156(8):1116-7, 1121-4.
Alzheimer's disease is a degenerative disorder of the human central nervous system that results in a progressive loss of memory and intellectual abilities. It is strongly related to aging and it is thus assumed that 0.5% of the total population, and up to 30% of eighty-year-olds suffer from the disease. Many require expensive institutional care, often over long periods, as there is no effective treatment at present. Abundant amyloid plaques and neurofibrillary tangles constitute the two major neuropathological lesions that characterize the brains of patients with Alzheimer's disease. The amyloid plaque consists mainly of a soluble polypeptide of 42-43 amino acids called beta-amyloid. beta-Amyloids is derived by an alternative cleavage of the much larger amyloid precursor protein (APP), but it is not known which proteolytic enzyme is responsible for this alternative cleavage. In contrast to plaques, the neurofibrillary tangles are formed intracellularly and the number of them seems to correlate with the progression of the disease. Their main components are paired helical filaments (PHF) which seem to consist almost entirely of the protein tau. The normal function of tau is to bind to microtubules and thereby stabilize the nerve cell's structure and integrity. In contrast to normal tau, PHF-tau is heavily phosphorylated, and it is assumed that this phosphorylation is the underlying cause of the formation of PHF and the neurofibrillary tangles. Despite extensive research it is still not known which enzymes are responsible for the over phosphorylation of tau that occurs in Alzheimer's disease. If they could be identified and controlled pharmacologically, an effective treatment of the disease might be possible.
阿尔茨海默病是一种人类中枢神经系统的退行性疾病,会导致记忆力和智力能力逐渐丧失。它与衰老密切相关,据推测,总人口的0.5%以及高达30%的80岁老人患有这种疾病。由于目前没有有效的治疗方法,许多患者需要长期接受昂贵的机构护理。大量的淀粉样斑块和神经原纤维缠结是阿尔茨海默病患者大脑的两个主要神经病理学特征性病变。淀粉样斑块主要由一种名为β-淀粉样蛋白的42 - 43个氨基酸的可溶性多肽组成。β-淀粉样蛋白是由大得多的淀粉样前体蛋白(APP)经选择性切割产生的,但尚不清楚哪种蛋白水解酶负责这种选择性切割。与斑块不同,神经原纤维缠结在细胞内形成,其数量似乎与疾病的进展相关。它们的主要成分是双螺旋细丝(PHF),几乎完全由tau蛋白组成。tau蛋白的正常功能是与微管结合,从而稳定神经细胞的结构和完整性。与正常tau蛋白相比,PHF - tau蛋白高度磷酸化,据推测这种磷酸化是PHF形成和神经原纤维缠结的根本原因。尽管进行了广泛的研究,但仍不清楚在阿尔茨海默病中tau蛋白过度磷酸化是由哪些酶引起的。如果能够识别并通过药物控制这些酶,或许有可能找到这种疾病的有效治疗方法。