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PART是阿尔茨海默病的一部分。

PART is part of Alzheimer disease.

作者信息

Duyckaerts Charles, Braak Heiko, Brion Jean-Pierre, Buée Luc, Del Tredici Kelly, Goedert Michel, Halliday Glenda, Neumann Manuela, Spillantini Maria Grazia, Tolnay Markus, Uchihara Toshiki

机构信息

Laboratoire de Neuropathologie Escourolle, AP-HP, Hôpital de la Salpêtrière, 47 Bd de l'Hôpital, 75651, Paris Cedex 13, France,

出版信息

Acta Neuropathol. 2015 May;129(5):749-56. doi: 10.1007/s00401-015-1390-7. Epub 2015 Jan 28.

Abstract

It has been proposed that tau aggregation confined to entorhinal cortex and hippocampus, with no or only minimal Aβ deposition, should be considered as a 'primary age-related tauopathy' (PART) that is not integral to the continuum of sporadic Alzheimer disease (AD). Here, we examine the evidence that PART has a pathogenic mechanism and a prognosis which differ from those of AD. We contend that no specific property of the entorhinal-hippocampal tau pathology makes it possible to predict either a limited progression or the development of AD, and that biochemical differences await an evidence base. On the other hand, entorhinal-hippocampal tau pathology is an invariant feature of AD and is always associated with its development. Rather than creating a separate disease entity, we recommend the continued use of an analytical approach based on NFT stages and Aβ phases with no inference about hypothetical disease processes.

摘要

有人提出,局限于内嗅皮层和海马体的tau蛋白聚集,且无或仅有极少的Aβ沉积,应被视为一种“原发性年龄相关性tau蛋白病”(PART),它并非散发性阿尔茨海默病(AD)连续谱的一部分。在此,我们审视了PART具有与AD不同的致病机制和预后的证据。我们认为,内嗅-海马tau蛋白病理学的任何特定特性都无法预测其进展有限或AD的发展,而且生化差异尚缺乏证据基础。另一方面,内嗅-海马tau蛋白病理学是AD的一个不变特征,且总是与其发展相关联。我们建议继续采用基于神经纤维缠结阶段和Aβ分期的分析方法,而不推断假设的疾病过程,而非创建一个单独的疾病实体。

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