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阿尔茨海默病:评估抗Aβ(β-淀粉样蛋白)治疗的潜在疗效

Alzheimer's disease: assessing the therapeutic potential of anti-Aβ (Beta-Amyloid) treatments.

作者信息

Almutairi Jawza A

机构信息

Department of Pharmaceutical Science, College of Pharmacy, Princess NourahBint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia.

出版信息

Cell Mol Biol (Noisy-le-grand). 2025 Feb 2;71(1):111-117. doi: 10.14715/cmb/2025.70.1.12.

Abstract

One of the most common forms of dementia and a neurodegenerative illness is Alzheimer's disease (AD), which is distinguished by impaired memory and cognitive dysfunction. Decades of research have been devoted to determining its etiology, pathogenic processes, and biomarkers to facilitate early identification and clinical investigations for therapy. Neural atrophy and broken connections between neurons are the outcomes of the illness. The amyloid beta (Aβ) cascade is among the most widely recognized and important hypotheses of the numerous hypotheses regarding the pathogenesis of AD. This theory suggests that the breakdown of the amyloid precursor protein (APP) produces Aβ monomers. These monomers are then converted into hazardous oligomers, which in turn form β-sheets, fibrils, and plaques after being formed. The amyloid cascade theory was covered in this review, along with a summary of how it is used to diagnose and treat Alzheimer's. Specifically, we covered the drawbacks, potential, and significant unsolved issues with the anti-Aβ therapy that is now in use, as well as plans for more research and the creation of more workable Aβ-targeted methods to optimize AD early detection and management.

摘要

阿尔茨海默病(AD)是最常见的痴呆形式之一,也是一种神经退行性疾病,其特征是记忆力受损和认知功能障碍。数十年来,人们一直致力于确定其病因、致病过程和生物标志物,以便于早期识别和进行治疗的临床研究。神经萎缩和神经元之间的连接中断是该疾病的结果。在众多关于AD发病机制的假说中,淀粉样β(Aβ)级联假说是最广为人知且最重要的假说之一。该理论认为,淀粉样前体蛋白(APP)的分解产生Aβ单体。这些单体随后转化为有害的寡聚体,寡聚体形成后又会依次形成β折叠、纤维和斑块。本综述涵盖了淀粉样级联理论,以及其在阿尔茨海默病诊断和治疗中的应用概述。具体而言,我们讨论了目前使用的抗Aβ疗法的缺点、潜力和重大未解决问题,以及更多研究计划和创建更可行的Aβ靶向方法,以优化AD的早期检测和管理。

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