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阿尔茨海默病和脑淀粉样血管病中的清除率改变

Altered Clearance in Alzheimer's Disease and Cerebral Amyloid Angiopathy.

作者信息

Mohammadi Soheil, Dolatshahi Mahsa, Rahmani Farzaneh, Raji Cyrus A

机构信息

Mallinckrodt Institute of Radiology, Washington University School of Medicine, Saint Louis, MO, USA.

Mallinckrodt Institute of Radiology, Washington University School of Medicine, Saint Louis, MO, USA; Department of Neurology, Washington University School of Medicine, Saint Louis, MO, USA.

出版信息

Neuroimaging Clin N Am. 2025 May;35(2):277-286. doi: 10.1016/j.nic.2024.12.004. Epub 2025 Feb 19.

Abstract

With our focus on Alzheimer's disease (AD) and cerebral amyloid angiopathy (CAA), the authors herein provided a comprehensive overview of impaired amyloid beta and tau clearance pathways observed through advanced neuroimaging techniques such as dynamic contrast-enhanced MR imaging, arterial spin labeling, phase contrast MR imaging, PET, and functional MR imaging. The findings suggest the role of impaired degradation clearance, blood-brain barrier clearance, perivascular clearance, glymphatic system clearance, and cerebrospinal fluid dynamics in AD and CAA pathogenesis.

摘要

鉴于我们对阿尔茨海默病(AD)和脑淀粉样血管病(CAA)的关注,本文作者全面概述了通过动态对比增强磁共振成像、动脉自旋标记、相位对比磁共振成像、正电子发射断层扫描(PET)和功能磁共振成像等先进神经成像技术观察到的淀粉样β蛋白和tau蛋白清除途径受损的情况。研究结果表明,降解清除、血脑屏障清除、血管周围清除、类淋巴系统清除以及脑脊液动力学受损在AD和CAA发病机制中所起的作用。

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