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单克隆抗体在阿尔茨海默病中的作用:成功、失败与未来方向

Role of Monoclonal Antibodies in Alzheimer's Disease: Successes, Failures, and Future Directions.

作者信息

Gupta Arushi, Pahal Sonu, Kumar Vivek, Chaudhary Amit

机构信息

Amity Institute of Biotechnology, Amity University, Noida, India.

University of Arkansas at Little Rock and University of Arkansas for Medical Sciences, Little Rock, AR, USA.

出版信息

Neurol Sci. 2025 Aug 30. doi: 10.1007/s10072-025-08456-5.

Abstract

Alzheimer's disease (AD), referred to as a type of dementia, is a progressive neurodegenerative disease with cognitive decline and key features comprising extracellular amyloid-β(Aβ) and intracellular neurofibrillary tangles. Monoclonal antibodies (mAbs) are a new therapeutic approach targeting the specific biochemical abnormalities associated with AD. This review summarizes several mAbs designed for AD, which helps to describe their mechanisms, including amyloid clearance from the brain as well as regulation of neuroinflammation. Moreover, the data on mAbs-related publications are shown in terms of their annual growth rate. A series of clinical studies, from discovery to application, suggest that mAbs could revolutionize the course of AD. While current mAbs have shown promise, future directions focus on improving efficacy, reducing adverse effects, and expanding accessibility.

摘要

阿尔茨海默病(AD),被称为一种痴呆症,是一种进行性神经退行性疾病,具有认知功能衰退,其关键特征包括细胞外β淀粉样蛋白(Aβ)和细胞内神经原纤维缠结。单克隆抗体(mAb)是一种针对与AD相关的特定生化异常的新治疗方法。本综述总结了几种为AD设计的单克隆抗体,有助于描述它们的作用机制,包括从大脑中清除淀粉样蛋白以及调节神经炎症。此外,还展示了单克隆抗体相关出版物数据的年增长率。一系列从发现到应用的临床研究表明,单克隆抗体可能会彻底改变AD的病程。虽然目前的单克隆抗体已显示出前景,但未来的方向集中在提高疗效、减少不良反应和扩大可及性。

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