Comprehending Alzheimer's Disease: Molecular Mechanisms and Treatment Strategies.

Sunny Rathee, Vishal Pandey, Sakshi Soni, Debasis Sen, Sanjay K Jain
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Abstract

Alzheimer's disease (AD) is a complex neurodegenerative disorder and a growing global health challenge, driven by increasing life expectancy and an aging population. This review provides a comprehensive exploration of AD pathophysiology, integrating current hypotheses such as the amyloid cascade, tau protein pathology, cholinergic dysfunction, neuroinflammation, vascular contributions, and potential infection-related mechanisms. The multifactorial etiology of AD, encompassing genetic predispositions and environmental factors, underscores its intricate nature. This study delves into the diagnostic advancements, including the identification and utilization of biomarkers for early detection and disease monitoring. Therapeutic approaches are critically evaluated, highlighting anti-amyloid and anti-tau strategies, alongside emerging innovations in stem cell therapy and nanobiotechnology. A detailed examination of clinical trials offers insights into the achievements and setbacks of translating research into effective treatments. By synthesizing epidemiological trends, molecular mechanisms, and therapeutic developments, this review aims to advance our understanding of AD and foster collaborative efforts to develop transformative solutions. It emphasizes the urgency of addressing this multifaceted disease, presenting a nuanced perspective on its complexity while illuminating future directions for research and clinical practice.

认识阿尔茨海默病:分子机制和治疗策略。
阿尔茨海默病(AD)是一种复杂的神经退行性疾病,在预期寿命延长和人口老龄化的推动下,是一项日益严重的全球健康挑战。本文综述了阿尔茨海默病的病理生理学,整合了目前的假说,如淀粉样蛋白级联、tau蛋白病理、胆碱能功能障碍、神经炎症、血管贡献和潜在的感染相关机制。阿尔茨海默病的多因素病因,包括遗传易感性和环境因素,强调了其复杂的性质。本研究深入探讨了诊断的进展,包括识别和利用生物标志物进行早期检测和疾病监测。治疗方法被严格评估,突出抗淀粉样蛋白和抗tau策略,以及干细胞治疗和纳米生物技术的新兴创新。临床试验的详细检查提供了对将研究转化为有效治疗的成就和挫折的见解。通过综合流行病学趋势、分子机制和治疗进展,本综述旨在促进我们对阿尔茨海默病的理解,并促进合作开发变革性解决方案。它强调了解决这一多方面疾病的紧迫性,在阐明未来研究和临床实践方向的同时,对其复杂性提出了细致入微的观点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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