[阿尔茨海默病的血液生物标志物:现状与前景]。

Q3 Medicine
Takeshi Ikeuchi
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引用次数: 0

摘要

血液生物标记物具有微创、成本相对较低、易于获取等特点,因此有望在痴呆症的诊断中发挥关键作用。血浆中淀粉样蛋白-β比值和磷酸化 tau 的测量结果表明,在准确检测阿尔茨海默病患者的脑部病变方面具有很大的潜力。有研究调查了反映痴呆症患者神经变性和神经炎症的血液生物标记物。使用血液生物标记物面临的挑战包括:测试缺乏稳健性和混杂因素的作用,这些因素可能会阻碍生物标记物立即应用于临床。有必要进一步开展真实世界研究,以验证血液生物标志物在痴呆症治疗中的实用性。国内外都已发布了针对痴呆症使用血液生物标志物的适当建议,供医生和研究人员参考。考虑到血液生物标志物的多功能性,应谨慎将其引入临床应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Blood Biomarkers for Alzheimer's Disease: Current Status and Prospects].

Blood biomarkers are minimally invasive, are available at a relatively low cost, and are easily accessible; therefore, they are expected to play a pivotal role in the diagnosis of dementia. Measurement of the amyloid-β ratio and phosphorylated tau in plasma has shown high potential for accurate detection of brain pathology in patients with Alzheimer's disease. Studies have investigated blood biomarkers that reflect neurodegeneration and neuroinflammation in patients with dementia. Challenges associated with blood biomarker use include the lack of robustness of the test and the role of confounders that potentially prevent their immediate clinical application. Further real-world studies are warranted to validate the usefulness of blood biomarkers in dementia management. Appropriate recommendations for the use of blood biomarkers for dementia have been published for physicians and investigators, both in Japan and overseas. Considering the versatility of blood biomarkers, they should be cautiously introduced for clinical use.

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来源期刊
Brain and Nerve
Brain and Nerve Medicine-Neurology (clinical)
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