Rumiana Tenchov, Janet M Sasso, Qiongqiong Angela Zhou
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引用次数: 0
摘要
阿尔茨海默病(AD)是一种进行性神经退行性疾病,以认知能力下降、记忆力减退和日常功能受损为特征。阿尔茨海默病的病理特征是大脑中淀粉样 beta 斑块和 tau 蛋白缠结的累积,以及神经炎症和突触功能障碍。APP、PSEN1 和 PSEN2 基因突变以及 APOE ε4 等位基因等遗传因素会增加罹患 AD 的风险。目前可用的治疗方法可缓解症状,但不能阻止疾病的发展。研究工作的重点是开发针对 AD 潜在病理机制的疾病改变疗法。在确定和验证 AD 的可靠生物标志物方面取得的进展为临床实践中加强早期诊断、监测疾病进展和评估治疗反应带来了巨大希望,从而减轻了这一毁灭性疾病的负担。在本文中,我们分析了 CAS 内容集的数据,总结了阿尔茨海默病的研究进展。我们对论文发表情况进行了研究,以深入了解当前的知识进步和发展。我们还回顾了讨论最多的新概念,并评估了抗击该疾病的策略。我们探讨了遗传风险因素、药物靶点和合并疾病。最后,我们考察了抗抑郁药物产品的临床应用及其开发管线和药物再利用的努力。本综述的目的是概述当前有关注意力缺失症的知识的演变情况,概述所面临的挑战,并评估进一步抗击该疾病的发展机遇。
Alzheimer's Disease: Exploring the Landscape of Cognitive Decline.
Alzheimer's disease (AD) is a progressive neurodegenerative disorder characterized by cognitive decline, memory loss, and impaired daily functioning. The pathology of AD is marked by the accumulation of amyloid beta plaques and tau protein tangles in the brain, along with neuroinflammation and synaptic dysfunction. Genetic factors, such as mutations in APP, PSEN1, and PSEN2 genes, as well as the APOE ε4 allele, contribute to increased risk of acquiring AD. Currently available treatments provide symptomatic relief but do not halt disease progression. Research efforts are focused on developing disease-modifying therapies that target the underlying pathological mechanisms of AD. Advances in identification and validation of reliable biomarkers for AD hold great promise for enhancing early diagnosis, monitoring disease progression, and assessing treatment response in clinical practice in effort to alleviate the burden of this devastating disease. In this paper, we analyze data from the CAS Content Collection to summarize the research progress in Alzheimer's disease. We examine the publication landscape in effort to provide insights into current knowledge advances and developments. We also review the most discussed and emerging concepts and assess the strategies to combat the disease. We explore the genetic risk factors, pharmacological targets, and comorbid diseases. Finally, we inspect clinical applications of products against AD with their development pipelines and efforts for drug repurposing. The objective of this review is to provide a broad overview of the evolving landscape of current knowledge regarding AD, to outline challenges, and to evaluate growth opportunities to further efforts in combating the disease.
期刊介绍:
ACS Chemical Neuroscience publishes high-quality research articles and reviews that showcase chemical, quantitative biological, biophysical and bioengineering approaches to the understanding of the nervous system and to the development of new treatments for neurological disorders. Research in the journal focuses on aspects of chemical neurobiology and bio-neurochemistry such as the following:
Neurotransmitters and receptors
Neuropharmaceuticals and therapeutics
Neural development—Plasticity, and degeneration
Chemical, physical, and computational methods in neuroscience
Neuronal diseases—basis, detection, and treatment
Mechanism of aging, learning, memory and behavior
Pain and sensory processing
Neurotoxins
Neuroscience-inspired bioengineering
Development of methods in chemical neurobiology
Neuroimaging agents and technologies
Animal models for central nervous system diseases
Behavioral research