轻度行为障碍:阿尔茨海默病痴呆的早期征兆和预测因子。

IF 1.8 4区 医学 Q3 CLINICAL NEUROLOGY
Fei Jiang, Cheng Cheng, Jinsong Huang, Qiaoling Chen, Weidong Le
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引用次数: 3

摘要

背景:阿尔茨海默病(AD)是老年人群中最常见的痴呆症,给医疗和护理带来了沉重的负担。近年来,阿尔茨海默病前驱期的精神和行为症状,特别是轻度行为障碍(MBI)引起了人们的广泛关注。在2012年阿尔茨海默病协会国际会议上,MBI被提出为痴呆典型临床认知症状出现前伴有精神和行为障碍的综合征。越来越多的证据表明MBI与包括Aβ和tau在内的早期AD病理之间存在联系。目的:这篇叙述性综述旨在总结MBI相对于其他与AD相关的精神和行为症状概念在AD痴呆早期预测中的优势。我们还讨论了MBI和AD相互作用的可能的共同遗传基础和病理机制。方法:本文引用的论文检索自PubMed截至2022年2月的论文。我们共选取了95篇文章进行总结和讨论。结果:MBI的发生主要是由于遗传和病理危险因素与AD重叠,与大脑对环境应激源的反应有关。MBI可能是AD早期病理的警示信号,MBI症状的出现次数和持续时间应引起更多的关注。结论:MBI可能是阿尔茨海默病痴呆的早期征兆和预测因子。早期干预MBI可能对缓解长期认知能力下降有积极作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mild Behavioral Impairment: An Early Sign and Predictor of Alzheimer's Disease Dementia.

Background: Alzheimer's disease (AD) is the most common form of dementia in the elderly population and places heavy burdens on medical care and nursing. Recently, the psychiatric and behavioral symptoms of prodromal AD, especially mild behavioral impairment (MBI), have attracted much attention. In 2012, Alzheimer's Association International Conference, MBI was proposed as a syndrome with psychiatric and behavioral disturbance before the onset of typical clinical cognitive symptoms in dementia. Increasing lines of evidence have indicated the link between MBI and early AD pathologies including Aβ and tau.

Objective: This narrative review aims to summarize the advantages of MBI over other concept of psychiatric and behavioral symptoms associated with AD in the early prediction of AD dementia. We also discuss the possible common genetic basis and pathological mechanisms underlying the interactions between MBI and AD.

Methods: Papers cited here were retrieved from PubMed up to February 2022. We selected a total of 95 articles for summary and discussion.

Results: The occurrence of MBI is mainly due to the overlapped genetic and pathological risk factors with AD and is related to the brain's response to environmental stressors. MBI may be a warning sign for the early pathology of AD, and more attention should be paid on the number and duration of MBI symptoms.

Conclusion: MBI may be an early sign and predictor of Alzheimer's disease dementia. Early intervention for MBI may have a positive effect on alleviating long-term cognitive decline.

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来源期刊
Current Alzheimer research
Current Alzheimer research 医学-神经科学
CiteScore
4.00
自引率
4.80%
发文量
64
审稿时长
4-8 weeks
期刊介绍: Current Alzheimer Research publishes peer-reviewed frontier review, research, drug clinical trial studies and letter articles on all areas of Alzheimer’s disease. This multidisciplinary journal will help in understanding the neurobiology, genetics, pathogenesis, and treatment strategies of Alzheimer’s disease. The journal publishes objective reviews written by experts and leaders actively engaged in research using cellular, molecular, and animal models. The journal also covers original articles on recent research in fast emerging areas of molecular diagnostics, brain imaging, drug development and discovery, and clinical aspects of Alzheimer’s disease. Manuscripts are encouraged that relate to the synergistic mechanism of Alzheimer''s disease with other dementia and neurodegenerative disorders. Book reviews, meeting reports and letters-to-the-editor are also published. The journal is essential reading for researchers, educators and physicians with interest in age-related dementia and Alzheimer’s disease. Current Alzheimer Research provides a comprehensive ''bird''s-eye view'' of the current state of Alzheimer''s research for neuroscientists, clinicians, health science planners, granting, caregivers and families of this devastating disease.
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