鉴别与阿尔茨海默病相关的潜在血液蛋白标志物的荟萃分析方法

N. Subburaj, Rani P
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摘要

。阿尔茨海默病(AD)是一种以记忆丧失和不同认知能力为特征的持续性神经退行性疾病,占痴呆症的60%至80%。目前,阿尔茨海默病的治疗方法只是治疗和延缓痴呆症的恶化。生物标志物可以提供大脑异常的详细测量,这可以帮助那些症状非常轻微的人早期发现疾病,也可以在疾病的早期阶段,在不可逆转的脑损伤或智力下降发生之前开发治疗目标。患有阿尔茨海默病和不同类型痴呆症的个体以不同的速度进展,生物标志物可能有助于预测和监测他们的进展。因此,研究人员正在寻找准确的认知障碍预后的临床前生物标志物。目前用于阿尔茨海默病诊断的方法昂贵,侵入性或耗时。因此,有可能需要侵入性较小且经济可行的血液生物标志物来协助老年人群的大规模筛查。本分析的目的是评估已报道的阿尔茨海默病(AD)的血液蛋白生物标志物。以“阿尔茨海默病感染”和“血浆生物标志物”为关键词,对2007年至2018年3月间发表的1195篇论文进行了系统的PubMed调查,选出了58篇符合过滤标准的文章。采用meta评分系统对所选论文的AD血基蛋白进行评分。本研究共鉴定了90种血基蛋白,其中15种为多次报道。meta评分最高的6个蛋白分别是APOE、BNP、CRP、CD40、TNF α和Clusterin。进一步的检查和广泛的试验验证对于确认这些潜在的生物标志物在阿尔茨海默病诊断中的临床应用非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A meta-analysis method for identifying potential blood based protein markers associated with Alzheimer’s disease
. The Alzheimer's disease (AD) is a persistent neurodegenerative disorder characterized by loss of memory and different cognitive capabilities which represents 60 to 80% of dementia. Present day Alzheimer's remedies just treat and postpone the deterioration of dementia manifestations. A biomarker could provide a detailed measurements of brain abnormality, which can aid in the early detection of disease in people who have very mild symptoms and also the treatments targets could be developed for the disease in its early stages, before irreversible brain damage or mental decline occurs. Individuals with Alzheimer's disease and different types of dementia progress at various rates, and biomarkers may aid in predicting and monitoring their progression. Thereby researchers are looking for precise preclinical biomarkers for prognosis of cognitive impairment. The current methods that are used in AD diagnosis are expensive, invasive or time consuming. Hence there is a potential requirement for less invasive and economically feasible blood-based biomarkers to assist in large-scale screening of the geriatric population. The objective of this analysis was to evaluate the reported blood-based protein biomarkers of Alzheimer's disease (AD). A methodical PubMed survey was performed on 1195 articles distributed among 2007 and March 2018 using the key phrases "Alzheimer's infection" and "plasma biomarker" and 58 articles were chosen that met with the filtering criteria. The blood-based proteins of AD from the selected papers were scored using a meta-scoring system.In this study, 90 blood based proteins were identified, of which 15 were reported multiple times. The six highest meta scored proteins are APOE, BNP, CRP, CD40, TNF α and Clusterin. Further examinations and broad trial validations are important to affirm the clinical use of these potential biomarkers for AD diagnosis.
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