Alzheimer's disease, a multifactorial disorder seeking multitherapies.

Alzheimer's disease, a multifactorial disorder seeking multitherapies.
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DOI:
10.1016/j.jalz.2010.04.006
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发表时间:
2010-09
期刊:
Alzheimer's & dementia : the journal of the Alzheimer's Association
影响因子:
--
通讯作者:
Grundke-Iqbal I
Grundke-Iqbal I
中科院分区:
其他
文献类型:
--
作者:
Iqbal K;Grundke-Iqbal I

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阿尔茨海默病(AD)是多因素的,显然涉及几种不同的致病机制。根据脑脊液中Aβ1-42(Aβ斑块的标志物)和tau和泛素(神经纤维缠结的两个标志物)的脑脊液水平,至少有五种AD亚型。这些不同的AD亚组对给定的疾病修饰药物的反应可能不同,因此,可能需要针对不同的疾病亚组使用不同的治疗药物。在临床试验中,根据疾病亚组对AD患者进行分层对于成功开发有效的疾病修饰药物至关重要。脑脊液水平的疾病标记物在识别AD的不同亚型和监测治疗药物的反应方面都是有希望的。
Alzheimer disease (AD) is multifactorial and apparently involves several different etiopathogenic mechanisms. There are at least five subgroups of AD based on cerebrospinal fluid levels of Aβ1–42, a marker of Aβ plaques, and tau and ubiquitin, two markers of neurofibrillary tangles. These different AD subgroups may respond differently to a given disease modifying drug and, hence, different therapeutic drugs for different disease subgroups might be required. Stratification of AD patients by disease subgroups in clinical trials is critical to the successful development of potent disease modifying drugs. Cerebrospinal fluid levels of disease markers are promising, both in identifying various subgroups of AD and in monitoring the response to therapeutic drugs.
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