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当代阿耳茨海默病研究

Editor-in-Chief

ISSN (Print): 1567-2050
ISSN (Online): 1875-5828

Review Article

AD中的炎症生物标志物:对诊断的意义

卷 17, 期 11, 2020

页: [962 - 971] 页: 10

弟呕挨: 10.2174/1567205017666201223152612

价格: $65

摘要

阿尔茨海默氏病是痴呆症最常见的形式。由于缺乏有效的干预措施,因此强调了对新干预措施进行早期准确诊断。但是,在诊断之前,明显的神经元丢失和神经病理损害会严重损害大脑。随着我们对神经炎症在阿尔茨海默氏病发病机理中的作用的了解不断增长,炎症性生物标志物在诊断中引起了越来越多的兴趣。这篇综述的重点是通过神经影像,脑脊液和外周血检测到的炎症生物标记物在诊断阿尔茨海默氏病中的用途,并提出了临床意义。这篇综述包括以下生物标志物:神经影像学,各种与转运蛋白(TSPO)结合的配体;脑脊液,在髓样细胞(sTREM2),人软骨糖蛋白39(YKL-40)和单核细胞趋化蛋白1(MCP-1)上表达的可溶性触发受体,以及外周血中的各种生物标志物。尽管越来越多的证据表明这些炎症性生物标志物在诊断AD中具有潜在作用,但它们的使用仍存在局限性。但是,将这些生物标记物与常规诊断线索(例如基因型和淀粉样蛋白病理)结合使用,可以改善患者的分层和选择,以进行有针对性的早期干预。

关键词: 阿尔茨海默氏病,神经炎症,生物标志物,神经影像学,脑脊液,血浆,轻度认知障碍,小胶质细胞

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