摘要
阿尔茨海默氏病(AD)是一种慢性进行性神经退行性疾病,全世界有4600万人受到影响。它的特点是认知能力下降,包括记忆和思维能力。 AD患者还患有痴呆的行为和心理症状,其中抑郁症最普遍。目前可用的药物可提供适度的症状缓解,并且不能减轻病理特征(老年斑和神经原纤维缠结)和神经炎症,这两者都是AD的组成部分。研究表明,AD是一种表现在大脑中的糖尿病。尽管AD和糖尿病目前被分类为单独的疾病实体,但是它们具有共同的病理生理机制,其中之一是参与炎症以及调节代谢,再生和神经过程的细胞因子水平升高。这篇综述的目的是更新有关抗糖尿病药的发现和开发的最新报告,这些药物是用于对症和疾病缓解性治疗的有前途的药物。我们收集了体外和体内研究的结果,最近的临床试验报告表明抗糖尿病药在AD记忆增强疗法中的实用性。还介绍了它们对慢性神经发炎,病理学特征和认知缺陷共同引起的神经精神症状的有益作用。抗糖尿病药是指AD的糖尿病和炎症假设,并为寻找一种有效的药物来对该疾病进行综合治疗提供了希望。
关键词: 阿尔茨海默氏病,BPSD,认知障碍,神经退行性疾病,神经炎症,III型糖尿病,抗糖尿病药,抗炎活性。
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