摘要
前言:阿尔茨海默病是一种慢性疾病,考虑到60岁以上的人群,估计发病率约为10-30%。大多数患者(>95%)呈散发型,以晚发(80~90岁)为特征,这是脑间隙无法清除淀粉样蛋白(β,Aβ)肽的结果。对散发性疾病的遗传危险因素进行了大量的研究。一些现有的治疗阿尔茨海默氏病的药物可提供长达12个月的症状治疗,但目前还没有经过批准的疾病修饰疗法。在这一条线上,一种基于重新定位药物的补充策略(这些药物被批准用于其他疾病的治疗)可能是令人感兴趣的。值得注意的是,一些临床试验表明,有几类药物对阿尔茨海默病的治疗具有强大和有益的作用。在目前的工作中,我们介绍了这些替代治疗的细节和评估。它强调了几种具有相关证据的化合物,这些化合物值得进一步研究,以便在阿尔茨海默病患者的临床试验中澄清最佳的治疗条件。
关键词: 阿尔茨海默病,神经变性,药物重新定位,τ蛋白,淀粉样蛋白-β肽,药效团。
Current Alzheimer Research
Title:Insights into the Drug Repositioning Applied to the Alzheimer's Disease Treatment and Future Perspectives
Volume: 15 Issue: 12
关键词: 阿尔茨海默病,神经变性,药物重新定位,τ蛋白,淀粉样蛋白-β肽,药效团。
摘要: Introduction: Alzheimer's disease is known to be a chronic disease, with an estimated prevalence of about 10-30%, considering the population over 60 years of age. Most patients with this disorder (> 95%) present the sporadic form, being characterized by a late onset (80-90 years of age), and it is the consequence of the failure to clear the amyloid-β (Aβ) peptide from the interstices of the brain. Significant numbers of genetic risk factors for the sporadic disease have been researched. Some existing drugs for Alzheimer's disease provide symptomatic benefit for up to 12 months, but there are no approved disease- modifying therapies. In this line, a complementary strategy based on repositioning drugs which are approved for the treatment of other disorders could be interesting. It is noteworthy the fact that some clinical trials indicate that several classes of drugs own potent and beneficial effects on the Alzheimer's disease treatment. In this present work, we present the details and evaluation of these alternative treatments. It has highlighted several compounds with relevant evidence for this purpose, which deserves further investigation to clarify optimal treatment conditions in the clinical trials of patients with Alzheimer's disease.
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Cite this article as:
Insights into the Drug Repositioning Applied to the Alzheimer's Disease Treatment and Future Perspectives, Current Alzheimer Research 2018; 15 (12) . https://dx.doi.org/10.2174/1567205015666180813150703
DOI https://dx.doi.org/10.2174/1567205015666180813150703 |
Print ISSN 1567-2050 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-5828 |
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