{"id":191,"date":"2022-02-07T18:32:33","date_gmt":"2022-02-07T10:32:33","guid":{"rendered":"http:\/\/110.40.240.150\/wordpress\/?p=191"},"modified":"2022-09-08T10:30:10","modified_gmt":"2022-09-08T02:30:10","slug":"%e9%98%bf%e5%b0%94%e8%8c%a8%e6%b5%b7%e9%bb%98%e7%97%85%e6%b2%bb%e7%96%97%e8%8d%af%e7%9a%84%e7%a0%94%e7%a9%b6%e8%bf%9b%e5%b1%95","status":"publish","type":"post","link":"http:\/\/www.chinrilymedica.cn\/?p=191","title":{"rendered":"\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u6cbb\u7597\u836f\u7684\u7814\u7a76\u8fdb\u5c55"},"content":{"rendered":"\r\n
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pathophysiology\uff09\uff0c\u4e5f\u5c31\u662f\u8bf4\u6709\u4e00\u7c7bAD\u60a3\u8005\u8111\u90e8\u6ca1\u6709\u68c0\u6d4b\u5230A\u03b2\uff0c\u4f7f\u5f97A\u03b2\u5bfc\u81f4AD\u795e\u7ecf\u53d8\u6027\u7684\u56e0\u7d20\u5b58\u7591\u3002\u4f46\u8fd9\u5e76\u6ca1\u6709\u5f71\u54cd\u5230FDA\u6279\u51c6Aduhelm\u4e0a\u5e02\uff0cFDA\u53ea\u662f\u8981\u6c42\u6e24\u5065\u7ee7\u7eed\u9a8c\u8bc1Aduhelm\u7684\u4e34\u5e8a\u6709\u6548\u6027\u3002\u5982\u679c\u836f\u7269\u4e0d\u80fd\u53d1\u6325\u9884\u671f\u7684\u4f5c\u7528\uff0cFDA\u53ef\u53d6\u6d88\u5176\u4e0a\u5e02\u8bb8\u53ef\u3002<\/p>\r\n\r\n\r\n\r\n 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A\u03b240\u548cA\u03b242\u86cb\u767d\u3002\u7814\u7a76\u8868\u660eA\u03b2\u5355\u4f53\u4e0d\u4f1a\u5f71\u54cd\u795e\u7ecf\u5143\u7684\u529f\u80fd\uff0c\u4e3b\u8981\u662fA\u03b2\u5be1\u805a\u4f53\u53ef\u4ee5\u5feb\u901f\u5f15\u53d1\u795e\u7ecf\u5143\u5927\u91cf\u6b7b\u4ea1\u3002A\u03b242\u86cb\u767d\u66f4\u6613\u4e8e\u5f62\u6210\u81f4\u5bc6\u7ea4\u7ef4\u72b6\u6591\u5757\uff0c\u6c89\u79ef\u5728\u5927\u8111\u76ae\u5c42\u548c\u6d77\u9a6c\u533a\u57df\uff0c\u5f15\u8d77\u795e\u7ecf\u5143\u7a81\u89e6\u529f\u80fd\u969c\u788d\uff0c\u8bf1\u53d1\u795e\u7ecf\u7ec6\u80de\u51cb\u4ea1\uff0c\u6700\u7ec8\u5bfc\u81f4AD\u7684\u53d1\u751f\u3002\u6709\u7814\u7a76\u8868\u660eA\u03b2\u5be1\u805a\u4f53\u53ef\u589e\u5f3a\u9499\u79bb\u5b50\u4f9d\u8d56\u6027\u86cb\u767d\u6fc0\u9176\u6d3b\u6027\uff0c\u4f7f\u795e\u7ecf\u7ec6\u80de\u5185\u9499\u79bb\u5b50\u8d85\u8f7d\uff0c\u5bfc\u81f4\u795e\u7ecf\u7ec6\u80de\u5185\u6c27\u5316\u5e94\u6fc0\u589e\u52a0\u548c\u7ec6\u80de\u51cb\u4ea1\u3002<\/p>\r\n\r\n\r\n\r\n Tau 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\u3002<\/p>\r\n\r\n\r\n\r\n \u8fd1\u6765\u4e34\u5e8a\u53d1\u73b0\u5927\u8111\u4e2d\u6709A\u03b2\u6c89\u79ef\u7684\u8001\u4eba\u5e76\u6ca1\u6709\u51fa\u73b0\u5931\u667a\u75c7\u72b6\uff0c\u4e14\u9776\u5411A\u03b2\u836f\u7269\u5728\u4e34\u5e8a\u8bd5\u9a8c\u4e2d\u5747\u6ca1\u6709\u83b7\u5f97\u6ee1\u610f\u7597\u6548\uff0c\u4f7f\u5f97\u5168\u7403\u5404\u4e3b\u8981\u5236\u836f\u516c\u53f8\u57fa\u672c\u4e0a\u90fd\u5728\u9776\u5411<\/a>A\u03b2\u7684\u5f00\u53d1\u4e0a\u683d\u4e86\u8ddf\u5934\uff0c\u4e8e\u662f\u7814\u7a76\u4eba\u5458\u8d8a\u6765\u8d8a\u91cd\u89c6\u9776\u5411Tau\u86cb\u767d\u836f\u7269\u7684\u7814\u7a76\u3002\u7136\u800c\uff0c\u4e00\u9879\u53d1\u8868\u4e8e\u300a\u67f3\u53f6\u5200\u300b\u6742\u5fd7\u7684\u8bd5\u9a8c\u7ed3\u679c\u8868\u660etau\u86cb\u767d\u6291\u5236\u5242\u5e76\u4e0d\u80fd\u663e\u8457\u7684\u6539\u5584\u8f7b\u4e2d\u5ea6AD\u7684\u8ba4\u77e5\u529f\u80fd\u635f\u5bb3\u3002<\/p>\r\n\r\n\r\n\r\n \u4e00\u9879\u91c7\u7528\u53cc\u6837\u672cMendelian<\/strong>\u968f\u673a\u8bbe\u8ba1\u8bc4\u4f30A\u03b2\u548ctau\u86cb\u767d\u5bf9AD\u7684\u5f71\u54cd\u7814\u7a76\uff0c\u6709314278\u6837\u672c\u6765\u81ea\u82f1\u56fd\u751f\u7269\u6837\u672c\u5e93\uff08AD\u5bb6\u65cf\u53f2\uff09GWAS\uff0c\u8fd8\u6709\u6765\u81ea\u56fd\u9645AD\u57fa\u56e0\u7ec4\u5b66\u9879\u76ee(IGAP)\u7684\u4e34\u5e8a\u8bca\u65adAD\u7684GWAS\u4e2d21982\u6837\u672c\uff0c\u4ee5\u53ca41944\u5bf9\u7167\u4f8b\u3002\u901a\u8fc7MR-Egger\u3001\u52a0\u6743\u4e2d\u503c\u548cMR-PRESSO\u7b49\u9006\u65b9\u5dee\u52a0\u6743\u5206\u6790\uff0c\u7ed3\u679c\u8868\u660eA\u03b2<\/a>\u79cd\u7c7b\u3001\u8111\u810a\u6db2\u603btau\u86cb\u767d\u548c\u78f7\u9178\u5316tau181\u4e0e\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u65e0\u5173\u8054\u3002<\/p>\r\n\r\n\r\n\r\n 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\u7ebf\u7c92\u4f53\u5728\u7ec6\u80de\u4e2d\u884c\u4f7f\u7740\u6781\u5176\u91cd\u8981\u7684\u751f\u7406\u529f\u80fd\uff0c\u5305\u62ec\u80fd\u91cf\u4ee3\u8c22\u3001\u9499\u79bb\u5b50\u4fe1\u53f7\u3001\u6d3b\u6027\u6c27(ROS)\u751f\u4ea7\u548c\u8c03\u63a7\u7ec6\u80de\u51cb\u4ea1\u4fe1\u53f7\u7b49\u3002\u6b63\u5e38\u72b6\u6001\u4e0b\uff0c\u7ebf\u7c92\u4f53\u662f\u4e00\u79cd\u52a8\u6001\u7684\u7ec6\u80de\u5668\uff0c\u5904\u4e8e\u4e0d\u65ad\u7684\u5206\u88c2\u548c\u878d\u5408\u7684\u7a33\u6001\u4e2d\uff0c\u5373\u7ebf\u7c92\u4f53\u7684\u52a8\u6001\u5e73\u8861\u3002\u7ebf\u7c92\u4f53\u7684\u5206\u88c2\u548c\u878d\u5408\u5206\u522b\u662f\u7531\u7ebf\u7c92\u4f53\u5206\u88c2\u548c\u878d\u5408\u86cb\u767d\u4ecb\u5bfc\uff0c\u5982\u52a8\u529b\u7d20\u76f8\u5173\u86cb\u767d1\uff08dynamin-relatedprotein1,Drp1\uff09\u548c\u7ebf\u7c92\u4f53\u5206\u88c2\u86cb\u767d\uff11\uff08fission1,Fis1\uff09\u4ecb\u5bfc\u7ebf\u7c92\u4f53\u7684\u5206\u88c2\uff0c\u800c\u7ebf\u7c92\u4f53\u878d\u5408\u86cb\u767d\uff11\uff08mitofusin1\uff0cMfn1\u548c\uff12\uff08Mfn2\uff09\u53ca\u89c6\u795e\u7ecf\u840e\u7f29\u86cb\u767d\uff11\uff08optictrophy1,OPA1\uff09\u4ecb\u5bfc\u7ebf\u7c92\u4f53\u7684\u878d\u5408\u8fc7\u7a0b\u3002\u6700\u8fd1\u7684\u5206\u5b50\u548c\u751f\u5316\u7814\u7a76\u663e\u793a\uff0c\u5728AD\u60a3\u8005\u7684\u89e3\u5256\u5927\u8111\u548c\u8f6c\u57fa\u56e0AD\u5c0f\u9f20\u5927\u8111\u4e2d\u53d1\u73b0\u7ebf\u7c92\u4f53\u52a8\u529b\u5b66\u53d7\u635f\uff0c\u7ebf\u7c92\u4f53\u788e\u7247\u589e\u52a0\u548c\u878d\u5408\u795e\u7ecf\u5143\u51cf\u5c11\u3002\u7814\u7a76\u53d1\u73b0MiD49\u6216MiD51\u662f\u4f5c\u4e3aDrp1\u6291\u5236\u5242\u5728\u7ebf\u7c92\u4f53\u4e2d\u7279\u5f02\u5730\u9694\u79bbDrp1\u4ee5\u4e00\u79cd\u8d1f\u5411\u7684\u65b9\u5f0f\u963b\u65ad\u4e86\u88c2\u53d8\uff0c\u5728\u7ebf\u7c92\u4f53\u4e2d\u968f\u7740\u8fc7\u6c27\u5316\u7269\u9176\u4f53\u7684\u5ef6\u957f\u5bfc\u81f4\u4e86\u975e\u5bf9\u7acb\u7684\u878d\u5408\u4e8b\u4ef6\u3002\u9632\u6b62\u7ebf\u7c92\u4f53\u5206\u88c2\u589e\u52a0\u3001\u878d\u5408\u51cf\u5c11\u548c\u7ebf\u7c92\u4f53\u788e\u7247\u5316\uff0c\u4ece\u800c\u963b\u6b62\u7ebf\u7c92\u4f53\u4e2d\u8d2e\u5b58\u7684ROS\u548c\u9499\u79bb\u5b50\u7b49\u6d3b\u6027\u7269\u8d28\u7684\u8fc7\u5ea6\u91ca\u653e\uff0c\u8fbe\u5230\u51cf\u5c11\u7ec6\u80de\u51cb\u4ea1\u548c\u4fdd\u62a4\u7ec6\u80de\u7684\u4f5c\u7528\u3002\u8fd9\u4e5f\u4e3aAD\u65b0\u836f\u5f00\u53d1\u63d0\u4f9b\u4e00\u4e2a\u6709\u76ca\u9014\u5f84\u3002<\/p>\r\n\r\n\r\n\r\n \u7f8e\u56fd\u5e03\u83b1\u6839\u5987\u5973\u533b\u9662\uff08Brigham and Women\u2019s Hospital\uff09\u4e8e2021\u5e7411\u670816\u65e5\uff0c\u5ba3\u5e03\u5c06\u542f\u52a8\u4e00\u98791\u671f\u4e34\u5e8a\u8bd5\u9a8c\uff0c\u4ee5\u8bc4\u4f30\u4e00\u79cd\u65b0\u578b\u9f3b\u8154\u75ab\u82d7Protollin\u5728\u9884\u9632\u548c\u51cf\u7f13\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\uff08AD\uff09\u8fdb\u5c55\u4e2d\u7684\u5b89\u5168\u6027\u548c\u6709\u6548\u6027\u3002Protollin<\/a>\u662f\u4e00\u79cd\u7528\u4e8e\u795e\u7ecf\u7cfb\u7edf\u75be\u75c5\u7684\u65b0\u578b\u514d\u75ab\u523a\u6fc0\u7597\u6cd5\u5236\u5242\uff0c\u7531\u7279\u6b8a\u7ec6\u83cc\u7684\u5916\u819c\u86cb\u767d\u548c\u8102\u591a\u7cd6\u7ec4\u6210\uff0cProtollin\u65e8\u5728\u6fc0\u6d3b\u5728\u9888\u90e8\u4e24\u4fa7\u548c\u80cc\u90e8\u6dcb\u5df4\u7ed3\u4e2d\u53d1\u73b0\u7684\u767d\u7ec6\u80de\uff0c\u4ee5\u8fc1\u79fb\u5230\u5927\u8111\u5e76\u89e6\u53d1\u03b2\u6dc0\u7c89\u6837\u6591\u5757\uff08\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u7684\u6807\u5fd7\u4e4b\u4e00\uff09\u7684\u6e05\u9664\u3002<\/p>\r\n\r\n\r\n\r\n \u53c2\u8003\u6587\u732e<\/p>\r\n\r\n\r\n\r\n 1. Sannbria-Castro A et al.<\/a> Molecular pathogenesis of Alzheimer\uff07s disease: an update\uff0e Annals of neurosciences\uff0c2017\uff0c 24( 1) : 46-54.<\/p>\r\n\r\n\r\n\r\n Guo T et al.Roles of tau protein in health and disease\uff0e Acta neuropathologica\uff0c 2017\uff0c 133( 5): 665-704\uff0e<\/p>\r\n\r\n\r\n\r\n 2. Sadigh-Eteghad S\uff0cet al\uff0eAmyloid-beta: a crucial factor in Alzheimer\u2019s disease\uff0e Medical Principles and Practice\uff0c 2015\uff0c 24( 1) : 1-10\uff0e<\/p>\r\n\r\n\r\n\r\n 3. Breydo L et al. Structural differences between amyloid beta oligomers\uff0eBiochemical and biophysical research communications\uff0c 2016\uff0c 477( 4) : 700-705\uff0e<\/p>\r\n\r\n\r\n\r\n 4. Manczak M et al\uff0e Protective effects of reduced dynamin-related protein 1 against amyloid beta-induced mitochondrial dysfunction and synaptic damage in Alzheimer\u2019s disease<\/a>\uff0e Human molecular genetics\uff0c 2016\uff0c 25( 23) : 5148-5166\uff0e<\/p>\r\n\r\n\r\n\r\n