Vascular basis of Alzheimer's pathogenesis.

作者: J. C. TORRE

DOI: 10.1111/J.1749-6632.2002.TB04817.X

关键词:

摘要: Considerable evidence now indicates that Alzheimer's disease (AD) is primarily a vascular disorder. This conclusion supported by the following evidence: (1) epidemiologic studies linking risk factors to cerebrovascular pathology can set in motion metabolic, neurodegenerative, and cognitive changes Alzheimer brains; (2) AD dementia (VaD) share many similar factors; (3) pharmacotherapy improves insufficiency also symptoms; (4) preclinical detection of potential possible from direct or indirect regional cerebral perfusion measurements; (5) overlapping clinical symptoms VaD; (6) parallel neurodegenerative (7) hypoperfusion trigger hypometabolic, cognitive, degenerative changes; (8) arise cerebromicrovascular pathology. The collective data presented this review strongly indicate present classification incorrect should be changed Such change would accelerate development better treatment targets, patient management, diagnosis, prevention disorder focusing on root problem. In addition, theoretical capsule summary detailing how may develop chronic role critically attained threshold (CATCH) nitric oxide derived endothelial synthase triggering cataclysmic

参考文章(159)
J.C. de la Torre, T. Mussivan, Can disturbed brain microcirculation cause Alzheimer’s disease? Neurological Research. ,vol. 15, pp. 146- 153 ,(1993) , 10.1080/01616412.1993.11740127
Gustavo C. Roman, Diagnosis of vascular dementia and Alzheimer's disease International journal of clinical practice. Supplement. pp. 9- 13 ,(2001)
Ken-ichi Tanaka, Naoko Wada, Norio Ogawa, Chronic cerebral hypoperfusion induces transient reversible monoaminergic changes in the rat brain. Neurochemical Research. ,vol. 25, pp. 313- 320 ,(2000) , 10.1023/A:1007544124794
Elisabeth Tarkowski, Kaj Blennow, Anders Wallin, Andrzej Tarkowski, Intracerebral production of tumor necrosis factor-alpha, a local neuroprotective agent, in Alzheimer disease and vascular dementia. Journal of Clinical Immunology. ,vol. 19, pp. 223- 230 ,(1999) , 10.1023/A:1020568013953
Nobuyuki Okamura, Mitsutoshi Shinkawa, Hiroyuki Arai, Toshifumi Matsui, Kazushi Nakajo, Masahiro Maruyama, Xia Sheng Hu, Hidetada Sasaki, Prediction of Progression in Patients with Mild Cognitive Impairment Using IMP-SPECT. Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics. ,vol. 37, pp. 974- 978 ,(2000) , 10.3143/GERIATRICS.37.974
Akihiko Nunomura, George Perry, Miguel A. Pappolla, Robert P. Friedland, Keisuke Hirai, Shigeru Chiba, Mark A. Smith, Neuronal Oxidative Stress Precedes Amyloid-β Deposition in Down Syndrome Journal of Neuropathology & Experimental Neurology. ,vol. 59, pp. 1011- 1017 ,(2000) , 10.1093/JNEN/59.11.1011
Paul Kubes, Samina Kanwar, Xiao‐Fei Niu, Jeffrey P. Gaboury, Nitric oxide synthesis inhibition induces leukocyte adhesion via superoxide and mast cells. The FASEB Journal. ,vol. 7, pp. 1293- 1299 ,(1993) , 10.1096/FASEBJ.7.13.8405815
Cecil C Chen, Craig L Rosenbloom, Donald C Anderson, Anthony M Manning, None, Selective inhibition of E-selectin, vascular cell adhesion molecule-1, and intercellular adhesion molecule-1 expression by inhibitors of I kappa B-alpha phosphorylation. Journal of Immunology. ,vol. 155, pp. 3538- 3545 ,(1995)
Tanya C. Lye, E. Arthur Shores, Traumatic brain injury as a risk factor for Alzheimer's disease: a review. Neuropsychology Review. ,vol. 10, pp. 115- 129 ,(2000) , 10.1023/A:1009068804787