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Biomarkers for prediction and targeted prevention of Alzheimer’s and Parkinson’s diseases: evaluation of drug clinical efficacy

机译:用于预测和靶向预防阿尔茨海默氏病和帕金森氏病的生物标志物:药物临床疗效评估

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Neurodegenerative diseases like Parkinson’s disease (PD) and Alzheimer’s disease (AD) are considered disorders of multifactorial origin, inevitably progressive and having a long preclinical period. Therefore, the availability of biological markers or biomarkers (BMs) for early disease diagnosis will impact the management of AD and PD in several dimensions; it will 1) help to capture high-risk individuals before symptoms develop, a stage where prevention efforts might be expected to have their greatest impact; 2) provide a measure of disease progression that can be evaluated objectively, while clinical measures are much less accurate; 3) help to discriminate between true AD or PD and other causes of a similar clinical syndrome; 4) delineate pathophysiological processes responsible for the disease; 5) determine the clinical efficacy of novel, disease-modifying (neuroprotective) strategies. In the long run the availability of reliable BMs will significantly advance the research and therapeutics of AD and PD.
机译:帕金森氏病(PD)和阿尔茨海默氏病(AD)等神经退行性疾病被认为是多因素起源的疾病,不可避免地会进行性疾病并且临床前期较长。因此,用于疾病早期诊断的生物标志物或生物标志物(BMs)的可用性将在多个方面影响AD和PD的管理。它将有助于1)在症状发作之前帮助捕获高危人群,在这一阶段,预防工作有望发挥最大作用; 2)提供可以客观评估的疾病进展指标,而临床指标的准确性要差得多; 3)帮助区分真正的AD或PD与其他类似临床综合征的病因; 4)描绘导致疾病的病理生理过程; 5)确定新颖的疾病缓解(神经保护)策略的临床疗效。从长远来看,可靠的BM的可用性将极大地促进AD和PD的研究和治疗。

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