Alzheimer's disease: risk factors and potentially protective measures

被引:590
作者
Ferreira Silva, Marcos Vinicius [1 ]
Gomide Loures, Cristina de Mello [1 ]
Vieira Alves, Luan Carlos [1 ]
de Souza, Leonardo Cruz [2 ]
Gomes Borges, Karina Braga [1 ]
Carvalho, Maria das Gracas [1 ]
机构
[1] Univ Fed Minas Gerais, Fac Farm, Ave Presidente Antonio Carlos,6627 Pampulha, BR-31270901 Belo Horizonte, MG, Brazil
[2] Univ Fed Minas Gerais, Fac Med, Ave Prof Alfredo Balena,190 Santa Efigenia, BR-30130100 Belo Horizonte, MG, Brazil
关键词
Alzheimer's disease; Genetic risk factors; Acquired risk factors; POSTMENOPAUSAL HORMONE-THERAPY; RANDOMIZED CONTROLLED-TRIAL; AMYLOID-BETA-PEPTIDE; VITAMIN-D; APOLIPOPROTEIN-E; CEREBROVASCULAR-DISEASE; CHOLESTEROL-METABOLISM; COGNITIVE IMPAIRMENT; PRECURSOR PROTEIN; VASCULAR-DISEASE;
D O I
10.1186/s12929-019-0524-y
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
Alzheimer's disease (AD) is the most common type of dementia and typically manifests through a progressive loss of episodic memory and cognitive function, subsequently causing language and visuospatial skills deficiencies, which are often accompanied by behavioral disorders such as apathy, aggressiveness and depression. The presence of extracellular plaques of insoluble -amyloid peptide (A) and neurofibrillary tangles (NFT) containing hyperphosphorylated tau protein (P-tau) in the neuronal cytoplasm is a remarkable pathophysiological cause in patients' brains. Approximately 70% of the risk of developing AD can be attributed to genetics. However, acquired factors such as cerebrovascular diseases, diabetes, hypertension, obesity and dyslipidemia increase the risk of AD development. The aim of the present minireview was to summarize the pathophysiological mechanism and the main risk factors for AD. As a complement, some protective factors associated with a lower risk of disease incidence, such as cognitive reserve, physical activity and diet will also be addressed.
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页数:11
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