Current and future therapy in Alzheimer's disease

被引:99
作者
van Marum, Robert J. [1 ]
机构
[1] Univ Utrecht, Med Ctr, Dept Geriatr, NL-3500 GA Utrecht, Netherlands
关键词
alzheimer's disease; amyloid hypothesis; dementia; drug therapy;
D O I
10.1111/j.1472-8206.2008.00578.x
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Dementia is increasingly being recognized as one of the most important medical problems in the elderly. As most pharmacological research within the field of dementia is focused on Alzheimer's dementia (AD), this review will focus on pharmacological interventions in AD. Most disease-modifying therapies are based on the amyloid hypothesis. In this hypothesis, the pathological accumulation of A beta in the brain leads to oxidative stress, neuronal destruction and finally the clinical syndrome of AD. Following this hypothesis, secondary prevention of AD can be made by: decreasing the production of A beta, stimulation of clearance of A beta formed or prevention of aggregation of A beta into amyloid plaques. First a short overview on current approved therapies for AD is given. The main part of the review will focus on potential disease-modifying therapies for AD that are currently being studied in phase I to phase III trials.
引用
收藏
页码:265 / 274
页数:10
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