一种以人口为基础的方法来论证Lewy体疾病的脑第一和身体第一病原性
Emanuele Camerucci1,2, Aidan F Mullan3, Pierpaolo Turcano4
1Department of Neurology, Mayo Clinic, Rochester, MN, USA.
Annals of neurology
|June 11, 2024
概括
对于莱维体病 (LBD) 的大脑优先与身体优先分类,目前的定义并不支持. 这表明了复杂的潜在病理,而不是简单的自上而下的或自下而上的进展.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 病理学 病理学 病理学
背景情况:
- 莱维体疾病 (LBD) 包含帕金森病 (PD),莱维体痴呆 (DLB) 和PD痴呆.
- 临床表现通常被分为大脑优先或身体优先,影响疾病进展和诊断.
研究的目的:
- 研究大脑第一和身体第一的LBD类别的临床进展.
- 评估区分这些LBD亚型的当前定义的有效性.
主要方法:
- 使用罗切斯特流行病学项目建立了基于临床诊断的LBD的人口队列.
- 对于身体优先的LBD使用了两种定义:REM睡眠行为发作之前的运动症状,以及包括多个前运动症状的扩展定义.
主要成果:
- 大脑优先的LBD与更高的PD诊断可能性相关 (RR=1.43).
- 根据最初的定义,身体优先的LBD与DLB诊断 (RR=3.15) 的相关性更大.
- 扩大了身体优先的LBD定义,并没有显示大脑优先和身体优先组之间PD或DLB诊断的显著差异.
结论:
- 目前的定义不充分支持对脑优先和身体优先LBD的二分法分类.
- PD和DLB的生物学起源可能与一个简单的自上而下的或自下而上的同核素病理学模型不一致.
相关概念视频
Parkinson's Disease: Overview
527
Neurodegenerative disorders are progressive diseases that cause irreversible damage and loss to neurons in specific brain areas. Examples of these disorders include Parkinson's disease, Alzheimer's disease, Multiple Sclerosis (MS), and Amyotrophic Lateral Sclerosis (ALS). These disorders share characteristics such as proteinopathies, selective neuronal vulnerability, and a complex interplay between genetic and environmental factors. The primary therapeutic goal for these conditions is...
527
Lysosomal Hydrolases
3.8K
Lysosomes are the site for the degradation of macromolecules and biological polymers released during membrane trafficking events such as secretory, endocytic, autophagic, and phagocytic pathways. The membrane-enclosed area of the lysosome, called the lumen, contains hydrolytic enzymes active in an acidic environment. These acid hydrolases are functional at a pH between 4.5 and 5 and are involved in cellular processes such as cell signaling, energy metabolism, restoration of the plasma membrane,...
3.8K
Neural Regulation
39.4K
Digestion begins with a cephalic phase that prepares the digestive system to receive food. When our brain processes visual or olfactory information about food, it triggers impulses in the cranial nerves innervating the salivary glands and stomach to prepare for food.
39.4K


