2023Äê11ÔÂ8ÈÕ£¬ÖйúÉϺ£¡ª¡ª½ñÈÕ£¬µÚÁù½ì½ø²©»áÉÏ£¬ÓÉng28ÄϹ¬½¨Òé²¢ÁªºÏÏÈͨ¡¢½ðÓòҽѧ¡¢Ô×Ӹ߿ơ¢Ã¾ÐŽ¡¿µºÍÒø·¢Í¨ÅäºÏ´òÔìµÄÖйúÄÔ½¡¿µ¹¤ÒµÉú̬ȦÕýʽ½¨Á¢£¬ÖúÁ¦ÎÒ¹úÄÔ½¡¿µ¹¤ÒµÁ´µÄÍêÉƺÍÁ¬Ðø׳´ó£¬Îª°¢¶û´Äº£Ä¬²¡£¨ÏÂÎļò³Æ£ºAD£©»¼Õß½¨Á¢Ò»Õ¾Ê½¡°·À¡¢É¸¡¢Õï¡¢ÖΡ¢»¤¡±¼²²¡Ð§ÀÍģʽ£¬ÌáÉýÁ¢ÒìÒ©¿É¼°ÐÔ£¬¿ªÆô¡°¶ÔÒòÖÎÁÆ¡±ÐÂʱ´ú¡£
½ø²©»áÖйúÄÔ½¡¿µ¹¤ÒµÉú̬Ȧ½¨Á¢Ç©Ô¼ÒÇʽ
?
ADÖÎÁÆÓÀ´Àï³Ì±®Ê½Í»ÆÆ£¬ÒÔ¿Æѧ֮Á¦¶Ô¿¹´óÄÔ¡°Íç¼²¡±
ƾ¾Ý¡¶Öйú°¢¶û´Äº£Ä¬±¨¸æ2022¡·Êý¾Ý£¬2019ÄêÖйúAD»¼ÕßÒѵִï1314ÍòÈË£¬ÊÇÈ«ÇòAD»¼²¡ÈËÊý×î¶àµÄ¹ú¼Ò[1]£¬ÇÒADÒѳÉΪÎÒ¹úµÚÎå´óÖÂËÀ¼²²¡£¬Ã¿Äê´øÀ´¸ß´ï1677ÒÚÃÀÔªµÄ¼²²¡Ö§³ö[2]£¬¼²²¡µ£¸ºÓëÈÕ¾ãÔö¡£ÁíÒ»·½Ã棬ADÐÂÒ©Ñз¢À§¾³¾ÍÏñÒ»×ùÄÑÓÚÓâÔ½µÄ¡°Ììǵ¡±£¬ÁîÎÞÊýÁ¢ÒìÒ©ÎïÓÚÑз¢ÖÐ;ÕÛꪡ£Ä¿Ç°ÎÒ¹úÁÙ´²ÖÎÁÆÒ©ÎïÖ÷Òª×÷ÓÃÊǶÌÆÚ¸ÄÉÆÖ¢×´£¬ÄÑÒÔÕë¶ÔÃ÷È·²¡Òò»úÖÆÈëÊÖÑÓ»º¼²²¡½ø³Ì£¬ÁÙ´²±£´æ¾Þ´óµÄδÂú×ãÖÎÁÆÐèÇó¡£
½ñÄê7Ô£¬¶þÊ®ÄêÀ´Ê׿î»ñµÃÃÀ¹úFDAÍêÈ«Åú×¼µÄ¿¹A¦Â¼²²¡ÐÞÊÎÒ©ÎDMT£©¡ª¡ªÂØ¿¨Ä¹ÔÚº£Äϲ©÷¡ÀÖ³ÇÂäµØ£¬ÊÇÄ¿Ç°È«ÇòÊ׸öÖ¤Ã÷¿ÉÃ÷ÏÔ½µµÍ°¢¶û´Äº£Ä¬²¡µÄ½øÕ¹ËٶȲ¢¼õ»ºÈÏÖªºÍ¹¦Ð§Ë¥Í˵ÄÒ©Îï[3]£¬Ëü¿ÉÒÔͨ¹ý°ÐÏòÏû³ýÖ²¡ÔªÐ×£¨A¦Âµí·ÛÑù³Á»ý£©£¬´ÓÔ´Í·¶ÔAD·¢²¡»úÖƽøÐиÉÔ¤£¬Ô¤Ê¾×ÅÎÒ¹úADÖÎÁÆ´Ó¡°¶ÔÖ¢ÖÎÁÆ¡±Ê±´ú¿çÈëÁË¡°¶ÔÒòÖÎÁÆ¡±ÐÂʱ´ú¡£
AD¶ÔÒòÖÎÁÆÐÂÒ©ÂØ¿¨Ä¹
?
ADÁÙ´²¸ÉÔ¤ÒËÔç²»Ò˳٣¬×¥×¡»Æ½ðÆÚ¡°¶ÔÒò¡±¸ÉÔ¤£¬ÑÓ»º¼²²¡½øÕ¹
ÔçÆÚADÍùÍù±»ÎóÈÏΪÊÇÈËÀÏÁ˼ÇÐÔÇ·ºÃµÄÕý³£ÏÖÏó£¬È»¶øÎÞ·¨Íê³ÉÒÔÇ°ºÜÉó¤µÄÊ¡¢ÅжÏÁ¦Ï½µ¡¢ÓëËûÈ˽»Á÷·ºÆðÕÏ°¡¢ÐÔÇé´ó±ä¡¢¹ØÓÚÏÖÔÚµÄʱ¼äºÍËù´¦µÄ¿Õ¼ä¸ÐÓ¦ÃÔãµÈ¶¼ÔÚ°¢¶û´Äº£Ä¬²¡ÒþÄäµÄÊ®´óÖ¢×´Ö®ÁС£
ÖлªÒ½Ñ§»áÉñ¾²¡Ñ§·Ö»á³Õ´ôÓëÈÏÖªÕϰѧ×é×鳤£¬¸£½¨Ò½¿Æ´óѧÁ¥ÊôкÍÒ½ÔºÉñ¾ÄڿƳÂÏþ´º½ÌÊÚÌåÏÖ£º¡°Ä¿Ç°ÃñÖÚÔÚÔçÆÚÕï¶ÏºÍÔçÆÚ¸ÉÔ¤ÖÎÁÆÉϵÄÐж¯Á¦ÆÕ±éȱ·¦£¬ÈÝÒ×´í¹ýÖÎÁƵġ®»Æ½ð´°¿ÚÆÚ¡¯£¬Ò²¾ÍÊÇÇá¶ÈÈÏÖªÕÏ°½×¶Î£¨MCI£©ÕâÒ»¸üÔçµÄÁÙ´²Ç°Æڽ׶Ρ£ÊÂʵÉÏ£¬Í¨¹ýPET-CT¡¢ÄÔ¼¹ËèÒº´©´ÌÓëºË´Å¹²ÕñµÈ¿ÆѧÄþ¾²µÄ¼ì²âÊֶΣ¬Ô½Ôç·¢Ã÷¼²²¡£¬Ô½Ôç¶Ô¼²²¡½øÐС®¶ÔÒòÖÎÁÆ¡¯¸ÉÔ¤£¬Ô½ÓÐʱ»úÑÓ»ºÉõÖÁÄæת¼²²¡½øÕ¹¡£¡°
Ñо¿½á¹û±êÃ÷£¬ÔçÆÚʹÓÃÂØ¿¨Ä¹¿ÉÑÓ»º»¼Õß¼²²¡½øÕ¹ÖÁÏÂÒ»½×¶Î2-3Äê[4]£¬ÕâÒâζ×Å»¼ÕßʹÓúó¿ÉÒÔ¼á³Ö¸üºÃµÄÈÏÖª¹¦Ð§£¬¼õÉÙ¶Ô¼ÒÍ¥ºÍÉç»á×ÊÔ´µÄÒÀÀµ£¬ÎªÌáÉýAD»¼ÕßµÄÉú»îÖÊÁ¿´øÀ´¸ü¶à¿ÉÄÜÐÔ¡£
»ã¾ÛÐÐÒµÁ¦Á¿£¬¹Ø°®»¼ÕßÂọ́¬ÎªÈ«²¡³ÌÕïÁÆЧÀͱ£¼Ý»¤º½
ΪÁË×ÊÖú¼²²¡ÕïÁƹؿÚÇ°ÒÆ£¬½øÒ»²½¼õÇáAD¼²²¡µ£¸º£¬ng28ÄϹ¬ÖйúЯÊÖ¹¤ÒµÁ´ÉϾ«×¼Õï¶Ï¡¢Ò©ÎïÑз¢¡¢Á¢ÒìÖ§¸¶¡¢Êý×ÖÒ½ÁƵȶ෽Á¦Á¿£¬Îª»¼Õß¼ÒÍ¥½¨Á¢È«Âó̹ذ®¡£
ͨ¹ý¡°Òø·¢Í¨¡±Î¢ÐÅС³ÌÐòºÍÃñÖںţ¬»¼Õß¿ÉÒÔ»ñµÃ´Ó³õɸ¡¢³õÕï¡¢Ò©Îï¿É¼°µ½Éú»î»¤ÀíµÄÈ«³Ì¾ì×¢£¬ÈçÅÌÎÊ¡°Ó°ÏóµØͼ¡±µÈÕïÁÆÐÅÏ¢£¬»ò½øÐÐÂØ¿¨Ä¹ÓÃÒ©ÒâÏòÔ¤Ô¼¡£
Òø·¢Í¨AD¼²²¡ÖÎÀíƽ̨
Òø·¢Í¨ÂØ¿¨Ä¹ÓÃÒ©ÒâÏòÔ¤Ô¼Á÷³Ìͼ
ng28ÄϹ¬È«Çò¸ß¼¶¸±×ܲã¬ng28ÄϹ¬Öйú×ܲ÷ëÑÞ»ÔŮʿÌåÏÖ£¬¡°ÌåÌùÈËÀཡ¿µ£¨human health care £©ÊÇng28ÄϹ¬Îȶ¨µÄʹÃü£¬Î´À´£¬ÎÒÃÇÆÚ´ýЯÊÖ¸ü¶àÉç»áÁ¦Á¿£¬Íƶ¯ÄÔ½¡¿µ¹¤ÒµÉú̬Ȧ²»¾ø׳´ó£¬ÅäºÏÖÂÁ¦ÓÚ°¢¶û´Äº£Ä¬¼²²¡¹Ø¿ÚÇ°ÒÆ£¬×ÊÖúÔçÆÚ»¼Õß»ñµÃ¸ßЧ¡¢¾«×¼µÄADÕï¶ÏºÍÖÎÁÆ£¬Îª¼õÇá¼²²¡µ£¸ºÌíש¼ÓÍߣ¬Ò²ÎªÖйúÄÔ½¡¿µ¹¤ÒµÌåϵÍêÉƺͽ¡¿µÖйú2030×ö³ö¸ü¶àТ¾´¡£¡±
ng28ÄϹ¬¼ò½é
ng28ÄϹ¬ÔÚÖйúÄÔ½¡¿µÁìÓò¸û×÷¶þÊ®¶àÄ꣬һֱ³Ð¼ÌÌåÌùÈËÀཡ¿µ£¨human health care£©µÄÆóҵʹÃü£¬Ê¼ÖÕÖ§³Ö¡°ÄÔ½¡¿µÐж¯¡±ËùÌá³öµÄ¸÷ÏîÖ÷ÕźͲ½·¥£¬²¢»ý¼«¼ÓÈëAD¿ÆÆÕÊÖ²á¿ÆÆÕÐû´«¡£¹Ø×¢Ó°Ï󽡿µ£¬ÌᳫÔçɸ¡¢ÔçÕï¡¢ÔçÖΣ¬²»¿ÉÊǹ«Ë¾µÄÔðÈΣ¬Ò²ÊÇ×÷ΪÉç»á³ÉÔ±µÄÔðÈΡ£
[1] Ren R, et al.Gen Psychiatr. 2022 Mar 11;35(1):e100751
[2] Jia J, et al.Alzheimers Dement. 2018 Apr;14(4):483 491.
[3] FDA Converts Novel Alzheimer¡¯s Disease Treatment to Traditional Approval | FDA
[4] https://www.eisai.com/news/2023/news202327.html