外周血拉曼光谱在阿尔茨海默病诊断中的应用
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(上海交通大学附属上海市第六人民医院老年病科,上海 200030)

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Application of Raman spectroscopy on peripheral blood for diagnosis of Alzheimer’s disease
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(Department of Geriatrics, the Affiliated Sixth People’s Hospital of Shanghai Jiaotong University, Shanghai 200030, China)

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    摘要:

    阿尔茨海默病(AD)是最常见的痴呆类型,起病隐匿,发展缓慢,病理生理变化复杂,目前尚无明确、特异、可靠的实验室方法对其进行早期诊断。然而,随着人们对AD发病机理的研究及检测技术的发展,近年不断有相关的辅助诊断技术受到重视。如结构磁共振(sMRI)用于评估脑萎缩;功能磁共振(fMRI)用于检测脑血流及新陈代谢的减少;弥散张量成像技术(DTI)用于评估大脑各区纤维连接程度以及脑脊液中Aβ1-42/1-40和tau蛋白及其过磷酸产物的检测。然而拉曼光谱因其可检测有机或无机混合物各成分的独特优势,使其在AD病理机制研究中的作用逐渐受到重视,本文就该技术对AD诊断的可行性及前景做一概述,以期有助于临床医师决策,并为研究者进一步探究梳理思路。

    Abstract:

    Alzheimer’s disease (AD) is the most common dementia, and characterized by its insidious onset, slow process of development, and complex pathophysiological changes. In present, there is still no an explicit, specific and reliable laboratory diagnostic method, especially for its early diagnosis. However, with the progress on its pathogenesis and the development of detection techniques, more and more assisted diagnostic techniques captured the attention of many scientists. For example, structural magnetic resonance (sMRI) is used to assess brain atrophy, functional magnetic resonance imaging (fMRI) to detect reduced cerebral blood flow and metabolism, and diffusion tensor imaging (DTI) to evaluate the fibre connections in various areas of the brain. Besides, the detection of Aβ1-42/1-40, and tau and its phosphate product in the cerebrospinal fluid also plays important roles in the diagnosis of AD. What’s more, because Raman spectroscopy has been valued for its unique advantages in the detection of components from organic or inorganic mixtures, it is gradually applied in the study of AD pathogenesis. Herein, we summarized the feasibility and prospect of Raman spectroscopy on peripheral blood for the diagnosis of AD, and expected it to be helpful for clinicians to make decision and be beneficial to scientific research.

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吕庆坤,黄高忠.外周血拉曼光谱在阿尔茨海默病诊断中的应用[J].中华老年多器官疾病杂志,2017,16(4):313~316

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  • 收稿日期:2016-10-27
  • 最后修改日期:2016-11-14
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  • 在线发布日期: 2017-05-03
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