Detecting Early Cognitive Decline in Alzheimer’s Disease with Brain Synaptic Structural and Functional Evaluation DOI Creative Commons
Samo Ribarič

Biomedicines, Journal Year: 2023, Volume and Issue: 11(2), P. 355 - 355

Published: Jan. 26, 2023

Early cognitive decline in patients with Alzheimer's (AD) is associated quantifiable structural and functional connectivity changes the brain. AD dysregulation of Aβ tau metabolism progressively disrupt normal synaptic function, leading to loss synapses, decreased hippocampal density early atrophy. Advances brain imaging techniques living have enabled transition from clinical signs symptoms-based diagnosis biomarkers-based diagnosis, techniques, quantitative EEG, body fluids sampling. The hippocampus has a central role semantic episodic memory processing. This function critically dependent on intrahippocampal connections many cortical regions, including perirhinal entorhinal cortex, parahippocampal association regions temporal parietal lobes, prefrontal cortex. Therefore, reflected altered intrinsic networks (aka large-scale networks), memory, default mode, salience networks. narrative review discusses recent critical issues related detecting AD-associated markers high-risk or neuropsychologically diagnosed subjective impairment mild impairment.

Language: Английский

The China Alzheimer Report 2022 DOI Creative Commons

Ru‐Jing Ren,

Jinlei Qi, Shaohui Lin

et al.

General Psychiatry, Journal Year: 2022, Volume and Issue: 35(1), P. e100751 - e100751

Published: Feb. 1, 2022

China's population has rapidly aged over the recent decades of social and economic development as neurodegenerative disorders have proliferated, especially Alzheimer's disease (AD) related dementias (ADRD). AD's incidence rate, morbidity, mortality steadily increased to make it presently fifth leading cause death among urban rural residents in China magnify resulting financial burdens on individuals, families society. The 'Healthy Action' plan 2019-2030 promotes transition from treatment health maintenance for this expanding with ADRD. This report describes epidemiological trends, evaluates burden disease, outlines current clinical diagnosis status delineates existing available public resources. More specifically, examines impact ADRD, including prevalence, mortality, costs, usage care, overall effect caregivers In addition, special presents technical guidance supports prevention AD, provides expertise guide relevant governmental healthcare policy suggests an information platform international exchange cooperation.

Language: Английский

Citations

232

Small extracellular vesicles isolation and separation: Current techniques, pending questions and clinical applications DOI Creative Commons

Yuanwang Jia,

Yu Li, Tieliang Ma

et al.

Theranostics, Journal Year: 2022, Volume and Issue: 12(15), P. 6548 - 6575

Published: Jan. 1, 2022

Extracellular vesicles, especially small extracellular vesicles (sEVs) are now accepted as important messengers in cell-to-cell communication and a promising drug delivery platform.They involved nearly all physiological pathological processes disease diagnosis therapy.However, their heterogeneity of physicochemical properties functions is not fully understood, which hinders further clinical applications.To obtain highly bioactive sEVs with both high yield purity, will certainly facilitate future study application.This review informs up-to-date research on frequently-used cutting-edge technologies isolation makes deep comparison analysis different methods, including advantages, limitations applications.Pending questions about the inherent property these well strategies discussed.Additionally, an overview applications treatment, some on-going trials, also reviewed.

Language: Английский

Citations

172

Role of exosomes in the pathogenesis, diagnosis, and treatment of central nervous system diseases DOI Creative Commons
Yishu Fan, Zhuohui Chen, Mengqi Zhang

et al.

Journal of Translational Medicine, Journal Year: 2022, Volume and Issue: 20(1)

Published: June 27, 2022

Central nervous system (CNS) diseases, such as multiple sclerosis, Alzheimer's disease (AD), and Parkinson's (PD), affect millions of people around the world. Great efforts were put in related research, but few breakthroughs have been made diagnostic therapeutic approaches. Exosomes are cell-derived extracellular vesicles containing diverse biologically active molecules secreted by their cell origin. These contents, including nucleic acids, proteins, lipids, amino metabolites, can be transferred between different cells, tissues, or organs, regulating various intercellular cross-organ communications normal pathogenic processes. Considering that cellular environment state strongly impact content uptake efficiency exosomes, detection biological fluids composition analysis potentially offer a multicomponent readout several human diseases. Recently, studies found aberrant secretion exosomes closely to pathogenesis CNS Besides, loading natural cargoes, deliver drugs cross blood brain barrier, making them emerging candidates biomarkers therapeutics for In this review, we summarize discuss advanced research progress pathological processes diseases regarding with neuroinflammation, repair, protein aggregation. Moreover, propose strategies applying diagnosis, early detection, treatment

Language: Английский

Citations

92

Recent progresses in exosome-based systems for targeted drug delivery to the brain DOI
Santosh Bashyal,

Thapa Chhitij,

Sang Kil Lee

et al.

Journal of Controlled Release, Journal Year: 2022, Volume and Issue: 348, P. 723 - 744

Published: June 23, 2022

Language: Английский

Citations

82

MicroRNA expression in extracellular vesicles as a novel blood‐based biomarker for Alzheimer's disease DOI Creative Commons
Ashish Kumar, Yixin Su,

Mitu Sharma

et al.

Alzheimer s & Dementia, Journal Year: 2023, Volume and Issue: 19(11), P. 4952 - 4966

Published: April 18, 2023

Brain cell-derived small extracellular vesicles (sEVs) in blood offer unique cellular and molecular information related to the onset progression of Alzheimer's disease (AD). We simultaneously enriched six specific sEV subtypes from plasma analyzed a selected panel microRNAs (miRNAs) older adults with/without cognitive impairment.Total sEVs were isolated participants with normal cognition (CN; n = 11), mild impairment (MCI; MCI conversion AD dementia (MCI-AD; 6), (n 11). Various brain (from neurons, astrocytes, microglia, oligodendrocytes, pericytes, endothelial cells) for miRNAs.miRNAs differentially expressed MCI, MCI-AD, compared CN group clearly distinguished status, an area under curve (AUC) > 0.90 correlated temporal cortical region thickness on magnetic resonance imaging (MRI).miRNA analyses could serve as novel blood-based biomarker AD.Multiple be blood. MicroRNA (miRNA) expression detect (AD) high specificity sensitivity. miRNA (MRI). Altered miRNAs sEVCD31 sEVPDGFRβ suggested vascular dysfunction. predict activation state cell types.

Language: Английский

Citations

45

Plasma biomarkers predict Alzheimer’s disease before clinical onset in Chinese cohorts DOI Creative Commons
Hui Cai,

Yana Pang,

Xiaofeng Fu

et al.

Nature Communications, Journal Year: 2023, Volume and Issue: 14(1)

Published: Oct. 24, 2023

Abstract Plasma amyloid-β (Aβ)42, phosphorylated tau (p-tau)181, and neurofilament light chain (NfL) are promising biomarkers of Alzheimer’s disease (AD). However, whether these can predict AD in Chinese populations is yet to be fully explored. We therefore tested the performance plasma 126 participants with preclinical 123 controls 8–10 years follow-up from China Cognition Aging Study. Aβ42, p-tau181, NfL were significantly correlated cerebrospinal fluid counterparts altered AD. Combining successfully discriminated controls. These findings validated a replication cohort including 51 familial mutation carriers 52 non-carriers Familial Disease Network. Here we show that may useful for predicting 8 before clinical onset populations.

Language: Английский

Citations

45

Extracellular vesicles in nanomedicine and regenerative medicine: A review over the last decade DOI Creative Commons
Saeid Moghassemi, Arezoo Dadashzadeh, Maria João Sousa

et al.

Bioactive Materials, Journal Year: 2024, Volume and Issue: 36, P. 126 - 156

Published: March 2, 2024

Small extracellular vesicles (sEVs) are known to be secreted by a vast majority of cells. These sEVs, specifically exosomes, induce specific cell-to-cell interactions and can activate signaling pathways in recipient cells through fusion or interaction. nanovesicles possess several desirable properties, making them ideal for regenerative medicine nanomedicine applications. properties include exceptional stability, biocompatibility, wide biodistribution, minimal immunogenicity. However, the practical utilization particularly clinical settings at large scale, is hindered expensive procedures required their isolation, limited circulation lifetime, suboptimal targeting capacity. Despite these challenges, sEVs have demonstrated remarkable ability accommodate various cargoes found extensive applications biomedical sciences. To overcome limitations broaden potential applications, researchers should strive deepen understanding current loading, characterization techniques. Additionally, acquiring fundamental knowledge about origins employing state-of-the-art methodologies expand research scope. This review provides comprehensive overview exosome-based strategies diverse domains, encompassing cancer therapy, immunotherapy, biomarker Furthermore, we emphasize immense exosomes medicine.

Language: Английский

Citations

32

The emerging role of exosomes in Alzheimer’s disease DOI
Tongmei Zhang,

Sehui Ma,

Junkai Lv

et al.

Ageing Research Reviews, Journal Year: 2021, Volume and Issue: 68, P. 101321 - 101321

Published: March 14, 2021

Language: Английский

Citations

104

Exosomes Engineering and Their Roles as Therapy Delivery Tools, Therapeutic Targets, and Biomarkers DOI Open Access

Nika Kučuk,

Mateja Primožič,

Željko Knez

et al.

International Journal of Molecular Sciences, Journal Year: 2021, Volume and Issue: 22(17), P. 9543 - 9543

Published: Sept. 2, 2021

Exosomes are becoming increasingly important therapeutic biomaterials for use in a variety of applications due to their unique characteristics, especially the ineffectiveness and cytotoxicity some existing therapies synthetic nanocarriers. They highly promising as carriers drugs, genes, other agents that can be incorporated into interior or onto surface through various modification techniques improve targeting abilities. In addition, they biocompatible, safe, stable. The review focuses on different types exosomes methods preparation, including incorporation kinds cargo, drug delivery purposes. particular, importance effectiveness vehicles applications, diseases disorders such cancer treatment, cardiovascular neurodegenerative diseases, emphasized. Administration routes body also included. A novelty article is emphasis global companies already successfully developing testing biomaterials, with focus most influential ones. Moreover, comparison advantages disadvantages exosome production summarized first time.

Language: Английский

Citations

101

Biomarkers used in Alzheimer’s disease diagnosis, treatment, and prevention DOI
Yacoubou Abdoul Razak Mahaman, Kidane Siele Embaye, Huang Fang

et al.

Ageing Research Reviews, Journal Year: 2021, Volume and Issue: 74, P. 101544 - 101544

Published: Dec. 18, 2021

Language: Английский

Citations

101