首页|基于中西医临床病证特征的轻度认知障碍动物模型分析

基于中西医临床病证特征的轻度认知障碍动物模型分析

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轻度认知障碍通常被认为是介于正常认知和痴呆之间的中间阶段，是阿尔茨海默病的前驱期，主要临床症状为认知障碍和记忆力减退、但日常生活能力相对保留，目前还未发现可有效治愈、预防甚至减轻该疾病的干预措施，迫切需要寻找或建立高效稳定的动物模型来辅助对轻度认知障碍发病机制及其相关干预措施的研究。本文基于轻度认知障碍中西医病因病机及诊断标准对现有动物模型制备方法进行分析探讨，以自然衰老型、Aβ诱导型、APP/PS-1基因工程型及高脂饲料联合D-半乳糖诱导型中西医临床吻合度高。但当前轻度认知障碍的造模方法多以西医理论为指导，模型检测指标与中医临床诊断标准尚不统一，中医吻合度评价较为困难。因此本文通过总结分析轻度认知障碍动物模型的吻合度与造模特点，综合评价不同种类动物模型的使用效能，为进一步建立具有中西医临床病证特点的轻度认知障碍动物模型提出建议，更好地推动探索轻度认知障碍发病机制及相关干预药物的研究。
Animal Models of Mild Cognitive Impairment Based on the Characteristics of Clinical Conditions in TCM and Western Medicine
Mild cognitive impairment is usually considered an intermediate stage between normal cognition and dementia,and is the precursor of Alzheimer's disease,with the main clinical symptoms of cognitive impairment and memory loss,but the ability in daily life is preserved.Cur-rently,no effective interventions have been found to cure,prevent,or even mitigate the disease.It is urgent to find or establish efficient and stable animal models to assist in the study of the pathogenesis of mild cognitive impairment and its related interventions.This study analyzed and discussed the preparation methods of existing animal models based on the etiology,pathogenesis,and diagnostic criteria in traditional Chi-nese medicine(TCM)and western medicine.The mild cognitive impairment models induced by natural aging,Aβ,APP/PS-1 genetic engi-neering,and high-fat diet combined with D-galactose highly coincided with clinical conditions in TCM and western medicine.However,since the current modeling methods for mild cognitive impairment are mostly guided by western medical theory,the model detection indexes are not uniform with the clinical diagnostic criteria of TCM,and it is difficult for the evaluation of the coincidence with TCM.Therefore,this study comprehensively evaluated the application efficiency of different types of animal models by summarizing and analyzing the coincidence and modeling characteristics of animal models of mild cognitive impairment,and put forward suggestions for further establishment of animal models of mild cognitive impairment with the characteristics of TCM and western medicine clinical conditions,aiming at promoting the research on the pathogenesis of mild cognitive impairment and related intervention drugs.

Mild cognitive impairmentAnimal modelTraditional Chinese medicine and western medicineCharacteristics of clinical condi-tionsDiagnostic criteria

孙孟艳、秦合伟、李彦杰、牛雨晴、宋雪梅、王梦楠、丁慧敏

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河南中医药大学,郑州 450046

河南中医药大学第二附属医院,郑州 450002

轻度认知障碍 动物模型 中西医 病证特点 诊断标准

中原英才计划中原青年拔尖人才项目河南省科技攻关计划河南省中医药拔尖人才培养项目

豫组通[2021]44号212102310359豫卫中医函[2021]15号

2024

中药药理与临床
中国药理学会 四川省中医药科学院

中药药理与临床

北大核心
影响因子：0.996
ISSN：1001-859X
年,卷(期)：2024.40(2)
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