首页|期刊导航|解剖学杂志|原发性衰老相关性tau蛋白病和阿尔茨海默病早期阶段的样本分析

原发性衰老相关性tau蛋白病和阿尔茨海默病早期阶段的样本分析OA

Sample analysis of primary age-related tauopathy and early-stage Alzheimer's disease

中文摘要英文摘要

目的:探讨中国人脑样本原发性衰老相关性tau蛋白病(PART)和阿尔茨海默病早期阶段(pre-AD)的病理改变,以期为临床诊断、病理学分型提供依据.方法:收集PART和pre-AD样本的人口学、解剖学和神经病理学以及临床资料,通过H-E染色、特殊染色和免疫组织化学染色进行病理诊断,并对相关数据进行统计学分析.结果:PART组和pre-AD组在淀粉样血管病病理改变上差异具有统计学意义,PART组仅有1例出现淀粉样血管病变,而pre-AD组的比例达到25.9%;pre-AD组 TAR DNA结合蛋白43(TDP43)和螯合体1(p62)的表达率均高于PART组.PART组和pre-AD组在脑重量、脑脊液pH值和Braak分期方面差异无统计学意义.结论:中国人脑样本PART与pre-AD在部分病理学指标上存在差异,可能与死亡年龄相关.

Objective:To investigate the pathologic changes of primary age-related tauopathy(PART)and early stage of Alzheimer's disease(pre-AD)in Chinese human brain samples,with the aim to provide a basis for the clinical diagnosis and pathological classification.Methods:Demographic,anatomical,neuropathological,and clinical data of PART and pre-AD samples were collected,and pathological diagnosis was performed through various morphological staining methods including hematoxylin-eosin(H-E)staining,special staining and immunohistochemistry,followed by statistical analysis of relevant data.Results:There were statistically significant differences between the PART and pre-AD groups in the pathological changes of cerebral amyloid angiopathy(CAA).CAA was present in only one case in the PART group,while the proportion of the pre-AD group reached 25.9%.The expression rates of TDP43 and p62 in the pre-AD group were higher than those of the PART group.No statistically significant differences were found between the groups in brain weight,cerebrospinal fluid pH,or Braak stage.Conclusion:Differences in certain pathologic indicators between PART and pre-AD in Chinese brain samples may be related to age at death.

陆辉;李耀;毛峥嵘;竺可青;孙冰;吴娟利;章京;周韧

浙江大学 医学院和浙江大学司法鉴定中心,杭州 310058||复旦大学基础医学院人体解剖学与组织学胚胎学系,上海 200032浙江大学 医学院和浙江大学司法鉴定中心,杭州 310058浙江大学 医学院和浙江大学司法鉴定中心,杭州 310058浙江大学 医学院国家健康和疾病人脑组织资源库,杭州 310058浙江大学 医学院国家健康和疾病人脑组织资源库,杭州 310058浙江大学 医学院国家健康和疾病人脑组织资源库,杭州 310058浙江大学 医学院国家健康和疾病人脑组织资源库,杭州 310058浙江大学 医学院和浙江大学司法鉴定中心,杭州 310058

医药卫生

原发性衰老相关性tau病阿尔茨海默病神经原纤维缠结脑库

primary age-related tauopathyAlzheimer's diseaseneurofibrillary tanglesbrain bank

《解剖学杂志》 2026 (1)

19-23,5

10.3969/j.issn.1001-1633.2026.01.004

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