肖金雯等论Aβ单抗治疗阿尔茨海默病的临床实践和进展第1期·7·doi:10.3969/j.issn.2096-5516.2023.01.001·述评·论Aβ单抗治疗阿尔茨海默病的临床实践和进展肖金雯,任汝静,王刚上海交通大学医学院附属瑞金医院神经内科,上海,200025中图分类号R749.1+6文献标识码A文章编号2096-5516(2023)01-007-05[摘要]随着Aβ单抗药物研究的不断进展和疾病修饰治疗理念的不断深入,近期Aβ单抗治疗阿尔茨海默病的临床试验及临床研究取得了重要进展,以Aducanumab、Lecanemab(BAN2401)为代表的药物相继获批,在临床上获得试用。2022年12月11日,由作者团队在海南博鳌乐城医疗先行区首次采用Aducanumab单抗治疗轻度阿尔茨海默病的临床用药,从而在国内正式开启了Aβ单抗治疗阿尔茨海默病的序幕。本文拟就Aβ单抗治疗阿尔茨海默病的研究进展和临床实践进行一系统述评。[关键词]β淀粉样蛋白;阿尔茨海默病;疾病修饰治疗;淀粉样蛋白相关成像异常Anti-Amyloid-βmonoclonalantibodiesforalzheimer'sdisease:clinicalpracticeandprogressJinwenXIAO,RujingREN,GangWANGDepartmentofNeurology,RuijinHospitalaffiliatedtoShanghaiJiaotongUniversitySchoolofMedicine,Shanghai,200025,China[Abstract]Withthedevelopmentofresearchesonanti-amyloid-β(Aβ)monoclonalantibodies(mAbs)andthedeeperunderstandingofdisease-modifyingtherapies,relatedclinicaltrialsandstudiesonanti-AβmAbsfortreatingAlzheimer'sdiseaserecentlyhavemadegreatprogress.DuetosuccessiveFDAapprovalofAducanumabandLecanemab(BAN2401),thesedrugshavebeenusedinclinic.OnDecember112022,AducanumabwasfirstappliedtothetreatmentofmildAlzheimer'sdiseaseforclinicalusebytheauthor’steaminLechengmedicalpioneerareainBoaoHainan,whichofficiallyinitiatingtheanti-AβmAbstherapyforAlzheimer'sdiseaseinChina.Thisreviewsystematicallysummarizestheresearchprogressandclinicalpracticeofanti-AβmAbsforthetreatmentofAlzheimer'sdisease.[Keywords]Amyloid-β;Alzheimer’sdisease;Disease-modifyingtherapy;Amyloid-relatedimagingabnormalities通讯作者:王刚,E-mail:wg11424@rjh.com.cn据《中国阿尔茨海默病报告2021》显示,截止2019年,我国阿尔茨海默病(Alzheimer'sdisease,AD)及其他痴呆患病人数已超过1300万,2015年我国AD患者的年治疗费用为1677.4亿...