吉林大学学报(医学版) ›› 2026, Vol. 52 ›› Issue (4): 1161-1169.doi: 10.13481/j.1671-587X.20260429

• 综述 • 上一篇    

克雅病治疗策略的研究进展

蒋冬悦,崔俐()   

  1. 吉林大学第一医院神经内科,吉林 长春 130021
  • 收稿日期:2025-07-03 接受日期:2025-09-24 出版日期:2026-07-28 发布日期:2026-07-27
  • 通讯作者: 崔俐 E-mail:lcui@Jlu.edu.cn
  • 作者简介:蒋冬悦(1998-),女,吉林省长春市人,在读医学硕士,主要从事神经感染方面的研究。
  • 基金资助:
    国家自然科学基金项目(82371371)

Research progress in therapeutic strategies for Creutzfeldt-Jakob disease

Dongyue JIANG,Li CUI()   

  1. Department of Neurology,First Hospital,Jilin University,Changchun 130021,China
  • Received:2025-07-03 Accepted:2025-09-24 Online:2026-07-28 Published:2026-07-27
  • Contact: Li CUI E-mail:lcui@Jlu.edu.cn

摘要:

克雅病(CJD)是一种由朊病毒引起的致命性神经退行性疾病,其临床病程进展迅速,确诊时多已进入中晚期,其快速进展的疾病过程和高度致死的特点给临床治疗带来了巨大挑战。尽管对朊病毒的了解在分子机制方面已较为深入,但在临床诊治方面,仍然缺乏有效干预手段与药物。现基于国内外关于CJD治疗的最新研究进展,总结归纳目前CJD治疗的主要研究方向和最新成果,从药物治疗、免疫治疗、基因治疗及新兴治疗策略四个方面,对各种方法的机制、临床前和临床试验研究结果进行归纳及评价,总结当前治疗策略研究的突破和局限,为未来研究方向的探索及新型疗法的开发提供依据。

关键词: 克雅病, 朊病毒, 治疗策略, 神经退行性疾病, 药物研发

Abstract:

Creutzfeldt-Jakob disease (CJD) is a fatal neurodegenerative disorder caused by prions, characterized by a rapidly progressing clinical course. Diagnosis often occurs in the mid-to-late stages, and the fast disease progression and high lethality pose significant challenges for clinical treatment. Although understanding of prions has deepened in terms of molecular mechanisms, effective interventions and drugs remain lacking in clinical diagnosis and management. Based on the latest domestic and international research advances in the treatment of CJD, this article summarized and reviewd the main research directions and recent achievements in CJD treatment. It coverd four aspects: historical drug therapies, immunotherapy, gene therapy, and emerging treatment strategies. The mechanisms, preclinical studies, and clinical trial outcomes of various approaches were summarized and evaluated. The breakthroughs and limitations of current treatment strategies were discussed to provide the foundation for exploring future research directions and developing novel therapies.

Key words: Creutzfeldt-Jakob disease, Prion, Treatment strategy, Neurodegenerative disease, Drug development

中图分类号: 

  • R741