Research Article

Differential Expression of mRNAs in the Brain Tissues of Patients with Alzheimer’s Disease Based on GEO Expression Profile and Its Clinical Significance

Table 1

Current mainstream detection methods of AD.

Detection method PrincipleAdvantageDisadvantage

MMSEThe most common scale of intelligence impairment at present. Illiteracy ≤ 17 points, primary school degree ≤ 20 points, middle school degree ≤ 22 points, college degree ≤ 23 points, indicates the impairment of cognitive function.Low cost, concise content, less time for measurement, and easy to be accepted by the elderlyOnly screening the patients with moderate-to-severe symptoms

Structural imaging: head CT (thin scan) and MRI (coronal) scanningDiagnostic imaging techniques show significant atrophy of the cerebral cortex, especially in the hippocampus and medial temporal lobe, supporting the clinical diagnosis of AD.Used to exclude other underlying diseases and to identify specific imaging findings of ADConvenience not as good as MMSE, expensive cost, hospital equipment support, low penetration rate

18FDG-PETIt shows the reduction of glucose metabolism in the dome and upper/posterior temporal region, posterior cingulate cortex, and anterior cranial lobe, revealing specific abnormal changes in AD. In the late period of AD, the frontal lobe metabolism was reduced.Improving the reliability of dementia diagnosis and being suitable for the differential diagnosis of AD and other dementiaConvenience not as good as MMSE, expensive cost, specific equipment support needed, penetration rate

EEGThe EEG of AD is characterized by a decrease in alpha wave, an increase in theta wave, and a decrease in the average frequency.Used for the differential diagnosis of AD, providing early evidence of prion disease or other brain diseases33% of patients with early AD are normal without change in EEG and low penetration rate

Biological markersDynamically observing the progression of the disease by using proteins or miRNAs in body fluids such as peripheral blood, cerebrospinal fluid, and urine biology as markers to increase the specificity of the diagnosis.Noninvasive, simple and inexpensive, and of low priceLow repeatability, problems with accuracy and specificity, lack of standards