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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">r-n-j</journal-id><journal-title-group><journal-title xml:lang="ru">Российский неврологический журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Russian neurological journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2658-7947</issn><issn pub-type="epub">2686-7192</issn><publisher><publisher-name>МИА</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.30629/2658-7947-2026-31-3-63-72</article-id><article-id custom-type="elpub" pub-id-type="custom">r-n-j-857</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ИССЛЕДОВАНИЯ И КЛИНИЧЕСКИЕ НАБЛЮДЕНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL RESEARCHES AND CASE REPORTS</subject></subj-group></article-categories><title-group><article-title>Портрет пациента-кандидата на проведение биомаркерной диагностики болезни Альцгеймера в реальной клинической практике</article-title><trans-title-group xml:lang="en"><trans-title>Patient profile for biomarkerbased Alzheimer’s disease diagnosis in clinical practice</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7214-583X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шпилюкова</surname><given-names>Ю. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shpilyukova</surname><given-names>Yu. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><email xlink:type="simple">jshpilyukova@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0000-9148-0203</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Невзорова</surname><given-names>К. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Nevzorova</surname><given-names>K. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><email xlink:type="simple">nevzorova.k.v@neurology.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8070-7644</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Федотова</surname><given-names>Е. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Fedotova</surname><given-names>E. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><email xlink:type="simple">ekfedotova@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2704-6282</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Иллариошкин</surname><given-names>С. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Illarioshkin</surname><given-names>S. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><email xlink:type="simple">snillario@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «Российский центр неврологии и нейронаук»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Center of Neurology and Neuroscience</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>31</day><month>08</month><year>2026</year></pub-date><volume>31</volume><issue>3</issue><fpage>63</fpage><lpage>72</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Шпилюкова Ю.А., Невзорова К.В., Федотова Е.Ю., Иллариошкин С.Н., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Шпилюкова Ю.А., Невзорова К.В., Федотова Е.Ю., Иллариошкин С.Н.</copyright-holder><copyright-holder xml:lang="en">Shpilyukova Y.A., Nevzorova K.V., Fedotova E.Y., Illarioshkin S.N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.r-n-j.com/jour/article/view/857">https://www.r-n-j.com/jour/article/view/857</self-uri><abstract><p>Современные критерии болезни Альцгеймера (БА) предполагают клинико-биологическую природу данного заболевания. Все более широкое внедрение биомаркерной диагностики БА требует более четкого клинического профилирования пациентов, особенно с учетом ряда сложных клинических, организационных и финансово-экономических вопросов.Цель работы — представить портрет пациента, рекомендованного к направлению на биомаркерную диагностику БА, согласно международным рекомендациям и собственному опыту биомаркерной диагностики БА в реальной клинической практике.Материал и методы. Проанализированы результаты работы Центра когнитивного здоровья РЦНН за один календарный год: общее количество пациентов, распределение по этиологии заболевания. За этот же период проанализирована локальная база данных пациентов, направленных на биомаркерную диагностику БА методом определения концентраций Аb1-42 и ptau181 в цереброспинальной жидкости с помощью тестов Elecsys на платформе Cobas e 411.Результаты. На первичной консультации были 598 пациентов: УКР НДЗ — 25% (n = 149), СКР — 13% (n = 78), смКН — 10% (n = 62), нНДЗ — 10% (n = 58), соКН — 9% (n = 54), заболевания спектра ЛВД — 8% (n = 50), БА 8% (n = 48), другие причины когнитивных нарушений 8% (n = 46), БТЛ — 5% (n = 29), 4R-таупатии 4% (n = 23) и группа риска 0,002% (n = 1). Анализ на биомаркеры БА выполнен 93 пациентам (16%), чаще всего при УКР НДЗ (39%).Заключение. Наша реальная клиническая практика отражает соответствие рекомендациям международной рабочей группы Ассоциации по болезни Альцгеймера, ставя во главу угла фенотипическое профилирование пациентов. Представлен возможный алгоритм отбора пациентов для направления на биомаркерную диагностику БА. Умеренное когнитивное расстройство нейродегенеративной природы является наиболее типичным клиническом профилем для направления пациента на исследование биомаркеров альцгеймеровского патологического процесса.</p></abstract><trans-abstract xml:lang="en"><p>Modern criteria for Alzheimer’s disease (AD) suppose a clinical-biological nature of the disease. The increasingly widespread adoption of biomarker-based diagnostics for AD necessitates a clearer clinical profile of patients, particularly given a range of complex clinical, organizational and financial-economic issues.Aim. To present a profile of the patient recommended for referral for biomarker-based diagnosis of AD, in accordance with international guidelines and the authors’ own experience with biomarker-based diagnosis in real-world clinical practice.Material and methods. We analyzed the results of the RCNN Cognitive Health Center’s operations over one calendar year, specifically the total number of patients and the distribution of disease etiologies. During the same period, we analyzed a local database of patients referred for AD biomarker diagnostics in CSF (Aβ1-42 and p-tau181) using Elecsys assays on the Cobas e 411 platform.Results. A total of 598 patients attended the initial consultation: MCI NDD 25% (n = 149), SCD 13% (n = 78), mixed CI 10% (n = 62), uNDD 10% (n = 58), vCI 9% (n = 54), LBD 8% (n = 50), AD 8% (n = 48), other causes of cognitive impairment 8% (n = 46), FTD 5% (n = 29), 4R-tauopathies 4% (n = 23), and the at-risk group — 0.002% (n = 1). AD biomarker analysis was performed on 93 patients (16%), most frequently in the MCI NDD group (39%).Conclusion. Our real-world clinical practice aligns with the recommendations of the Alzheimer’s Association international working group, prioritizing the phenotypic profiling of patients. The article presents a potential algorithm for selecting patients for referral to biomarker-based diagnosis of Alzheimer’s disease. Mild cognitive impairment with a neurodegenerative nature is the most typical clinical profile for referring a patient for the assessment of biomarkers associated with the AD pathological process.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>болезнь Альцгеймера</kwd><kwd>биомаркеры</kwd><kwd>диагностика</kwd><kwd>портрет пациента</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Alzheimer’s disease</kwd><kwd>biomarkers</kwd><kwd>diagnosis</kwd><kwd>patient profile</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Serrano-Pozo A, Escott-Price V, Grinberg LT, Pascoal T, SuárezCalvet M, Dubois B, Sperling RA. Alzheimer’s disease. 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