International Journal of Molecular Sciences,
Journal Year:
2023,
Volume and Issue:
24(6), P. 5383 - 5383
Published: March 11, 2023
Alzheimer’s
disease
(AD)
is
an
incurable,
progressive
neurodegenerative
disorder.
AD
a
complex
and
multifactorial
that
responsible
for
60–80%
of
dementia
cases.
Aging,
genetic
factors,
epigenetic
changes
are
the
main
risk
factors
AD.
Two
aggregation-prone
proteins
play
decisive
role
in
pathogenesis:
β-amyloid
(Aβ)
hyperphosphorylated
tau
(pTau).
Both
them
form
deposits
diffusible
toxic
aggregates
brain.
These
biomarkers
Different
hypotheses
have
tried
to
explain
pathogenesis
served
as
platforms
drug
research.
Experiments
demonstrated
both
Aβ
pTau
might
start
processes
necessary
cognitive
decline.
The
two
pathologies
act
synergy.
Inhibition
formation
has
been
old
target.
Recently,
successful
clearance
by
monoclonal
antibodies
raised
new
hopes
treatments
if
detected
at
early
stages.
More
recently,
novel
targets,
e.g.,
improvements
amyloid
from
brain,
application
small
heat
shock
(Hsps),
modulation
chronic
neuroinflammation
different
receptor
ligands,
microglial
phagocytosis,
increase
myelination
revealed
Acta Neuropathologica,
Journal Year:
2024,
Volume and Issue:
147(1)
Published: Jan. 10, 2024
Abstract
Alpha-synuclein
(aSyn)
pathology
is
present
in
approximately
50%
of
Alzheimer’s
disease
(AD)
cases
at
autopsy
and
might
impact
the
age-of-onset
progression
AD.
Here,
we
aimed
to
determine
whether
tau
aSyn
profiles
differ
between
AD
with
Lewy
bodies
(AD-LB),
pure
Parkinson’s
dementia
(PDD)
using
epitope-,
post-translational
modification-
(PTM)
isoform-specific
antibody
panels
spanning
from
N-
C-terminus.
We
included
middle
temporal
gyrus
(MTG)
amygdala
(AMY)
clinically
diagnosed
pathologically
confirmed
performed
dot
blotting,
western
blotting
immunohistochemistry
combined
quantitative
morphological
analyses.
All
investigated
phospho-tau
(pTau)
species,
except
pT181,
were
upregulated
AD-LB
compared
PDD
control
cases,
but
no
significant
differences
observed
subjects.
In
addition,
antibodies
targeting
proline-rich
regions
C-terminus
showed
preferential
binding
brain
homogenates.
Antibodies
C-terminal
epitopes
pS129
stronger
cases.
Two
pTau
species
(pS198
pS396)
specifically
detected
soluble
protein
fractions
subjects,
indicative
early
involvement
these
PTMs
multimerization
process
tau.
Other
phospho-variants
for
both
(pT212/S214,
pT231
pS422)
(pS129)
only
insoluble
fraction
AD-LB/AD
AD-LB/PDD
respectively.
load
was
higher
AMY
suggesting
aggravated
under
presence
pathology,
while
similar
Co-localization
could
be
within
astrocytes
MTG.
These
findings
highlight
a
unique
pathological
signature
Neuropsychopharmacology Reports,
Journal Year:
2025,
Volume and Issue:
45(1)
Published: Jan. 5, 2025
Alzheimer's
disease
(AD)
is
the
most
common
neurodegenerative
associated
with
development
of
dementia.
The
hallmarks
AD
neuropathology
are
accumulations
amyloid
peptide
(Aβ)
and
neurofibrillary
tangles
(NFTs).
Aβ
derived
from
processing
APP
(amyloid
beta
precursor
protein)
by
BACE1
(beta-secretase
1)
γ-secretase
through
an
amyloidogenic
pathway.
However,
ADAM10/α-secretase
(ADAM
metallopeptidase
domain
10)
enzymes
a
non-amyloidogenic
pathway
produces
soluble
alpha
(sAPPα),
which
has
neuroprotective
effect.
It
been
shown
that
activated
platelets
implicated
in
pathogenesis
AD,
also
increases
platelet
activation.
Under
physiological
conditions,
regulate
synaptic
plasticity
increase
neuronal
differentiation
regulation
inflammatory
response.
overactivated
contribute
to
AD.
Activated
represent
main
source
circulating
may
be
involved
neuropathology.
Therefore,
there
close
relationship
between
platelets.
This
review
discusses
potential
role
how
targeting
reduce
Frontiers in Cellular Neuroscience,
Journal Year:
2021,
Volume and Issue:
15
Published: April 14, 2021
Alzheimer’s
disease
(AD)
is
one
of
the
most
frequently
diagnosed
neurodegenerative
disorders
worldwide
and
poses
a
major
challenge
for
both
affected
individuals
their
caregivers.
AD
progressive
neurological
disorder
associated
with
high
rates
brain
atrophy.
Despite
its
durable
influence
on
human
health,
understanding
has
been
complicated
by
enigmatic
multifactorial
nature.
Neurofibrillary
tangles
deposition
amyloid-beta
(Aβ)
protein
are
typical
pathological
features
fundamental
causes
cognitive
impairment
in
patients.
Dysbiosis
oral
gut
microbiota
reported
to
induce
accelerate
formation
Aβ
plaques
neurofibrillary
tangles.
For
instance,
some
microbes
can
spread
through
cranial
nerves
or
cellular
infections,
which
suggested
increase
risk
developing
AD.
Importantly,
interaction
between
intestinal
cells
recognized
as
influencing
development
well
other
diseases.
In
particular,
metabolites
produced
certain
microorganisms
affect
activity
microglia
further
mediate
neuroinflammation,
leading
cause
neuronal
necrosis
pathogenesis.
Which
pathogens
pathways
involved
progression
remains
be
elucidated;
however,
it
well-known
that
direct
indirect
means.
Understanding
specific
mechanisms
these
nervous
system
vital
early
intervention
this
review,
we
aim
comprehensively
discuss
possible
mechanistic
underlying
oral-brain,
gut-brain
oral-gut-brain
associations.
Alzheimer s Research & Therapy,
Journal Year:
2021,
Volume and Issue:
13(1)
Published: Jan. 5, 2021
Abstract
Background
Attempts
to
associate
amyloid-β
(Aβ)
pathogenesis
with
synaptic
loss
in
Alzheimer’s
disease
(AD)
have
thus
far
been
limited
small
numbers
of
postmortem
studies.
Aβ
plaque
burden
is
not
well-correlated
indices
clinical
severity
or
neurodegeneration—at
least
the
dementia
stage—as
deposition
reaches
a
ceiling.
In
this
study,
we
examined
vivo
association
between
fibrillar
and
density
early
AD
using
positron
emission
tomography
(PET).
We
hypothesized
that
global
would
be
more
strongly
inversely
associated
hippocampal
participants
amnestic
mild
cognitive
impairment
(aMCI;
stage
continued
accumulation)
compared
those
(a
relative
plateau).
Methods
measured
SV2A
binding
([
11
C]UCB-J)
C]PiB)
14
aMCI
due
24
dementia.
Distribution
volume
ratios
(
DVR
)
cerebellar
reference
region
were
calculated
for
both
tracers
investigate
hippocampus.
Exploratory
analyses
correlations
regional
across
broad
range
brain
regions
ROI-
surface-based
approaches.
Results
observed
significant
inverse
r
=
−
0.55,
P
0.04),
but
0.05,
0.82;
difference
statistically
by
Fisher
z
1.80,
0.04).
other
ROIs
whole
demonstrated
no
consistent
associations
either
diagnostic
group.
ROI-based
also
revealed
pattern
suggested
“paradoxical”
positive
local
Conclusions
Our
findings
lend
support
model
which
still
accumulating
stages
approaching
plateau,
point
at
may
uncouple
from
neurodegenerative
processes
including
loss.
Future
research
should
relationship
larger
cohorts
beginning
preclinically
followed
longitudinally
conjunction
biomarkers.
Alzheimer s & Dementia,
Journal Year:
2021,
Volume and Issue:
17(9), P. 1509 - 1527
Published: April 2, 2021
Abstract
Introduction
Genome‐wide
association
studies
have
led
to
numerous
genetic
loci
associated
with
Alzheimer's
disease
(AD).
Whole‐genome
sequencing
(WGS)
now
permits
genome‐wide
analyses
identify
rare
variants
contributing
AD
risk.
Methods
We
performed
single‐variant
and
spatial
clustering–based
testing
on
(minor
allele
frequency
[MAF]
≤1%)
in
a
family‐based
WGS‐based
study
of
2247
subjects
from
605
multiplex
families,
followed
by
replication
1669
unrelated
individuals.
Results
identified
13
new
candidate
that
yielded
consistent
rare‐variant
signals
discovery
cohorts
(4
single‐variant,
9
spatial‐clustering),
implicating
these
genes:
FNBP1L,
SEL1L,
LINC00298,
PRKCH,
C15ORF41,
C2CD3,
KIF2A,
APC,
LHX9,
NALCN,
CTNNA2,
SYTL3
,
CLSTN2
.
Discussion
Downstream
novel
highlight
synaptic
function,
contrast
common
AD‐associated
variants,
which
implicate
innate
immunity
amyloid
processing.
These
not
been
previously
AD,
emphasizing
the
ability
WGS
particularly
outside
exome.
Current Opinion in Neurology,
Journal Year:
2021,
Volume and Issue:
34(2), P. 237 - 245
Published: Feb. 11, 2021
Purpose
of
review
Beta-amyloid
with
paired
helical
filaments
(PHF)-tau
neurofibrillary
tangles
define
hallmark
Alzheimer's
disease
neuropathologic
changes
(AD-NC).
Yet
persons
dementia,
defined
broadly
as
an
amnestic
multidomain
progressive
often
exhibit
postmortem
evidence
other
neuropathologies
including
neurodegenerative
(Lewy
body
and
transactive
response
DNA-binding
protein
disease)
vascular-related
brain
lesions.
Clinicopathologic
epidemiologic
analyses
demonstrate
the
significance
these
substrates,
coinciding
mitigate
threshold
for
diagnosis
dementia.
In
addition,
biologic
processes
may
also
independently
underlie
a
Advances
in
research
on
relationship
between
age-related
cognitive
decline
underlying
substrates
indicate
that
consensus
criteria
or
nomenclature
need
new
considerations
refinement.
This
appraises
seminal
literature
well
mixed
pathologies
biological
factors
be
determinants
clinical
pathologic
disease.
Recent
findings
Cognition
aging
(spanning
from
normal
cognition
to
dementia)
represents
continuum.
Traditional
dementia
however
do
not
explain
variability
decline.
Conversely,
all
patients
AD-NC
symptomatology
addition
diagnostic
plaques
tangles,
neurodegenerative,
cerebrovascular,
perivascular
manifest
through
discrete
tissue
Factors
related
energetics,
neurogenetics,
neuroimmunology,
resilience,
proteinopathies,
waste
clearance
are
increasingly
suggested
general
drivers
Recognition
novel
neuroimmune
pathways
brain–body
connections
further
suggest
there
broader
extracranial
person-specific
Summary
is
pathologically
heterogeneous
biologically
multilayered
studies
exercises
reveal
shortcomings
existing
terminologies.
Recognizing
overcoming
limitations
required
experts
effectively
communicate
about
ultimately
prevent
treat
Pharmaceutics,
Journal Year:
2022,
Volume and Issue:
14(4), P. 835 - 835
Published: April 11, 2022
Alzheimer's
disease
(AD)
is
an
irreversible
and
progressive
neurodegenerative
disorder.
Most
existing
treatments
only
provide
symptomatic
solutions.
Here,
we
introduce
currently
available
commercial
drugs
new
therapeutics,
including
repositioned
drugs,
to
treat
AD.
Despite
tremendous
efforts,
targeting
the
hallmarks
of
AD
show
limited
efficacy.
Challenges
in
treating
are
partly
caused
by
difficulties
penetrating
blood-brain
barrier
(BBB).
Recently,
nanoparticle
(NP)-based
systems
have
shown
promising
potential
as
precision
medicines
that
can
effectively
penetrate
BBB
enhance
ability
numerous
drugs.
describe
how
NPs
enter
brain
crossing,
avoiding,
or
disrupting
BBB.
In
addition,
overview
action
microenvironment
for
treatment
Diverse
systems,
liposomes,
micelles,
polymeric
NPs,
solid-lipid
inorganic
been
investigated
NP
drug
loading
relieve
symptoms,
target
hallmarks,
moieties
diagnose
We
also
highlight
NP-based
immunotherapy,
which
has
recently
gained
special
attention
a
option
disrupt
progression.
Overall,
this
review
focuses
on
represent
innovative
strategies
understand
pathogenesis
suggests
diagnostic
modalities
cure
Cells,
Journal Year:
2022,
Volume and Issue:
11(12), P. 1925 - 1925
Published: June 14, 2022
Alzheimer’s
disease
(AD)
is
the
most
common
form
of
dementia,
affecting
more
than
50
million
people
worldwide
with
an
estimated
increase
to
139
by
2050.
The
exact
pathogenic
mechanisms
AD
remain
elusive,
resulting
in
fact
that
current
therapeutics
solely
focus
on
symptomatic
management
instead
preventative
or
curative
strategies.
two
widely
accepted
include
amyloid
and
tau
hypotheses.
However,
it
evident
these
hypotheses
cannot
fully
explain
neuronal
degeneration
shown
AD.
Substantial
evidence
growing
for
vital
role
neuroinflammation
pathology.
neuroinflammatory
hypothesis
provides
a
new,
exciting
lead
uncovering
underlying
contributing
This
review
aims
highlight
new
insights
into
pathogenesis
AD,
mainly
including
involvement
nuclear
factor
kappa-light-chain-enhancer
activated
B
cells
(NF-κB),
nucleotide-binding
oligomerization
domain,
leucine-rich
repeat-containing
protein
3
(NLRP3)/caspase-1
axis,
triggering
receptor
expressed
myeloid
2
(TREM2)
cGAS-STING
as
key
influencers
augmenting
development.
inflammasomes
related
pathways
NF-κB,
NLRP3,
TREM2,
biomarkers
associated
well
overview
novel
treatments
based
potential
drug
targets
reported
literature
under
clinical
trials,
are
explored.
Biomolecules,
Journal Year:
2022,
Volume and Issue:
12(11), P. 1676 - 1676
Published: Nov. 11, 2022
Damage
or
loss
of
brain
cells
and
impaired
neurochemistry,
neurogenesis,
synaptic
nonsynaptic
plasticity
the
lead
to
dementia
in
neurodegenerative
diseases,
such
as
Alzheimer's
disease
(AD).
Injury
synapses
neurons
accumulation
extracellular
amyloid
plaques
intracellular
neurofibrillary
tangles
are
considered
main
morphological
neuropathological
features
AD.
Age,
genetic
epigenetic
factors,
environmental
stressors,
lifestyle
contribute
risk
AD
onset
progression.
These
factors
associated
with
structural
functional
changes
brain,
leading
cognitive
decline.
Biomarkers
reflect
cause
specific
function,
especially
pathways
neurotransmission,
neuroinflammation,
bioenergetics,
apoptosis,
oxidative
nitrosative
stress.
Even
initial
stages,
is
Aβ
neurotoxicity,
mitochondrial
dysfunction,
tau
neurotoxicity.
The
integrative
amyloid-tau-mitochondrial
hypothesis
assumes
that
primary
neurotoxicity
oligomers
oligomers,
their
mutual
synergy.
For
development
new
efficient
drugs,
targeting
elimination
potentiation
effects,
unwanted
protein
interactions
biomarkers
(mainly
dysfunction)
early
stage
seems
promising.