Alzheimer’s disease: Insights and new prospects in disease pathophysiology, biomarkers and disease-modifying drugs DOI Creative Commons
Ana Rita Monteiro, Daniel José Barbosa, Fernando Remião

et al.

Biochemical Pharmacology, Journal Year: 2023, Volume and Issue: 211, P. 115522 - 115522

Published: March 28, 2023

Alzheimer's disease (AD) is one of the most prevalent neurodegenerative diseases that affect millions people worldwide, with both prevalence and incidence increasing age. It characterized by cognitive decline associated, specifically, degeneration cholinergic neurons. The problem this even more fundamental as available therapies remain fairly limited mainly focused on symptoms' relief. Although aetiology remains elusive, two main pathological hallmarks are described: i) presence neurofibrillary tangles formed unfolded protein aggregates (hyperphosphorylated Tau protein) ii) extracellular amyloid-beta peptide. Given complexity surrounding pathogenesis disease, several potential targets have been highlighted interrelated upon its progression, such oxidative stress accumulation metal ions. Thus, advances made development innovative multitarget therapeutical compounds to delay progression restore cell function. This review focuses ongoing research new insights emerging disease-modifying drugs for AD treatment. Furthermore, classical novel biomarkers early diagnosis their role in assisting improvement targeted will also be approached.

Language: Английский

Targeting lysosomes in human disease: from basic research to clinical applications DOI Creative Commons
Mengdie Cao, Xiangyuan Luo, Kongming Wu

et al.

Signal Transduction and Targeted Therapy, Journal Year: 2021, Volume and Issue: 6(1)

Published: Nov. 8, 2021

Abstract In recent years, accumulating evidence has elucidated the role of lysosomes in dynamically regulating cellular and organismal homeostasis. Lysosomal changes dysfunction have been correlated with development numerous diseases. this review, we interpreted key biological functions four areas: metabolism, cell proliferation differentiation, immunity, death. More importantly, actively sought to determine characteristic cells affected by these diseases, causes dysfunction, their significance treatment human disease. Furthermore, outlined currently available targeting strategies: (1) lysosomal acidification; (2) cathepsins; (3) membrane permeability integrity; (4) calcium signaling; (5) mTOR (6) emerging potential strategies. Moreover, systematically summarized corresponding drugs application clinical trials. By integrating basic research findings, discussed current opportunities challenges

Language: Английский

Citations

126

Alzheimer's disease: From immunotherapy to immunoprevention DOI Creative Commons
Mathias Jucker, Lary C. Walker

Cell, Journal Year: 2023, Volume and Issue: 186(20), P. 4260 - 4270

Published: Sept. 1, 2023

Language: Английский

Citations

125

Confounding factors of Alzheimer's disease plasma biomarkers and their impact on clinical performance DOI Creative Commons
Alexa Pichet Binette, Shorena Janelidze, Nicholas Cullen

et al.

Alzheimer s & Dementia, Journal Year: 2022, Volume and Issue: 19(4), P. 1403 - 1414

Published: Sept. 24, 2022

Abstract Introduction Plasma biomarkers will likely revolutionize the diagnostic work‐up of Alzheimer's disease (AD) globally. Before widespread use, we need to determine if confounding factors affect levels these biomarkers, and their clinical utility. Methods Participants with plasma CSF creatinine, body mass index (BMI), medical history data were included (BioFINDER‐1: n = 748, BioFINDER‐2: 421). We measured beta‐amyloid (Aβ42, Aβ40), phosphorylated tau (p‐tau217, p‐tau181), neurofilament light (NfL), glial fibrillary acidic protein (GFAP). Results In both cohorts, creatinine BMI main associated NfL, GFAP, a lesser extent p‐tau. However, adjustment for had only minor effects in models predicting either corresponding or subsequent development dementia. Discussion Creatinine are related certain levels, but they do not have clinically relevant vast majority individuals. Highlights (BMI) biomarker levels. Adjusting has influence on plasma‐cerebrospinal fluid (CSF) associations. prediction dementia using biomarkers.

Language: Английский

Citations

122

PET Imaging of Neuroinflammation in Alzheimer’s Disease DOI Creative Commons
Rong Zhou, Bin Ji, Yanyan Kong

et al.

Frontiers in Immunology, Journal Year: 2021, Volume and Issue: 12

Published: Sept. 16, 2021

Neuroinflammation play an important role in Alzheimer’s disease pathogenesis. Advances molecular imaging using positron emission tomography have provided insights into the time course of neuroinflammation and its relation with central pathologies patients animal models. Recent single-cell sequencing transcriptomics indicate dynamic disease-associated microglia astrocyte profiles disease. Mitochondrial 18-kDa translocator protein is most widely investigated target for imaging. New generation tracers improved performance been developed evaluated along tau amyloid assessing progression continuum. Given that not exclusively expressed glia, alternative targets are under rapid development, such as monoamine oxidase B, matrix metalloproteinases, colony-stimulating factor 1 receptor, imidazoline-2 binding sites, cyclooxygenase, cannabinoid-2 purinergic P2X7 P2Y12 fractalkine triggering receptor on myeloid cells 2, advanced glycation end products. Promising should demonstrate a higher specificity cellular locations exclusive expression or activation status (pro- anti-inflammatory) highly specific ligand to enable vivo brain In this review, we summarised recent advances development outlook promising future.

Language: Английский

Citations

118

Alzheimer’s disease: Insights and new prospects in disease pathophysiology, biomarkers and disease-modifying drugs DOI Creative Commons
Ana Rita Monteiro, Daniel José Barbosa, Fernando Remião

et al.

Biochemical Pharmacology, Journal Year: 2023, Volume and Issue: 211, P. 115522 - 115522

Published: March 28, 2023

Alzheimer's disease (AD) is one of the most prevalent neurodegenerative diseases that affect millions people worldwide, with both prevalence and incidence increasing age. It characterized by cognitive decline associated, specifically, degeneration cholinergic neurons. The problem this even more fundamental as available therapies remain fairly limited mainly focused on symptoms' relief. Although aetiology remains elusive, two main pathological hallmarks are described: i) presence neurofibrillary tangles formed unfolded protein aggregates (hyperphosphorylated Tau protein) ii) extracellular amyloid-beta peptide. Given complexity surrounding pathogenesis disease, several potential targets have been highlighted interrelated upon its progression, such oxidative stress accumulation metal ions. Thus, advances made development innovative multitarget therapeutical compounds to delay progression restore cell function. This review focuses ongoing research new insights emerging disease-modifying drugs for AD treatment. Furthermore, classical novel biomarkers early diagnosis their role in assisting improvement targeted will also be approached.

Language: Английский

Citations

113