From Mild Cognitive Impairment to Dementia: The Impact of Comorbid Conditions on Disease Conversion DOI Creative Commons
Federico Menegon, Fabiola De Marchi, Davide Aprile

et al.

Biomedicines, Journal Year: 2024, Volume and Issue: 12(8), P. 1675 - 1675

Published: July 26, 2024

The conversion from mild cognitive impairment (MCI) to dementia is influenced by several factors, including comorbid conditions such as metabolic and vascular diseases. Understanding the impact of these comorbidities can help in disease management patients with a higher risk progressing dementia, improving outcomes. In current study, we aimed analyze data large cohort MCI (n = 188) principal component analysis (PCA) cluster (CA) classify into distinct groups based on their comorbidity profile predict dementia. From our analysis, four clusters emerged. CA showed significantly rate progression for Cluster 1, which was predominantly characterized extremely high obesity diabetes compared other clusters. contrast, 3, defined lower prevalence all comorbidities, had rate. 2, mainly subjects traumatic brain injuries, lowest conversion. Lastly, 4, load hearing loss depression, an intermediate This study underscores significant specific profiles highlighting need targeted interventions strategies individuals potentially delay or prevent onset

Language: Английский

Alzheimer’s disease: a review on the current trends of the effective diagnosis and therapeutics DOI Creative Commons
Aimi Syamima Abdul Manap,

Reema Almadodi,

Shirin Sultana

et al.

Frontiers in Aging Neuroscience, Journal Year: 2024, Volume and Issue: 16

Published: Aug. 9, 2024

The most prevalent cause of dementia is Alzheimer's disease. Cognitive decline and accelerating memory loss characterize it. disease advances sequentially, starting with preclinical stages, followed by mild cognitive and/or behavioral impairment, ultimately leading to dementia. In recent years, healthcare providers have been advised make an earlier diagnosis Alzheimer's, prior individuals developing Regrettably, the identification early-stage in clinical settings can be arduous due tendency patients disregard symptoms as typical signs aging. Therefore, accurate prompt essential order facilitate development disease-modifying secondary preventive therapies onset symptoms. There has a notable shift goal process, transitioning from merely confirming presence symptomatic AD recognizing illness its early, asymptomatic phases. Understanding evolution putting effective diagnostic therapeutic management into practice requires understanding this concept. outcomes study will enhance in-depth knowledge current status disease's treatment, justifying necessity for quest potential novel biomarkers that contribute determining stage disease, particularly earliest stages. Interestingly, latest trial on pharmacological agents, nonpharmacological treatments such behavior modification, exercise, training well alternative approach phytochemicals neuroprotective agents covered detailed.

Language: Английский

Citations

8

Non-Drug and Non-Invasive Therapeutic Options in Alzheimer’s Disease DOI Creative Commons
Alina Simona Șovrea, Adina Bianca Boşca, Eleonora Dronca

et al.

Biomedicines, Journal Year: 2025, Volume and Issue: 13(1), P. 84 - 84

Published: Jan. 1, 2025

Despite the massive efforts of modern medicine to stop evolution Alzheimer’s disease (AD), it affects an increasing number people, changing individual lives and imposing itself as a burden on families health systems. Considering that vast majority conventional drug therapies did not lead expected results, this review will discuss newly developing alternative in effort or slow AD. Focused Ultrasound (FUS) its derived Transcranial Pulse Stimulation (TPS) are non-invasive therapeutic approaches. Singly applied technique change permeability blood–brain–barrier (BBB), FUS TPS have demonstrated benefits use treating AD animal human studies. Adipose-derived stem Cells (ADSCs), gene therapy, many other methods (diet, sleep pattern, physical exercise, nanoparticle delivery) also new potential treatments since multimodal approaches represent trend disorder research therapies.

Language: Английский

Citations

0

Metformin Improves Spatial Memory and Reduces Seizure Severity in a Rat Model of Epilepsy and Alzheimer’s Disease comorbidity via PI3K/Akt Signaling Pathway DOI

Suélen Santos Alves,

Letícia Rossi,

José Antônio Cortes de Oliveira

et al.

Molecular Neurobiology, Journal Year: 2025, Volume and Issue: unknown

Published: March 24, 2025

Language: Английский

Citations

0

From Plaques to Pathways in Alzheimer’s Disease: The Mitochondrial-Neurovascular-Metabolic Hypothesis DOI Open Access
Sarah Kazemeini,

Ahmed Nadeem-Tariq,

Ryan M. Shih

et al.

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(21), P. 11720 - 11720

Published: Oct. 31, 2024

Alzheimer's disease (AD) presents a public health challenge due to its progressive neurodegeneration, cognitive decline, and memory loss. The amyloid cascade hypothesis, which postulates that the accumulation of amyloid-beta (Aβ) peptides initiates leading AD, has dominated research therapeutic strategies. failure recent Aβ-targeted therapies yield conclusive benefits necessitates further exploration AD pathology. This review proposes Mitochondrial-Neurovascular-Metabolic (MNM) integrates mitochondrial dysfunction, impaired neurovascular regulation, systemic metabolic disturbances as interrelated contributors pathogenesis. Mitochondrial hallmark leads oxidative stress bioenergetic failure. Concurrently, breakdown blood-brain barrier (BBB) cerebral blood flow, characterize dysregulation, accelerate neurodegeneration. Metabolic such glucose hypometabolism insulin resistance impair neuronal function survival. hypothesis highlights interconnectedness these pathways suggests strategies targeting health, integrity, regulation may offer more effective interventions. MNM addresses multifaceted aspects providing comprehensive framework for understanding progression developing novel approaches. approach paves way innovative could significantly improve outcomes millions affected worldwide.

Language: Английский

Citations

2

From Mild Cognitive Impairment to Dementia: The Impact of Comorbid Conditions on Disease Conversion DOI Creative Commons
Federico Menegon, Fabiola De Marchi, Davide Aprile

et al.

Biomedicines, Journal Year: 2024, Volume and Issue: 12(8), P. 1675 - 1675

Published: July 26, 2024

The conversion from mild cognitive impairment (MCI) to dementia is influenced by several factors, including comorbid conditions such as metabolic and vascular diseases. Understanding the impact of these comorbidities can help in disease management patients with a higher risk progressing dementia, improving outcomes. In current study, we aimed analyze data large cohort MCI (n = 188) principal component analysis (PCA) cluster (CA) classify into distinct groups based on their comorbidity profile predict dementia. From our analysis, four clusters emerged. CA showed significantly rate progression for Cluster 1, which was predominantly characterized extremely high obesity diabetes compared other clusters. contrast, 3, defined lower prevalence all comorbidities, had rate. 2, mainly subjects traumatic brain injuries, lowest conversion. Lastly, 4, load hearing loss depression, an intermediate This study underscores significant specific profiles highlighting need targeted interventions strategies individuals potentially delay or prevent onset

Language: Английский

Citations

2