The impact of genetic variability on Alzheimer’s therapies: obstacles for pharmacogenetic progress
Ramón Cacabelos,
No information about this author
Olaia Martínez-Iglesias,
No information about this author
Natalia Cacabelos
No information about this author
et al.
Expert Opinion on Drug Metabolism & Toxicology,
Journal Year:
2025,
Volume and Issue:
unknown, P. 1 - 28
Published: Jan. 21, 2025
Genetic
load
influences
the
therapeutic
response
to
conventional
drugs
in
Alzheimer's
disease
(AD).
Pharmacogenetics
(PGx)
is
best
option
reduce
drug-drug
interactions
and
adverse
drug
reactions
patients
undergoing
polypharmacy
regimens.
However,
there
are
important
limitations
that
make
it
difficult
incorporate
pharmacogenetics
into
routine
clinical
practice.
This
article
analyzes
pharmacogenetic
apparatus
made
up
of
pathogenic,
mechanistic,
metabolic,
transporter,
pleiotropic
genes
responsible
for
efficacy
safety
pharmacological
treatment,
impact
genetic
on
outcome
multifactorial
treatments,
practical
aspects
effective
use
PGx.
Over
120
closely
associated
with
AD.
There
an
accumulation
cerebrovascular
(CVn)
neurodegenerative
(ADn)
APOE-4
carriers
accumulate
more
deleterious
related
other
CVn
ADn
genes,
develop
earlier,
at
a
biological
disadvantage
compared
non-carriers.
CYP2D6-PMs
worst
responders
anti-dementia
drugs.
Some
hinder
implementation
PGx
practice,
including
lack
information
many
drugs,
low
number
screening
protocols,
educational
deficiencies
medical
community
regarding
genomic
medicine.
Language: Английский
Preventive Role of Cocoa-Enriched Extract Against Neuroinflammation in Mice
Iván Carrera,
No information about this author
Lola Corzo,
No information about this author
Olaia Martínez-Iglesias
No information about this author
et al.
Neurology International,
Journal Year:
2025,
Volume and Issue:
17(4), P. 47 - 47
Published: March 24, 2025
Background:
Chronic
aberrant
inflammation
is
a
crucial
step
in
mediating
cerebrovascular
and
neurodegenerative
pathologies,
including
Alzheimer’s
Parkinson’s
disease.
Due
to
their
exceptional
antioxidant
properties
ability
alter
imbalance
metabolism
reactive
response,
cocoa-derived
flavanols
are
being
investigated
as
potential
bioactive
substances
modulate
reverse
these
inflammation-associated
disorders.
Objective:
The
present
study
will
focus
on
the
possible
beneficial
effects
of
extract,
enhanced
with
other
phytochemicals
such
spirulina
pineapple,
selected
biomarkers
inflammatory,
metabolic,
processes.
Methods:
A
mice
model
was
treated
extract
cocktail,
biomolecular
data
obtained
by
performing
immunohistochemical
biochemical
analysis.
Results:
Results
show
that
mitigates
neuroinflammatory
processes
triggered
(decreased
expression
macrophage
CD11b)
prevents
escalade
subsequent
neurodegeneration
pathologies.
Conclusions:
results
based
hypo-vitaminosis,
neuroinflammation,
inmunoreactive
analysis
suggest
powerful
bioproduct
for
ameliorating
mediate
metabolic
diseases.
Language: Английский
Therapeutic Options in Alzheimer’s Disease: From Classic Acetylcholinesterase Inhibitors to Multi-Target Drugs with Pleiotropic Activity
Ramón Cacabelos,
No information about this author
Olaia Martínez-Iglesias,
No information about this author
Natalia Cacabelos
No information about this author
et al.
Life,
Journal Year:
2024,
Volume and Issue:
14(12), P. 1555 - 1555
Published: Nov. 26, 2024
Alzheimer’s
disease
(AD)
is
a
complex/multifactorial
brain
disorder
involving
hundreds
of
defective
genes,
epigenetic
aberrations,
cerebrovascular
alterations,
and
environmental
risk
factors.
The
onset
the
neurodegenerative
process
triggered
decades
before
first
symptoms
appear,
probably
due
to
combination
genomic
phenomena.
Therefore,
primary
objective
any
effective
treatment
intercept
in
its
presymptomatic
phases.
Since
approval
acetylcholinesterase
inhibitors
(Tacrine,
Donepezil,
Rivastigmine,
Galantamine)
Memantine,
between
1993
2003,
no
new
drug
was
approved
by
FDA
until
advent
immunotherapy
with
Aducanumab
2021
Lecanemab
2023.
Over
past
decade,
more
than
10,000
compounds
potential
action
on
some
pathogenic
components
AD
have
been
tested.
limitations
these
anti-AD
treatments
stimulated
search
for
multi-target
(MT)
drugs.
In
recent
years,
1000
drugs
MT
function
studied
models.
aim
address
complex
multifactorial
nature
disease.
This
approach
has
offer
comprehensive
benefits
single-target
therapies,
which
may
be
limited
their
effectiveness
intricate
pathology
AD.
A
strategy
still
unexplored
agents.
Another
option
could
biotechnological
products
pleiotropic
action,
among
nosustrophine-like
represent
an
attractive,
although
not
definitive,
example.
Language: Английский
Alzheimer’s Disease: Understanding Motor Impairments
Brain Sciences,
Journal Year:
2024,
Volume and Issue:
14(11), P. 1054 - 1054
Published: Oct. 24, 2024
Alzheimer's
disease
(AD),
the
most
prevalent
neurodegenerative
disorder
and
leading
cause
of
dementia
worldwide,
profoundly
impacts
health
quality
life.
While
cognitive
impairments-such
as
memory
loss,
attention
deficits,
disorientation-predominate
in
AD,
motor
symptoms,
though
common,
remain
underexplored.
These
including
gait
disturbances,
reduced
cardiorespiratory
fitness,
muscle
weakness,
sarcopenia,
impaired
balance,
are
often
associated
with
advanced
stages
AD
contribute
to
increased
mortality.
Emerging
evidence,
however,
suggests
that
symptoms
may
be
present
earlier
can
serve
predictive
markers
for
older
adults.
Despite
a
limited
understanding
underlying
mechanisms
driving
these
several
key
pathways
have
been
identified,
offering
avenues
further
investigation.
This
review
provides
an
in-depth
analysis
discussing
its
progression,
potential
mechanisms,
therapeutic
strategies.
Addressing
alongside
decline
enhance
patient
functionality,
improve
life,
support
more
comprehensive
management
Language: Английский
Neuronal Protective Effect of Nosustrophine in Cell Culture Models
Journal of Exploratory Research in Pharmacology,
Journal Year:
2023,
Volume and Issue:
8(4), P. 267 - 268
Published: Dec. 14, 2023
The
role
of
nootropic
supplements
is
becoming
increasingly
relevant
in
today's
integrated
therapeutic
landscape.
1The
choice
adjunctive
therapy
complex
because
the
elaborate
nature
drugs
and,
consequently,
potentially
resulting
drug
interactions.The
use
a
nootropic,
although
it
has
an
active
component,
turns
out
to
be
less
disruptive
overall
fewer
interactions
from
its
very
nature;
another
aspect
not
underestimated
general
propensity
patient
take
product
which
he
or
she
does
attribute
exact
as
generally
used
therapy,
and
this
allows
clinician
able
administer
effective
add-on
with
good
compliance
on
part
patient.
2
Among
supplements,
Nosustrophine
important
role.The
effects
supplement
are
manifold,
currently,
found
treatment
Alzheimer's
disease
(AD).Among
pharmacological
interventions,
most
widely
AD
natural
products
(25.6%),
followed
by
anti-amyloid
beta
Language: Английский