Food and Drug Administration (FDA) Approvals of Biological Drugs in 2023 DOI Creative Commons
Alexander C. Martins, Mariana Y. Oshiro, Fernando Alberício

и другие.

Biomedicines, Год журнала: 2024, Номер 12(9), С. 1992 - 1992

Опубликована: Сен. 2, 2024

An increase in total drug (small molecules and biologics) approvals by the Food Drug Administration (FDA) was seen 2023 compared with previous year. Cancer remained disease most targeted monoclonal antibodies (mAbs), followed autoimmune conditions. Our data reveal prevalence of for biologics even during years when number authorizations low, such as 2022. Over half drugs that received green light benefited from expedited programs, incidence many diseases increased. In addition, over approved Orphan Designation FDA. This narrative review delves into details significant 2023, including mAbs, enzymes, proteins, explaining their mechanisms action, differences drugs, placebo, standards care, outcomes clinical trials. Given varying authorized annually U.S. health authority, this also examines limits external influences FDA′s decisions independence regarding withdrawals.

Язык: Английский

Neuroinflammation in Neurodegenerative Disorders: Current Knowledge and Therapeutic Implications DOI Open Access
Paras Mani Giri, Anurag Banerjee,

Arpita Ghosal

и другие.

International Journal of Molecular Sciences, Год журнала: 2024, Номер 25(7), С. 3995 - 3995

Опубликована: Апрель 3, 2024

Neurodegenerative disorders (NDs) have become increasingly common during the past three decades. Approximately 15% of total population world is affected by some form NDs, resulting in physical and cognitive disability. The most NDs include Alzheimer’s disease, Parkinson’s amyotrophic lateral sclerosis, Huntington’s disease. Although are caused a complex interaction genetic, environmental, lifestyle variables, neuroinflammation known to be associated with all often leading permanent damage neurons central nervous system. Furthermore, numerous emerging pieces evidence demonstrated that inflammation not only supports progression but can also serve as an initiator. Hence, various medicines capable preventing or reducing been investigated ND treatments. While anti-inflammatory medicine has shown promising benefits several preclinical models, clinical outcomes questionable. In this review, we discuss their current treatment strategies, role pathophysiology use agents potential therapeutic option.

Язык: Английский

Процитировано

30

Alzheimer's disease pathophysiology in the Retina DOI Creative Commons
Bhakta Prasad Gaire,

Yosef Koronyo,

Dieu‐Trang Fuchs

и другие.

Progress in Retinal and Eye Research, Год журнала: 2024, Номер 101, С. 101273 - 101273

Опубликована: Май 15, 2024

The retina is an emerging CNS target for potential noninvasive diagnosis and tracking of Alzheimer's disease (AD). Studies have identified the pathological hallmarks AD, including amyloid β-protein (Aβ) deposits abnormal tau protein isoforms, in retinas AD patients animal models. Moreover, structural functional vascular abnormalities such as reduced blood flow, Aβ deposition, blood-retinal barrier damage, along with inflammation neurodegeneration, been described mild cognitive impairment dementia. Histological, biochemical, clinical studies demonstrated that nature severity pathologies brain correspond. Proteomics analysis revealed a similar pattern dysregulated proteins biological pathways patients, enhanced inflammatory neurodegenerative processes, impaired oxidative-phosphorylation, mitochondrial dysfunction. Notably, investigational imaging technologies can now detect AD-specific deposits, well vasculopathy neurodegeneration living suggesting alterations at different stages links to pathology. Current exploratory ophthalmic modalities, optical coherence tomography (OCT), OCT-angiography, confocal scanning laser ophthalmoscopy, hyperspectral imaging, may offer promise assessment AD. However, further research needed deepen our understanding AD's impact on its progression. To advance this field, future require replication larger diverse cohorts confirmed biomarkers standardized retinal techniques. This will validate aiding early screening monitoring.

Язык: Английский

Процитировано

22

Quercetin-functionalized nanomaterials: Innovative therapeutic avenues for Alzheimer's disease management DOI
Jinjin Pei,

Ranil Vikraman Kumarasamy,

Selvaraj Jayaraman

и другие.

Ageing Research Reviews, Год журнала: 2025, Номер unknown, С. 102665 - 102665

Опубликована: Янв. 1, 2025

Язык: Английский

Процитировано

3

Maximizing the benefit and managing the risk of anti-amyloid monoclonal antibody therapy for Alzheimer's disease: Strategies and research directions DOI Creative Commons
Jeffrey L. Cummings

Neurotherapeutics, Год журнала: 2025, Номер unknown, С. e00570 - e00570

Опубликована: Март 1, 2025

Язык: Английский

Процитировано

2

Epigenetic Changes in Alzheimer’s Disease: DNA Methylation and Histone Modification DOI Creative Commons
Laura M. De Plano,

Alessandra Saitta,

Salvatore Oddo

и другие.

Cells, Год журнала: 2024, Номер 13(8), С. 719 - 719

Опубликована: Апрель 21, 2024

Alzheimer’s disease (AD) is a devastating neurodegenerative disorder characterized by progressive cognitive decline and memory loss, imposing significant burden on affected individuals their families. Despite the recent promising progress in therapeutic approaches, more needs to be done understand intricate molecular mechanisms underlying development progression of AD. Growing evidence points epigenetic changes as playing pivotal role pathogenesis disease. The dynamic interplay between genetic environmental factors influences landscape AD, altering gene expression patterns associated with key pathological events pathogenesis. To this end, alterations not only impact genes implicated AD but also contribute dysregulation crucial cellular processes, including synaptic plasticity, neuroinflammation, oxidative stress. Understanding complex provides new avenues for interventions. This review comprehensively examines DNA methylation histone modifications context It aims deeper understanding facilitate targeted strategies.

Язык: Английский

Процитировано

12

The Enigma of Tau Protein Aggregation: Mechanistic Insights and Future Challenges DOI Open Access

Huiting Zheng,

Huimin Sun, Qixu Cai

и другие.

International Journal of Molecular Sciences, Год журнала: 2024, Номер 25(9), С. 4969 - 4969

Опубликована: Май 2, 2024

Tau protein misfolding and aggregation are pathological hallmarks of Alzheimer's disease over twenty neurodegenerative disorders. However, the molecular mechanisms tau in vivo remain incompletely understood. There two types aggregates brain: soluble (oligomers protofibrils) insoluble filaments (fibrils). Compared to filamentous aggregates, more toxic exhibit prion-like transmission, providing seeds for templated misfolding. Curiously, its native state, is a highly soluble, heat-stable that does not form fibrils by itself, even when hyperphosphorylated. In vitro studies have found negatively charged molecules such as heparin, RNA, or arachidonic acid generally required induce aggregation. Two recent breakthroughs provided new insights into mechanisms. First, an intrinsically disordered protein, undergo liquid-liquid phase separation (LLPS) both inside cells. Second, cryo-electron microscopy has revealed diverse fibrillar conformations associated with different Nonetheless, only core structurally resolved, remainder appears "fuzzy coat". From this review, it further (1) clarify role LLPS aggregation; (2) unveil structural features aggregates; (3) understand involvement fuzzy coat regions oligomer fibril formation.

Язык: Английский

Процитировано

12

Alzheimer’s Disease: Combination Therapies and Clinical Trials for Combination Therapy Development DOI Creative Commons
Jeffrey L. Cummings, Amanda M. Leisgang Osse,

Jefferson W. Kinney

и другие.

CNS Drugs, Год журнала: 2024, Номер 38(8), С. 613 - 624

Опубликована: Июнь 27, 2024

Alzheimer's disease (AD) is a complex multifaceted disease. Recently approved anti-amyloid monoclonal antibodies slow progression by approximately 30%, and combination therapy appears necessary to prevent the onset of AD or produce greater slowing cognitive functional decline. Combination therapies may address core features, non-specific co-pathology commonly occurring in patients with (e.g., inflammation), non-AD pathologies that co-occur α-synuclein). be advanced through co-development more than one new molecular entity add-on strategies including an agent plus entity. Addressing currently urgent since on included clinical trials for experimental agents. Phase 1 information must generated each drug development. 2 3 contrast entity, as standard care, combination. More development programs modified combinatorial designs are required two entities. Biomarkers markedly affected antibodies, these effects anticipated trials. Examining target engagement biomarkers comparing magnitude sequence biomarker changes those receiving therapy, compared monotherapy, informative. Using network-based medicine approaches, computational identify rational combinations using effect network mapping.

Язык: Английский

Процитировано

12

Progress in Pharmacologic Management of Neuropsychiatric Syndromes in Neurodegenerative Disorders DOI
Jeffrey L. Cummings, Krista L. Lanctôt, George T. Grossberg

и другие.

JAMA Neurology, Год журнала: 2024, Номер 81(6), С. 645 - 645

Опубликована: Апрель 1, 2024

Importance Neuropsychiatric syndromes (NPSs) are common in neurodegenerative disorders (NDDs); compromise the quality of life patients and their care partners; associated with faster disease progression, earlier need for nursing home care, poorer life. Advances translational pharmacology, clinical trial design conduct, understanding pathobiology NDDs bringing new therapies to care. Observations Consensus definitions have evolved psychosis, agitation, apathy, depression, disinhibition NDDs. Psychosocial interventions may reduce mild behavioral symptoms NDD, pharmacotherapy is available NPSs Brexpiprazole approved treatment agitation Alzheimer dementia, pimavanserin delusions hallucinations psychosis Parkinson disease. Trials being conducted across several NDDs, a variety mechanisms action assessed effect on NPSs. Conclusions Relevance Detection characterization foundation excellent New inform choices regarding populations translate into practice. pharmacologic improve caregivers. Approved agents establish regulatory precedents, demonstrate successful strategies, provide further advances development.

Язык: Английский

Процитировано

10

Structure and function of therapeutic antibodies approved by the US FDA in 2023 DOI Creative Commons
William R. Strohl

Antibody Therapeutics, Год журнала: 2024, Номер 7(2), С. 132 - 156

Опубликована: Март 15, 2024

In calendar year 2023, the United States Food and Drug Administration (US FDA) approved a total of 55 new molecular entities, which 12 were in class therapeutic antibodies. Besides antibody protein drugs, US FDA also another five non-antibody making broader drugs about 31% drugs. Among antibodies by FDA, 8 relatively standard IgG formats, 3 bivalent, bispecific 1 was trivalent, antibody. no antibody-drug conjugates, immunocytokines or chimeric antigen receptor-T cells approved. Of antibodies, two targeted programmed cell death receptor-1 (PD-1) for orphan indications, CD20 diffuse large B lymphoma, different receptors (B-cell maturation [BCMA] G-coupled receptor C, group 5, member D [GPRC5D]) treatment multiple myeloma, one each that amyloid-β protofibrils Alzheimer's disease, neonatal Fc alpha-chain myasthenia gravis, complement factor C5 CD55 deficiency with hyper-activation complement, angiopathic thrombosis severe protein-losing enteropathy interleukin (IL)-23p19 severely active ulcerative colitis, IL-17A-F plaque psoriasis respiratory syncytial virus (RSV)-F season-long RSV prophylaxis infants.

Язык: Английский

Процитировано

8

Photobiomodulation in experimental models of Alzheimer’s disease: state-of-the-art and translational perspectives DOI Creative Commons
Zhihai Huang, Michael R. Hamblin, Quanguang Zhang

и другие.

Alzheimer s Research & Therapy, Год журнала: 2024, Номер 16(1)

Опубликована: Май 21, 2024

Abstract Alzheimer’s disease (AD) poses a significant public health problem, affecting millions of people across the world. Despite decades research into therapeutic strategies for AD, effective prevention or treatment this devastating disorder remains elusive. In review, we discuss potential photobiomodulation (PBM) preventing and alleviating AD-associated pathologies, with focus on biological mechanisms underlying therapy. Future directions guidance clinical practice non-invasive non-pharmacological therapy are also highlighted. The available evidence indicates that different paradigms, including transcranial systemic PBM, along recently proposed remote all could be promising AD. PBM exerts diverse effects, such as enhancing mitochondrial function, mitigating neuroinflammation caused by activated glial cells, increasing cerebral perfusion, improving glymphatic drainage, regulating gut microbiome, boosting myokine production, modulating immune system. We suggest may serve powerful intervention

Язык: Английский

Процитировано

8