Translational Neurodegeneration,
Год журнала:
2025,
Номер
14(1)
Опубликована: Янв. 27, 2025
Abstract
Alzheimer’s
disease
(AD)
is
the
most
common
type
of
dementia.
Monoclonal
antibodies
(MABs)
serve
as
a
promising
therapeutic
approach
for
AD
by
selectively
targeting
key
pathogenic
factors,
such
amyloid-β
(Aβ)
peptide,
tau
protein,
and
neuroinflammation.
Specifically,
based
on
their
efficacy
in
removing
Aβ
plaques
from
brains
patients
with
AD,
U.S.
Food
Drug
Administration
has
approved
three
anti-amyloid
MABs,
aducanumab
(Aduhelm®),
lecanemab
(Leqembi®),
donanemab
(Kisunla™).
Notably,
received
traditional
approval
after
demonstrating
clinical
benefit,
supporting
cascade
hypothesis.
These
MABs
are
categorized
affinity
to
diverse
conformational
features
Aβ,
including
monomer,
fibril,
protofibril,
plaque
forms
well
pyroglutamate
Aβ.
First-generation
non-toxic
monomeric
solanezumab,
bapineuzumab,
crenezumab,
failed
demonstrate
benefit
trials.
In
contrast,
second-generation
aducanumab,
lecanemab,
donanemab,
gantenerumab
directed
against
species
aggregates
have
shown
that
reducing
deposition
can
be
an
effective
strategy
slow
cognitive
impairment
AD.
this
review,
we
provide
comprehensive
overview
current
status,
mechanisms,
outcomes,
limitations
treatment
Moreover,
discuss
perspectives
future
directions
Cell Reports,
Год журнала:
2024,
Номер
43(2), С. 113761 - 113761
Опубликована: Фев. 1, 2024
Mutations
that
cause
familial
Alzheimer's
disease
(FAD)
are
found
in
amyloid
precursor
protein
(APP)
and
presenilin,
the
catalytic
component
of
γ-secretase,
together
produce
β-peptide
(Aβ).
Nevertheless,
whether
Aβ
is
primary
driver
remains
controversial.
We
report
here
FAD
mutations
disrupt
initial
proteolytic
events
multistep
processing
APP
substrate
C99
by
γ-secretase.
Cryoelectron
microscopy
reveals
a
mimetic
traps
γ-secretase
during
transition
state,
this
structure
aligns
with
activated
enzyme-substrate
complex
captured
molecular
dynamics
simulations.
In
silico
simulations
cellulo
fluorescence
support
stabilization
complexes
mutations.
Neuronal
expression
and/or
presenilin-1
Caenorhabditis
elegans
leads
to
synaptic
loss
only
FAD-mutant
transgenes.
Designed
stabilize
block
production
likewise
led
loss.
Collectively,
these
findings
implicate
stalled
process—not
products—of
cleavage
substrates
pathogenesis.
Science Translational Medicine,
Год журнала:
2024,
Номер
16(753)
Опубликована: Июнь 26, 2024
Alzheimer’s
disease
(AD)
is
currently
defined
by
the
aggregation
of
amyloid-β
(Aβ)
and
tau
proteins
in
brain.
Although
biofluid
biomarkers
are
available
to
measure
Aβ
pathology,
few
markers
complex
pathophysiology
that
associated
with
these
two
cardinal
neuropathologies.
Here,
we
characterized
proteomic
landscape
cerebrospinal
fluid
(CSF)
changes
pathology
300
individuals
using
different
technologies—tandem
mass
tag
spectrometry
SomaScan.
Integration
both
data
types
allowed
for
generation
a
robust
protein
coexpression
network
consisting
34
modules
derived
from
5242
measurements,
including
disease-relevant
autophagy,
ubiquitination,
endocytosis,
glycolysis.
Three
strongly
apolipoprotein
E
ε4
(
APOE
ε4)
AD
risk
genotype
mapped
oxidant
detoxification,
mitogen-associated
kinase
signaling,
neddylation,
mitochondrial
biology
overlapped
previously
described
lipoprotein
module
serum.
Alterations
all
three
blood
were
dementia
more
than
20
years
before
diagnosis.
Analysis
CSF
samples
an
phase
2
clinical
trial
atomoxetine
(ATX)
demonstrated
abnormal
elevations
glycolysis
module—the
most
correlated
cognitive
function—were
reduced
ATX
treatment.
Clustering
based
on
their
profiles
revealed
heterogeneity
pathological
not
fully
reflected
tau.
Cell Reports,
Год журнала:
2025,
Номер
unknown, С. 115109 - 115109
Опубликована: Янв. 1, 2025
Alzheimer's
disease
(AD)
diagnosis
relies
on
the
presence
of
extracellular
β-amyloid
(Aβ)
and
intracellular
hyperphosphorylated
tau
(p-tau).
Emerging
evidence
suggests
a
potential
link
between
AD
pathologies
infectious
agents,
with
herpes
simplex
virus
1
(HSV-1)
being
leading
candidate.
Our
investigation,
using
metagenomics,
mass
spectrometry,
western
blotting,
decrowding
expansion
pathology,
detects
HSV-1-associated
proteins
in
human
brain
samples.
Expression
herpesvirus
protein
ICP27
increases
severity
strongly
colocalizes
p-tau
but
not
Aβ.
Modeling
organoids
shows
that
HSV-1
infection
elevates
phosphorylation.
Notably,
reduces
expression
markedly
decreases
post-infection
neuronal
death
from
64%
to
7%.
This
modeling
prompts
investigation
into
cGAS-STING-TBK1
pathway
products,
nuclear
factor
(NF)-κB
IRF-3,
which
AD.
Furthermore,
experimental
activation
STING
enhances
phosphorylation,
while
TBK1
inhibition
prevents
it.
Together,
these
findings
suggest
phosphorylation
acts
as
an
innate
immune
response
AD,
driven
by
cGAS-STING.
Translational Neurodegeneration,
Год журнала:
2025,
Номер
14(1)
Опубликована: Янв. 27, 2025
Abstract
Alzheimer’s
disease
(AD)
is
the
most
common
type
of
dementia.
Monoclonal
antibodies
(MABs)
serve
as
a
promising
therapeutic
approach
for
AD
by
selectively
targeting
key
pathogenic
factors,
such
amyloid-β
(Aβ)
peptide,
tau
protein,
and
neuroinflammation.
Specifically,
based
on
their
efficacy
in
removing
Aβ
plaques
from
brains
patients
with
AD,
U.S.
Food
Drug
Administration
has
approved
three
anti-amyloid
MABs,
aducanumab
(Aduhelm®),
lecanemab
(Leqembi®),
donanemab
(Kisunla™).
Notably,
received
traditional
approval
after
demonstrating
clinical
benefit,
supporting
cascade
hypothesis.
These
MABs
are
categorized
affinity
to
diverse
conformational
features
Aβ,
including
monomer,
fibril,
protofibril,
plaque
forms
well
pyroglutamate
Aβ.
First-generation
non-toxic
monomeric
solanezumab,
bapineuzumab,
crenezumab,
failed
demonstrate
benefit
trials.
In
contrast,
second-generation
aducanumab,
lecanemab,
donanemab,
gantenerumab
directed
against
species
aggregates
have
shown
that
reducing
deposition
can
be
an
effective
strategy
slow
cognitive
impairment
AD.
this
review,
we
provide
comprehensive
overview
current
status,
mechanisms,
outcomes,
limitations
treatment
Moreover,
discuss
perspectives
future
directions