Current and emerging avenues for Alzheimer's disease drug targets.


Journal

Journal of internal medicine
ISSN: 1365-2796
Titre abrégé: J Intern Med
Pays: England
ID NLM: 8904841

Informations de publication

Date de publication:
10 2019
Historique:
pubmed: 10 7 2019
medline: 26 5 2020
entrez: 10 7 2019
Statut: ppublish

Résumé

Alzheimer's disease (AD), the most frequent cause of dementia, is escalating as a global epidemic, and so far, there is neither cure nor treatment to alter its progression. The most important feature of the disease is neuronal death and loss of cognitive functions, caused probably from several pathological processes in the brain. The main neuropathological features of AD are widely described as amyloid beta (Aβ) plaques and neurofibrillary tangles of the aggregated protein tau, which contribute to the disease. Nevertheless, AD brains suffer from a variety of alterations in function, such as energy metabolism, inflammation and synaptic activity. The latest decades have seen an explosion of genes and molecules that can be employed as targets aiming to improve brain physiology, which can result in preventive strategies for AD. Moreover, therapeutics using these targets can help AD brains to sustain function during the development of AD pathology. Here, we review broadly recent information for potential targets that can modify AD through diverse pharmacological and nonpharmacological approaches including gene therapy. We propose that AD could be tackled not only using combination therapies including Aβ and tau, but also considering insulin and cholesterol metabolism, vascular function, synaptic plasticity, epigenetics, neurovascular junction and blood-brain barrier targets that have been studied recently. We also make a case for the role of gut microbiota in AD. Our hope is to promote the continuing research of diverse targets affecting AD and promote diverse targeting as a near-future strategy.

Identifiants

pubmed: 31286586
doi: 10.1111/joim.12959
doi:

Substances chimiques

Amyloid beta-Peptides 0
tau Proteins 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

398-437

Informations de copyright

© 2019 The Association for the Publication of the Journal of Internal Medicine.

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Auteurs

R Loera-Valencia (R)

Division of Neurogeriatrics, Centre for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Solna, Sweden.

A Cedazo-Minguez (A)

Division of Neurogeriatrics, Centre for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Solna, Sweden.

P A Kenigsberg (PA)

Fondation Médéric Alzheimer, Paris, France.

G Page (G)

Neurovascular Unit and Cognitive impairments - EA3808, University of Poitiers, Poitiers, France.

A I Duarte (AI)

CNC- Center for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal.
Institute for Interdisciplinary Research (IIIUC), University of Coimbra, Coimbra, Portugal.

P Giusti (P)

Dipartimento di Scienze del Farmaco, Università degli Studi di Padova, Padova, Italy.

M Zusso (M)

Dipartimento di Scienze del Farmaco, Università degli Studi di Padova, Padova, Italy.

P Robert (P)

CoBTeK - lab, CHU Nice University Côte d'Azur, Nice, France.

G B Frisoni (GB)

University Hospitals and University of Geneva, Geneva, Switzerland.

A Cattaneo (A)

University Hospitals and University of Geneva, Geneva, Switzerland.

M Zille (M)

Institute of Experimental and Clinical Pharmacology and Toxicology, Lübeck, Germany.

J Boltze (J)

School of Life Sciences, The University of Warwick, Coventry, UK.

N Cartier (N)

Preclinical research platform, INSERM U1169/MIRCen Commissariat à l'énergie atomique, Fontenay aux Roses, France.
Université Paris-Sud, Orsay, France.

L Buee (L)

Alzheimer & Tauopathies, LabEx DISTALZ, CHU-Lille, Inserm, Univ. Lille, Lille, France.

G Johansson (G)

Division of Neurogeriatrics, Centre for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Solna, Sweden.

B Winblad (B)

Division of Neurogeriatrics, Centre for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Solna, Sweden.
Theme Aging, Karolinska University Hospital, Stockholm, Sweden.

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