2022
DOI: 10.14336/ad.2022.0412
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Amyloid Cascade Hypothesis for the Treatment of Alzheimer’s Disease: Progress and Challenges

Abstract: The amyloid cascade hypothesis has always been a research focus in the therapeutic field of Alzheimer’s disease (AD) since it was put forward. Numerous researchers attempted to find drugs for AD treatment based on this hypothesis. To promote the research of anti-AD drugs development, the current hypothesis and pathogenesis were reviewed with expounding of β-amyloid generation from its precursor protein and related transformations. Meanwhile, the present drug development strategies aimed at each stage in this h… Show more

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Cited by 29 publications
(21 citation statements)
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“…Both sigma receptors are involved with lipid homeostasis, and inhibition of sigma-2 receptors can bind neurons and may reduce cognitive dysfunction associated with Alzheimer’s disease [ 75 ]. Sigma-2 antagonists in particular appear to halt the amyloid cascade associated with Alzheimer’s disease in which beta-amyloids accumulate in the brain [ 76 , 77 ].…”
Section: Reviewmentioning
confidence: 99%
“…Both sigma receptors are involved with lipid homeostasis, and inhibition of sigma-2 receptors can bind neurons and may reduce cognitive dysfunction associated with Alzheimer’s disease [ 75 ]. Sigma-2 antagonists in particular appear to halt the amyloid cascade associated with Alzheimer’s disease in which beta-amyloids accumulate in the brain [ 76 , 77 ].…”
Section: Reviewmentioning
confidence: 99%
“…Aβ is hypothesized to play an important role in AD. , However, the amyloid hypothesis has not been able to achieve universal consensus over the years. The lack of a clear understanding of amyloid-triggered pathways has widened the gap in research, creating a need for further investigation assuming the Aβ hypothesis . Moreover, recent drugs’ success based on Aβ hypothesis, such as Lecanemab, a humanized IgG1 monoclonal antibody, which is approved by FDA to treat AD patients, has increased the faith in the amyloid hypothesis .…”
Section: Introductionmentioning
confidence: 99%
“…The lack of a clear understanding of amyloid-triggered pathways has widened the gap in research, creating a need for further investigation assuming the Aβ hypothesis. 7 Moreover, recent drugs' success based on Aβ hypothesis, such as Lecanemab, 8 a humanized IgG1 monoclonal antibody, which is approved by FDA to treat AD patients, has increased the faith in the amyloid hypothesis. 9 Therefore, strategies targeting Aβ may help in suppressing disease progression.…”
Section: Introductionmentioning
confidence: 99%
“…Over the years, several hypotheses have been formulated to explain how the neuropathological features of AD are causally related to each other, underpinning its pathogenesis. Among these, the most debated in scientific communities is the “amyloid cascade hypothesis” which posed that the progressive accumulation of Aβ in the brain triggers a complex cascade of events that result in the tau hyperphosphorylation, loss of synapses, glial activations, progressive deficiency of neurotransmitters, and neural death [ 19 , 20 ]. However, this hypothesis has been subject to several criticisms or alternative interpretation because of lack of a strong link that can explain how Aβ can cause all these neuropathological phenotypes [ 21 ].…”
Section: Introductionmentioning
confidence: 99%