“…The pyroglutamate-modified peptides accumulate a decade prior to the symptom onset, yet their relative abundance in the AD brain is approximately threefold higher compared to the untruncated forms, making them a superior disease-specific target [ 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 ]. Furthermore, they are an active component of the amyloid cascade pathogenesis rather than a harmless bystander and capable of promoting the conversion of Aβ 42 into toxic oligomers in a prion-like manner [ 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 ]. The most valuable evidence in favor of targeting pE 3 Aβ is the recent clinical trial performance of donanemab, a humanized IgG1 monoclonal antibody generated from mouse mAb, mE8-IgG2a [ 31 , 32 ].…”