Cited by 193Alzheimer's disease research and treatmentsDementia and Cognitive Impairment ResearchCholinesterase and Neurodegenerative Diseases

New Approaches for the Treatment of Alzheimer’s Disease

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Fish, Paul V., Steadman, David, Bayle, Elliott D., Whiting, Paul·2019·Bioorganic & Medicinal Chemistry Letters

Abstract

Alzheimer's disease (AD) is the most prevalent chronic neurodegenerative disease. Current approved therapies are symptomatic treatments having some effect on cognitive function. Therapies that target β-amyloid (Aβ) have been the focus of efforts to develop a disease modification treatment for AD but these approaches have failed to show any clinical benefit so far. Beyond the 'Aβ hypothesis', there are a number of newer approaches to treat AD with neuroinflammation emerging as a very active area of research based on risk gene analysis. This short review will summarize approved drug therapies, recent clinical trials and new approaches for the treatment of AD.

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Crossref · 10.1016/j.bmcl.2018.11.034

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83 of 83 references verified0 citation errors · 0 not checkable

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  • Current AD drug treatments have only partial and temporary effectiveness and affect only the consequences of AD rather than the cause.

    “However, these treatments, whose effectiveness is only partial and temporary at best, affect only the consequences of AD rather than the cause [1,17,157,158].”

    From Alzheimer's Disease: Treatment Strategies and Their Limitations. (2022) · cites this paper as [17]

    The Approved Therapies section says current approved treatments are symptomatic, have some effect on cognition, and do not directly target AD pathology. It does not establish that their effectiveness is only temporary: it describes long-term benefits as debatable and notes that some studies report long-term efficacy. Page numbers are unavailable in our copy. (LLM, conf=0.86)

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  • Current drug treatments for Alzheimer's disease have only symptomatic effects, and disease-modifying treatments are not yet available.

    “Indeed, current drug treatments have only symptomatic effects, and disease-modifying treatments are not yet available.”
  • Immunotherapy is being used to develop anti-amyloid and anti-tau agents, and alternative strategies targeting misfolded tau proteins and neuronal regeneration are under investigation.

    “Apart from the drugs mentioned above, immunotherapy is being made use of to develop anti-amyloid and anti-tau agents, also alternative strategies targeting the misfolded tau proteins and neuronal regeneration are under investigation [98].”

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Research works printed but not linked: 4

  1. [3]3. a) Lane, C. A., Hardy, J., Schott J. M. Alzheimer's disease. Eur. J. Neurol. 2018, 25, 59-70.
  2. [13]13. Gray, S. L. et al. Cumulative Use of Strong Anticholinergics and Incident Dementia. JAMA Intern. Med. 2015, 175, 401-407.
  3. [68]68. In first phase 3 trial, the tau drug LMTM did not work. Period. ALZFORUM NEWS, 29 th July 2016. See: 'https://www.alzforum.org/news/conference-coverage/first-phase-3-trial-tau-drug- lmtm-did-not-work-period'. Accessed 5 th October 2018.
  4. [73]73. Kaufman, A. C., Salazar, S. V., Haas, L.T., et al. Fyn Inhibition Rescues Established Memory and Synapse Loss in Alzheimer Mice. Ann. Neurol. 2015, 77, 953-971.

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Authors
Fish, P. V., Steadman, D., Bayle, E. D., & Whiting, P.
Affiliations
  • The Francis Crick Institute (GB)
  • Alzheimer’s Research UK (GB)
Corresponding author
Fish, Paul V.
Venue
Bioorganic & Medicinal Chemistry Letters
Publisher
Elsevier BV
Published
2019-01
Volume
29
Issue
2
Pages
125-133
ISSN
0960-894X (ISSN-L)
OpenAlex
W2901817431
Cited by
189
References
83
Citations by year
2026: 11 · 2025: 23 · 2024: 34 · 2023: 32 · 2022: 33 · 2021: 20 · 2020: 22 · 2019: 13
FWCI
1.81
Type
journal article
Language
en
Open access
Locations
  • Bioorganic & Medicinal Chemistry Letters (publishedVersion)
  • PubMed (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion)
Funders
  • UK Medical Research Council
  • Alzheimer’s Research UK
  • Francis Crick Institute
  • Cancer Research UK (FC001002)
  • Medical Research Council (FC001002)
  • Wellcome Trust (FC001002)
Topics
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Pharmacology › Cholinesterase and Neurodegenerative Diseases
Keywords
Alzheimer's disease, Alzheimer's disease treatment, amyloid-beta, amyloid hypothesis, disease-modifying therapy, neuroinflammation, risk genes, clinical trials, symptomatic treatment
MeSH terms
Alzheimer Disease, Animals, Humans, Amyloid beta-Peptides, Neuroprotective Agents

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