Lessons from a failed γ-secretase Alzheimer trial
Open accessAbstract
γ-Secretase proteases have been associated with pathology in Alzheimer disease (AD), but we are just beginning to understand their basic mechanisms and physiological roles. A negative drug trial with a broad spectrum γ-secretase inhibitor in AD patients has severely dampened enthusiasm for the potential of pursuing γ-secretase research therapeutically. This pessimism is unwarranted: analysis of available information presented here demonstrates significant confounds for interpreting the outcome of the trial and argues that the major lessons pertain to broad knowledge gaps that are imperative to fill.
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BACE1 trial failures may benefit from the previous pitfalls of γ-secretase pharmacological investigation.
“In this regard, BACE1 trial failures may benefit from the previous pitfalls of γ-secretase pharmacological investigation (134).”
From The β-Secretase BACE1 in Alzheimer’s Disease (2021) · cites this paper as [134]
The broad-spectrum nature of these gamma-secretase inhibitors likely contributed to their side-effect profile because Notch signaling and downstream pathways from other substrates would be inhibited.
“Likely the broad-spectrum nature of these GSI contributed to their side effect profile, as Notch signaling and downstream pathways from other substrates would be inhibited (De Strooper, 2014).”
From Alzheimer Disease: An Update on Pathobiology and Treatment Strategies (2019) · cites this paper as De Strooper, 2014
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- Authors
- De Strooper, B.
- Venue
- Cell
- Publisher
- Elsevier BV
- Published
- 2014-11
- Volume
- 159
- Issue
- 4
- Pages
- 721-726
- ISSN
- 0092-8674 (ISSN-L)
- OpenAlex
- W2050386832
- Cited by
- 277
- References
- 47
- Citations by year
- 2026: 8 · 2025: 8 · 2024: 15 · 2023: 17 · 2022: 18 · 2021: 20 · 2020: 30 · 2019: 26 · 2018: 34 · 2017: 28 · 2016: 48 · 2015: 25
- FWCI
- 23.34
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell (publishedVersion)
- PubMed (publishedVersion)
- Lirias (KU Leuven) (submittedVersion)
- 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
- gamma-secretase, Alzheimer's disease, gamma-secretase inhibitors, amyloid-beta, presenilin, therapeutic target
- MeSH terms
- Alanine, Alzheimer Disease, Azepines, Brain, Clinical Trials as Topic, Cognition, Humans, Amyloid beta-Peptides, Amyloid Precursor Protein Secretases
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