Targeting Aβ and tau in Alzheimer's disease, an early interim report
Open accessAbstract
The amyloid beta (Abeta) and tau proteins, which misfold, aggregate, and accumulate in the Alzheimer's disease (AD) brain, are implicated as central factors in a complex neurodegenerative cascade. Studies of mutations that cause early onset AD and promote Abeta accumulation in the brain strongly support the notion that inhibiting Abeta aggregation will prevent AD. Similarly, genetic studies of frontotemporal dementia with parkinsonism linked to chromosome 17 (FTDP-17 MAPT) showing that mutations in the MAPT gene encoding tau lead to abnormal tau accumulation and neurodegeneration. Such genetic studies clearly show that tau dysfunction and aggregation can be central to neurodegeneration, however, most likely in a secondary fashion in relation to AD. Additional pathologic, biochemical, and modeling studies further support the concept that Abeta and tau are prime targets for disease modifying therapies in AD. Treatment strategies aimed at preventing the aggregation and accumulation of Abeta, tau, or both proteins should therefore be theoretically possible, assuming that treatment can be initiated before either irreversible damage is present or downstream, self-sustaining, pathological cascades have been initiated. Herein, we will review recent advances and also potential setbacks with respect to the myriad of therapeutic strategies that are designed to slow down, prevent, or clear the accumulation of either "pathological" Abeta or tau. We will also discuss the need for thoughtful prioritization with respect to clinical development of the preclinically validated modifiers of Abeta and tau pathology. The current number of candidate therapies targeting Abeta is becoming so large that a triage process is clearly needed to insure that resources are invested in a way such that the best candidates for disease modifying therapy are rapidly moved toward clinical trials. Finally, we will discuss the challenges for an appropriate "triage" after potential disease modifying therapies targeting tau and Abeta have entered clinical trials.
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Two neuropathological hallmarks of AD are extracellular Aβ aggregation and intraneuronal neurofibrillary tangles, mainly composed of hyperphosphorylated tau.
“Two neuropathological hallmarks of AD are extracellular Aβ aggregation and intraneuronal neurofibrillary tangles, mainly composed of hyperphosphorylated tau (Golde et al., 2010).”
From Apolipoprotein E in Synaptic Plasticity and Alzheimer’s Disease: Potential Cellular and Molecular Mechanisms (2014) · cites this paper as Golde et al., 2010
The Introduction identifies plaques and neurofibrillary tangles as the two hallmark lesions of AD and Aβ and tau as their principal components, respectively. “Targeting Tau. Have we identified tractable therapeutic targets?” describes hyperphosphorylated tau within tangles as an intracellular hallmark. Our copy does not explicitly locate Aβ aggregation extracellularly, so that qualifier is not verified. (LLM, conf=0.82)
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Pathological chronology and pathological biochemistry: The beginning of the beginning
Saido, T. C. (2024) · Elsevier eBooks · doi:10.1016/b978-0-443-28979-8.00022-x
Alzheimer Hastalığı Tedavisindeki Güncel Yaklaşımlar
ODABAŞI, M. D., & KÜÇÜKKILINÇ, Z. T. T. (2021) · DergiPark (Istanbul University)
Chronic stress and glucocorticoid actions in brain plasticity and Tau pathology
Dioli, C. (2021) · theses.fr (ABES) · doi:10.70675/b812791ezcc0az4036zb746z0d9b5daacfab
BindingDB (2014) · UC San Diego · doi:10.7270/q2ht2qqd
- Authors
- Golde, T. E., Petrucelli, L., & Lewis, J.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- Golde, Todd E.
- Venue
- Experimental Neurology
- Publisher
- Elsevier BV
- Published
- 2010-06
- Volume
- 223
- Issue
- 2
- Pages
- 252-266
- ISSN
- 0014-4886 (ISSN-L)
- PMC
- PMC2864363
- OpenAlex
- W2054602909
- Cited by
- 89
- References
- 196
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 2 · 2022: 3 · 2021: 8 · 2020: 7 · 2019: 2 · 2018: 3 · 2017: 3 · 2016: 9 · 2015: 4 · 2014: 11 · 2013: 8 · 2012: 14
- FWCI
- 0.88
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Experimental Neurology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Neurological Disorders and Stroke (R21NS059363, R21NS055698, RO1NS39072, R01-NS046355)
- National Institute on Aging (P01-AG17216-08, R01AG026251, P01AG25531, RO1AG29886, RO1AG18454)
- Mayo Clinic
- National Institutes of Health
- 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, amyloid-beta, tau protein, disease-modifying therapy, amyloid-beta aggregation, tau aggregation, early-onset Alzheimer's disease, MAPT mutations, neurodegeneration, drug target prioritization, preclinical validation
- MeSH terms
- Alzheimer Disease, Brain, Humans, Amyloid beta-Peptides, tau Proteins
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