The amyloid hypothesis on trial
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The amyloid cascade hypothesis remains controversial, facing challenges in explaining diverse pathological features, showing weak correlation between Aβ and cognitive decline, and failing to demonstrate efficacy in numerous clinical drugs targeting Aβ.
“Of note, the amyloid cascade hypothesis remains controversial. This theory faces challenges in explaining the diverse pathological features, shows a weak correlation between Aβ and cognitive decline, and has failed to demonstrate efficacy in numerous clinical drugs to target Aβ.118,144–147”
From Recent advances in Alzheimer's disease: Mechanisms, clinical trials and new drug development strategies. (2024) · cites this paper as [144]
Genetic association studies of late-onset AD identified risk factors such as APOE that modulate Aβ processing, trafficking, and clearance.
“Subsequent genetic association studies of LOAD bolstered this framework, identifying risk factors such as APOE that modulate Aβ processing, trafficking, and clearance [19, 20, 30].”
From Systems-based proteomics to resolve the biology of Alzheimer’s disease beyond amyloid and tau (2021) · cites this paper as [19]
Repeated failures of Aβ-targeting drugs have brought the amyloid hypothesis under fire.
“Yet, the repeated failures of these drugs have brought the amyloid hypothesis under fire [19, 31, 34].”
From Systems-based proteomics to resolve the biology of Alzheimer’s disease beyond amyloid and tau (2021) · cites this paper as [19]
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- Authors
- Makin, S.
- Corresponding author
- Makin, Simon
- Venue
- Nature
- Published
- 2018-07-25
- Volume
- 559
- Issue
- 7715
- Pages
- S4-S7
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- OpenAlex
- W2884933563
- Cited by
- 360
- References
- 14
- Citations by year
- 2026: 13 · 2025: 15 · 2024: 32 · 2023: 55 · 2022: 62 · 2021: 69 · 2020: 68 · 2019: 38 · 2018: 7
- FWCI
- 30.25
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Nature (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Keywords
- amyloid hypothesis, Alzheimer's disease, pathogenesis, amyloid-beta, Alzheimer's disease treatment
- MeSH terms
- Aged, Alzheimer Disease, Animals, Anti-Bacterial Agents, Antiviral Agents, Apolipoproteins E, Humans, Models, Biological, Reproducibility of Results, Amyloid beta-Peptides, tau Proteins, Treatment Failure, Disease Progression, Mice, Plaque, Amyloid, Protein Aggregation, Pathological
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