The toxic Aβ oligomer and Alzheimer's disease: an emperor in need of clothes
Abstract
The 'toxic Aβ oligomer' hypothesis has attracted considerable attention among Alzheimer's disease researchers as a way of resolving the lack of correlation between deposited amyloid-β (Aβ) in amyloid plaques-in terms of both amount and location-and cognitive impairment or neurodegeneration. However, the lack of a common, agreed-upon experimental description of the toxic Aβ oligomer makes interpretation and direct comparison of data between different research groups impossible. Here we critically review the evidence supporting toxic Aβ oligomers as drivers of neurodegeneration and make some suggestions that might facilitate progress in this complex field.
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Longer Aβ peptides (≥Aβ42) are more prone to aggregation of toxic Aβ-species.
“It is widely accepted that longer Aβ peptides (≥Aβ42) are more prone to aggregation of toxic Aβ-species (43, 44).”
From GDE2-RECK controls ADAM10 α-secretase–mediated cleavage of amyloid precursor protein (2021) · cites this paper as [44]
Aβ oligomers are the most neurotoxic Aβ species, driving synaptic dysfunction, neuronal loss and cognitive decline in AD.
“Evidence suggests that Aβ oligomers are the most neurotoxic Aβ species, driving synaptic dysfunction, neuronal loss and cognitive decline in AD [25–27].”
From Astrocytic APOE3-Christchurch expression ameliorates brain amyloid-β pathology in 5xFAD mice (2026) · cites this paper as [25]
There is no direct clinical or preclinical in vivo evidence that disaggregating plaques releases damaging oligomeric amyloid-beta species.
“to our knowledge there is no direct clinical or preclinical in vivo evidence that this occurs”
From The amyloid hypothesis in Alzheimer disease: new insights from new therapeutics (2022) · cites this paper as [30]
Soluble oligomeric Aβ mediates synaptic dysfunction and neuronal toxicity.
“This was followed by evidence indicating that soluble oligomeric Aβ mediates synaptic dysfunction and neuronal toxicity [31–33].”
From Systems-based proteomics to resolve the biology of Alzheimer’s disease beyond amyloid and tau (2021) · cites this paper as [31]
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 [31]
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- Authors
- Benilova, I., Karran, E., & De Strooper, B.
- Affiliations
- KU Leuven (BE)
- Venue
- Nature Neuroscience
- Published
- 2012-01-29
- Volume
- 15
- Issue
- 3
- Pages
- 349-357
- ISSN
- 1097-6256 (ISSN-L)
- 1546-1726
- OpenAlex
- W2080225612
- Cited by
- 1,962
- References
- 102
- Citations by year
- 2026: 97 · 2025: 85 · 2024: 116 · 2023: 125 · 2022: 116 · 2021: 144 · 2020: 193 · 2019: 146 · 2018: 162 · 2017: 143 · 2016: 153 · 2015: 164 · 2014: 146 · 2013: 111 · 2012: 57
- FWCI
- 16.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Neuroscience (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
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Keywords
- amyloid-beta, Alzheimer's disease, amyloid plaques, neurodegeneration, cognitive impairment, amyloid-beta oligomers, amyloid-beta toxicity
- MeSH terms
- Alzheimer Disease, Animals, Cognition Disorders, Humans, Models, Biological, Amyloid beta-Peptides, Amyloid beta-Protein Precursor, Neurodegenerative Diseases, Mice
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