Cited by 394Alzheimer's disease research and treatmentsDementia and Cognitive Impairment ResearchNeuroinflammation and Neurodegeneration Mechanisms

Emerging diagnostics and therapeutics for Alzheimer disease

Self, Wade K., Holtzman, David M.·2023·Nature Medicine

Abstract

Alzheimer disease (AD) is the most common contributor to dementia in the world, but strategies that slow or prevent its clinical progression have largely remained elusive, until recently. This Review highlights the latest advances in biomarker technologies and therapeutic development to improve AD diagnosis and treatment. We review recent results that enable pathological staging of AD with neuroimaging and fluid-based biomarkers, with a particular emphasis on the role of amyloid, tau and neuroinflammation in disease pathogenesis. We discuss the lessons learned from randomized controlled trials, including some supporting the proposal that certain anti-amyloid antibodies slow cognitive decline during the mildly symptomatic phase of AD. In addition, we highlight evidence for newly identified therapeutic targets that may be able to modify AD pathogenesis and progression. Collectively, these recent discoveries-and the research directions that they open-have the potential to move AD clinical care toward disease-modifying treatment strategies with maximal benefits for patients.

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Crossref · 10.1038/s41591-023-02505-2

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156 of 156 references verified0 citation errors · 0 not checkable

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Authors
Self, W. K., & Holtzman, D. M.
Affiliations
Washington University in St. Louis (US)
Corresponding author
Holtzman, David M.
Venue
Nature Medicine
Published
2023-09
Volume
29
Issue
9
Pages
2187-2199
ISSN
  • 1078-8956 (ISSN-L)
  • 1546-170X
OpenAlex
W4386437808
Cited by
381
References
159
Citations by year
2026: 91 · 2025: 140 · 2024: 134 · 2023: 15
FWCI
14.09
Type
journal article
Language
en
Open access
closed
Locations
  • Nature Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (RF1NS090934, RF1AG047644)
  • U.S. Department of Health & Human Services | NIH | National Institute on Aging (U19AG069701)
  • Cure Alzheimer’s Fund
  • JPB Foundation
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
Alzheimer's disease, biomarkers, amyloid, tau protein, neuroinflammation, anti-amyloid antibodies, disease-modifying therapy, neuroimaging, fluid biomarkers, pathological staging, cognitive decline, therapeutic target, dementia
MeSH terms
Alzheimer Disease, Humans, Technology, Neuroimaging, Cognitive Dysfunction

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