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Cited by 284

The DOI matches its Crossref record; 436 of the 436 references it cites were found in a registry or an index.

The amyloid cascade hypothesis: an updated critical review

Open access
Kepp, Kasper P, Robakis, Nikolaos K, Høilund-Carlsen, Poul F, Sensi, Stefano L, Vissel, Bryce·2023·Brain

Abstract

Results from recent clinical trials of antibodies that target amyloid-β (Aβ) for Alzheimer’s disease have created excitement and have been heralded as corroboration of the amyloid cascade hypothesis. However, while Aβ may contribute to disease, genetic, clinical, imaging and biochemical data suggest a more complex aetiology. Here we review the history and weaknesses of the amyloid cascade hypothesis in view of the new evidence obtained from clinical trials of anti-amyloid antibodies. These trials indicate that the treatments have either no or uncertain clinical effect on cognition. Despite the importance of amyloid in the definition of Alzheimer’s disease, we argue that the data point to Aβ playing a minor aetiological role. We also discuss data suggesting that the concerted activity of many pathogenic factors contribute to Alzheimer’s disease and propose that evolving multi-factor disease models will better underpin the search for more effective strategies to treat the disease.

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Crossref · 10.1093/brain/awad159

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Metadata

Authors
Kepp, K. P., Robakis, N. K., Høilund-Carlsen, P. F., Sensi, S. L., & Vissel, B.
Venue
Brain
Published
2023-05-15
Volume
146
Issue
10
Pages
3969-3990
ISSN
  • 0006-8950 (ISSN-L)
  • 1460-2156
OpenAlex
W4376614794
Cited by
284
References
436
FWCI
41.13
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: The amyloid cascade hypothesis: an updated critical review. https://app.cochat.ai/papers/10.1093/brain/awad159
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Kepp, K. P., Robakis, N. K., Høilund-Carlsen, P. F., Sensi, S. L., & Vissel, B. (2023). The amyloid cascade hypothesis: an updated critical review. Brain. https://doi.org/10.1093/brain/awad159

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.