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Molecular mechanisms of neurodegeneration in Alzheimer's disease
Open accessAbstract
Alzheimer's disease (AD) is characterized by cognitive impairment, progressive neurodegeneration and formation of amyloid-beta (Abeta)-containing plaques and neurofibrillary tangles composed of hyperphosphorylated tau. The neurodegenerative process in AD is initially characterized by synaptic damage accompanied by neuronal loss. In addition, recent evidence suggests that alterations in adult neurogenesis in the hippocampus might play a role. Synaptic loss is one of the strongest correlates to the cognitive impairment in patients with AD. Several lines of investigation support the notion that the synaptic pathology and defective neurogenesis in AD are related to progressive accumulation of Abeta oligomers rather than fibrils. Abnormal accumulation of Abeta resulting in the formation of toxic oligomers is the result of an imbalance between the levels of Abeta production, aggregation and clearance. Abeta oligomers might lead to synaptic damage by forming pore-like structures with channel activity; alterations in glutamate receptors; circuitry hyper-excitability; mitochondrial dysfunction; lysosomal failure and alterations in signaling pathways related to synaptic plasticity, neuronal cell and neurogenesis. A number of signaling proteins, including fyn kinase; glycogen synthase kinase-3beta (GSK3beta) and cyclin-dependent kinase-5 (CDK5), are involved in the neurodegenerative progression of AD. Therapies for AD might require the development of anti-aggregation compounds, pro-clearance pathways and blockers of hyperactive signaling pathways.
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“Due to cytosolic calcium overload, p35 splits into p25, which hyperactivates cyclin-dependent kinase-5 (CDK5) and leads to hyper phosphorylation of tau [6].”
From Recent Advancements in Pathogenesis, Diagnostics and Treatment of Alzheimer’s Disease (2020) · cites this paper as [6]
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Ghanbari, M., Munshi, S. T., Ma, B., Lendemeijer, B., Bansal, S., Adams, H. H. H., Wang, W., Goth, K., Slump, D. E., van den Hout, M. C. G. N., et al. (2019) · Human Mutation · doi:10.1002/humu.23872 · Cited by 31
Hippo signaling: bridging the gap between cancer and neurodegenerative disorders
Singh, A., Gogia, N., Chimata, A. V., Deshpande, P., & Singh, A. (2020) · Neural Regeneration Research · doi:10.4103/1673-5374.295273 · Cited by 31
Osthole Upregulates BDNF to Enhance Adult Hippocampal Neurogenesis in APP/PS1 Transgenic Mice
Liu, H., Xue, X., Shi, H., Qi, L., & Gong, D. (2015) · Biological and Pharmaceutical Bulletin · doi:10.1248/bpb.b15-00013 · Cited by 31
Neuner, S. M., Heuer, S. E., Zhang, J., Philip, V. M., & Kaczorowski, C. C. (2019) · Frontiers in Genetics · doi:10.3389/fgene.2019.00035 · Cited by 29
Remimazolam attenuates lipopolysaccharide-induced neuroinflammation and cognitive dysfunction
Zhou, L., Shi, H., Xiao, M., Liu, W., Wang, L., Zhou, S., Chen, S., Wang, Y., & Liu, C. (2024) · Behavioural Brain Research · doi:10.1016/j.bbr.2024.115268 · Cited by 31
“Previous studies have established that neuronal death and hippocampal damage serve as pathological bases for cognitive dysfunction[37].”
BackgroundMelatonin and Sleep Disturbances in Alzheimer’s Disease
Prodhan, A. H. M. S. U., Cavestro, C., Kamal, M. A., & Islam, M. A. (2021) · CNS & Neurological Disorders - Drug Targets · doi:10.2174/1871527320666210804155617 · Cited by 30
Zhang, L., Luo, B., Lü, Y., & Chen, Y. (2023) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.2c01606 · Cited by 30
Bashir, S., Aiman, A., Shahid, M., Chaudhary, A. A., Sami, N., Basir, S. F., Hassan, M. I., & Islam, A. (2024) · Ageing Research Reviews · doi:10.1016/j.arr.2024.102276 · Cited by 31
Bandara, E. M. S., Asih, P. R., Pedrini, S., Hone, E., Fernando, W. M. A. D. B., & Martins, R. N. (2025) · Molecular Neurobiology · doi:10.1007/s12035-025-05219-3 · Cited by 37
Cutuli, D., Landolfo, E., Nobili, A., Bartolo, P. D., Sacchetti, S., Chirico, D., Marini, F., Pieroni, L., Ronci, M., D’Amelio, M., et al. (2020) · Alzheimer s Research & Therapy · doi:10.1186/s13195-020-00705-3 · Cited by 30
Mehan, S., Bhalla, S., Siddiqui, E. M., Sharma, N., Shandilya, A., & Khan, A. (2022) · Degenerative Neurological and Neuromuscular Disease · doi:10.2147/dnnd.s247153 · Cited by 29
“When oligo polymerizes and clumps, plaques are formed.(24,25) A40 and A42 are two types of Aβ polymers that play a significant role in the pathogenesis of dementia.”
Zhan, Y., Al‐Nusaif, M., Ding, C., Zhao, L., & Dong, C. (2023) · Frontiers in Neuroscience · doi:10.3389/fnins.2023.1130730 · Cited by 31
“The presence of activated microglia and reactive astrocytes in the vicinity of amyloid plaques is characteristic of AD neuroinflammation, mainly in the hippocampus (Crews and Masliah, 2010; Cattaneo et al., 2017).”
BackgroundTeponnou, G. A. K., Joubert, J., & Malan, S. F. (2017) · The Open Medicinal Chemistry Journal · doi:10.2174/1874104501711010024 · Cited by 29
“Current hypotheses suggest a decrease in the level of the neurotransmitter acetylcholine (ACh) in the brain regions involved in learning and memory, β-amyloid plaque formation (Aβ), oxidative stress, excitotoxicity, neuroinflammation and aggregation of tau proteins (τ-proteins) [5, 6].”
Zukotynski, K., Kuo, P. H., Mikulis, D. J., Rosa‐Neto, P., Strafella, A. P., Subramaniam, R. M., & Black, S. E. (2018) · American Journal of Roentgenology · doi:10.2214/ajr.18.19822 · Cited by 31
Parsons, C. G., & Rammes, G. (2017) · Expert Opinion on Investigational Drugs · doi:10.1080/13543784.2017.1313832 · Cited by 29
“To this day, the exact assembly state (s) and conformation(s) of the particular oligomers that are most toxic are still not clear [107].”
BackgroundMedical foods in Alzheimer’s disease
Lange, K. W., Guo, J., Kanaya, S., Lange, K. M., Nakamura, Y., & Li, S. (2019) · Food Science and Human Wellness · doi:10.1016/j.fshw.2019.02.002 · Cited by 30
Bui, B. P., Oh, Y., Lee, H., & Cho, J. (2020) · International Immunopharmacology · doi:10.1016/j.intimp.2020.106231 · Cited by 28
Song, D., Liu, J., Wang, F., Li, X., Liu, M., Zhang, Z., Cao, S., & Jiang, X. (2021) · Molecular Medicine Reports · doi:10.3892/mmr.2021.11906 · Cited by 28
Marde, V. S., Atkare, U. A., Gawali, S. V., Tiwari, P. L., Badole, S. P., Wankhede, N. L., Taksande, B. G., Upaganlawar, A., Umekar, M. J., & Kale, M. B. (2021) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2021.102961 · Cited by 29
How Does p73 Cause Neuronal Defects?
Niklison-Chirou, M. V., Killick, R., Knight, R. A., Nicotera, P., Melino, G., & Agostini, M. (2015) · Molecular Neurobiology · doi:10.1007/s12035-015-9381-1 · Cited by 29
“Indeed, few would argue β-amyloid does not play an important role in the etiology and pathology of the disease, and the general consensus now is that it is not the amyloid aggregates themselves but rather the oligomeric, soluble forms of β-amyloid that are the toxic species, exerting effects on a multitude of cellular…”
BackgroundWang, K., Xie, M., Zhu, L., Zhu, X., Zhang, K., & Zhou, F. (2015) · Folia Neuropathologica · doi:10.5114/fn.2015.54423 · Cited by 28
“Amyloid β clusters into amyloid plaques on the blood vessels and the outer surface of neurons of the brain, leading to the killing of neurons [10].”
BackgroundSun, Z., Zhan, L., Liang, L., Sui, H. X., Zheng, L., Sun, X., & Xie, W. (2016) · BMC Complementary and Alternative Medicine · doi:10.1186/s12906-016-1177-y · Cited by 28
“Maintaining mitochondrial function is essential for neuron survival and offers protection against neurodegeneration [33–36].”
BackgroundJiang, S., Li, X., Jin, W., Duan, X., Bo, L., Jiang-li, W., Zhang, R., Wang, Y., Kang, R., & Huang, L. (2018) · Neuroscience Letters · doi:10.1016/j.neulet.2018.02.051 · Cited by 27
Fluorescent Biosensor of CDK5 Kinase Activity in Glioblastoma Cell Extracts and Living Cells
Peyressatre, M., Laure, A., Pellerano, M., Boukhaddaoui, H., Soussi, I., & Morris, M. C. (2020) · Biotechnology Journal · doi:10.1002/biot.201900474 · Cited by 27
“The importance of CDK5 in neuronal functions is underscored by the impact of its dysregulation, CDK5 hyperactivation contributing to several neurodegenerative diseases, including Alzheimer’s, Parkinson’s, Huntington’s and amyotrophic lateral sclerosis [14-16].”
BackgroundStudy insights in the role of PGC-1α in neurological diseases: mechanisms and therapeutic potential
Tang, M., Liu, Y., Hu, Z., Luo, H., Zhang, S., Shi, C.-H., & Xu, Y.-M. (2025) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2024.1454735 · Cited by 29
Cognitive resilience in Alzheimer’s disease: Mechanism and potential clinical intervention
Jia, B., Xu, Y., & Zhu, X. (2025) · Ageing Research Reviews · doi:10.1016/j.arr.2025.102711 · Cited by 30
Yang, X., Zou, L., Wang, K., Ye, X.-L., & Huang, T. (2019) · Neural Regeneration Research · doi:10.4103/1673-5374.262593 · Cited by 28
Garcia, J., Chang, R., Steinberg, R. A., Arce, A., Yang, J., Eb, P. V. D., Abdullah, T., Chandrashekar, D. V., Eck, S. M., Meza, P., et al. (2022) · Frontiers in Physiology · doi:10.3389/fphys.2022.930402 · Cited by 26
“The main hallmarks of AD are Aβ deposition, phosphorylated tau containing neurofibrillary tangles, neuronal loss and microgliosis (Crews and Masliah, 2010).”
Backgroundde Frutos‐Lucas, J., Sewell, K. R., García‐Colomo, A., Markovic, S. J., Erickson, K. I., & Brown, B. M. (2023) · Alzheimer s Research & Therapy · doi:10.1186/s13195-023-01170-4 · Cited by 26
D’Andrea, C., Cazzaniga, F. A., Bistaffa, E., Barucci, A., de Angelis, M., Banchelli, M., Farnesi, E., Polykretis, P., Marzi, C., Indaco, A., et al. (2023) · Translational Neurodegeneration · doi:10.1186/s40035-023-00367-9 · Cited by 27
Subcellular Distribution of HDAC1 in Neurotoxic Conditions Is Dependent on Serine Phosphorylation
Zhu, Y., Vidaurre, Ó. G., Adula, K. P., Kezunovic, N., Wentling, M., Huntley, G. W., & Casaccia, P. (2017) · Journal of Neuroscience · doi:10.1523/jneurosci.3000-16.2017 · Cited by 28
“Axonal damage is a common pathological feature of several neurodegenerative disorders, including multiple sclerosis, Parkinson’s disease, and Alzheimer’s disease (Crews and Masliah, 2010; Burke and O’Malley, 2013; Friese et al., 2014).”
BackgroundThe Mechanistic Role of Bridging Integrator 1 (BIN1) in Alzheimer’s Disease
Gao, P.-R., Ye, L., Cheng, H.-R., & Li, H. (2020) · Cellular and Molecular Neurobiology · doi:10.1007/s10571-020-00926-y · Cited by 34
Wang, J., Liu, B., Xu, Y. X., Luan, H., Wang, C., Yang, M., Zhao, R., Song, M., Liu, J., Sun, L., et al. (2021) · Experimental Neurology · doi:10.1016/j.expneurol.2021.113870 · Cited by 26
Impact of the Cannabinoid System in Alzheimer's Disease
Li, S., Huang, Y., Yu, L., Ji, X., & Wu, J. (2022) · Current Neuropharmacology · doi:10.2174/1570159x20666220201091006 · Cited by 28
“3233/JAD-2010-100357 PMID: 20463403 [7] Crews, L.”
Metadata
- Authors
- Crews, L., & Masliah, E.
- Affiliations
- University of California San Diego (US)
- Corresponding author
- Masliah, E.
- ORCID
- Venue
- Human Molecular Genetics
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-04-15
- Volume
- 19
- Issue
- R1
- Pages
- R12-R20
- ISSN
- 0964-6906 (ISSN-L)
- 1460-2083
- PMC
- PMC2875049
- OpenAlex
- W2135957529
- Cited by
- 772
- References
- 175
- Citations by year
- 2026: 33 · 2025: 53 · 2024: 56 · 2023: 71 · 2022: 48 · 2021: 76 · 2020: 69 · 2019: 50 · 2018: 47 · 2017: 47 · 2016: 42 · 2015: 34 · 2014: 31 · 2013: 35 · 2012: 40
- FWCI
- 3.70
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Human Molecular Genetics (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (AG5131, NS4 4233, AG‐18440, AG10435, AG11385)
- National Institute on Aging (P01AG010435, AG-11385, P50AG005131, AG-5131, AG 18440, AG10435)
- National Institute of Neurological Disorders and Stroke (P01NS044233, NS-44233)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › 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, neurodegeneration, amyloid-beta oligomers, amyloid plaques, tau hyperphosphorylation, neurofibrillary tangles, synaptic loss, adult hippocampal neurogenesis, glutamate receptors, excitotoxicity, mitochondrial dysfunction, lysosomal dysfunction, synaptic plasticity, Fyn, glycogen synthase kinase-3β, cyclin-dependent kinase 5, anti-aggregation therapy, amyloid-beta clearance
- MeSH terms
- Alzheimer Disease, Humans, Amyloid beta-Peptides, Neurogenesis
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