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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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“In addition to neuritic plaque (NP) and neurofibrillary tangles, the insoluble aggregation of Aβ can trigger peripheral microglia infiltration, which in turn leads to the continuous secretion of inflammatory factors and further aggravates degenerative neuronal injury (22).”
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“One of these pathways includes Protein Kinase C (PKC), a central kinase in intracellular signal transduction (Crews & Masliah, 2010; LuckeWold et al., 2015).”
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“The etiology of this condition is multifactorial influenced by the genetic background, sex, environment, and injury, among other factors [2].”
Mediterranean diet and Alzheimer’s disease
Lange, K. W. (2019) · University of Regensburg Publication Server (University of Regensburg) · doi:10.5283/mnhd.13 · Cited by 10
Pomalingo, D. R., Suhandi, C., Megantara, S., & Muchtaridi, M. (2021) · RASAYAN Journal of Chemistry · doi:10.31788/rjc.2021.1425770 · Cited by 10
Insights from Drosophila on Aβ- and tau-induced mitochondrial dysfunction: mechanisms and tools
Varte, V., Munkelwitz, J. W., & Rincón-Limas, D. E. (2023) · Frontiers in Neuroscience · doi:10.3389/fnins.2023.1184080 · Cited by 9
“Monomeric Aβ aggregates into oligomers and protofibrils, while insoluble amyloid beta-fibril aggregates form amyloid plaques that interfere with signaling at the synapse (Chen and Yan, 2010; Crews and Masliah, 2010).”
BackgroundHadipour, E., Shahangian, S. S., & Mashayekhi, F. (2024) · Caspian Journal of Neurological Sciences · doi:10.32598/cjns.10.36.460.1 · Cited by 9
Attenuation of oxidative stress-induced neuronal cell death by Hydnophytum formicarum Jack.
Phopin, K., Prachayasittikul, S., Gay, N. H., Suwanjang, W., Ruankham, W., Wongchitrat, P., & Prachayasittikul, V. (2018) · Asian Pacific Journal of Tropical Medicine · doi:10.4103/1995-7645.237185 · Cited by 9
“It is characterized by extracellular amyloid plagues and intracellular neurofibrillary tangles as neuropathological hallmarks[8,9].”
BackgroundOptimizing Diagnosis and Management in mild-to-moderate Alzheimer’s Disease
Galvin, J. E. (2012) · Neurodegenerative Disease Management · doi:10.2217/nmt.12.21 · Cited by 9
“The tau hypothesis suggests that accumulation of hyperphosphorylated tau as paired helical filaments within neurofibrillary tangles and in neuritic processes is linked to neuronal dysfunction and death [3, 4].”
BackgroundTakeda, A., & Tamano, H. (2015) · Expert Opinion on Therapeutic Targets · doi:10.1517/14728222.2015.1029454 · Cited by 9
“Individuals with MCI have 32% fewer neurons in the entorhinal cortex and show synaptic loss in the dentate gyrus, which correlates with cognitive deficits [66-68].”
BackgroundMarkers of Alzheimer’s Disease in Primary Visual Cortex in Normal Aging in Mice
Hernández-Zimbrón, L. F., Pérez-Hernández, M., Torres-Romero, A., Gorostieta-Salas, E., González-Salinas, R., Gulías-Cañizo, R., Quiroz–Mercado, H., & Zenteno, E. (2017) · BioMed Research International · doi:10.1155/2017/3706018 · Cited by 9
“It has been demonstrated that an abnormal increase in p-Tau affects the normal functioning ofmicrotubules, impairs intracellular communication, and, finally, induces cell death [31, 32].”
BackgroundEpigenetic processes in Alzheimer's disease
Castanho, I., & Lunnon, K. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-813796-3.00008-0 · Cited by 10
THE ROLE OF BETA-AMYLOID IN NORM AND AT ALZHEIMER`S DISEASE
Tyshchenko, Y. N., & Lukyanetz, E. A. (2020) · Fìzìologìčnij žurnal · doi:10.15407/fz66.06.088 · Cited by 9
Chukwu, L. C., Ekenjoku, J. A., Ohadoma, S. C., Olisa, C. L., Okam, P. C., Okany, C. C., Ramalam, M. A., & Innocent, O. C. (2023) · World Journal of Advanced Research and Reviews · doi:10.30574/wjarr.2023.17.2.20200335 · Cited by 10
“Investigations support the notion that the synaptic pathology and defective neurogenesis in AD are related to progressive accumulation of Aβ oligomers rather than fibrils (Leslie and Eliezer, 2010).”
Dietary Phytochemicals in Neurodegenerative Disease
Jacquet, A. D. R., Tambe, M. A., & Rochet, J. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-802928-2.00018-7 · Cited by 8
Takeda, A., & Tamano, H. (2018) · Biological and Pharmaceutical Bulletin · doi:10.1248/bpb.b17-00871 · Cited by 7
Sathe, A., Yang, Y., Schilling, K. G., Shashikumar, N., Moore, E. E., Dumitrescu, L. C., Pechman, K. R., Landman, B. A., Gifford, K. A., Hohman, T. J., et al. (2024) · Imaging Neuroscience · doi:10.1162/imag_a_00293 · Cited by 10
“AD is characterized pathologically by the extracellular accumulation of beta-amyloid neurite plaques and intra-cellular formation of phosphorylated tau neurofibrillary tangles ( Crews & Masliah, 2010; Perl, 2010).”
BackgroundCai, C., Gu, C., Meng, C., He, S., Lhamo, T., Draga, D., Zheng, Z., & Qiu, Q. (2024) · Pharmaceutical Research · doi:10.1007/s11095-024-03777-0 · Cited by 9
“Dys-regulated Aβ plaque clearance and subsequent inflammation are the classic pathological mechanism of neurodegeneration in AD, inducing oxidative stress and activating neuronal apoptotic pathways [93].”
Hadžibegović, S., Nicole, O., Andelkovic, V., de Gannes, F. P., Hurtier, A., Lagroye, I., & Bontempi, B. (2025) · Scientific Reports · doi:10.1038/s41598-025-93230-y · Cited by 8
Ndunge, O. B. A., Shikani, H. J., Dai, M., Freeman, B. D., & Desruisseaux, M. S. (2023) · Journal of Neurochemistry · doi:10.1111/jnc.15972 · Cited by 7
“Stable microglial- astrocyte-neuronal structure and function are critical for normal neurocognitive function (Bano et al., 2011; Brundel et al., 2012 ; Crews & Masliah, 2010 ; Jellinger & Stadelmann, 2001 ; Okouchi et al., 2007 ).”
BackgroundHu, X., Zhao, D., & Strotmann, A. (2013) · PLoS ONE · doi:10.1371/journal.pone.0067121 · Cited by 8
“Again, these findings are supported by other research [13,15,16].”
ResultCombination Drug Therapy for the Treatment of Alzheimer’s Disease
Alvarez, X. A., Linares, C., & Masliah, E. (2012) · European Neurological Review · doi:10.17925/enr.2012.07.02.92 · Cited by 9
Self-citationPascual, A. C., Gaveglio, V. L., Giusto, N. M., & Pasquaré, S. J. (2017) · Neuroscience · doi:10.1016/j.neuroscience.2017.08.042 · Cited by 8
Investigation of base excision repair gene variants in late-onset Alzheimer’s disease
Ertuzun, T., Semerci, A., Cakir, M. E., Ekmekcioglu, A., Gok, M. O., Soltys, D. T., de Souza-Pinto, N. C., Sezerman, O. U., & Müftüoğlu, M. (2019) · PLoS ONE · doi:10.1371/journal.pone.0221362 · Cited by 8
“AD is a progressive neurodegenerative disorder characterized by cognitive impairment, synaptic dysfunction, and pathological accumulation of extracellular amyloid-β (Aβ) plaques and intracellular neurofibrillary tangles (hyperphosphorylated tau proteins) [1].”
Electrophysiological and Imaging Calcium Biomarkers of Aging in Male and Female 5×FAD Mice
Ghoweri, A. O., Ouillette, L., Frazier, H. N., Anderson, K. L., Lin, R., Gant, J. C., Parent, R., Moore, S. J., Murphy, G. G., & Thibault, O. (2020) · Journal of Alzheimer s Disease · doi:10.3233/jad-200109 · Cited by 8
Choi, J. M., Park, H., He, M. T., Kim, Y. S., Kim, H. Y., Lee, A. Y., & Cho, E. J. (2022) · Antioxidants · doi:10.3390/antiox11030601 · Cited by 8
Excessive local host-graft connectivity in aging and amyloid-loaded brain
Thomas, J. M., Martínez-Reza, M. F., Thorwirth, M., Zarb, Y., Conzelmann, K., Hauck, S. M., Grade, S., & Götz, M. (2022) · Science Advances · doi:10.1126/sciadv.abg9287 · Cited by 9
“Hallmarks of AD include the extracellular accumulation of misfolded amyloid- peptide fibrils that aggregate forming plaques, also eliciting astro-and microgliosis and loss of synapses, eventually resulting in network dysfunction and cognitive impairments ( 46 ).”
Cynis, H., Funkelstein, L., Toneff, T., Mosier, C., Ziegler, M. G., Koch, B., Demuth, H., & HOOK, V. Y. H. (2014) · Neurodegenerative Diseases · doi:10.1159/000358430 · Cited by 8
The effects of bioactive compounds on Alzheimer’s disease and mild cognitive impairment
McAnany, B., & Martirosyan, D. M. (2016) · Functional Foods in Health and Disease · doi:10.31989/ffhd.v6i6.257 · Cited by 8
Stereological Quantification of Plaques and Tangles in Neocortex from Alzheimer’s Disease Patients
Madsen, J. B., Folke, J., & Pakkenberg, B. (2018) · Journal of Alzheimer s Disease · doi:10.3233/jad-180105 · Cited by 9
Cui, X., Zhang, F., Zhang, H., Huang, X., Wang, K., Huang, T., Yang, X., & Zou, L. (2020) · Frontiers in Neuroscience · doi:10.3389/fnins.2020.583628 · Cited by 8
“AD is characterized by pathological changes that include amyloid-β (Aβ) deposition, marked neuronal loss, and tau hyperphosphorylation (Gomez-Isla et al., 1996; Scheff et al., 2006; Crews and Masliah, 2010).”
BackgroundNonselective Cation Channels and Links to Hippocampal Ischemia, Aging, and Dementia
MacDonald, J. F., Belrose, J. C., Xie, Y., & Jackson, M. F. (2012) · Advances in experimental medicine and biology · doi:10.1007/978-1-4614-4756-6_37 · Cited by 8
Uncontrolled SFK-mediated protein trafficking in prion and Alzheimer's disease
Trillo, E. M., & Ochs, K. (2016) · Prion · doi:10.1080/19336896.2016.1221873 · Cited by 8
VR-based gamma sensory stimulation: a pilot feasibility study
Reis, C., Azizollahi, H., Headley, G., Navarro, S., Hanslmayr, S., Clouter, A., Zanto, T. P., & Certain, R. (2025) · Scientific Reports · doi:10.1038/s41598-025-13725-6 · Cited by 7
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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