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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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“…tangles (NFT) that are the intraneuronal aggregation of hyperphosphorylated tau protein (referred to as T biomarker) [5, 6]; and (iii) neurodegeneration (referred to as [N] biomarker) that is characterized by neuronal loss and exhibits metabolic, structural, and functional defi-ciency [7].”
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“Previous studies have shown that neurodegeneration is thought to be closely related to dementia in AD, including initial synaptic damage and subsequent neuronal loss, often accompanied by the proliferation of glial cells [35].”
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“Current treatments for AD mainly aim at delaying the disease progresses, including reducing A β production, inhibiting A β aggregation, and improving A β clearance by immunization(Benito et al., 2003; Citron, 2010; Crews and Masliah, 2010; Selkoe, 2001).”
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“As a result of cytosolic calcium excess, p35 breaks into p25, which activates CDK5 and causes tau hyperphosphorylation (Crews & Masliah, 2010).”
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“Instead, in patients with Alzheimer's dementia, alterations of the neurotransmitter systems and the signal transduction mechanism are very frequent, altering the cholinergic signaling system, and the production of the neurotransmitter acetylcholine (Crews & Masliah, 2010).”
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“…extracellular amyloid deposits (senile plaques) containing misfolded amyloid-β (Aβ) peptides and (2) intracellular aggregates of hyperphosphorylated tau protein forms (neurofibrillary tangles) (Butterfield and Lauderback, 2002; Crews and Masliah, 2010; DeTure and Dickson, 2019; Price et al., 1991).”
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“Alzheimer’s Disease (AD) is a progressive neurodegenerative disease leading to the death of neuronal cell types in the hippocampus and neocortex of the brain, reduced memory, and the death of the patient [1–4].”
Stem Cell Approaches for Treatment of Neurodegenerative Diseases
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“Unraveling the molecular mechanism underlying these complex diseases through scientific investigation would lay foundation for therapeutic intervention towards long-term goal to ameliorate and cure them [13].”
BackgroundReview on various factors responsible for neurodegenerative disorders
Tembhurnikar, H. J., Thool, N. D., Patil, R. J., & Das, R. K. (2021) · GSC Biological and Pharmaceutical Sciences · doi:10.30574/gscbps.2021.16.1.0203 · Cited by 3
“Dementia of Alzheimer's disease is linked to neurodegeneration, which begins with synaptic injury [16–18] and progresses to neuronal death [19].”
BackgroundHuman APOE ɛ3 and APOE ɛ4 Alleles Have Differential Effects on Mouse Olfactory Epithelium
Khan, N., Alimova, Y. V., Clark, S. J., Vekaria, H. J., Walsh, A. E., Williams, H. C., Hawk, G. S., Sullivan, P. G., Johnson, L. A., & McClintock, T. S. (2021) · Journal of Alzheimer s Disease · doi:10.3233/jad-215152 · Cited by 5
dNAGLU Extends Life Span and Promotes Fitness and Stress Resistance in Drosophila
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Leveraging Plasma Membrane Repair Therapeutics for Treating Neurodegenerative Diseases
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Nanotechnology-Based Point-of-Care Diagnostics and Therapeutics for Neurological Disorders
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“In AD, Aβ peptides can enter the lipid bilayer and originate neurodegenerative events, such as lipid peroxidation, disruption of calcium ion homeostasis and mitochondrial membrane potential, synaptic dysfunction, and activation of the mitochondrial apoptotic pathway [6].”
BackgroundHydrogen sulfide in the brain as a silent neuroprotector in Alzheimer’s disease
Layal, H., Rajbongshi, J., Kumar, R., Pandey, S., Mishra, R., & Yadav, P. K. (2025) · Neuroscience · doi:10.1016/j.neuroscience.2025.08.057 · Cited by 4
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Molecular changes in obese and depressive patients are similar to neurodegenerative disorders.
Habibi, L., Tafakhori, A., Hadiani, R., Maserat-Mashhadi, M., Kafrash, Z., Torabi, S., Azhdarzadeh, M., Akrami, S. M., Mahmoudi, M., & Dinarvand, R. (2017) · Europe PMC (PubMed Central) · Cited by 3
Алексеевна, Г. М., Davydova, T. V., Кудрин, В. С., Наркевич, В. Б., Vetrilé, L. A., Morozova-Roche, L. M. A., & Sewell, R. D. E. (2017) · Zhurnal «Patologicheskaia fiziologiia i eksperimental`naia terapiia» · doi:10.25557/igpp.2017.4.8518 · Cited by 3
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The structure of DNA by direct imaging and related topics
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Cellular and Molecular Mechanisms of Vitamin D Deficiency in Aging and Alzheimer’s Disease
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“These pathological observations have been demonstrated and examined for decades; yet, the mechanisms that underlie their etiology remain unclear [2, 3].”
BackgroundOptimized splitting of mixed-species RNA sequencing data
Song, X., Gao, H. Y., Herrup, K., & Hart, R. P. (2022) · Journal of Bioinformatics and Computational Biology · doi:10.1142/s0219720022500019 · Cited by 3
Alzheimer disease and neuroplasticity: New approaches and new targets in pharmacotherapy
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Alonso, E., & Rubiolo, J. A. (2015) · doi:10.1002/9781118500354.ch8 · Cited by 3
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Hannon, E. J., Dempster, E. L., Chioza, B. A., Davies, J. P., Blake, G. E. T., Burrage, J., Policicchio, S. S. S., Franklin, A., Walker, E., Bamford, R. A., et al. (2023) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2023.06.23.545974 · Cited by 3
miR-449a mediated repression of the cell cycle machinery prevents neuronal apoptosis
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Mechanisms of Neuronal Apoptosis and Excitotoxicity
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Robustness and resilience of computational deconvolution methods for bulk RNA sequencing data
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“For example, the brains of patients with Alzheimer’s disease (AD), a complex chronic neurodegenerative disease, exhibit significant neuronal loss along with proliferation of microglia and astrocytes [1–3].”
Azam, H. M. H., Mumtaz, M., Rödiger, S., Schierack, P., Hussain, N., & Ambreen, A. (2025) · Neurological Sciences · doi:10.1007/s10072-025-08419-w · Cited by 4
Relationship periodontitis and Alzheimer's disease: Relevant aspects from an epigenetic view
Chacón, T., & Hernández, H. G. (2025) · Journal of Alzheimer s Disease · doi:10.1177/13872877251397406 · Cited by 2
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“The etiology of AD is multifaceted, with prominent hypotheses including the amyloid cascade theory triggered by the deposition of amyloid-beta protein (Aβ) [1], tau protein hyperphosphorylation [2], cholinergic neuronal degeneration [3], oxidative stress [4], and neuroinflammation [5], among others.”
Islam, Z., Ghazanfar, S., Gangat, S. A., Bilal, W., Al’Saani, S. M. A. J., & Rahmat, Z. S. (2023) · Brain Disorders · doi:10.1016/j.dscb.2023.100114 · Cited by 2
NB-02 Protects Neurons and Astrocytes from Oligomeric Amyloid-β-Mediated Damage
Miller, M. R., Lariviere, L., Pagnier, G. J., Aygar, S., Wieckiewicz, N., Maesako, M., Bacskai, B. J., & Kastanenka, K. V. (2024) · Journal of Alzheimer s Disease · doi:10.3233/jad-231387 · Cited by 2
“AD is characterized by amyloid beta plaques, neurofibrillary tangles, neuronal loss, and synapse dysfunction [2, 3].”
Srinivasulu, P., Babu, J. R., Kumar, T. N. V. G., Kumar, P. P., & VIDYADHARA, S. (2021) · The Thai Journal of Pharmaceutical Sciences · doi:10.56808/3027-7922.2488 · Cited by 2
A lipid-raft theory of Alzheimer's disease
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Neural Regeneration as a Disease-Modifying Therapeutic Strategy for Alzheimer’s Disease
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Inhibitors of Tau-Phosphorylating Kinases
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Effect of Ionic Strength on the Aggregation Propensity of Aβ1-42 Peptide: An In-silico Study
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Reddy, V., Hernandez, A., Grossman, L., de Angelo, D., & Frunzi, J. (2021) · Cureus · doi:10.7759/cureus.13846 · Cited by 4
“These plaques interfere with synaptic signaling and can trigger microglia recruitment to the area [5].”
BackgroundAlzheimer’s Disease: Focus on the Neuroprotective Role of Melatonin
Srinivasan (2012) · Journal of Neurology Research · doi:10.4021/jnr93w · Cited by 6
Cojocaru, A., Rotaru-Zăvăleanu, A. D., Călina, D. C., Gheonea, D. I., Osiac, E., Boboc, I. K. Ş., & Mitran, S. I. (2021) · Europe PMC (PubMed Central) · doi:10.12865/chsj.47.02.17 · Cited by 3
“The accumulation of extracellular amyloid beta (Aβ) aggregates and pairs of intracellular filaments of tau protein formed in a process of hyper-phosphorylation can be seen in AD patients [8,9].”
BackgroundBcl-2-Homology-Only Proapoptotic Peptides Modulate β-Amyloid Aggregation and Toxicity
Ben-Zichri, S., Malishev, R., Oren, O., Bloch, D. N., Taube, R., Papo, N., & Jelinek, R. (2021) · ACS Chemical Neuroscience · doi:10.1021/acschemneuro.1c00611 · Cited by 2
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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