Cited by 119Alzheimer's disease research and treatmentsDementia and Cognitive Impairment ResearchCholinesterase and Neurodegenerative Diseases

Disease modifying therapy for AD?1

Open access
Golde, Todd E.·2006·Journal of Neurochemistry

Abstract

Alzheimer's disease (AD) is the most common form of dementia in industrialized nations. If more effective therapies are not developed that either prevent AD or block progression of the disease in its very early stages, the economic and societal cost of caring for AD patients will be devastating. Only two types of drugs are currently approved for the treatment of AD: inhibitors of acetyl cholinesterase, which symptomatically enhance cognitive state to some degree but are not disease modifying; and the adamantane derivative, memantine. Memantine preferentially blocks excessive NMDA receptor activity without disrupting normal receptor activity and is thought to be a neuroprotective agent that blocks excitotoxicty. Memantine therefore may have a potentially disease modifying effect in multiple neurodegenerative conditions. An improved understanding of the pathogeneses of AD has now led to the identification of numerous therapeutic targets designed to alter amyloid beta protein (Abeta) or tau accumulation. Therapies that alter Abeta and tau through these various targets are likely to have significant disease modifying effects. Many of these targets have been validated in proof of concept studies in preclinical animal models, and some potentially disease modifying therapies targeting Abeta or tau are being tested in the clinic. This review will highlight both the promise of and the obstacles to developing such disease modifying AD therapies.

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  • AD disease-modifying strategies are designed to target abnormal Aβ aggregates, clear them, and delay or prevent the formation of aggregates.

    “AD disease-modifying strategies are designed to target abnormal Aβ aggregates, clear, and delay or prevent the formation of aggregates [33].”

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  1. Todd E. Golde Journal Compilation Ó 2006 International Society for Neurochemistry, J. Neurochem. (2006) 99, 689-707
  2. Ó 2006 The Author 14714159, 2006, 3, Downloaded from https://onlinelibrary.wiley.com/doi/10.1111/j.1471-4159.2006.04211.x, Wiley Online Library on [18/08/2026]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License
  3. Ó 2006 The Author Journal Compilation Ó 2006 International Society for Neurochemistry, J. Neurochem. (2006) 99, 689-707 14714159, 2006, 3, Downloaded from https://onlinelibrary.wiley.com/doi/10.1111/j.1471-4159.2006.04211.x, Wiley Online Library on [18/08/2026]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License both endogenous phospho-and caspase-3-cleaved tau species. J. Neurosci. 26, 6985-6996.
  4. Todd E. Golde Journal Compilation Ó 2006 International Society for Neurochemistry, J. Neurochem. (2006) 99, 689-707
  5. Ó 2006 The Author 14714159, 2006, 3, Downloaded from https://onlinelibrary.wiley.com/doi/10.1111/j.1471-4159.2006.04211.x, Wiley Online Library on [18/08/2026]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License
  6. Laird F. M., Cai H., Savonenko A. V., Farah M. H., He K., Melnikova T., Wen H., Chiang H. C., Xu G., Koliatsos V. E., Borchelt D. R., Disease modifying therapy for AD 703 Ó 2006 The Author Journal Compilation Ó 2006 International Society for Neurochemistry, J. Neurochem. (2006) 99, 689-707 14714159, 2006, 3, Downloaded from https://onlinelibrary.wiley.com/doi/10.1111/j.1471-4159.2006.04211.x, Wiley Online Library on [18/08/2026]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License
  7. Todd E. Golde Journal Compilation Ó 2006 International Society for Neurochemistry, J. Neurochem. (2006) 99, 689-707
  8. Ó 2006 The Author 14714159, 2006, 3, Downloaded from https://onlinelibrary.wiley.com/doi/10.1111/j.1471-4159.2006.04211.x, Wiley Online Library on [18/08/2026]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License
  9. Ó 2006 The Author Journal Compilation Ó 2006 International Society for Neurochemistry, J. Neurochem. (2006) 99, 689-707 14714159, 2006, 3, Downloaded from https://onlinelibrary.wiley.com/doi/10.1111/j.1471-4159.2006.04211.x, Wiley Online Library on [18/08/2026]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License
  10. Vassar R., Bennett B., Babu-Khan S., Rogers G. and Citron M. (1999) Beta-Secretase celavage of Alzheimer's Amyloid Precursor Protein Journal Compilation Ó 2006 International Society for Neurochemistry, J. Neurochem. (2006) 99, 689-707
  11. Ó 2006 The Author 14714159, 2006, 3, Downloaded from https://onlinelibrary.wiley.com/doi/10.1111/j.1471-4159.2006.04211.x, Wiley Online Library on [18/08/2026]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License by the transmembrane aspartic protease BACE. Science 286, 735- 740.
  12. Ó 2006 The Author Journal Compilation Ó 2006 International Society for Neurochemistry, J. Neurochem. (2006) 99, 689-707 14714159, 2006, 3, Downloaded from https://onlinelibrary.wiley.com/doi/10.1111/j.1471-4159.2006.04211.x, Wiley Online Library on [18/08/2026]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License

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Authors
Golde, T. E.
Affiliations
Mayo Clinic (US)
Corresponding author
Golde, Todd E.
Venue
Journal of Neurochemistry
Publisher
Wiley
Published
2006-10-02
Volume
99
Issue
3
Pages
689-707
ISSN
  • 0022-3042 (ISSN-L)
  • 1471-4159
OpenAlex
W2056442085
Cited by
117
References
250
Citations by year
2026: 2 · 2025: 4 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 1 · 2017: 3 · 2016: 5 · 2015: 3 · 2014: 3 · 2013: 5 · 2012: 6
FWCI
2.06
Type
journal article
Language
en
Open access
Locations
  • Journal of Neurochemistry (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Alzheimer's Association
  • National Institutes of Health
  • National Institute on Aging
Topics
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Pharmacology › Cholinesterase and Neurodegenerative Diseases
Keywords
Alzheimer's disease, disease-modifying therapy, amyloid-beta, tau protein, acetylcholinesterase inhibitors, memantine, NMDA receptor, neuroprotection, excitotoxicity, therapeutic target, clinical trials, dementia
MeSH terms
Alzheimer Disease, Animals, Humans, Immunotherapy, Peptide Hydrolases, Phosphorylation, Protease Inhibitors, Amyloid beta-Peptides, Neurofibrillary Tangles, tau Proteins, Protein Folding, Molecular Chaperones, Alzheimer Vaccines

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