Cited by 6,063Alzheimer's disease research and treatmentsDementia and Cognitive Impairment ResearchNeuroinflammation and Neurodegeneration Mechanisms

Alzheimer's Disease: Genes, Proteins, and Therapy

Selkoe, Dennis J.·2001·Physiological Reviews

Abstract

Rapid progress in deciphering the biological mechanism of Alzheimer's disease (AD) has arisen from the application of molecular and cell biology to this complex disorder of the limbic and association cortices. In turn, new insights into fundamental aspects of protein biology have resulted from research on the disease. This beneficial interplay between basic and applied cell biology is well illustrated by advances in understanding the genotype-to-phenotype relationships of familial Alzheimer's disease. All four genes definitively linked to inherited forms of the disease to date have been shown to increase the production and/or deposition of amyloid β-protein in the brain. In particular, evidence that the presenilin proteins, mutations in which cause the most aggressive form of inherited AD, lead to altered intramembranous cleavage of the β-amyloid precursor protein by the protease called γ-secretase has spurred progress toward novel therapeutics. The finding that presenilin itself may be the long-sought γ-secretase, coupled with the recent identification of β-secretase, has provided discrete biochemical targets for drug screening and development. Alternate and novel strategies for inhibiting the early mechanism of the disease are also emerging. The progress reviewed here, coupled with better ability to diagnose the disease early, bode well for the successful development of therapeutic and preventative drugs for this major public health problem.

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Crossref · 10.1152/physrev.2001.81.2.741

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Authors
Selkoe, D. J.
Affiliations
Brigham and Women's Hospital (US)
Corresponding author
Selkoe, Dennis J.
Venue
Physiological Reviews
Published
2001-04-01
Volume
81
Issue
2
Pages
741-766
ISSN
  • 0031-9333 (ISSN-L)
  • 1522-1210
OpenAlex
W2169152986
Cited by
6,063
References
214
Citations by year
2026: 71 · 2025: 128 · 2024: 164 · 2023: 170 · 2022: 161 · 2021: 223 · 2020: 243 · 2019: 214 · 2018: 257 · 2017: 237 · 2016: 270 · 2015: 288 · 2014: 277 · 2013: 289 · 2012: 334
FWCI
32.16
Type
journal article
Language
en
Open access
closed
Locations
  • Physiological Reviews (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › 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, familial Alzheimer's disease, amyloid-beta, presenilin, gamma-secretase, beta-secretase, amyloid precursor protein, Alzheimer's disease therapeutics, therapeutic target, early diagnosis
MeSH terms
Alzheimer Disease, Amino Acid Sequence, Animals, Apolipoproteins E, Humans, Membrane Proteins, Molecular Sequence Data, Amyloid beta-Peptides, Amyloid beta-Protein Precursor, Mutation, Missense, Apolipoprotein E4, Presenilin-1, Presenilin-2

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