Reconsideration of Amyloid Hypothesis and Tau Hypothesis in Alzheimer's Disease
Open accessAbstract
The so-called amyloid hypothesis, that the accumulation and deposition of oligomeric or fibrillar amyloid β (Aβ) peptide is the primary cause of Alzheimer's disease (AD), has been the mainstream concept underlying AD research for over 20 years. However, all attempts to develop Aβ-targeting drugs to treat AD have ended in failure. Here, we review recent findings indicating that the main factor underlying the development and progression of AD is tau, not Aβ, and we describe the deficiencies of the amyloid hypothesis that have supported the emergence of this idea.
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Tau pathology is linked to cognitive decline, may progress more rapidly than Aβ accumulation, and correlates with neuroinflammation, making it a valuable prognostic marker.
“Numerous studies have linked tau pathology to cognitive decline, with some evidence suggesting it progresses more rapidly than Aβ accumulation and correlates with neuroinflammation, making it a valuable prognostic marker [20, 25–28].”
From Targeted Nanoparticles for Drug Delivery Across the Blood–Brain Barrier in Early and Late Stages of Alzheimer's Disease: A Review (2026) · cites this paper as [27]
“The tau hypothesis” links the spread of tau pathology to cognitive and clinical symptoms and says tau lesions may occur earlier than Aβ accumulation. Earlier occurrence does not establish a faster rate of progression. “APP trigger tauopathy” says neuroinflammation may affect tau progression, but does not report a tau–neuroinflammation correlation; neither passage establishes tau as a prognostic marker. Page numbers are unavailable in our copy. (LLM, conf=0.86)
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Association between thyroid function and Alzheimer's disease: A systematic review
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Alzheimer’s Disease and Herbal Combination Therapy: A Comprehensive Review
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A Chronological Review of Potential Disease-Modifying Therapeutic Strategies for Alzheimer’s Disease
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- Authors
- Kametani, F., & Hasegawa, M.
- Affiliations
- Tokyo Metropolitan Institute of Medical Science (JP)
- Corresponding author
- Kametani, Fuyuki
- Hasegawa, Masato
- Venue
- Frontiers in Neuroscience
- Publisher
- Frontiers Media SA
- Published
- 2018-01-30
- Volume
- 12
- Pages
- 25-25
- ISSN
- 1662-453X (ISSN-L)
- PMC
- PMC5797629
- OpenAlex
- W2790798430
- Cited by
- 836
- References
- 35
- Citations by year
- 2026: 37 · 2025: 69 · 2024: 112 · 2023: 102 · 2022: 148 · 2021: 123 · 2020: 143 · 2019: 78 · 2018: 23
- FWCI
- 12.04
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Frontiers in Neuroscience (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Japan Agency for Medical Research and Development (JP14533254)
- Japan Society for the Promotion of Science (23228004, JP26117005, 26293084)
- 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, amyloid hypothesis, tau hypothesis, amyloid-beta, tau protein, drug failure, pathogenesis
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