Knockdown of Amyloid Precursor Protein: Biological Consequences and Clinical Opportunities
Open accessAbstract
Amyloid precursor protein ( APP ) and its cleavage fragment Amyloid-β (Aβ) have fundamental roles in Alzheimer’s disease (AD). Genetic alterations that either increase the overall dosage of APP or alter its processing to favour the generation of longer, more aggregation prone Aβ species, are directly causative of the disease. People living with one copy of APP are asymptomatic and reducing APP has been shown to lower the relative production of aggregation-prone Aβ species in vitro . For these reasons, reducing APP expression is an attractive approach for AD treatment and prevention. In this review, we will describe the structure and the known functions of APP and go on to discuss the biological consequences of APP knockdown and knockout in model systems. We highlight progress in therapeutic strategies to reverse AD pathology via reducing APP expression. We conclude that new technologies that reduce the dosage of APP expression may allow disease modification and slow clinical progression, delaying or even preventing onset.
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In trisomy 21 (Down syndrome), the additional copy of chromosome 21 leads to APP gene overexpression, causing excessive Aβ accumulation and near-universal development of amyloid plaques and Alzheimer-type dementia by the fifth decade of life.
“Interestingly, in trisomy 21 (Down syndrome), the additional copy of chromosome 21 leads to APP gene overexpression, causing excessive Aβ accumulation and near-universal development of amyloid plaques and Alzheimer-type dementia by the fifth decade of life [150, 151].”
From Toward a Unified Framework in Molecular Neurobiology of Alzheimer’s Disease: Revisiting the Pathophysiological Hypotheses (2026) · cites this paper as [150]
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Cited by
Sorted by citations
Hein, Z. M., Karikalan, B., Gopalakrishna, P. K., Dhevi, K., Alkatiri, A., Hussan, F., Mohd Moklas, M. A., Jagadeesan, S., Che Ramli, M. D., Che Mohd Nassir, C. M. N., et al. (2026) · Molecular Neurobiology · doi:10.1007/s12035-025-05602-0 · Cited by 43 · see citing works
- Authors
- Gabriele, R. M. C., Abel, E., Fox, N. C., Wray, S., & Arber, C.
- Affiliations
- UCL Queen Square Institute of Neurology (GB)
- UK Dementia Research Institute (GB)
- Corresponding author
- Arber, Charles
- Venue
- Frontiers in Neuroscience
- Publisher
- Frontiers Media SA
- Published
- 2022-03-14
- Volume
- 16
- Pages
- 835645-835645
- ISSN
- 1662-453X (ISSN-L)
- PMC
- PMC8964081
- OpenAlex
- W4221113970
- Cited by
- 44
- References
- 13
- Citations by year
- 2026: 13 · 2025: 7 · 2024: 17 · 2023: 5 · 2022: 2
- FWCI
- 1.05
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Neuroscience (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Alzheimer's Society ((AS-JF- 18-008)
- Medical Research Centre (MR/M02492X/1, MC_U12266B)
- Alzheimer’s Research UK (ARUK-SRF2016B-2)
- 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
- amyloid precursor protein, amyloid-beta, Alzheimer's disease, APP processing, disease-modifying therapy
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