Cited by 73Alzheimer's disease research and treatmentsDementia and Cognitive Impairment ResearchCholinesterase and Neurodegenerative Diseases

Aducanumab—Hope or Disappointment for Alzheimer’s Disease

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Wojtunik-Kulesza, Karolina, Rudkowska, Monika, Orzeł-Sajdłowska, Anna·2023·International Journal of Molecular Sciences

Abstract

In June 2021, the world was informed about a new drug for Alzheimer’s disease approved by the FDA. Aducanumab (BIIB037, ADU), being a monoclonal antibody IgG1, is the newest AD treatment. The activity of the drug is targeted towards amyloid β, which is considered one of the main causes of Alzheimer’s disease. Clinical trials have revealed time- and dose-dependent activity towards Aβ reduction, as well as cognition improvement. Biogen, the company responsible for conducting research and introducing the drug to the market, presents the drug as a solution to cognitive impairment, but its limitations, costs, and side effects are controversial. The framework of the paper focuses on the mechanism of aducanumab’s action along with the positive and negative sides of the therapy. The review presents the basis of the amyloid hypothesis that is the cornerstone of therapy, as well as the latest information about aducanumab, its mechanism of action, and the possibility of the use of the drug.

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  • Aducanumab is the first disease-modifying medication for AD, a recombinant monoclonal antibody targeting amyloid beta specifically, and functions by lowering amyloid deposits or brain plaques.

    “The first disease-modifying medication for AD is a recombinant monoclonal antibody called aducanumab, also known by the brand name Aduhelm. It targets amyloid beta specifically [37]. It functions by lowering the quantity of amyloid deposits or brain plaques [130,131].”

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  1. [10]The Road to Precision Medicine: Eliminating the “One Size Fits” Approach in Alzheimer’s Disease|Elsevier Enhanced Reader Available online: https://reader.elsevier.com/reader/sd/pii/S0753332222007260?token=7271AC75FE6E94A4083968D35ED1989EEE59FC4FA9C399BB5783392DBB8B37BBE68B9D0ABCE4D240E36096116DCE184E&originRegion=eu-west-1&originCreation=20230208093757 (accessed on 8 February 2023)

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Authors
Wojtunik-Kulesza, K., Rudkowska, M., & Orzeł-Sajdłowska, A.
Affiliations
  • Department of Inorganic Chemistry, Medical University of Lublin, 20-059 Lublin, Poland
  • Medical University of Lublin (PL)
  • Samodzielny Publiczny Zakład Opieki Zdrowotnej w Lubartowie (PL)
Venue
International Journal of Molecular Sciences
Publisher
MDPI AG
Published
2023-02-22
Volume
24
Issue
5
Pages
4367
ISSN
1422-0067 (ISSN-L)
OpenAlex
W4321598924
Cited by
73
References
86
Citations by year
2026: 15 · 2025: 18 · 2024: 27 · 2023: 13
FWCI
2.59
Type
journal article
Language
en
Open access
Locations
  • International Journal of Molecular Sciences (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • 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
  • Health Sciences › Medicine › Pharmacology › Cholinesterase and Neurodegenerative Diseases
Keywords
aducanumab, Alzheimer's disease, amyloid-beta, amyloid hypothesis, monoclonal antibodies, drug approval, cognitive impairment, mechanism of action, adverse drug reactions, treatment costs
MeSH terms
Alzheimer Disease, Emotions, Humans, Immunoglobulin G, Amyloid beta-Peptides, Antibodies, Monoclonal, Humanized

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