Amyloid Precursor Protein and Alzheimer’s Disease
Open accessAbstract
Alzheimer’s disease (AD) is one of the most common neurodegenerative disorders associated with age or inherited mutations. It is characterized by severe dementia in the late stages that affect memory, cognitive functions, and daily life overall. AD progression is linked to the accumulation of cytotoxic amyloid beta (Aβ) and hyperphosphorylated tau protein combined with other pathological features such as synaptic loss, defective energy metabolism, imbalances in protein, and metal homeostasis. Several treatment options for AD are under investigation, including antibody-based therapy and stem cell transplantation. Amyloid precursor protein (APP) is a membrane protein considered to play a main role in AD pathology. It is known that APP in physiological conditions follows a non-amyloidogenic pathway; however, it can proceed to an amyloidogenic scenario, which leads to the generation of extracellular deleterious Aβ plaques. Not all steps of APP biogenesis are clear so far, and these questions should be addressed in future studies. AD is a complex chronic disease with many factors that contribute to disease progression.
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Mutations in APP and presenilin genes increase Aβ production or alter the Aβ42/Aβ40 ratio, causing early-onset familial AD.
“Mutations in the APP and presenilin genes increase Aβ production or alter the Aβ42/Aβ40 ratio, causing early-onset familial AD [30].”
From Toward a Unified Framework in Molecular Neurobiology of Alzheimer’s Disease: Revisiting the Pathophysiological Hypotheses (2026) · cites this paper as [30]
The Genetics of Alzheimer’s Disease (section 2; page unavailable) links APP and PSEN1/PSEN2 mutations to familial AD. It says APP mutations can increase Aβ42 production and presenilin mutations affect cleavage, favoring longer Aβ peptides; the Introduction identifies familial AD as early-onset. The copy does not explicitly state that these mutations alter the Aβ42/Aβ40 ratio. (LLM, conf=0.83)
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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
- Orobets, K. S., & Karamyshev, A. L.
- Affiliations
- Texas Tech University (US)
- Corresponding author
- Karamyshev, Andrey L.
- Venue
- International Journal of Molecular Sciences
- Publisher
- MDPI AG
- Published
- 2023-09-30
- Volume
- 24
- Issue
- 19
- Pages
- 14794
- ISSN
- 1422-0067 (ISSN-L)
- PMC
- PMC10573485
- OpenAlex
- W4387230982
- Cited by
- 141
- References
- 16
- Citations by year
- 2026: 57 · 2025: 56 · 2024: 27 · 2023: 1
- FWCI
- 4.73
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Molecular Sciences (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Center of Excellence for Translational Neuroscience and Therapeutics (CTNT) and the TTUHSC Office of Research (CTNT-OR 2022-04 AKMM)
- 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 precursor protein, amyloid-beta, tau hyperphosphorylation, amyloidogenic pathway, non-amyloidogenic pathway, APP processing, amyloid plaques, synaptic loss, energy metabolism, metal homeostasis, antibody-based therapy, stem cell transplantation, dementia
- MeSH terms
- Alzheimer Disease, Humans, Membrane Proteins, Amyloid beta-Peptides, Amyloid beta-Protein Precursor
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