Cited by 31Alzheimer's disease research and treatmentsMedicinal Plants and NeuroprotectionDementia and Cognitive Impairment Research

Three structural features of functional food components and herbal medicine with amyloid β42 anti-aggregation properties

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Murakami, Kazuma, Irie, Kazuhiro·2019·Molecules

Abstract

Aggregation of amyloid β42 (Aβ42) is one of the hallmarks of Alzheimer’s disease (AD). There are numerous naturally occurring products that suppress the aggregation of Aβ42, but the underlying mechanisms remain to be elucidated. Based on NMR and MS spectroscopic analysis, we propose three structural characteristics found in natural products required for the suppressive activity against Aβ42 aggregation (i.e., oligomerization by targeting specific amino acid residues on this protein). These characteristics include (1) catechol-type flavonoids that can form Michael adducts with the side chains of Lys16 and 28 in monomeric Aβ42 through flavonoid autoxidation; (2) non-catechol-type flavonoids with planarity due to α,β-unsaturated carbonyl groups that can interact with the intermolecular β-sheet region in Aβ42 aggregates, especially aromatic rings such as those of Phe19 and 20; and (3) carboxy acid derivatives with triterpenoid or anthraquinoid that can generate a salt bridge with basic amino acid residues such as Lys16 and 28 in the Aβ42 dimer or trimer. Here, we summarize the recent body of knowledge concerning amyloidogenic inhibitors, particularly in functional food components and Kampo medicine, and discuss their application in the treatment and prevention of AD.

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  • A phase 2b study on elenbecestat in amyloid-PET-positive patients with mild cognitive impairment, prodromal Alzheimer disease, or mild Alzheimer disease showed decreased cerebrospinal fluid amyloid-beta levels in a dose-dependent manner but no significant improvements in Alzheimer's Disease Composite Score or CDR-SB score.

    “A phase 2b study on elenbecestat in amyloid-PET-positive patients with MCI, prodromal AD, or mild AD showed decreased CSF Aβ levels in a dose-dependent manner but no significant improvements in the Alzheimer’s Disease Composite Score or CDR-SB score [50, 51].”

    From Clinical trials of new drugs for Alzheimer disease (2020) · cites this paper as [51]

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  • In a phase 2b study of elenbecestat (E2609), a BACE-1 inhibitor, in amyloid-PET people with MCI, prodromal AD, or mild AD, dose-dependent reduction in CSF Aβ levels was noted.

    “A phase 2b study of E2609 (elenbecestat), a BACE-1 inhibitor, in amyloid-PET people with MCI, prodromal AD, or mild AD was performed and reduced dose-dependent in CSF A levels was noted.”

    From An update on the novel and approved drugs for Alzheimer disease (2022) · cites this paper as Murakami et al., 2019

  • In the phase 2b study of elenbecestat, there was no significant change in AD Composite Score or CDR-SB score.

    “There is no significant change in AD. Composite Score or CDR-SB score (Murakami et al., 2019).”

    From An update on the novel and approved drugs for Alzheimer disease (2022) · cites this paper as Murakami et al., 2019

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Authors
Murakami, K., & Irie, K.
Affiliations
Kyoto University (JP)
Corresponding author
  • Murakami, Kazuma
  • Irie, Kazuhiro
Venue
Molecules
Publisher
MDPI AG
Published
2019-06-05
Volume
24
Issue
11
Pages
2125
ISSN
1420-3049 (ISSN-L)
OpenAlex
W2948703364
Cited by
31
References
102
Citations by year
2025: 4 · 2024: 2 · 2023: 6 · 2022: 7 · 2021: 2 · 2020: 8 · 2019: 2
FWCI
0.56
Type
journal article
Language
en
Open access
Locations
  • Molecules (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Institutional Repositories DataBase (IRDB) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Kyoto University Research Information Repository (Kyoto University) (submittedVersion, cc-by)
Funders
Japan Society for the Promotion of Science (grant number 26221202 to K.I. and K.M., 16H06194 to K.M.)
Topics
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Complementary and alternative medicine › Medicinal Plants and Neuroprotection
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Keywords
amyloid-beta 42, protein aggregation inhibition, Alzheimer's disease, Michael adducts, triterpenoids, salt bridges, Kampo medicine, functional food ingredients
MeSH terms
Animals, Flavonoids, Humans, Amyloid beta-Peptides, Herbal Medicine, Functional Food, Polymerization, Protein Aggregates

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