Revisiting the Amyloid Cascade Hypothesis: From Anti-Aβ Therapeutics to Auspicious New Ways for Alzheimer’s Disease

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Uddin, Md Sahab
Kabir, Md Tanvir
Rahman, Md Sohanur
Behl, Tapan
Jeandet, Philippe
Ashraf, Ghulam Md
Najda, Agnieszka
Bin-Jumah, May N
El-Seedi, Hesham R
Abdel-Daim, Mohamed M
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2020
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Abstract

Alzheimer’s disease (AD) is the most prevalent neurodegenerative disorder related to age, characterized by the cerebral deposition of fibrils, which are made from the amyloid-β (Aβ), a peptide of 40–42 amino acids. The conversion of Aβ into neurotoxic oligomeric, fibrillar, and protofibrillar assemblies is supposed to be the main pathological event in AD. After Aβ accumulation, the clinical symptoms fall out predominantly due to the deficient brain clearance of the peptide. For several years, researchers have attempted to decline the Aβ monomer, oligomer, and aggregate levels, as well as plaques, employing agents that facilitate the reduction of Aβ and antagonize Aβ aggregation, or raise Aβ clearance from brain. Unluckily, broad clinical trials with mild to moderate AD participants have shown that these approaches were unsuccessful. Several clinical trials are running involving patients whose disease is at an early stage, but the preliminary outcomes are not clinically impressive. Many studies have been conducted against oligomers of Aβ which are the utmost neurotoxic molecular species. Trials with monoclonal antibodies directed against Aβ oligomers have exhibited exciting findings. Nevertheless, Aβ oligomers maintain equivalent states in both monomeric and aggregation forms; so, previously administered drugs that precisely decrease Aβ monomer or Aβ plaques ought to have displayed valuable clinical benefits. In this article, Aβ-based therapeutic strategies are discussed and several promising new ways to fight against AD are appraised.

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International Journal of Molecular Sciences

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21

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16

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© 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).

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Genetics

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Biochemistry and cell biology

Microbiology

Medicinal and biomolecular chemistry

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Life Sciences & Biomedicine

Physical Sciences

Biochemistry & Molecular Biology

Chemistry, Multidisciplinary

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Uddin, MS; Kabir, MT; Rahman, MS; Behl, T; Jeandet, P; Ashraf, GM; Najda, A; Bin-Jumah, MN; El-Seedi, HR; Abdel-Daim, MM, Revisiting the Amyloid Cascade Hypothesis: From Anti-Aβ Therapeutics to Auspicious New Ways for Alzheimer’s Disease, International Journal of Molecular Sciences, 2020, 21 (16), pp. 5858

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