Navigating the Alzheimer's Treatment Landscape: Unraveling Amyloid-Beta Complexities and Pioneering Precision Medicine Approaches

被引:1
作者
Patwekar, Mohsina [1 ]
Patwekar, Faheem [2 ]
Khan, Shahzad [3 ]
Sharma, Rohit [4 ]
Kumar, Dileep [5 ,6 ,7 ]
机构
[1] Luqman Coll Pharm, Dept Pharmacol, PB 86,old Jewargi rd, Gulbarga 585102, Karnataka, India
[2] Luqman Coll Pharm, Dept Pharmaceut, PB 86,Old Jewargi Rd, Gulbarga 585102, Karnataka, India
[3] King Faisal Univ, Coll Clin Pharm, Dept Biomed Sci, Al Ahsa City, Saudi Arabia
[4] Banaras Hindu Univ, Fac Ayurveda, Dept Rasa Shastra & Bhaishajya Kalpana, Varanasi 221005, Uttar Pradesh, India
[5] Bharati Vidyapeeth, Poona Coll Pharm, Pune 411038, Maharashtra, India
[6] Univ Calif Davis, Dept Entomol, One Shields Ave, Davis, CA 95616 USA
[7] Univ Calif Davis, Davis Comprehens Canc Ctr, One Shields Ave, Davis, CA 95616 USA
关键词
Alzheimer's disease; Amyloid-beta pathology; Precision Medicine; Immunotherapy; future therapies; Biomarkers; GAMMA SECRETASE MODULATORS; ENDOTHELIAL-GROWTH-FACTOR; TREATMENT STRATEGIES; INSULIN-RESISTANCE; DISEASE; NEUROINFLAMMATION; NEUROPROTECTION; IMMUNOTHERAPY; SEMAGACESTAT; ASSOCIATION;
D O I
10.2174/0115680266295495240415114919
中图分类号
R914 [药物化学];
学科分类号
100701 ;
摘要
A variety of cutting-edge methods and good knowledge of the illness's complex causes are causing a sea change in the field of Alzheimer's Disease (A.D.) research and treatment. Precision medicine is at the vanguard of this change, where individualized treatment plans based on genetic and biomarker profiles give a ray of hope for customized therapeutics. Combination therapies are becoming increasingly popular as a way to address the multifaceted pathology of Alzheimer's by simultaneously attacking A beta plaques, tau tangles, neuroinflammation, and other factors. The article covers several therapeutic design efforts, including BACE inhibitors, gamma-secretase modulators, monoclonal antibodies (e.g., Aducanumab and Lecanemab), and anti-A beta vaccinations. While these techniques appear promising, clinical development faces safety concerns and uneven efficacy. To address the complicated A beta pathology in Alzheimer's disease, a multimodal approach is necessary. The statement emphasizes the continued importance of clinical trials in addressing safety and efficacy concerns. Looking ahead, it suggests that future treatments may take into account genetic and biomarker traits in order to provide more personalized care. Therapies targeting A beta, tau tangles, neuroinflammation, and novel drug delivery modalities are planned. Nanoparticles and gene therapies are only two examples of novel drug delivery methods that have the potential to deliver treatments more effectively, with fewer side effects, and with better therapeutic results. In addition, medicines that target tau proteins in addition to A beta are in the works. Early intervention, based on precise biomarkers, is a linchpin of Alzheimer's care, emphasizing the critical need for detecting the disease at its earliest stages. Lifestyle interventions, encompassing diet, exercise, cognitive training, and social engagement, are emerging as key components in the fight against cognitive decline. Data analytics and art are gaining prominence as strategies to mitigate the brain's inflammatory responses. To pool knowledge and resources in the fight against Alzheimer's, international cooperation between scientists, doctors, and pharmaceutical companies is still essential. In essence, a complex, individualized, and collaborative strategy will characterize Alzheimer's research and therapy in the future. Despite obstacles, these encouraging possibilities show the ongoing commitment of the scientific and medical communities to combat A.D. head-on, providing a glimmer of hope to the countless people and families touched by this savage sickness.
引用
收藏
页码:1665 / 1682
页数:18
相关论文
共 101 条
[1]   Peripheral growth hormone induces cell proliferation in the intact adult rat brain [J].
Aberg, N. David ;
Lind, Johan ;
Isgaard, Jorgen ;
Kuhn, H. Georg .
GROWTH HORMONE & IGF RESEARCH, 2010, 20 (03) :264-269
[2]   Evaluation of Neuro Images for the Diagnosis of Alzheimer's Disease Using Deep Learning Neural Network [J].
Ahila, A. ;
Poongodi, M. ;
Hamdi, Mounir ;
Bourouis, Sami ;
Kulhanek, Rastislav ;
Mohmed, Faizaan .
FRONTIERS IN PUBLIC HEALTH, 2022, 10
[3]   Neuroimmune crosstalk and evolving pharmacotherapies in neurodegenerative diseases [J].
Baidya, Falguni ;
Bohra, Mariya ;
Datta, Aishika ;
Sarmah, Deepaneeta ;
Shah, Birva ;
Jagtap, Priya ;
Raut, Swapnil ;
Sarkar, Ankan ;
Singh, Upasna ;
Kalia, Kiran ;
Borah, Anupom ;
Wang, Xin ;
Dave, Kunjan R. ;
Yavagal, Dileep R. ;
Bhattacharya, Pallab .
IMMUNOLOGY, 2021, 162 (02) :160-178
[4]  
Barbu E, 2009, EXPERT OPIN DRUG DEL, V6, P553, DOI [10.1517/17425240902939143, 10.1517/17425240902939143 ]
[5]   BACE1 Inhibitors for Alzheimer's Disease: The Past, Present and Any Future? [J].
Bazzari, Firas H. ;
Bazzari, Amjad H. .
MOLECULES, 2022, 27 (24)
[6]   Advances and considerations in AD tau-targeted immunotherapy [J].
Bittar, Alice ;
Bhatt, Nemil ;
Kayed, Rakez .
NEUROBIOLOGY OF DISEASE, 2020, 134
[7]   Gamma Secretase Modulators: New Alzheimer's Drugs on the Horizon? [J].
Bursavich, Matthew G. ;
Harrison, Bryce A. ;
Blain, Jean-Francois .
JOURNAL OF MEDICINAL CHEMISTRY, 2016, 59 (16) :7389-7409
[8]  
Çakilcioglu U, 2009, ACTA HORTIC, V826, P89
[9]   Hyaluronan reduces inflammation in experimental arthritis by modulating TLR-2 and TLR-4 cartilage expression [J].
Campo, Giuseppe M. ;
Avenoso, Angela ;
Nastasi, Giancarlo ;
Micali, Antonio ;
Prestipino, Vera ;
Vaccaro, Mario ;
D'Ascola, Angela ;
Calatroni, Alberto ;
Campo, Salvatore .
BIOCHIMICA ET BIOPHYSICA ACTA-MOLECULAR BASIS OF DISEASE, 2011, 1812 (09) :1170-1181
[10]   Immunity orchestrates a bridge in gut-brain axis of neurodegenerative diseases [J].
Cheng, Yufeng ;
Chen, Ce ;
Zhang, Feng .
AGEING RESEARCH REVIEWS, 2023, 85