Glymphotherapeutics for Alzheimer's disease: Time to move the needle

被引:0
作者
Mohanasundaram, Arunsundar [1 ]
Mofatteh, Mohammad [2 ]
Ashraf, Ghulam Md [3 ]
Pratico, Domenico [4 ]
机构
[1] Sathyabama Inst Sci & Technol, Sch Pharm, Chennai 600119, Tamil Nadu, India
[2] Queens Univ Belfast, Sch Med Dent & Biomed Sci, Belfast BT9 7BL, North Ireland
[3] Xian Jiaotong Liverpool Univ, Sch Sci, Dept Biol Sci, Suzhou 215123, Jiangsu, Peoples R China
[4] Temple Univ, Lewis Katz Sch Med, Dept Neurosci, Philadelphia, PA 19140 USA
关键词
Alzheimer's disease; Dementia; Glymphatic clearance; Aquaporin-4; Glymphotherapeutics; Neurodegenerative disease; Neurotherapeutics; AQUAPORIN-4; LOCALIZATION; AQP4;
D O I
10.1016/j.arr.2024.102478
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
Alzheimer's disease (AD), the most predominant neurodegenerative disease and a quintessential entity within the dementia umbrella, is a global public health crisis. While the lack of disease modifying therapies has been a weak point in AD treatment, the success of recently approved monoclonal antibody-based therapeutics (aducanumab and lecanemab) targeted at the removal of amyloid-beta (A beta) peptides in the brain is still under debate. There are multiple safety concerns about these approved neurotherapeutics including amyloid-related imaging abnormalities, stroke, meningitis, encephalitis, and even death. Novel paradigms focused on aquaporin-4mediated neuro-perivascular A beta and Tau protein clearance pathway are garnering attention. In this paper, we argue that orchestrating the drug discovery focused on glymphatic clearance-facilitating drugs ("glymphotherapeutics") might be a potentially novel and viable strategy to mitigate the progression and improve the clinical outcomes of AD.
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