Assessing Neuroprotective Agents for Aβ-Induced Neurotoxicity

Trends Mol Med. 2019 Aug;25(8):685-695. doi: 10.1016/j.molmed.2019.05.013. Epub 2019 Jun 24.

Abstract

Alzheimer's disease (AD) is a relentlessly progressive neurodegenerative disease, currently incurable, which presents one of the largest unmet needs in medicine. AD is histologically characterized by the accumulation of extracellular amyloid-beta (Aβ), evident as senile plaques and intracellular neurofibrillary tangles composed of hyperphosphorylated tau. However, the levels of diffusible extracellular Aβ, a neuropeptide largely present in oligomeric form, rise by orders of magnitude many years before evident pathology and subsequent AD diagnosis. The long delay in neurotoxicity and synaptic dysfunction triggered by Aβ and driven by abnormal tau indicates the presence of inherent neuroprotective systems in brain. Here, we propose that strategic approaches for the identification and implementation of neuroprotective agents could provide novel therapeutics for this devastating disease.

Keywords: Alzheimer’s disease; amyloid; model systems; neuroprotection.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Alzheimer Disease / drug therapy
  • Alzheimer Disease / etiology
  • Alzheimer Disease / metabolism
  • Alzheimer Disease / pathology
  • Amyloid beta-Peptides / metabolism*
  • Animals
  • Biomarkers
  • Disease Management
  • Disease Progression
  • Disease Susceptibility
  • Drug Discovery* / methods
  • Humans
  • Molecular Targeted Therapy
  • Neurons / drug effects
  • Neurons / metabolism
  • Neuroprotective Agents / pharmacology*
  • Neuroprotective Agents / therapeutic use
  • Protein Aggregation, Pathological / drug therapy
  • Protein Aggregation, Pathological / metabolism*
  • Signal Transduction
  • Synapses / drug effects
  • Synapses / metabolism

Substances

  • Amyloid beta-Peptides
  • Biomarkers
  • Neuroprotective Agents