Current and future treatments for cognitive deficits in dementia
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Published on: April 23, 2014
B M McLendon1, G G Chen, P M Doraiswamy
1Duke University Medical Center, Box 3018, Durham, NC 27710, USA. murali@acpub.duke.edu
Abstract:
In this article, we primarily focus on the treatment approaches currently marketed and in advanced stages of development for Alzheimer's disease (AD). Amyloid plaques and neurofibrillary tangles remain the pathologic hallmarks of AD, and much progress has been made in unraveling the molecular biology of these changes. In addition, there is also intense research into inflammatory and oxidative mechanisms as well as vascular and neurochemical alterations in AD. Therapies targeted at these mechanisms are discussed.
Insights
This review covers current and developing Alzheimer's disease (AD) treatments targeting amyloid plaques and neurofibrillary tangles. Research also explores therapies for AD's inflammatory, oxidative, vascular, and neurochemical pathways.
Area of Science:
- Neurology
- Pharmacology
- Molecular Biology
Background:
- Alzheimer's disease (AD) is characterized by amyloid plaques and neurofibrillary tangles.
- Understanding the molecular biology of these hallmarks is crucial for developing effective treatments.
- Emerging research highlights the roles of inflammation, oxidative stress, vascular factors, and neurochemical changes in AD pathogenesis.
Purpose of the Study:
- To provide an overview of current and investigational therapeutic strategies for Alzheimer's disease (AD).
- To discuss treatments targeting the primary pathological hallmarks of AD.
- To explore therapies addressing secondary mechanisms implicated in AD progression.
Main Methods:
- Review of marketed and late-stage development treatments for Alzheimer's disease.
- Analysis of research into the molecular biology of amyloid plaques and neurofibrillary tangles.
- Discussion of therapeutic targets related to inflammation, oxidative stress, vascular, and neurochemical alterations in AD.
Main Results:
- Significant progress has been made in understanding the molecular basis of AD pathology.
- Multiple therapeutic avenues are being pursued, targeting both core hallmarks and associated mechanisms.
- A range of treatments are currently marketed or in advanced development stages.
Conclusions:
- Current and future Alzheimer's disease (AD) treatments are multifaceted, addressing key pathologies and contributing factors.
- Continued research into molecular mechanisms is vital for advancing AD therapeutics.
- A combination of approaches may be necessary for effective AD management.
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