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Published on: March 16, 2016
Current approaches in the treatment of Alzheimer's disease
Reena S Shah1, Hyoung-Gon Lee, Zhu Xiongwei
1Department of Neurology, University of Maryland, Baltimore, MD 21201, USA.
Abstract:
The management of Alzheimer's disease (AD) has been a long-standing challenge and area of interest. Advances in knowledge of the pathogenesis of disease and an increase in disease burden have prompted investigation into innovative therapeutics over the last two decades. This article reviews the various treatments of AD including those targeted towards cholinergic deficiency, oxidative stress, the amyloid cascade, inflammation, and excitotoxicity. Second generation cholinesterase inhibitors remain the preferred therapy for early and intermediate AD while the glutamate antagonist, memantine, is also approved for advanced stages of disease. Antioxidants may delay disease progression, while data on other experimental therapies remain equivocal at best. Gene therapy directed at neurotropins is currently under investigation with some intriguing preliminary results; however, the number of patients examined is too few to be conclusive. Drugs directly targeting amyloid-beta, particularly the amyloid-beta vaccine, continue to be investigated and their forthcoming results are eagerly anticipated.
Insights
Current Alzheimer's disease (AD) treatments focus on managing symptoms through cholinesterase inhibitors and memantine. Emerging therapies targeting amyloid-beta and neurotropins show promise but require further investigation.
Area of Science:
- Neuroscience
- Pharmacology
- Geriatrics
Background:
- Alzheimer's disease (AD) presents a significant and growing global health challenge.
- Understanding AD pathogenesis has driven the development of novel therapeutic strategies over the past 20 years.
Purpose of the Study:
- To review current and experimental therapeutic approaches for Alzheimer's disease.
- To evaluate treatments targeting key pathological pathways in AD.
Main Methods:
- Literature review of AD management strategies.
- Analysis of treatments addressing cholinergic deficiency, oxidative stress, amyloid cascade, inflammation, and excitotoxicity.
Main Results:
- Cholinesterase inhibitors are standard for early-to-intermediate AD; memantine is used for advanced stages.
- Antioxidants may offer modest benefits in delaying progression.
- Experimental therapies, including gene therapy and amyloid-beta targeting drugs, show preliminary promise but need more extensive research.
Conclusions:
- Established therapies provide symptomatic relief for Alzheimer's disease.
- Innovative treatments targeting underlying disease mechanisms are under active investigation and hold future therapeutic potential.
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