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Alzheimer's Disease: Overview01:26

Alzheimer's Disease: Overview

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Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
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Alzheimer's Disease: Treatment01:22

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Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
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Interactions Between Signaling Pathways01:19

Interactions Between Signaling Pathways

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Signaling cascades usually lack linearity. Multiple pathways interact and regulate one another, allowing cells to integrate and respond to diverse environmental stimuli.
Convergence and divergence, and cross-talk between signaling pathways
Two distinct signaling pathways can converge on a single functional unit, which may either be a single protein or a complex of proteins. The response is either functionally distinct or synergistic between the two pathways but different from the response...
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Parkinson's Disease: Overview01:15

Parkinson's Disease: Overview

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Neurodegenerative disorders are progressive diseases that cause irreversible damage and loss to neurons in specific brain areas. Examples of these disorders include Parkinson's disease, Alzheimer's disease, Multiple Sclerosis (MS), and Amyotrophic Lateral Sclerosis (ALS). These disorders share characteristics such as proteinopathies, selective neuronal vulnerability, and a complex interplay between genetic and environmental factors. The primary therapeutic goal for these conditions is...
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Amyloid Fibrils03:03

Amyloid Fibrils

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Amyloid fibrils are aggregates of misfolded proteins.  Under most circumstances, misfolded proteins are either refolded by chaperone proteins or degraded by the proteasome. However, in the case of a mutation or a disease, these proteins can accumulate to form large clusters and often further assemble to form elongated fibers, called fibrils. 
Amyloid deposits were observed as early as 1639 in the liver and the spleen.   In 1854, Rudolph Virchow performed iodine staining,...
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Related Experiment Video

Updated: Mar 18, 2026

Author Spotlight: Advancing Alzheimer's Research – Exploring Early Detection and Multi-Omics Approaches
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Author Spotlight: Advancing Alzheimer's Research – Exploring Early Detection and Multi-Omics Approaches

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Linking multiple pathogenic pathways in Alzheimer's disease.

Rami Bou Khalil1, Elie Khoury1, Salam Koussa1

  • 1Rami Bou Khalil, Elie Khoury, Department of Psychiatry, Hotel Dieu de France Hospital, Saint Joseph University, PO Box 166830, Beirut, Lebanon.

World Journal of Psychiatry
|June 30, 2016
PubMed
Summary
This summary is machine-generated.

Alzheimer's disease pathogenesis may stem from a common pathway involving vascular risk factors, hypoxia, and neuroinflammation. Combining iron chelators like deferoxamine with thrombin inhibitors could offer a novel therapeutic strategy.

Keywords:
Alzheimer’s diseaseEtiologiesIronOxidative stressThrombinVascular risk factors

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Area of Science:

  • Neuroscience
  • Pathophysiology
  • Pharmacology

Background:

  • Alzheimer's disease (AD) is a progressive neurodegenerative disorder with no current disease-modifying treatments.
  • Existing research explores multiple etiologic pathways, including iron dysregulation and coagulation system activation.

Purpose of the Study:

  • To propose a common pathophysiological pathway for AD pathogenesis.
  • To demonstrate how various mechanisms converge on neuroinflammatory events.
  • To suggest novel therapeutic strategies for AD.

Main Methods:

  • Minireview of existing literature on AD pathogenesis.
  • Analysis of the convergence of vascular risk factors, hypoxia, endothelial activation, thrombin activation, and iron decompartmentalization.
  • Synthesis of proposed common pathway leading to neuroinflammation and neurodegeneration.

Main Results:

  • Vascular risk factors initiate a cascade involving brain hypoxia and endothelial cell activation.
  • Hypoxia stimulates reactive oxygen species and pro-inflammatory protein production.
  • Dysfunctional endothelial activation leads to thrombin activation and iron decompartmentalization, causing oxidative stress and cell death.

Conclusions:

  • A unifying pathway involving neuroinflammation links vascular factors, hypoxia, and iron/thrombin dysregulation in AD.
  • Combination therapies, such as intranasal deferoxamine and direct thrombin inhibitors, show promise for future AD treatment.