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Published on: December 26, 2016
Therapeutic Targets in Innate Immunity to Tackle Alzheimer's Disease
Maria L Serradas1, Yingying Ding1, Paula V Martorell2,3
1Institute of Physiology II, University Hospital Bonn, 53115 Bonn, Germany.
Abstract:
There is an urgent need for effective disease-modifying therapeutic interventions for Alzheimer's disease (AD)-the most prevalent cause of dementia with a profound socioeconomic burden. Most clinical trials targeting the classical hallmarks of this disease-β-amyloid plaques and neurofibrillary tangles-failed, showed discrete clinical effects, or were accompanied by concerning side effects. There has been an ongoing search for novel therapeutic targets. Neuroinflammation, now widely recognized as a hallmark of all neurodegenerative diseases, has been proven to be a major contributor to AD pathology. Here, we summarize the role of neuroinflammation in the pathogenesis and progression of AD and discuss potential targets such as microglia, TREM2, the complement system, inflammasomes, and cytosolic DNA sensors. We also present an overview of ongoing studies targeting specific innate immune system components, highlighting the progress in this field of drug research while bringing attention to the delicate nature of innate immune modulations in AD.
Insights
Alzheimer's disease treatments targeting amyloid plaques have largely failed. New research highlights neuroinflammation and innate immune system targets as promising avenues for effective Alzheimer's disease therapies.
Area of Science:
- Neuroscience
- Immunology
- Pharmacology
Background:
- Alzheimer's disease (AD) is the leading cause of dementia, posing significant socioeconomic challenges.
- Traditional therapeutic strategies targeting beta-amyloid plaques and neurofibrillary tangles in AD have yielded limited success.
- Neuroinflammation is increasingly recognized as a critical factor in the pathogenesis and progression of neurodegenerative diseases, including AD.
Purpose of the Study:
- To review the role of neuroinflammation in Alzheimer's disease.
- To identify novel therapeutic targets within the innate immune system for AD.
- To discuss current drug research and challenges in modulating innate immunity for AD.
Main Methods:
- Literature review and synthesis of existing research on neuroinflammation in AD.
- Identification and discussion of key innate immune components implicated in AD pathology (microglia, TREM2, complement system, inflammasomes, cytosolic DNA sensors).
- Overview of ongoing therapeutic studies targeting these innate immune pathways.
Main Results:
- Neuroinflammation is a significant contributor to Alzheimer's disease pathology.
- Specific innate immune components like microglia, TREM2, complement system, inflammasomes, and cytosolic DNA sensors represent potential therapeutic targets.
- Several studies are actively investigating drugs targeting these innate immune pathways.
Conclusions:
- Targeting neuroinflammation offers a promising alternative therapeutic strategy for Alzheimer's disease.
- Modulating the innate immune system in AD requires careful consideration due to its complex and delicate nature.
- Further research into innate immune modulation holds potential for developing effective disease-modifying therapies for Alzheimer's disease.
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