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Alzheimer Disease l: Introduction

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Alzheimer disease is a chronic, progressive, and irreversible neurodegenerative disorder and the most common cause of dementia in older adults. It leads to gradual neuronal loss, causing cognitive decline, behavioral changes, and loss of functional independence.Risk Factors and EtiologyThe disease is multifactorial. Age is the strongest risk factor, with prevalence doubling every 5 years after age 65. Genetic factors include mutations in genes such as APP, PSEN1, and PSEN2, which are associated...
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Alzheimer disease involves structural changes in the brain that begin long before symptoms appear. The most distinctive features are extracellular neuritic plaques and intracellular neurofibrillary tangles.Neuritic plaques form in the cerebral cortex and around blood vessels. These plaques contain a dense core of beta-amyloid (Aβ)—a toxic protein fragment that clumps outside neurons. The core is surrounded by damaged neuronal extensions, as well as reactive astrocytes and...
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Updated: Apr 23, 2026

Utility of Dissociated Intrinsic Hand Muscle Atrophy in the Diagnosis of Amyotrophic Lateral Sclerosis
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BDNF insufficiency exacerbates ALS progression.

Yihua Xu1, Ji He2, Shudan Wang1

  • 1School of Pharmaceutical Sciences and IDG/McGovern Institute for Brain Research, Tsinghua University, Beijing 100084, China.

Cell Reports. Medicine
|April 21, 2026
PubMed
Summary
This summary is machine-generated.

Brain-derived neurotrophic factor (BDNF) insufficiency worsens Amyotrophic Lateral Sclerosis (ALS). Activating the BDNF-TrkB pathway with an antibody shows promise for treating ALS, improving motor function and survival.

Keywords:
ALS, BDNF, V66M, FUS, TrkB antibody, B90-1

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Area of Science:

  • Neuroscience
  • Genetics
  • Pharmacology

Background:

  • Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease characterized by motor neuron loss.
  • The role of neurotrophic factors, like brain-derived neurotrophic factor (BDNF), in ALS pathogenesis is suspected but lacks direct evidence.

Purpose of the Study:

  • To investigate the impact of BDNF insufficiency on ALS progression.
  • To evaluate the therapeutic potential of activating the BDNF-TrkB pathway in ALS models.

Main Methods:

  • Analysis of BDNF val/met mutation in ALS patient cohorts.
  • Utilizing a FUSR521C knockin mouse model to study BDNF haploinsufficiency.
  • Administering an agonistic antibody targeting the BDNF receptor TrkB in ALS mouse models.

Main Results:

  • A BDNF val/met mutation correlated with reduced survival time in ALS patients.
  • BDNF haploinsufficiency in mice led to shortened lifespan, accelerated motor deficits, and increased motor neuron death.
  • TrkB activation by antibody treatment rescued ALS phenotypes and demonstrated superior efficacy over riluzole in mouse models.

Conclusions:

  • Insufficient BDNF is a significant factor in ALS progression.
  • Targeting the BDNF-TrkB pathway offers a promising therapeutic strategy for ALS treatment.