Alzheimer’s disease: pathogenesis, diagnostics, and therapeutics

Sneham Tiwari, Venkata Atluri, Ajeet Kaushik, Adriana Yndart, Madhavan NairDepartment of Immunology and Nano-Medicine, Institute of NeuroImmune Pharmacology, Herbert Wertheim College of Medicine, Florida International University, Miami, FL 33199, USAAbstract: Currently, 47 million people live with d...

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Autores principales: Tiwari S, Atluri V, Kaushik A, Yndart A, Nair M
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Publicado: Dove Medical Press 2019
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spelling oai:doaj.org-article:1b72cb3da3be4fc29617398ad923244b2021-12-02T09:24:58ZAlzheimer’s disease: pathogenesis, diagnostics, and therapeutics1178-2013https://doaj.org/article/1b72cb3da3be4fc29617398ad923244b2019-07-01T00:00:00Zhttps://www.dovepress.com/alzheimerrsquos-disease-pathogenesis-diagnostics-and-therapeutics-peer-reviewed-article-IJNhttps://doaj.org/toc/1178-2013Sneham Tiwari, Venkata Atluri, Ajeet Kaushik, Adriana Yndart, Madhavan NairDepartment of Immunology and Nano-Medicine, Institute of NeuroImmune Pharmacology, Herbert Wertheim College of Medicine, Florida International University, Miami, FL 33199, USAAbstract: Currently, 47 million people live with dementia globally, and it is estimated to increase more than threefold (∼131 million) by 2050. Alzheimer’s disease (AD) is one of the major causative factors to induce progressive dementia. AD is a neurodegenerative disease, and its pathogenesis has been attributed to extracellular aggregates of amyloid β (Aβ) plaques and intracellular neurofibrillary tangles made of hyperphosphorylated τ-protein in cortical and limbic areas of the human brain. It is characterized by memory loss and progressive neurocognitive dysfunction. The anomalous processing of APP by β-secretases and γ-secretases leads to production of Aβ40 and Aβ42 monomers, which further oligomerize and aggregate into senile plaques. The disease also intensifies through infectious agents like HIV. Additionally, during disease pathogenesis, the presence of high concentrations of Aβ peptides in central nervous system initiates microglial infiltration. Upon coming into vicinity of Aβ, microglia get activated, endocytose Aβ, and contribute toward their clearance via TREM2 surface receptors, simultaneously triggering innate immunoresponse against the aggregation. In addition to a detailed report on causative factors leading to AD, the present review also discusses the current state of the art in AD therapeutics and diagnostics, including labeling and imaging techniques employed as contrast agents for better visualization and sensing of the plaques. The review also points to an urgent need for nanotechnology as an efficient therapeutic strategy to increase the bioavailability of drugs in the central nervous system.Keywords: amyloid beta, amyloidogenesis, amyloid precursor proteins, β-secretases, γ-secretases, tau phosphorylationTiwari SAtluri VKaushik AYndart ANair MDove Medical PressarticleAmyloid Beta Amyloidogenesis Amyloid precursor proteins β-secretase gamma-secretase Tau phosphorylationMedicine (General)R5-920ENInternational Journal of Nanomedicine, Vol Volume 14, Pp 5541-5554 (2019)
institution DOAJ
collection DOAJ
language EN
topic Amyloid Beta Amyloidogenesis Amyloid precursor proteins β-secretase gamma-secretase Tau phosphorylation
Medicine (General)
R5-920
spellingShingle Amyloid Beta Amyloidogenesis Amyloid precursor proteins β-secretase gamma-secretase Tau phosphorylation
Medicine (General)
R5-920
Tiwari S
Atluri V
Kaushik A
Yndart A
Nair M
Alzheimer’s disease: pathogenesis, diagnostics, and therapeutics
description Sneham Tiwari, Venkata Atluri, Ajeet Kaushik, Adriana Yndart, Madhavan NairDepartment of Immunology and Nano-Medicine, Institute of NeuroImmune Pharmacology, Herbert Wertheim College of Medicine, Florida International University, Miami, FL 33199, USAAbstract: Currently, 47 million people live with dementia globally, and it is estimated to increase more than threefold (∼131 million) by 2050. Alzheimer’s disease (AD) is one of the major causative factors to induce progressive dementia. AD is a neurodegenerative disease, and its pathogenesis has been attributed to extracellular aggregates of amyloid β (Aβ) plaques and intracellular neurofibrillary tangles made of hyperphosphorylated τ-protein in cortical and limbic areas of the human brain. It is characterized by memory loss and progressive neurocognitive dysfunction. The anomalous processing of APP by β-secretases and γ-secretases leads to production of Aβ40 and Aβ42 monomers, which further oligomerize and aggregate into senile plaques. The disease also intensifies through infectious agents like HIV. Additionally, during disease pathogenesis, the presence of high concentrations of Aβ peptides in central nervous system initiates microglial infiltration. Upon coming into vicinity of Aβ, microglia get activated, endocytose Aβ, and contribute toward their clearance via TREM2 surface receptors, simultaneously triggering innate immunoresponse against the aggregation. In addition to a detailed report on causative factors leading to AD, the present review also discusses the current state of the art in AD therapeutics and diagnostics, including labeling and imaging techniques employed as contrast agents for better visualization and sensing of the plaques. The review also points to an urgent need for nanotechnology as an efficient therapeutic strategy to increase the bioavailability of drugs in the central nervous system.Keywords: amyloid beta, amyloidogenesis, amyloid precursor proteins, β-secretases, γ-secretases, tau phosphorylation
format article
author Tiwari S
Atluri V
Kaushik A
Yndart A
Nair M
author_facet Tiwari S
Atluri V
Kaushik A
Yndart A
Nair M
author_sort Tiwari S
title Alzheimer’s disease: pathogenesis, diagnostics, and therapeutics
title_short Alzheimer’s disease: pathogenesis, diagnostics, and therapeutics
title_full Alzheimer’s disease: pathogenesis, diagnostics, and therapeutics
title_fullStr Alzheimer’s disease: pathogenesis, diagnostics, and therapeutics
title_full_unstemmed Alzheimer’s disease: pathogenesis, diagnostics, and therapeutics
title_sort alzheimer’s disease: pathogenesis, diagnostics, and therapeutics
publisher Dove Medical Press
publishDate 2019
url https://doaj.org/article/1b72cb3da3be4fc29617398ad923244b
work_keys_str_mv AT tiwaris alzheimerrsquosdiseasepathogenesisdiagnosticsandtherapeutics
AT atluriv alzheimerrsquosdiseasepathogenesisdiagnosticsandtherapeutics
AT kaushika alzheimerrsquosdiseasepathogenesisdiagnosticsandtherapeutics
AT yndarta alzheimerrsquosdiseasepathogenesisdiagnosticsandtherapeutics
AT nairm alzheimerrsquosdiseasepathogenesisdiagnosticsandtherapeutics
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