Abstract

Alzheimer disease (AD) is a heterogeneous disease with a complex pathobiology. The presence of extracellular β-amyloid deposition as neuritic plaques and intracellular accumulation of hyperphosphorylated tau as neurofibrillary tangles remains the primary neuropathologic criteria for AD diagnosis. However, a number of recent fundamental discoveries highlight important pathological roles for other critical cellular and molecular processes. Despite this, no disease-modifying treatment currently exists, and numerous phase 3 clinical trials have failed to demonstrate benefits. Here, we review recent advances in our understanding of AD pathobiology and discuss current treatment strategies, highlighting recent clinical trials and opportunities for developing future disease-modifying therapies.

Keywords

DiseaseSenile plaquesClinical trialBiologyAlzheimer's diseaseNeurosciencePathologicalAmyloid (mycology)Biochemistry of Alzheimer's diseaseBioinformaticsPathologyAmyloid precursor proteinMedicine

MeSH Terms

Alzheimer DiseaseAlzheimer VaccinesAmyloid beta-PeptidesAnimalsApolipoproteins EClinical Trials as TopicHumansMicePlaqueAmyloidtau Proteins

Affiliated Institutions

Related Publications

Publication Info

Year
2019
Type
review
Volume
179
Issue
2
Pages
312-339
Citations
2865
Access
Closed

Social Impact

Social media, news, blog, policy document mentions

Citation Metrics

2865
OpenAlex
75
Influential
2525
CrossRef

Cite This

Justin M. Long, David M. Holtzman (2019). Alzheimer Disease: An Update on Pathobiology and Treatment Strategies. Cell , 179 (2) , 312-339. https://doi.org/10.1016/j.cell.2019.09.001

Identifiers

DOI
10.1016/j.cell.2019.09.001
PMID
31564456
PMCID
PMC6778042

Data Quality

Data completeness: 90%