Alzheimer's disease: the potential of epigenetic treatments and current clinical candidates

Neurodegener Dis Manag. 2020 Jun;10(3):543-558. doi: 10.2217/nmt-2019-0034. Epub 2020 Jun 17.

Abstract

Alzheimer's disease is a progressive and fatal neurodegenerative disease affecting 50 million people worldwide, characterized by memory loss and neuronal degeneration. Current treatments have limited efficacy and there is no cure. Alzheimer's is likely caused by a combination of factors, providing several potential therapeutic targets. One area of interest is the epigenetic regulation of gene expression within the brain. Epigenetic marks, including DNA methylation and histone modifications, show consistent changes with age and in those with Alzheimer's. Some epigenetic regulation has been linked to disease pathology and progression and are the focus of current research. Epigenetic regulators might make promising therapeutic targets yet challenges need to be overcome to generate an efficacious drug lacking deleterious side effects.

Keywords: Alzheimer's; acetylation; ageing; chromatin; dementia; epigenetics; histone; methylation; ncRNA.

MeSH terms

  • Alzheimer Disease / genetics*
  • Brain / pathology
  • DNA Methylation
  • Epigenesis, Genetic*
  • Humans