Advances in Drug Therapy for Alzheimer's Disease

Curr Med Sci. 2020 Dec;40(6):999-1008. doi: 10.1007/s11596-020-2281-2. Epub 2021 Jan 11.

Abstract

Alzheimer's disease (AD) is a chronic neurodegenerative disease that mainly causes dementia. It is a serious threat to the health of the global elderly population. Considerable money and effort has been invested in the development of drug therapy for AD worldwide. Many drug therapies are currently under development or in clinical trials, based on two known mechanisms of AD, namely, Aβ toxicity and the abnormal Tau hyperphosphorylation. Numerous drugs are also being developed for other AD associated mechanisms such as neuroinflammation, neurotransmitter imbalance, oxidative damage and mitochondrial dysfunction, neuron loss and degeneration. Even so, the number of drugs that can successfully improve symptoms or delay the progression of the disease remains very limited. However, multi-drug combinations may provide a new avenue for drug therapy for AD. In addition, early diagnosis of AD and timely initiation of treatment may allow drugs that act on the early pathological processes of AD to help improve the symptoms and prevent the progression of the condition.

Keywords: Alzheimer’s disease; Aβ; drug therapy; tau.

Publication types

  • Review

MeSH terms

  • Alzheimer Disease / drug therapy*
  • Alzheimer Disease / metabolism
  • Amyloid beta-Protein Precursor / antagonists & inhibitors
  • Amyloid beta-Protein Precursor / metabolism*
  • Clinical Trials as Topic
  • Disease Progression
  • Humans
  • Molecular Targeted Therapy
  • Phosphorylation / drug effects
  • Signal Transduction / drug effects
  • tau Proteins / antagonists & inhibitors
  • tau Proteins / metabolism*

Substances

  • APP protein, human
  • Amyloid beta-Protein Precursor
  • MAPT protein, human
  • tau Proteins