Alzheimer's disease and related dementias: From risk factors to disease pathogenesis

A. Porsteinsson,S. Rangaraju,Tara L. Spires‐Jones,M. O’Banion

Published 2022 in European Journal of Neuroscience

ABSTRACT

It is an exciting time to be a dementia researcher. Although the accelerated approval of aducanumab by the Food and Drug Administration in the United States was controversial in the scientific community (Rabinovici, 2021), there has been more optimism around the September 2022 announcement from Eisai and Biogen that their amyloid beta-lowering antibody lecanemab slows cognitive decline in a Phase 3 clinical trial. Although we will have to wait to see the data for confirmation, scientists have greeted this announcement with cautious excitement as the companies report slowing of cognitive and functional decline by almost 30%. Despite these potentially large successes giving hope for disease-modifying treatments for Alzheimer’s disease (AD), we still have a long way to go. Amyloid-directed therapeutics will be most effective at very early disease stages, before symptom onset, making the need for biomarkers of early disease even more pressing. Thus, a deeper understanding of disease mechanisms beyond amyloid, as well as how risk factors change the brain to cause disease, is needed to develop effective diseasemodifying therapeutics or preventative strategies. In this special issue of the European Journal of Neuroscience, we present a collection of original research papers and reviews addressing these knowledge gaps. These range from fundamental studies of disease mechanisms in animal and cell model systems to studies on human cognition and biomarkers associated with age and disease.

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