» Articles » PMID: 32677986

Molecular and Cellular Mechanisms Underlying the Pathogenesis of Alzheimer's Disease

Overview
Publisher Biomed Central
Date 2020 Jul 18
PMID 32677986
Citations 333
Authors
Affiliations
Soon will be listed here.
Abstract

Alzheimer's disease (AD) is the most common neurodegenerative disorder seen in age-dependent dementia. There is currently no effective treatment for AD, which may be attributed in part to lack of a clear underlying mechanism. Studies within the last few decades provide growing evidence for a central role of amyloid β (Aβ) and tau, as well as glial contributions to various molecular and cellular pathways in AD pathogenesis. Herein, we review recent progress with respect to Aβ- and tau-associated mechanisms, and discuss glial dysfunction in AD with emphasis on neuronal and glial receptors that mediate Aβ-induced toxicity. We also discuss other critical factors that may affect AD pathogenesis, including genetics, aging, variables related to environment, lifestyle habits, and describe the potential role of apolipoprotein E (APOE), viral and bacterial infection, sleep, and microbiota. Although we have gained much towards understanding various aspects underlying this devastating neurodegenerative disorder, greater commitment towards research in molecular mechanism, diagnostics and treatment will be needed in future AD research.

Citing Articles

An Update of Salivary Biomarkers for the Diagnosis of Alzheimer's Disease.

Guo H, Yang R, Cheng W, Li Q, Du M Int J Mol Sci. 2025; 26(5).

PMID: 40076682 PMC: 11900270. DOI: 10.3390/ijms26052059.


Dynamic lifetime risk prediction of Alzheimer's disease with longitudinal cognitive assessment measurements.

Ding H, Ye Z, Paschalidis A, Bennett D, Au R, Lin H Alzheimers Dement. 2025; 21(3):e70055.

PMID: 40042504 PMC: 11881628. DOI: 10.1002/alz.70055.


The neuroimmune nexus: unraveling the role of the mtDNA-cGAS-STING signal pathway in Alzheimer's disease.

Quan S, Fu X, Cai H, Ren Z, Xu Y, Jia L Mol Neurodegener. 2025; 20(1):25.

PMID: 40038765 PMC: 11877805. DOI: 10.1186/s13024-025-00815-2.


The effect of probiotics on select cognitive domains in mild cognitive impairment and Alzheimer's disease: A systematic review and meta-analysis.

Tripathi S, Kaushik M, Dwivedi R, Tiwari P, Tripathi M, Dada R J Alzheimers Dis Rep. 2025; 8(1):1422-1433.

PMID: 40034358 PMC: 11863739. DOI: 10.1177/25424823241289039.


Mitochondrial Dysfunction Correlates with Brain Amyloid Binding, Memory, and Executive Function in Down Syndrome: Implications for Alzheimer's Disease in Down Syndrome.

Beresford-Webb J, McAllister C, Sleigh A, Walpert M, Holland A, Zaman S Brain Sci. 2025; 15(2).

PMID: 40002463 PMC: 11853603. DOI: 10.3390/brainsci15020130.


References
1.
Shinohara M, Tachibana M, Kanekiyo T, Bu G . Role of LRP1 in the pathogenesis of Alzheimer's disease: evidence from clinical and preclinical studies. J Lipid Res. 2017; 58(7):1267-1281. PMC: 5496044. DOI: 10.1194/jlr.R075796. View

2.
Lovell M, Soman S, Bradley M . Oxidatively modified nucleic acids in preclinical Alzheimer's disease (PCAD) brain. Mech Ageing Dev. 2011; 132(8-9):443-8. PMC: 3188850. DOI: 10.1016/j.mad.2011.08.003. View

3.
Joshi A, Minhas P, Liddelow S, Haileselassie B, Andreasson K, Dorn 2nd G . Fragmented mitochondria released from microglia trigger A1 astrocytic response and propagate inflammatory neurodegeneration. Nat Neurosci. 2019; 22(10):1635-1648. PMC: 6764589. DOI: 10.1038/s41593-019-0486-0. View

4.
Drewes G, Mandelkow E, Baumann K, Goris J, MERLEVEDE W, Mandelkow E . Dephosphorylation of tau protein and Alzheimer paired helical filaments by calcineurin and phosphatase-2A. FEBS Lett. 1993; 336(3):425-32. DOI: 10.1016/0014-5793(93)80850-t. View

5.
Kaufman S, Sanders D, Thomas T, Ruchinskas A, Vaquer-Alicea J, Sharma A . Tau Prion Strains Dictate Patterns of Cell Pathology, Progression Rate, and Regional Vulnerability In Vivo. Neuron. 2016; 92(4):796-812. PMC: 5392364. DOI: 10.1016/j.neuron.2016.09.055. View