Current and future treatments for Alzheimer's disease.

Abstract:

:Alzheimer's dementia (AD) is increasingly being recognized as one of the most important medical and social problems in older people in industrialized and non-industrialized nations. To date, only symptomatic treatments exist for this disease, all trying to counterbalance the neurotransmitter disturbance. Three cholinesterase inhibitors (CIs) are currently available and have been approved for the treatment of mild to moderate AD. A further therapeutic option available for moderate to severe AD is memantine, an N-methyl-D-aspartate receptor noncompetitive antagonist. Treatments capable of stopping or at least effectively modifying the course of AD, referred to as 'disease-modifying' drugs, are still under extensive research. To block the progression of the disease they have to interfere with the pathogenic steps responsible for the clinical symptoms, including the deposition of extracellular amyloid β plaques and intracellular neurofibrillary tangle formation, inflammation, oxidative damage, iron deregulation and cholesterol metabolism. In this review we discuss current symptomatic treatments and new potential disease-modifying therapies for AD that are currently being studied in phase I-III trials.

journal_name

Ther Adv Neurol Disord

authors

Yiannopoulou KG,Papageorgiou SG

doi

10.1177/1756285612461679

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

19-33

issue

1

eissn

1756-2856

issn

1756-2864

pii

10.1177_1756285612461679

journal_volume

6

pub_type

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