Can brain network connectivity facilitate the clinical development of disease-modifying anti-Alzheimer drugs?
Details
Serval ID
serval:BIB_E1161181D8C3
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Can brain network connectivity facilitate the clinical development of disease-modifying anti-Alzheimer drugs?
Journal
Brain communications
ISSN
2632-1297 (Electronic)
ISSN-L
2632-1297
Publication state
Published
Issued date
2025
Peer-reviewed
Oui
Volume
7
Number
1
Pages
fcae460
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Publication Status: epublish
Abstract
The preclinical phase of Alzheimer's disease represents a crucial time window for therapeutic intervention but requires the identification of clinically relevant biomarkers that are sensitive to the effects of disease-modifying drugs. Amyloid peptide and tau proteins, the main histological hallmarks of Alzheimer's disease, have been widely used as biomarkers of anti-amyloid and anti-tau drugs. However, these biomarkers do not fully capture the multiple biological pathways of the brain. Indeed, robust amyloid-target engagement by anti-amyloid monoclonal antibodies has recently translated into modest cognitive and clinical benefits in Alzheimer's disease patients, albeit with potentially life-threatening side effects. Moreover, targeting the tau pathway has yet to result in any positive clinical outcomes. Findings from computational neuroscience have demonstrated that brain regions do not work in isolation but are interconnected within complex network structures. Brain connectivity studies suggest that misfolded proteins can spread through these connections, leading to the hypothesis that Alzheimer's disease is a pathology of network disconnectivity. Based on these assumptions, here we discuss how incorporating brain connectivity outcomes could better capture global brain functionality and, in conjunction with traditional Alzheimer's disease biomarkers, could facilitate the clinical development of new disease-modifying anti-Alzheimer's disease drugs.
Keywords
anti-amyloid, anti-tau, disease-modifying drugs, functional MRI, neurodegeneration
Pubmed
Web of science
Open Access
Yes
Create date
08/01/2025 12:52
Last modification date
25/02/2025 7:20