Department of Inorganic Chemistry, Medical University of Lublin, 20-059 Lublin, Poland.
Independent Laboratory of Behavioral Studies, Medical University of Lublin, Jaczewskiego 4, 20-090 Lublin, Poland.
Int J Mol Sci. 2023 Feb 22;24(5):4367. doi: 10.3390/ijms24054367.
In June 2021, the world was informed about a new drug for Alzheimer's disease approved by the FDA. Aducanumab (BIIB037, ADU), being a monoclonal antibody IgG1, is the newest AD treatment. The activity of the drug is targeted towards amyloid β, which is considered one of the main causes of Alzheimer's disease. Clinical trials have revealed time- and dose-dependent activity towards Aβ reduction, as well as cognition improvement. Biogen, the company responsible for conducting research and introducing the drug to the market, presents the drug as a solution to cognitive impairment, but its limitations, costs, and side effects are controversial. The framework of the paper focuses on the mechanism of aducanumab's action along with the positive and negative sides of the therapy. The review presents the basis of the amyloid hypothesis that is the cornerstone of therapy, as well as the latest information about aducanumab, its mechanism of action, and the possibility of the use of the drug.
2021 年 6 月,世界得知了一种由 FDA 批准用于治疗阿尔茨海默病的新药。阿杜卡努单抗(BIIB037,ADU)是一种 IgG1 单克隆抗体,是最新的 AD 治疗方法。该药物的作用针对的是淀粉样蛋白β,这被认为是阿尔茨海默病的主要原因之一。临床试验表明,该药物具有时间和剂量依赖性的 Aβ 减少活性,以及认知改善作用。负责研究和将药物推向市场的百健公司将该药物宣传为治疗认知障碍的方法,但它的局限性、成本和副作用存在争议。本文的框架重点关注了阿杜卡努单抗的作用机制以及该疗法的正反两面。该综述介绍了淀粉样蛋白假说作为治疗基石的基础,以及阿杜卡努单抗的最新信息,包括其作用机制以及使用该药物的可能性。