Fatima Rabab, Khan Yumna, Maqbool Mudasir, Ramalingam Prasanna Srinivasan, Khan Mohammad Gayoor, Bisht Ajay Singh, Hussain Md Sadique
Department of Chemistry, University of Petroleum & Energy Studies, Energy Acres, Dehradun, Uttarakhand, 248007, India.
Institute of Biotechnology and Genetic Engineering (Health Division), The University of Agriculture, Peshawar, Pakistan.
Curr Protein Pept Sci. 2025;26(7):515-545. doi: 10.2174/0113892037362037250205143911.
Alzheimer's disease (AD) is a progressive condition that causes the degeneration of nerve cells, leading to a decline in cognitive abilities and memory impairment, significantly affecting millions around the globe. The primary pathological feature of AD is the buildup of amyloid-β (Aβ) plaques in the brain, which has become a major target for therapeutic strategies. This thorough review examines the progress made in next-generation therapies that concentrate on monoclonal antibodies (mAbs) aimed at Aβ. We explore how these antibodies function, their effectiveness in clinical settings, and their safety profiles, specifically discussing notable mAbs, such as aducanumab, donanemab, lecanemab, etc. This review also addresses the difficulties related to Aβ- targeted treatments. Furthermore, it examines the advancing field of biomarker development and tailored medicine strategies designed to improve the accuracy of AD treatment. By integrating the latest findings from clinical trials and new research, this review offers an in-depth evaluation of the possibilities and challenges associated with mAbs in modifying the progression of AD. Future considerations regarding combination therapies and novel drug delivery methods are also examined, emphasizing the necessity for ongoing research to achieve significant advancements in managing AD. Through this review, we seek to provide clinicians, researchers, and policymakers with insights into the current landscape and future directions of Aβ-targeted therapies, promoting a deeper understanding of their role in addressing AD.
阿尔茨海默病(AD)是一种进行性疾病,会导致神经细胞退化,进而导致认知能力下降和记忆障碍,严重影响全球数百万人。AD的主要病理特征是大脑中β淀粉样蛋白(Aβ)斑块的积累,这已成为治疗策略的主要靶点。本全面综述考察了专注于针对Aβ的单克隆抗体(mAb)的新一代疗法所取得的进展。我们探讨这些抗体的作用机制、在临床环境中的有效性及其安全性概况,特别讨论了诸如阿杜卡单抗、多奈单抗、乐卡奈单抗等著名的mAb。本综述还探讨了与Aβ靶向治疗相关的困难。此外,它考察了生物标志物开发这一不断发展的领域以及旨在提高AD治疗准确性的精准医学策略。通过整合临床试验和新研究的最新发现,本综述对mAb在改变AD病程方面的可能性和挑战进行了深入评估。还探讨了联合疗法和新型药物递送方法的未来考量因素,强调持续研究对于在AD管理方面取得重大进展的必要性。通过本综述,我们旨在为临床医生、研究人员和政策制定者提供关于Aβ靶向疗法当前状况和未来方向的见解,促进对其在应对AD中作用的更深入理解。