Yashaeva Leyla, Montoya Melissa, Joshi Juee, Stephens Aliyah, McNulty Olivia, Kaur Gurjinder
Basic Biomedical Sciences, Touro College of Osteopathic Medicine, Middletown, USA.
Physiology, Touro College of Osteopathic Medicine, Middletown, USA.
Cureus. 2025 Aug 19;17(8):e90527. doi: 10.7759/cureus.90527. eCollection 2025 Aug.
Alzheimer's disease (AD) is a progressive neurodegenerative disease characterized by memory deficits and cognitive decline. It is currently the most common cause of dementia globally and carries a significant disease burden, given the rising aging population worldwide. Although AD is debilitating for the patient, the complex nature of the disease is also a source of tremendous mental distress for caregivers. Finding, understanding, and evaluating the best treatments can be challenging and overwhelming when coping with a life-changing diagnosis of AD. Although there is currently no definite cure for AD, all the discussed treatments aim to improve a patient's quality of life and attenuate the time spent in disability. This study compiles and discusses the risks, benefits, and efficacy of all currently available treatments for AD, including treatments that target the control of cognitive and non-cognitive symptoms. Additionally, the manuscript discusses investigational therapeutics, including small molecules and immunotherapies in phase 2 or 3 clinical trials, and assesses non-pharmacological interventions that may alleviate disease burden.
阿尔茨海默病(AD)是一种进行性神经退行性疾病,其特征为记忆缺陷和认知衰退。鉴于全球老龄化人口不断增加,它目前是全球痴呆症最常见的病因,并且带来了巨大的疾病负担。虽然AD会使患者衰弱,但该疾病的复杂性也给护理人员带来了极大的精神困扰。当面对AD这一改变生活的诊断时,寻找、理解和评估最佳治疗方法可能具有挑战性且让人应接不暇。虽然目前尚无针对AD的确切治愈方法,但所有讨论的治疗方法旨在改善患者的生活质量并减少残疾时间。本研究汇编并讨论了目前所有可用的AD治疗方法的风险、益处和疗效,包括针对控制认知和非认知症状的治疗方法。此外,本文还讨论了正在研究的治疗方法,包括处于2期或3期临床试验的小分子药物和免疫疗法,并评估了可能减轻疾病负担的非药物干预措施。