Target intelligence / Profile preview

Amyloid beta aggregated form (Aβ (for Amyloid beta))

Target
Aβ (for Amyloid beta)
Molecular classification
Other (misfolded protein aggregate), Amyloid protein aggregate
01

Overview

Amyloid beta aggregated forms refer to assemblies of the amyloid beta (Aβ) peptide, which are produced from amyloid precursor protein (APP) via sequential proteolytic cleavage. In their aggregated form, Aβ peptides exist as soluble oligomers, protofibrils, and insoluble fibrils, which in turn are the primary component of amyloid plaques found in the brains of individuals with Alzheimer’s disease[1][3][5][8]. The most studied isoforms are Aβ(1-40) and Aβ(1-42), with the latter being more prone to aggregate and exert neurotoxic effects[3][5][7]. Aβ aggregates disrupt cell membranes, interfere with synaptic function, and induce neuroinflammation, contributing critically to neurodegeneration and cognitive impairment in Alzheimer's disease[1][5][8]. Therapeutic strategies target these aggregated forms to prevent their formation, promote their clearance, or block their neurotoxic effects. Detection of aggregated Aβ in brain or CSF serves as a key biomarker for Alzheimer’s diagnosis and progression[8]. Early hopes that aggregated Aβ could be removed to reverse dementia have been tempered by the recognition of physiological roles of monomeric Aβ, as well as challenges related to safety, efficacy, and appropriate patient selection[2][4][6][8].

Other names
Amyloid beta aggregateAmyloid-beta oligomerAmyloid-beta fibrilAβ aggregateAβ oligomerAβ fibrilBeta-amyloid aggregateSenile plaque (in context of Alzheimer’s disease)
02

Mechanism of action

Antibody binding and clearance of aggregated amyloid beta by immune-mediated mechanisms (e.g., microglial phagocytosis); Inhibition of aggregation (small molecule or peptide inhibitors); Prevention of oligomer/fibril formation; Disruption or destabilization of amyloid plaques

03

Biological functions

Dysregulation of synaptic functionInduction of neurotoxicityFormation of senile plaquesDisruption of cellular membranesImpairment of neural stem cell functionTriggering inflammation (microglial activation)Sequestration of cellular receptors and lipids
04

Disease associations

Neurodegenerative diseaseAlzheimer’s diseaseCerebral amyloid angiopathy
05

Safety considerations

Amyloid-related imaging abnormalities (ARIA; edema or hemorrhage)Off-target immune activationNeuroinflammationLimited efficacy, especially in late-stage diseasePotential interference with physiological roles of monomeric Aβ
06

Interacting drugs

Aducanumab

6 more in the full profile.

07

Biomarkers

Amyloid PET imaging (e.g., florbetapir, flutemetamol, Pittsburgh Compound B)Cerebrospinal fluid (CSF) Aβ42, Aβ40, and Aβ42/Aβ40 ratioPlasma Aβ42, Aβ40

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