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Multiple Alzheimer's disease-related targets

Molecular classification
Enzyme, Receptor, Ion channel, Transcription factor, Other
01

Overview

Multiple Alzheimer's disease-related targets refers to a collective group of molecular entities and pathways that contribute to the complex, multifaceted pathology of Alzheimer's disease (AD). This group includes enzymes such as acetylcholinesterase (AChE), butyrylcholinesterase (BChE), and beta-secretase 1 (BACE1), as well as structural proteins like amyloid-beta (Aβ) and tau, and various receptors including NMDA and nicotinic acetylcholine receptors. The therapeutic strategy involving these targets often focuses on 'multi-target directed ligands' (MTDLs) or combination therapies designed to address the diverse hallmarks of AD, such as cholinergic deficiency, amyloid plaque accumulation, neurofibrillary tangles, and chronic neuroinflammation. By simultaneously modulating several of these targets, researchers aim to achieve superior disease-modifying effects compared to traditional single-target approaches. Current treatments like cholinesterase inhibitors and NMDA antagonists provide symptomatic relief, while newer monoclonal antibodies target Aβ clearance to slow cognitive decline.

Other names
AD multi-targetsMulti-target directed ligands (MTDL) targetsAlzheimer's disease polypharmacology targetsAD-related protein targets
02

Mechanism of action

Inhibition of acetylcholinesterase (AChE) and butyrylcholinesterase (BChE), NMDA receptor antagonism, inhibition of beta-secretase 1 (BACE1), clearance of amyloid-beta (Aβ) plaques, inhibition of tau protein aggregation, and modulation of neuroinflammatory pathways (e.g., TNF-alpha inhibition).

03

Biological functions

Signal transductionProteolysisNeurotransmissionInflammationApoptosisOxidative stress regulation
04

Disease associations

Neurodegenerative diseaseAlzheimer's disease
05

Safety considerations

Amyloid-Related Imaging Abnormalities (ARIA-E/H)Gastrointestinal distress (nausea, diarrhea)HepatotoxicityBradycardiaOff-target effects from multi-target directed ligands
06

Interacting drugs

Donepezil

8 more in the full profile.

07

Biomarkers

Amyloid-beta 42/40 ratioPhosphorylated tau (p-tau181, p-tau217)Neurofilament light chain (NfL)Total tau (t-tau)Mini-Mental State Examination (MMSE) score

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