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Science 19 July 2002:
Vol. 297. no. 5580, pp. 353 - 356
DOI: 10.1126/science.1072994

Review

The Amyloid Hypothesis of Alzheimer's Disease: Progress and Problems on the Road to Therapeutics

John Hardy,1 Dennis J. Selkoe2*

It has been more than 10 years since it was first proposed that the neurodegeneration in Alzheimer's disease (AD) may be caused by deposition of amyloid beta -peptide (Abeta ) in plaques in brain tissue. According to the amyloid hypothesis, accumulation of Abeta in the brain is the primary influence driving AD pathogenesis. The rest of the disease process, including formation of neurofibrillary tangles containing tau protein, is proposed to result from an imbalance between Abeta production and Abeta clearance.

1 Laboratories of Neurogenetics, National Institute on Aging, Bethesda, MD 20892, USA.
2 Center for Neurologic Diseases, Harvard Medical School, Brigham and Women's Hospital, Boston, MA 02115, USA.
*   To whom correspondence should be addressed. E-mail: selkoe{at}cnd.bwh.harvard.edu


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Toll-Like Receptor 2 Acts as a Natural Innate Immune Receptor to Clear Amyloid {beta}1-42 and Delay the Cognitive Decline in a Mouse Model of Alzheimer's Disease.
K. L. Richard, M. Filali, P. Prefontaine, and S. Rivest (2008)
J. Neurosci. 28, 5784-5793
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Potential Role of the Ubiquitin-Proteasome System in Atherosclerosis: Aspects of a Protein Quality Disease.
J. Herrmann, S. M. Soares, L. O. Lerman, and A. Lerman (2008)
J. Am. Coll. Cardiol. 51, 2003-2010
   Abstract »    Full Text »    PDF »
Retromer deficiency observed in Alzheimer's disease causes hippocampal dysfunction, neurodegeneration, and A{beta} accumulation.
A. Muhammad, I. Flores, H. Zhang, R. Yu, A. Staniszewski, E. Planel, M. Herman, L. Ho, R. Kreber, L. S. Honig, et al. (2008)
PNAS 105, 7327-7332
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Human Apolipoprotein E Redistributes Fibrillar Amyloid Deposition in Tg-SwDI Mice.
F. Xu, M. P. Vitek, C. A. Colton, M. L. Previti, N. Gharkholonarehe, J. Davis, and W. E. Van Nostrand (2008)
J. Neurosci. 28, 5312-5320
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Platinum-based inhibitors of amyloid-{beta} as therapeutic agents for Alzheimer's disease.
K. J. Barnham, V. B. Kenche, G. D. Ciccotosto, D. P. Smith, D. J. Tew, X. Liu, K. Perez, G. A. Cranston, T. J. Johanssen, I. Volitakis, et al. (2008)
PNAS 105, 6813-6818
   Abstract »    Full Text »    PDF »
Islet Amyloid in Type 2 Diabetes, and the Toxic Oligomer Hypothesis.
L. Haataja, T. Gurlo, C. J. Huang, and P. C. Butler (2008)
Endocr. Rev. 29, 303-316
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Role of Insulin Metabolism Disturbances in the Development of Alzheimer Disease: Mini Review.
B. Sabayan, F. Foroughinia, A. Mowla, and A. Borhanihaghighi (2008)
American Journal of Alzheimer's Disease and Other Dementias 23, 192-199
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Activation of the Amyloid Cascade in Apolipoprotein E4 Transgenic Mice Induces Lysosomal Activation and Neurodegeneration Resulting in Marked Cognitive Deficits.
H. Belinson, D. Lev, E. Masliah, and D. M. Michaelson (2008)
J. Neurosci. 28, 4690-4701
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Dynamics of the Microglial/Amyloid Interaction Indicate a Role in Plaque Maintenance.
T. Bolmont, F. Haiss, D. Eicke, R. Radde, C. A. Mathis, W. E. Klunk, S. Kohsaka, M. Jucker, and M. E. Calhoun (2008)
J. Neurosci. 28, 4283-4292
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{beta}-Amyloid1-42 Induces Neuronal Death through the p75 Neurotrophin Receptor.
A. Sotthibundhu, A. M. Sykes, B. Fox, C. K. Underwood, W. Thangnipon, and E. J. Coulson (2008)
J. Neurosci. 28, 3941-3946
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Stabilization of a {beta}-hairpin in monomeric Alzheimer's amyloid-{beta} peptide inhibits amyloid formation.
W. Hoyer, C. Gronwall, A. Jonsson, S. Stahl, and T. Hard (2008)
PNAS 105, 5099-5104
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Characterization of Cullin-box Sequences That Direct Recruitment of Cul2-Rbx1 and Cul5-Rbx2 Modules to Elongin BC-based Ubiquitin Ligases.
N. Mahrour, W. B. Redwine, L. Florens, S. K. Swanson, S. Martin-Brown, W. D. Bradford, K. Staehling-Hampton, M. P. Washburn, R. C. Conaway, and J. W. Conaway (2008)
J. Biol. Chem. 283, 8005-8013
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Lack of Pathology in a Triple Transgenic Mouse Model of Alzheimer's Disease after Overexpression of the Anti-Apoptotic Protein Bcl-2.
T. T. Rohn, V. Vyas, T. Hernandez-Estrada, K. E. Nichol, L.-A. Christie, and E. Head (2008)
J. Neurosci. 28, 3051-3059
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