The AβA2V paradigm: From molecular insights to therapeutic strategies in Alzheimer’s disease and primary tauopathies

Alzheimer’s disease, the leading cause of dementia globally, represents an unresolved clinical challenge due to its complex pathogenesis and the absence of effective treatments. Considering the multifactorial etiology of the disease, mainly characterized by the accumulation of amyloid β plaques and...

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Main Authors: Luisa Diomede, Andrea Conz, Michele Mosconi, Tatiana Stoilova, Matteo Paloni, Matteo Salvalaglio, Alfredo Cagnotto, Laura Colombo, Marcella Catania, Giuseppe Di Fede, Fabrizio Tagliavini, Mario Salmona
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Pharmacological Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S1043661824005085
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author Luisa Diomede
Andrea Conz
Michele Mosconi
Tatiana Stoilova
Matteo Paloni
Matteo Salvalaglio
Alfredo Cagnotto
Laura Colombo
Marcella Catania
Giuseppe Di Fede
Fabrizio Tagliavini
Mario Salmona
author_facet Luisa Diomede
Andrea Conz
Michele Mosconi
Tatiana Stoilova
Matteo Paloni
Matteo Salvalaglio
Alfredo Cagnotto
Laura Colombo
Marcella Catania
Giuseppe Di Fede
Fabrizio Tagliavini
Mario Salmona
author_sort Luisa Diomede
collection DOAJ
description Alzheimer’s disease, the leading cause of dementia globally, represents an unresolved clinical challenge due to its complex pathogenesis and the absence of effective treatments. Considering the multifactorial etiology of the disease, mainly characterized by the accumulation of amyloid β plaques and neurofibrillary tangles of tau protein, we discuss the A673V mutation in the gene coding for the amyloid precursor protein, which is associated with the familial form of Alzheimer’s disease in a homozygous state. The mutation offers new insights into the molecular mechanisms of the disease, particularly regarding the contrasting roles of the A2V and A2T mutations in amyloid β peptide aggregation and toxicity. This review aims to describe relevant studies on A2V-mutated variants of the amyloid β peptide, revealing a protective effect against amyloid-β and tau pathology. Notably, special attention is given to the development of the peptide Aβ1–6A2V(D), which shows significant neuroprotective activity through inhibition of the assembly of amyloid β into amyloid fibrils. The therapeutic potential of this peptide emerges from its ability to reduce amyloid β-induced toxicity, with promising results from studies in human neuroblastoma cells and transgenic animal models.
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spelling doaj-art-91278a28665040dcb53b0c5f6fe18c232025-01-09T06:13:06ZengElsevierPharmacological Research1096-11862025-01-01211107563The AβA2V paradigm: From molecular insights to therapeutic strategies in Alzheimer’s disease and primary tauopathiesLuisa Diomede0Andrea Conz1Michele Mosconi2Tatiana Stoilova3Matteo Paloni4Matteo Salvalaglio5Alfredo Cagnotto6Laura Colombo7Marcella Catania8Giuseppe Di Fede9Fabrizio Tagliavini10Mario Salmona11Department of Molecular Biochemistry and Pharmacology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, Milan 20156, Italy; Corresponding authors.Department of Molecular Biochemistry and Pharmacology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, Milan 20156, ItalyDepartment of Molecular Biochemistry and Pharmacology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, Milan 20156, ItalyDepartment of Molecular Biochemistry and Pharmacology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, Milan 20156, ItalyThomas Young Centre and Department of Chemical Engineering, University College London, London WC1E 7JE, UKThomas Young Centre and Department of Chemical Engineering, University College London, London WC1E 7JE, UKDepartment of Molecular Biochemistry and Pharmacology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, Milan 20156, ItalyDepartment of Molecular Biochemistry and Pharmacology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, Milan 20156, ItalyUnit of Neurology 5 and Neuropathology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan 20133, ItalyUnit of Neurology 5 and Neuropathology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan 20133, ItalyUnit of Neurology 5 and Neuropathology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan 20133, ItalyDepartment of Molecular Biochemistry and Pharmacology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, Milan 20156, Italy; Corresponding authors.Alzheimer’s disease, the leading cause of dementia globally, represents an unresolved clinical challenge due to its complex pathogenesis and the absence of effective treatments. Considering the multifactorial etiology of the disease, mainly characterized by the accumulation of amyloid β plaques and neurofibrillary tangles of tau protein, we discuss the A673V mutation in the gene coding for the amyloid precursor protein, which is associated with the familial form of Alzheimer’s disease in a homozygous state. The mutation offers new insights into the molecular mechanisms of the disease, particularly regarding the contrasting roles of the A2V and A2T mutations in amyloid β peptide aggregation and toxicity. This review aims to describe relevant studies on A2V-mutated variants of the amyloid β peptide, revealing a protective effect against amyloid-β and tau pathology. Notably, special attention is given to the development of the peptide Aβ1–6A2V(D), which shows significant neuroprotective activity through inhibition of the assembly of amyloid β into amyloid fibrils. The therapeutic potential of this peptide emerges from its ability to reduce amyloid β-induced toxicity, with promising results from studies in human neuroblastoma cells and transgenic animal models.http://www.sciencedirect.com/science/article/pii/S1043661824005085Alzheimer's diseaseAmyloid-β plaquesTau proteinA673V mutationFamilial ADAβ1–6A2V(D) peptide
spellingShingle Luisa Diomede
Andrea Conz
Michele Mosconi
Tatiana Stoilova
Matteo Paloni
Matteo Salvalaglio
Alfredo Cagnotto
Laura Colombo
Marcella Catania
Giuseppe Di Fede
Fabrizio Tagliavini
Mario Salmona
The AβA2V paradigm: From molecular insights to therapeutic strategies in Alzheimer’s disease and primary tauopathies
Pharmacological Research
Alzheimer's disease
Amyloid-β plaques
Tau protein
A673V mutation
Familial AD
Aβ1–6A2V(D) peptide
title The AβA2V paradigm: From molecular insights to therapeutic strategies in Alzheimer’s disease and primary tauopathies
title_full The AβA2V paradigm: From molecular insights to therapeutic strategies in Alzheimer’s disease and primary tauopathies
title_fullStr The AβA2V paradigm: From molecular insights to therapeutic strategies in Alzheimer’s disease and primary tauopathies
title_full_unstemmed The AβA2V paradigm: From molecular insights to therapeutic strategies in Alzheimer’s disease and primary tauopathies
title_short The AβA2V paradigm: From molecular insights to therapeutic strategies in Alzheimer’s disease and primary tauopathies
title_sort aβa2v paradigm from molecular insights to therapeutic strategies in alzheimer s disease and primary tauopathies
topic Alzheimer's disease
Amyloid-β plaques
Tau protein
A673V mutation
Familial AD
Aβ1–6A2V(D) peptide
url http://www.sciencedirect.com/science/article/pii/S1043661824005085
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