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- W2016004823 abstract "Recent statistics from the Alzheimer Research Trust suggest that in the UK alone 820 000 people are affected by dementia with a cost to the economy of £23 billion/year. Similar figures apply to all developed countries and most others are catching up rapidly. With increasing life expectancy, age-related dementia is seen globally as an urgent public health priority.Histological examination of the brain is still regarded as the gold standard for diagnosis of the specific disease process underlying dementia, the commonest cause of which is Alzheimer’s disease. The main features of Alzheimer’s disease are extracellular accumulation of amyloid β-protein (Aβ) in the form of plaques and in blood vessel walls as cerebral amyloid angiopathy; intraneuronal accumulation of tau protein forming tangles in neuronal cell bodies as well as in neuronal processes situated close to plaques (dystrophic neurites) and elsewhere (neuropil threads); activation of microglia and astrocytes; and neuronal and synaptic loss. However, histological assessment of the disease has several limitations including, almost by definition, observations made at only one time point in the disease, usually the end-stage of a neurodegenerative process that has been developing over many years. This means that using post-mortem neuropathology, we have little or no notion of the dynamics of the pathological processes involved, how they are interrelated in terms of cause and effect, and which feature, if any, best correlates with, or causes, the cognitive dysfunction.The principal hypothesis for the pathogenesis of Alzheimer’s disease for two decades or more has been built around amyloid, and known as the Aβ cascade hypothesis, which states that Aβ, either in the form of extracellular amyloid plaques or in soluble or oligomeric forms, has the key role in initiation of the disease. A powerful way to test the Aβ hypothesis is to modify this aspect of the pathophysiology …" @default.
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- W2016004823 date "2010-04-23" @default.
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- W2016004823 title "Are we getting to grips with Alzheimer's disease at last?" @default.
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- W2016004823 doi "https://doi.org/10.1093/brain/awq099" @default.
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