{"id":141,"date":"2025-06-25T17:50:00","date_gmt":"2025-06-25T12:20:00","guid":{"rendered":"https:\/\/www.najao.com\/learn\/?p=141"},"modified":"2026-01-26T15:55:43","modified_gmt":"2026-01-26T10:25:43","slug":"neurodegeneration","status":"publish","type":"post","link":"https:\/\/www.najao.com\/learn\/neurodegeneration\/","title":{"rendered":"Neurodegeneration: Unraveling the Brain&#8217;s Decline"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Neurodegeneration refers to the slow, progressive loss of structure and function of neurons, the highly specialized cells that underpin our nervous system<strong><sup>1<\/sup><\/strong>. Unlike most other cell types in the body, neurons are, for the most part, irreplaceable. If lost, the effects are mostly irreversible, leading to a gradual but inexorable decline in brain and nervous system function. This process is behind some of the most devastating conditions in medicine, as it destroys memory, movement, personality, and autonomy. With the world\u2019s population aging at an alarming rate, <a href=\"https:\/\/www.who.int\/news\/item\/27-02-2007-neurological-disorders-affect-millions-globally-who-report\">neurodegenerative illnesses<\/a> are emerging as a <a href=\"https:\/\/www.who.int\/news\/item\/14-03-2024-over-1-in-3-people-affected-by-neurological-conditions--the-leading-cause-of-illness-and-disability-worldwide\" target=\"_blank\" rel=\"noreferrer noopener\">world health crisis<\/a>, imposing tremendous burdens on families, healthcare systems, and societies. The majority of such diseases are still incurable, with treatments available only to provide temporary relief or management of symptoms.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The faces of neurodegeneration<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Alzheimer\u2019s disease (AD)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Alzheimer&#8217;s disease is the most frequent culprit behind dementia, progressively stealing away memory, logic, and the skill to carry out activities of daily living<strong><sup>2<\/sup><\/strong>. Its hallmarks are the accumulation of amyloid-beta plaques between the neurons and coiled tangles of tau protein within them<strong><sup>3<\/sup><\/strong>. Such protein accumulations interfere with communication and eventually kill brain cells, causing the characteristic cognitive deterioration.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Parkinson\u2019s disease (PD)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.najao.com\/learn\/parkinsons-disease\/\" target=\"_blank\" rel=\"noreferrer noopener\">Parkinson\u2019s disease<\/a> is primarily recognized as a movement disorder, with tremor, muscle rigidity, and slowing of movement being key features<strong><sup>4<\/sup><\/strong>. The cause of the condition is the degeneration of dopamine-secreting neurons in an area of the brain known as the substantia nigra. Inside these dying cells, abnormal aggregates of alpha-synuclein protein, or Lewy bodies, form, which further disrupt neuronal activity<strong><sup>5<\/sup><\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Amyotrophic lateral sclerosis (ALS)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">ALS, also referred to as Lou Gehrig&#8217;s disease, targets the motor neurons responsible for controlling the voluntary muscles<strong><sup>6<\/sup><\/strong>. As these neurons degenerate, patients suffer from worsening muscle weakness, paralysis, and finally, respiratory failure. The disease is swift and relentless, and although there are some known genetic mutations, its exact cause often eludes diagnosis.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Huntington\u2019s disease (HD)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Huntington&#8217;s disease is an inherited disorder caused by an expanded repeat in the gene for huntingtin<strong><sup>7<\/sup><\/strong>. It takes the form of a combination of uncontrollable movements (chorea), mental deterioration, and psychiatric symptoms. The mutant huntingtin protein is harmful to brain cells, and progressive loss of both mental and motor ability ensues.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Other neurodegenerative diseases<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">In addition to these, a range of other disorders\u2014 frontotemporal dementia (FTD), multiple sclerosis (MS), and the prion diseases, serve to show the wide variety of ways in which the nervous system can unravel<strong><sup>8-10<\/sup><\/strong>. Each has its own set of clinical features, but all share the same tragic commonality: progressive loss of neurons.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The molecular and cellular mechanisms behind neurodegeneration<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Protein misfolding and aggregation<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A common theme in neurodegeneration is <a href=\"https:\/\/www.najao.com\/learn\/protein-misfolding\/\" target=\"_blank\" rel=\"noreferrer noopener\">protein misfolding<\/a> and aggregation<strong><sup>11<\/sup><\/strong>. In normal cells, proteins are carefully folded into precise conformations. When this process fails, misfolded proteins aggregate into poisonous clumps, amyloid plaques in AD, Lewy bodies in PD, TDP-43 inclusions in ALS, and huntingtin aggregates in HD<strong><sup>12<\/sup><\/strong>. These protein clumps disrupt the cell machinery and communication, and could trigger direct cell death. It is not yet proven whether or not these aggregates are the primary underlying cause of the disease<strong><sup>13<\/sup><\/strong>.<br>Mitochondrial dysfunction<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Neurons are one of the most energy-demanding cells in the body, relying on mitochondria\u2014 the powerhouses of the cell, to drive their function<strong><sup>14<\/sup><\/strong>. When mitochondria fail, neurons experience energy deficits, heightened <a href=\"https:\/\/www.najao.com\/learn\/reactive-oxygen-species-oxidative-stress\/\" target=\"_blank\" rel=\"noreferrer noopener\">oxidative stress<\/a>, and accumulation of toxic byproducts<strong><sup>15<\/sup><\/strong>. This mitochondrial dysfunction makes neurons particularly susceptible to damage and is a unifying factor in many neurodegenerative disorders.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Oxidative stress and free radical damage<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The brain is highly sensitive to oxidative stress resulting from mitochondrial dysfunction, a condition in which the generation of reactive oxygen species (ROS) exceeds the antioxidant defense of the cell<strong><sup>16<\/sup><\/strong>. ROS can cause damage to DNA, proteins, and lipids and thereby slowly impair the structural integrity and function of neurons. This oxidative injury is both a cause and effect of other pathological processes in neurodegeneration.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Neuroinflammation: microglial and astrocyte dysfunction<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The brain&#8217;s own immune cells, microglia and astrocytes, are double-edged swords<strong><sup>17-19<\/sup><\/strong>. They perform housekeeping, cleaning up debris and assisting neurons when they work properly. But being constantly activated can turn them into sources of inflammation, releasing chemicals that damage neurons further and accelerate disease progression<strong><sup>20<\/sup><\/strong>. This transition from protective to damaging roles is an active area of research.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Defective proteostasis: protein quality control breakdown<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Cells depend on complex machinery to recognize and remove misfolded or damaged proteins. The quality control machinery has two principal systems, namely the ubiquitin-proteasome system and the autophagy-lysosomal pathway<strong><sup>21, 22<\/sup><\/strong>. When these systems get saturated or are compromised, toxic proteins accumulate, overwhelming neurons and accelerating their death.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Synaptic dysfunction<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Well before neurons degenerate and die, their connections\u2014 synapses, start to collapse. This initial synaptic failure disrupts the networks necessary for communication used for memory, motor function, and thought<strong><sup>23<\/sup><\/strong>. It is now recognized as a primary and reversible component of numerous neurodegenerative conditions, presenting a potential target for treatment.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Axonal transport deficits<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Neurons are extended, differentiated cells dependent on effective transport systems to shuttle nutrients, organelles, and signaling molecules along their axons. Impairment of this axonal transport can deprive remote regions of the neuron of essential nutrients, leading to dysfunction and eventually, cell death<strong><sup>24<\/sup><\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Genetic factors<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Although the majority of neurodegenerative diseases are sporadic, genetics are a major player. Mendelian mutations in genes such as <em>APP<\/em>, <em>PSEN1\/2<\/em> (in Alzheimer&#8217;s), <em>SNCA<\/em>, <em>LRRK2<\/em>, <em>GBA<\/em> (seen in Parkinson&#8217;s), and <em>SOD1<\/em>, C9orf72 (found in ALS) may lead to familial disease forms<strong><sup>25-27<\/sup><\/strong>. Furthermore, certain genetic risk factors, the APOE4 allele in Alzheimer&#8217;s being an example, predispose to susceptibility in the general population at large<strong><sup>28<\/sup><\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Environmental factors<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The environment also influences neurodegenerative risk. Exposure to toxins, infections, head trauma, and lifestyle factors such as diet, exercise, and sleep habits can all affect the onset and progression of disease<strong><sup>29<\/sup><\/strong>. The interaction between genes and environment is an important area of current investigation.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frontiers in neurodegeneration research<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Targeting protein aggregation<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">One of the most aggressively explored areas of drug development involves targeting the misfolded proteins that accumulate in the brain. Scientists are working on designing small molecules and antibodies to inhibit misfolding, facilitate clearance, or prevent aggregation<strong><sup>30, 31<\/sup><\/strong>. In Alzheimer&#8217;s and Parkinson&#8217;s, these strategies are at the forefront of clinical trials, though challenges still persist.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Gene therapies and antisense oligonucleotides<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Gene therapies are opening new avenues<strong><sup>32<\/sup><\/strong>. Antisense oligonucleotides have already demonstrated efficacy against spinal muscular atrophy and are being evaluated for HD, ALS, and even AD<strong><sup>33<\/sup><\/strong>. Early gene editing studies using CRISPR aim to repair or inactivate disease-triggering mutations, though clinical translation still remains on the horizon<strong><sup>34<\/sup><\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Immunotherapies<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Harnessing the immune system to clear toxic proteins, an <a href=\"https:\/\/www.najao.com\/learn\/immunotherapy\/\" target=\"_blank\" rel=\"noreferrer noopener\">immunotherapy<\/a> approach, also serves for a promising approach. Monoclonal antibodies against amyloid-beta or tau in AD, or alpha-synuclein in PD, are under development and evaluation, and some have already made it to patients<strong><sup>35-37<\/sup><\/strong>. One prominent example would be Aducanumab, sold as Aduhelm, that targets amyloid-beta plaques in AD<strong><sup>38<\/sup><\/strong>. This work, alongside efforts to understand the immune system&#8217;s complex role in brain health, falls under the rapidly growing field of <a href=\"https:\/\/www.najao.com\/learn\/neuroimmunology\/\" target=\"_blank\" rel=\"noreferrer noopener\">neuroimmunology<\/a>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Modulating neuroinflammation<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Considering the contribution of chronic inflammation, medications that act on unique inflammatory pathways or regulate microglial function are under investigation as neuroprotective therapies<strong><sup>39<\/sup><\/strong>. The hope is to restore the balance towards a supportive, instead of harmful, immune response in the brain.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Mitochondrial enhancers<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Compounds that enhance mitochondrial function and limit oxidative stress are under investigation as a means of protecting neurons and decelerating disease advance<strong><sup>40<\/sup><\/strong>. Although still in experimental stages, these strategies represent the increasing awareness of energy metabolism in neurodegeneration.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Stem cell therapies<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Research in this field holds promise for regenerating lost neurons or providing support to those that survive<strong><sup>41<\/sup><\/strong>. Currently, the transplantation of neurons derived from induced pluripotent stem cells (iPSCs) is being investigated, particularly for Parkinson&#8217;s disease. These versatile cells could also deliver neurotrophic factors to help maintain neural circuits<strong><sup>42<\/sup><\/strong>. Beyond direct repair, advancements in bioengineering are helping to integrate these therapies more effectively into the brain.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Biomarker discovery and advanced imaging<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Early and precise diagnosis is vital to successful intervention. Scientists are looking for biomarkers in blood, cerebrospinal fluid, making use of advanced imaging methods such as Positron emission tomography (PET) and magnetic resonance imaging (MRI)<strong><sup>43<\/sup><\/strong>. All of these tools can identify pathological changes, for instance, amyloid plaques or tau tangles, before symptoms manifest, paving way for more prompt and specific treatments.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">The gut-brain axis<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">An unexpected frontier is the impact of the <a href=\"https:\/\/www.najao.com\/learn\/gut-microbiome\/\" target=\"_blank\" rel=\"noreferrer noopener\">gut microbiome<\/a> on overall brain health<strong><sup>44<\/sup><\/strong>. Recent evidence indicates that gut bacteria are able to <a href=\"https:\/\/www.najao.com\/digest\/gut-biofilm-neurodegeneration-parkinsons\/\" target=\"_blank\" rel=\"noreferrer noopener\">modulate inflammation<\/a>, metabolism, and even protein misfolding in the brain. This unlocks new avenues for therapies aimed at the gut-brain axis.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">AI and machine learning<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.najao.com\/learn\/artificial-intelligence-applications-in-healthcare\/\" target=\"_blank\" rel=\"noreferrer noopener\">Artificial intelligence<\/a> (AI) is revolutionizing neurodegeneration research<strong><sup>45<\/sup><\/strong>. Through extensive scrutiny of enormous data sets from genomics, clinical data, and imaging, AI can detect disease patterns, predict their progression, and expedite drug development, bringing precision medicine closer to reality. This capability is integral to <a href=\"https:\/\/www.najao.com\/learn\/network-pharmacology\/\" target=\"_blank\" rel=\"noreferrer noopener\">network pharmacology<\/a>, which uses AI to build and analyze complex disease networks, helping researchers to identify key nodes that are influenced by multiple molecular pathways (e.g., protein aggregation and neuroinflammation) and predict effective multi-target drug combinations. These technological advancements in understanding and manipulating the nervous system are central to the field of <a href=\"https:\/\/www.najao.com\/learn\/neuroengineering\/\" target=\"_blank\" rel=\"noreferrer noopener\">neuroengineering<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Challenges in neurodegeneration research<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Neurodegeneration research, despite remarkable progress, faces formidable challenges. The intricacy of these diseases, based on an ensemble of genetic, molecular, and environmental factors, defies straightforward solutions. The majority of diseases are detected late, when substantial neuronal loss has already taken place, thus complicating early intervention. The symptom and course heterogeneity, even within the same disease, makes diagnosis and treatment challenging.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The blood-brain barrier (BBB) continues to pose an insurmountable obstacle to <a href=\"https:\/\/www.najao.com\/learn\/drug-delivery\/\" target=\"_blank\" rel=\"noreferrer noopener\">drug delivery<\/a> to the central nervous system. This problem has driven research into innovative drug delivery strategies, including the use of nanoparticles and implantable nanocarriers designed to cross or bypass the <a href=\"https:\/\/www.najao.com\/learn\/blood-brain-barrier\/\" target=\"_blank\" rel=\"noreferrer noopener\">BBB<\/a> and target relevant regions in the brain for regenerative processes<strong><sup>46<\/sup><\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Conventional models based on animals do not accurately portray the entire range of human diseases, which has led to the creation of human brain organoids and patient-derived iPSC models<strong><sup>47-49<\/sup><\/strong>. Organoids&nbsp;recapitulate complex brain architecture and cell diversity, including neural stem cells and various neuron subtypes relevant to diseases like PD, ALS, and AD, providing a more physiologically relevant environment compared to traditional 2D cultures. iPSCs&nbsp;can differentiate into neural lineages, including neurons and glial cells, allowing researchers to study disease mechanisms in a patient-specific context.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Lastly, ethical issues, particularly involving gene editing and novel brain treatments, must be navigated judiciously<strong><sup>50<\/sup><\/strong>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Toward a future of brain health<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Despite the fact that neurodegenerative diseases are still among medicine&#8217;s most daunting challenges, the pace of discovery is gaining momentum. Advances in basic research, technology, and cross-disciplinary collaboration are bringing us towards effective diagnosis, disease-modifying interventions, and ultimately a cure. The focus is shifting to early diagnosis, prevention, and personalized medicine, with the hope that one day, perhaps, the brain&#8217;s decline could be arrested or even reversed<strong><sup>51<\/sup><\/strong>. In this battle for the mind, each saved neuron is a triumph, and each scientific advance brings us closer to a future where neurodegeneration is not a death sentence.<\/p>\n\n\n\n<!--nextpage-->\n\n\n\n<h2 class=\"wp-block-heading\">FAQs<\/h2>\n\n\n\n<h4 class=\"wp-block-heading\">1. Are there lifestyle changes that can help prevent neurodegenerative diseases?<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Yes, evidence suggests that regular physical activity, a balanced diet, cognitive engagement, and good sleep hygiene may lower the risk or delay the onset of neurodegenerative conditions.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">2. Can neurodegenerative diseases be detected before symptoms appear?<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Emerging research on biomarkers and advanced imaging is making it possible to identify changes in the brain years before clinical symptoms develop, offering hope for earlier intervention.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">3. Are there differences in how neurodegenerative diseases affect men and women?<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Yes, some diseases like Alzheimer\u2019s are more prevalent in women, while others like Parkinson\u2019s are more common in men. Research is ongoing to understand the biological and environmental reasons behind these differences.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">4. What is the role of environmental toxins in neurodegeneration?<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Exposure to certain pesticides, heavy metals, and industrial chemicals has been linked to an increased risk of diseases like Parkinson\u2019s and ALS, highlighting the importance of environmental health.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Reference<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">1. Wyss-Coray, T. (2016). Ageing, neurodegeneration and brain rejuvenation. <em>Nature<\/em>, <em>539<\/em>(7628), 180-186.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">2. Scheltens, P., De Strooper, B., Kivipelto, M., <em>et al<\/em>. (2021). Alzheimer&#8217;s disease. <em>The Lancet<\/em>, <em>397<\/em>(10284), 1577-1590.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">3. Sadigh-Eteghad, S., Sabermarouf, B., Majdi, A., <em>et al<\/em>. (2015). Amyloid-beta: a crucial factor in Alzheimer&#8217;s disease. <em>Medical principles and practice<\/em>, <em>24<\/em>(1), 1-10.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">4. Bloem, B. R., Okun, M. S., &amp; Klein, C. (2021). Parkinson&#8217;s disease. <em>The Lancet<\/em>, <em>397<\/em>(10291), 2284-2303.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">5. Atik, A., Stewart, T., &amp; Zhang, J. (2016). Alpha\u2010synuclein as a biomarker for Parkinson&#8217;s disease. <em>Brain pathology<\/em>, <em>26<\/em>(3), 410-418.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">6. Masrori, P., &amp; Van Damme, P. (2020). Amyotrophic lateral sclerosis: a clinical review. <em>European journal of neurology<\/em>, <em>27<\/em>(10), 1918-1929.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">7. McColgan, P., &amp; Tabrizi, S. J. (2018). Huntington&#8217;s disease: a clinical review. <em>European journal of neurology<\/em>, <em>25<\/em>(1), 24-34.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">8. Olney, N. T., Spina, S., &amp; Miller, B. L. (2017). Frontotemporal dementia. <em>Neurologic clinics<\/em>, <em>35<\/em>(2), 339.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">9. Dobson, R., &amp; Giovannoni, G. (2019). Multiple sclerosis\u2013a review. <em>European journal of neurology<\/em>, <em>26<\/em>(1), 27-40.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">10. Geschwind, M. D. (2015). Prion diseases. <em>CONTINUUM: Lifelong Learning in Neurology<\/em>, <em>21<\/em>(6), 1612-1638.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">11. Soto, C., &amp; Pritzkow, S. (2018). Protein misfolding, aggregation, and conformational strains in neurodegenerative diseases. <em>Nature neuroscience<\/em>, <em>21<\/em>(10), 1332-1340.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">12. Moda, F., Ciullini, A., Dellarole, I., <em>et al<\/em>. (2023). Secondary protein aggregates in neurodegenerative diseases: almost the rule rather than the exception. <em>FRONTIERS IN BIOSCIENCE<\/em>, <em>28<\/em>(10), 1-14.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">13. Valle, J. (2025). Biofilm-associated proteins: from the gut biofilms to neurodegeneration.&nbsp;<em>Gut Microbes<\/em>,&nbsp;<em>17<\/em>(1), 2461721.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">14. Vergara, R. C., Jaramillo-Riveri, S., Luarte, A., <em>et al<\/em>. (2019). The energy homeostasis principle: neuronal energy regulation drives local network dynamics generating behavior. <em>Frontiers in computational neuroscience<\/em>, <em>13<\/em>, 49.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">15. Cenini, G., Lloret, A., &amp; Cascella, R. (2019). Oxidative stress in neurodegenerative diseases: from a mitochondrial point of view. <em>Oxidative medicine and cellular longevity<\/em>, <em>2019<\/em>(1), 2105607.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">16. Angelova, P. R., &amp; Abramov, A. Y. (2018). Role of mitochondrial ROS in the brain: from physiology to neurodegeneration. <em>FEBS letters<\/em>, <em>592<\/em>(5), 692-702.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">17. Lopez\u2010Ortiz, A. O., &amp; Eyo, U. B. (2024). Astrocytes and microglia in the coordination of CNS development and homeostasis. <em>Journal of Neurochemistry<\/em>, <em>168<\/em>(10), 3599-3614.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">18. Ding, Z. B., Song, L. J., Wang, Q., <em>et al<\/em>. (2021). Astrocytes: a double-edged sword in neurodegenerative diseases. <em>Neural regeneration research<\/em>, <em>16<\/em>(9), 1702-1710.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">19. Patel, A. R., Ritzel, R., McCullough, L. D., <em>et al<\/em>. (2013). Microglia and ischemic stroke: a double-edged sword. <em>International journal of physiology, pathophysiology and pharmacology<\/em>, <em>5<\/em>(2), 73.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">20. Kwon, H. S., &amp; Koh, S. H. (2020). Neuroinflammation in neurodegenerative disorders: the roles of microglia and astrocytes. <em>Translational neurodegeneration<\/em>, <em>9<\/em>(1), 42.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">21. Oddo, S. (2008). The ubiquitin\u2010proteasome system in Alzheimer&#8217;s disease. <em>Journal of cellular and molecular medicine<\/em>, <em>12<\/em>(2), 363-373.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">22. Martini-Stoica, H., Xu, Y., Ballabio, A., <em>et al<\/em>. (2016). The autophagy\u2013lysosomal pathway in neurodegeneration: a TFEB perspective. <em>Trends in neurosciences<\/em>, <em>39<\/em>(4), 221-234.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">23. Tzioras, M., McGeachan, R. I., Durrant, C. S., <em>et al<\/em>. (2023). Synaptic degeneration in Alzheimer disease. <em>Nature Reviews Neurology<\/em>, <em>19<\/em>(1), 19-38.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">24. Morfini, G. A., Burns, M., Binder, L. I., <em>et al<\/em>. (2009). Axonal transport defects in neurodegenerative diseases. <em>Journal of Neuroscience<\/em>, <em>29<\/em>(41), 12776-12786.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">25. Lanoisel\u00e9e, H. M., Nicolas, G., Wallon, D., <em>et al<\/em>. (2017). APP, PSEN1, and PSEN2 mutations in early-onset Alzheimer disease: A genetic screening study of familial and sporadic cases. <em>PLoS medicine<\/em>, <em>14<\/em>(3), e1002270.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">26. Chen, Y., Gu, X., Ou, R., <em>et al<\/em>. (2020). Evaluating the role of SNCA, LRRK2, and GBA in Chinese patients with early\u2010onset Parkinson&#8217;s disease. <em>Movement Disorders<\/em>, <em>35<\/em>(11), 2046-2055.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">27. Forsberg, K., Graffmo, K., Pakkenberg, B., <em>et al<\/em>. (2019). Misfolded SOD1 inclusions in patients with mutations in C9orf72 and other ALS\/FTD-associated genes. <em>Journal of Neurology, Neurosurgery &amp; Psychiatry<\/em>, <em>90<\/em>(8), 861-869.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">28. Safieh, M., Korczyn, A. D., &amp; Michaelson, D. M. (2019). ApoE4: an emerging therapeutic target for Alzheimer\u2019s disease. <em>BMC medicine<\/em>, <em>17<\/em>, 1-17.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">29. Cannon, J. R., &amp; Greenamyre, J. T. (2011). The role of environmental exposures in neurodegeneration and neurodegenerative diseases. <em>Toxicological Sciences<\/em>, <em>124<\/em>(2), 225-250.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">30. Sanghai, N., Vuong, B., Burak Berk, A., <em>et al<\/em>. (2024). Current small molecule\u2013based medicinal chemistry approaches for neurodegeneration therapeutics. <em>ChemMedChem<\/em>, <em>19<\/em>(9), e202300705.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">31. Messer, A., &amp; Butler, D. C. (2020). Optimizing intracellular antibodies (intrabodies\/nanobodies) to treat neurodegenerative disorders. <em>Neurobiology of disease<\/em>, <em>134<\/em>, 104619.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">32. Sun, J., &amp; Roy, S. (2021). Gene-based therapies for neurodegenerative diseases. <em>Nature neuroscience<\/em>, <em>24<\/em>(3), 297-311.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">33. Porensky, P. N., &amp; Burghes, A. H. (2013). Antisense oligonucleotides for the treatment of spinal muscular atrophy. <em>Human gene therapy<\/em>, <em>24<\/em>(5), 489-498.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">34. Shin, J. W., &amp; Lee, J. M. (2018). The prospects of CRISPR-based genome engineering in the treatment of neurodegenerative disorders. <em>Therapeutic advances in neurological disorders<\/em>, <em>11<\/em>, 1756285617741837.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">35. Van Dyck, C. H. (2018). Anti-amyloid-\u03b2 monoclonal antibodies for Alzheimer\u2019s disease: pitfalls and promise. <em>Biological psychiatry<\/em>, <em>83<\/em>(4), 311-319.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">36. Luo, W., Liu, W., Hu, X., <em>et al<\/em>. (2015). Microglial internalization and degradation of pathological tau is enhanced by an anti-tau monoclonal antibody. <em>Scientific reports<\/em>, <em>5<\/em>(1), 11161.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">37. Vaikath, N. N., Hmila, I., Gupta, V., <em>et al<\/em>. (2019). Antibodies against alpha\u2010synuclein: tools and therapies. <em>Journal of neurochemistry<\/em>, <em>150<\/em>(5), 612-625.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">38. Ali, R., Gupta, G. D., &amp; Chawla, P. A. (2022). Aducanumab: A new hope in Alzheimer&#8217;s Disease. <em>Health Sciences Review<\/em>, <em>4<\/em>, 100039.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">39. Muzio, L., Viotti, A., &amp; Martino, G. (2021). Microglia in neuroinflammation and neurodegeneration: from understanding to therapy. <em>Frontiers in neuroscience<\/em>, <em>15<\/em>, 742065.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">40. Caldwell, C. C., Yao, J., &amp; Brinton, R. D. (2015). Targeting the prodromal stage of Alzheimer&#8217;s disease: bioenergetic and mitochondrial opportunities. <em>Neurotherapeutics<\/em>, <em>12<\/em>(1), 66-80.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">41. Lunn, J. S., Sakowski, S. A., Hur, J., &amp; Feldman, E. L. (2011). Stem cell technology for neurodegenerative diseases. <em>Annals of neurology<\/em>, <em>70<\/em>(3), 353-361.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">42. Wang, J., Hu, W. W., Jiang, Z., <em>et al<\/em>. (2020). Advances in treatment of neurodegenerative diseases: perspectives for combination of stem cells with neurotrophic factors. <em>World journal of stem cells<\/em>, <em>12<\/em>(5), 323.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">43. Young, P. N., Estarellas, M., Coomans, E., <em>et al<\/em>. (2020). Imaging biomarkers in neurodegeneration: current and future practices. <em>Alzheimer&#8217;s research &amp; therapy<\/em>, <em>12<\/em>, 1-17.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">44. Zhu, X., Li, B., Lou, P., <em>et al<\/em>. (2021). The relationship between the gut microbiome and neurodegenerative diseases. <em>Neuroscience bulletin<\/em>, <em>37<\/em>(10), 1510-1522.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">45. Stefano, G. B. (2023). Artificial intelligence as a tool for the diagnosis and treatment of neurodegenerative diseases. <em>Brain Sciences<\/em>, <em>13<\/em>(6), 938.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">46. Saraiva, C., Pra\u00e7a, C., Ferreira, R., <em>et al<\/em>. (2016). Nanoparticle-mediated brain drug delivery: Overcoming blood\u2013brain barrier to treat neurodegenerative diseases. <em>Journal of controlled release<\/em>, <em>235<\/em>, 34-47.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">47. Noble, W., &amp; Burns, M. P. (2010). Challenges in neurodegeneration research. <em>Frontiers in psychiatry<\/em>, <em>1<\/em>, 7.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">48. Chen, H. I., Song, H., &amp; Ming, G. L. (2019). Applications of human brain organoids to clinical problems. <em>Developmental Dynamics<\/em>, <em>248<\/em>(1), 53-64.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">49. Sabitha, K. R., Shetty, A. K., &amp; Upadhya, D. (2021). Patient-derived iPSC modeling of rare neurodevelopmental disorders: Molecular pathophysiology and prospective therapies. <em>Neuroscience &amp; Biobehavioral Reviews<\/em>, <em>121<\/em>, 201-219.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">50. Khandia, R., Gurjar, P., Romashchenko, V., <em>et al<\/em>. (2024). Recent advances in stem cell therapy: efficacy, ethics, safety concerns, and future directions focusing on neurodegenerative disorders\u2013a review. <em>International Journal of Surgery<\/em>, <em>110<\/em>(10), 6367-6381.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">51. Orr, H. T., &amp; Zoghbi, H. Y. (2000). Reversing neurodegeneration: a promise unfolds. <em>Cell<\/em>, <em>101<\/em>(1), 1-4.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Neurodegeneration refers to the slow, progressive loss of structure and function of neurons. With the world\u2019s population aging at an alarming rate, neurodegenerative illnesses are emerging as a world health crisis. 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