Neural Regeneration Research ›› 2021, Vol. 16 ›› Issue (12): 2407-2408.doi: 10.4103/1673-5374.313041

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BACE1 role in Alzheimer’s disease and other dementias: from the theory to the practice

Carlo Cervellati*, Giuseppe Valacchi, Giovanni Zuliani   

  1. Department of Translational Medicine and for Romagna, University of Ferrara, Ferrara, Italy (Cervellati C, Zuliani G) ;Department of Biomedical and Specialist Surgical Sciences, University of Ferrara, Ferrara, Italy; Plants for Human Health Institute, Animal Science; Department, NC State University, Kannapolis, NC, USA (Valacchi G)
  • Online:2021-12-15 Published:2021-05-14
  • Contact: Carlo Cervellati, PhD, crvcrl@unife.it.
  • Supported by:
    The authors would like to thank Dr. Valentina Rosta and Prof. Alessandro Trentini for their excellent and essential contribution to the studies which inspired this work.

Abstract: AD is a multifactorial and multifaceted disease, with a complex and still not completely understood pathogenesis (Cervellati et al., 2016; Iturria-Medina et al., 2016). Multiple hypotheses have been proposed to explain the pathobiology of the disease. In this plethora of mechanistic models, the central role amyloid beta (Aβ) forming neuritic plaques remains undiscussed. However, the adjective “central” does not mean that Aβ alone can trigger and fuel all the AD neurodegenerative process. Indeed, it is now amply recognized that a combination of multiple biochemical (especially redox), immune system and vascular abnormalities must also occur to define the direction of disease trajectory (Iturria-Medina et al., 2016). This complexity is probably one of the main reasons for the current unavailability of disease-modifying therapies that may prevent or slow the rate of disease progression.