Alzheimer's disease: the amyloid hypothesis and the Inverse Warburg effect.
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Demetrius LA
Department of Organismic and Evolutionary Biology, Harvard University Cambridge, MA, USA ; Max Planck Institute for Molecular Genetics Berlin, Germany.
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Magistretti PJ
Division of Biological and Environmental Sciences and Engineering, King Abdullah University of Science and Technology Thuwal, Saudi Arabia ; Laboratory of Neuroenergetics and Cellular Dynamics, Brain Mind Institute, Ecole Polytechnique Fédérale de Lausanne Lausanne, Switzerland.
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Pellerin L
Laboratory of Neuroenergetics, Department of Physiology, University of Lausanne Lausanne, Switzerland.
Published in:
- Frontiers in physiology. - 2014
English
Epidemiological and biochemical studies show that the sporadic forms of Alzheimer's disease (AD) are characterized by the following hallmarks: (a) An exponential increase with age; (b) Selective neuronal vulnerability; (c) Inverse cancer comorbidity. The present article appeals to these hallmarks to evaluate and contrast two competing models of AD: the amyloid hypothesis (a neuron-centric mechanism) and the Inverse Warburg hypothesis (a neuron-astrocytic mechanism). We show that these three hallmarks of AD conflict with the amyloid hypothesis, but are consistent with the Inverse Warburg hypothesis, a bioenergetic model which postulates that AD is the result of a cascade of three events-mitochondrial dysregulation, metabolic reprogramming (the Inverse Warburg effect), and natural selection. We also provide an explanation for the failures of the clinical trials based on amyloid immunization, and we propose a new class of therapeutic strategies consistent with the neuroenergetic selection model.
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Language
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Open access status
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gold
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Persistent URL
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https://sonar.ch/global/documents/12972
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