Evidence map›Paper›PMID 38396302›Full record

ReviewThe EMBO journal2024

New precision medicine avenues to the prevention of Alzheimer's disease from insights into the structure and function of γ-secretases.

Bart De Strooper, Eric Karran

Open access · diamondAbstract readReview
In one paragraph

Review in The EMBO journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
10.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Review
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  6. Article
  7. Article
  8. CTAD taskforce: genetic therapies in Alzheimer's disease.The journal of prevention of Alzheimer's disease · 2025
    Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Peripheral proteinopathy in neurodegenerative diseases.Translational neurodegeneration · 2025
    Review
  14. Review
  15. Article
  16. Review
  17. The curious case of a heterozygous loss-of-functionMolecular neurodegeneration advances · 2025
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 3 countries.

Bart De StrooperDementia Research Institute, Institute of Neurology, University College London, at the Francis Crick Institute, London, NW1 AT, UK. b.strooper@ukdri.ucl.ac.uk.ORCID http://orcid.org/0000-0001-5455-5819
Eric KarranCambridge Research Center, AbbVie, Inc., Cambridge, MA, USA.
AbbVie (United States) · USThe Francis Crick Institute · GB

Funding

EC | European Research Council (ERC) ERC-834682Medical Research Council MR/Y014847/1UK Research and Innovation (UKRI) MR/Y014847/1
6 · The paper itself

Abstract

Two phase-III clinical trials with anti-amyloid peptide antibodies have met their primary goal, i.e. slowing of Alzheimer's disease (AD) progression. However, antibody therapy may not be the optimal therapeutic modality for AD prevention, as we will discuss in the context of the earlier small molecules described as "γ-secretase modulators" (GSM). We review here the structure, function, and pathobiology of γ-secretases, with a focus on how mutations in presenilin genes result in early-onset AD. Significant progress has been made in generating compounds that act in a manner opposite to pathogenic presenilin mutations: they stabilize the proteinase-substrate complex, thereby increasing the processivity of substrate cleavage and altering the size spectrum of Aβ peptides produced. We propose the term "γ-secretase allosteric stabilizers" (GSAS) to distinguish these compounds from the rather heterogenous class of GSM. The GSAS represent, in theory, a precision medicine approach to the prevention of amyloid deposition, as they specifically target a discrete aspect in a complex cell biological signalling mechanism that initiates the pathological processes leading to Alzheimer's disease.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesAmyloid beta-Protein PrecursorAmyloid Precursor Protein SecretasesHumansPrecision MedicinePresenilin-1PresenilinsAmyloid beta-PeptidesAmyloid beta-Protein PrecursorAmyloid Precursor Protein SecretasesPresenilin-1PresenilinsAlzheimerCancerGamma-secretase-modulatorPresenilinγ-Secretase Allosteric Stabilizer

Identifiers

PMID38396302
PMCPMC10943082
OpenAlexW4392099111

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.