Evidence mapPaperPMID 41379271Full record

ReviewMolecular neurobiology2025

Toward a Unified Framework in Molecular Neurobiology of Alzheimer's Disease: Revisiting the Pathophysiological Hypotheses.

Zaw Myo Hein, Barani Karikalan, Prarthana Kalerammana Gopalakrishna, Krina Dhevi, Aisyah Alkatiri, Farida Hussan, Mohamad Aris Mohd Moklas, Saravanan Jagadeesan, Muhammad Danial Che Ramli, Che Mohd Nasril Che Mohd Nassir and 1 more

Abstract readReview
In one paragraph

Review in Molecular neurobiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
field-weighted citation impact
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

21 citing papers in PubMed.

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  19. Genomic and proteomic conversion of brain ischemia to Alzheimer's disease.Frontiers in cell and developmental biology · 2026
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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

11 authors.

Zaw Myo HeinDepartment of Basic Medical Sciences, College of Medicine, Ajman University, P.O. Box 346, Ajman, United Arab Emirates.ORCID http://orcid.org/0000-0001-7621-7132
Barani KarikalanDepartment of Pathology, Faculty of Medicine, MAHSA University, Bandar Saujana Putra, 42610, Petaling Jaya, Selangor, Malaysia.ORCID http://orcid.org/0000-0002-5751-346X
Prarthana Kalerammana GopalakrishnaPhysiology Discipline, Department of Human Biology, School of Medicine, IMU University, 57000, Kuala Lumpur, Malaysia.ORCID http://orcid.org/0000-0002-1428-5305
Krina DheviSchool of Medicine, IMU University, 57000, Kuala Lumpur, Malaysia.ORCID http://orcid.org/0009-0003-7349-884X
Aisyah AlkatiriSchool of Medicine, IMU University, 57000, Kuala Lumpur, Malaysia.ORCID http://orcid.org/0009-0002-1522-4085
Farida HussanAnatomy Discipline, Department of Human Biology, School of Medicine, IMU University, 57000, Kuala Lumpur, Malaysia.ORCID http://orcid.org/0000-0002-0197-4646
Mohamad Aris Mohd MoklasDepartment of Human Anatomy, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, Serdang, Malaysia.ORCID http://orcid.org/0000-0002-9282-129X
Saravanan JagadeesanDepartment of Anatomy, School of Medicine, Lakeside Campus, Taylor's University, 47500, Subang Jaya, Selangor, Malaysia.ORCID http://orcid.org/0000-0001-7389-7363
Muhammad Danial Che RamliDepartment of Diagnostic and Allied Health Science, Faculty of Health and Life Sciences, Management and Science University, 40100, Shah Alam, Malaysia.
Che Mohd Nasril Che Mohd NassirDepartment of Anatomy and Physiology, Faculty of Medicine, Universiti Sultan Zainal Abidin (UniSZA), 20400, Kuala Terengganu, Terengganu, Malaysia. nasrilnassir@unisza.edu.my.ORCID http://orcid.org/0000-0002-2019-4565
Thirupathirao VishnumukkalaAnatomy Discipline, Department of Human Biology, School of Medicine, IMU University, 57000, Kuala Lumpur, Malaysia. thirupathirao@imu.edu.my.ORCID http://orcid.org/0000-0002-9517-3726

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite decades of research, Alzheimer's disease (AD) remains without a curative therapy. While amyloid- and tau-centered approaches have dominated the field, failures of monotherapeutic strategies underscore the need for a broader system-level understanding. Here, this review critically revisits the principal hypotheses of AD pathogenesis, including the amyloid cascade, tauopathy, neuroinflammation, cholinergic dysfunction, oxidative and mitochondrial stress, metal dyshomeostasis, autophagy-lysosomal failure, genetic susceptibility, and infectious triggers. This review synthesizes molecular and cellular evidence from human genetics, neuropathology, and experimental models, correcting common misconceptions and emphasizing interactions between pathways. Neuroinflammation is increasingly recognized as a central hub linking amyloid, tau, and vascular factors, while mitochondrial and lysosomal dysfunctions emerge as amplifiers of proteotoxic stress. Genetic studies highlight apolipoprotein-E ε4 (APOE ε4) as the strongest common risk allele, but also implicate genes involved in endosomal trafficking, lipid metabolism, and immune regulation. Taken together, AD is best understood as a multi-hit disorder in which converging processes, rather than a single driver, dictate disease initiation and progression. This narrative review proposes a systems neurobiology framework that integrates these mechanisms and identifies key points of convergence amenable to therapeutic targeting and biomarker development. Finally, this reappraisal aims to inform future research directions and guide the rational design of multi-target interventions.

Indexed as

Alzheimer DiseaseNeurobiologyAnimalsHumansAlzheimer’s diseaseBiomarkerPathophysiologyPrecision medicineSystem neurobiologyTherapy

Identifiers

PMID41379271
PMCPMC12698819

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.