Evidence mapPaperPMID 41858793Full record

ReviewFrontiers in aging neuroscience2026

Emerging pathological mechanisms of Alzheimer's disease pathogenesis: from neuroimmune interactions to intercellular communication.

Rutong Wang, Yingqi Feng, Ziyu Zhou, Jiajun Jiang, Runze Zhang, Wenhui Zou, Haotian Yang, Wenbo Lv, Shen Yang

Abstract readReview
In one paragraph

Review in Frontiers in aging neuroscience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Rutong WangDepartment of Neurology, The First People's Hospital of Xiangtan, Xiangtan, Hunan, China.
Yingqi FengDepartment of Neurology, The First People's Hospital of Xiangtan, Xiangtan, Hunan, China.
Ziyu ZhouDepartment of Neurology, The First People's Hospital of Xiangtan, Xiangtan, Hunan, China.
Jiajun JiangDepartment of Neurology, The First People's Hospital of Xiangtan, Xiangtan, Hunan, China.
Runze ZhangDepartment of Neurology, The First People's Hospital of Xiangtan, Xiangtan, Hunan, China.
Wenhui ZouDepartment of Neurology, The First People's Hospital of Xiangtan, Xiangtan, Hunan, China.
Haotian YangDepartment of Neurology, The First People's Hospital of Xiangtan, Xiangtan, Hunan, China.
Wenbo LvDepartment of Neurology, The First People's Hospital of Xiangtan, Xiangtan, Hunan, China.
Shen YangDepartment of Neurology, The First People's Hospital of Xiangtan, Xiangtan, Hunan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alzheimer's disease (AD) research has transcended the traditional paradigm centered on amyloid-beta (Aβ) shifting toward a neuroimmune network perspective. This article systematically elucidates the evolving mechanisms underlying disease progression, from neuroimmune interactions to intercellular communication. Studies indicate that microglial and astrocytic dysfunctions are key contributors to disease progression, operating within a complex multifactorial framework. Upon transformation into disease-associated microglia (DAM), microglia exhibit a significant decline in Aβ clearance capacity and release a plethora of pro-inflammatory factors, exacerbating neuroinflammation and neuronal damage. Concurrently, astrocytes lose their homeostatic support functions and acquire neurotoxic properties. Intercellular communication molecules play pivotal roles as key mediators. The cytokine/chemokine network sustains a chronic inflammatory milieu; extracellular vesicles (EVs) facilitate the propagation of Aβ and tau pathologies; and the complement system (e.g., C1q) transitions from physiological synaptic pruning to pathological synaptic engulfment. Furthermore, peripheral immune cell infiltration and gut-brain axis dysregulation further expand the pathological scope. Consequently, therapeutic strategies are evolving towards multi-target interventions, including precise immune modulation (e.g., TREM2 agonists), exosome-based drug delivery systems, and combination therapies. Addressing disease heterogeneity and developing personalized treatments are critical future directions. Ultimately, early interventions aimed at restoring healthy intercellular communication offer new hope for halting AD progression.

Indexed as

Alzheimer’s disease (AD)complement systemextracellular vesiclesmicroglianeuroimmunology

Identifiers

PMID41858793
PMCPMC12995773

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.