Unravelling Alzheimer’s: Innovations in Pathogenesis, Diagnosis, and Therapeutics

Introduction to Alzheimer's Disease: History, Epidemiology, and Global Impact

Author(s): Sana Ahmad*, Sohaib Farooqui and Shafiurrahman

Pp: 1-19 (19)

DOI: 10.2174/9798898814953126010004

* (Excluding Mailing and Handling)

Abstract

Alzheimer's Disease (AD) is a progressive neurodegenerative condition and the leading cause of dementia, marked by memory impairment, cognitive deterioration, and alterations in behaviour. Initially identified by Alois Alzheimer in 1906, the disorder has since garnered significant attention within the field of neuroscience. The defining pathological characteristics include the presence of extracellular amyloid-beta plaques, intracellular neurofibrillary tangles formed by hyperphosphorylated tau protein, and extensive neuronal degeneration. On a global scale, AD poses a considerable public health issue, currently affecting over 55 million individuals with dementia, a figure anticipated to rise beyond 139 million by 2050 due to the aging population. The disease predominantly impacts those aged 65 and older, with a higher incidence observed in women. Contributing factors to the development of AD encompass genetic vulnerabilities, such as mutations in the allele, alongside modifiable elements like cardiovascular health, educational attainment, and lifestyle choices. The economic and social ramifications of AD are significant, with an estimated annual global expenditure exceeding $1 trillion, which includes healthcare costs, caregiving expenses, and lost productivity. Furthermore, the emotional toll on families and caregivers is considerable, often resulting in psychological distress and financial hardship. Epidemiological research indicates variations in the prevalence and incidence of AD across different regions, shaped by demographic, cultural, and healthcare-related factors. Initiatives to combat AD include progress in early diagnostic methods utilizing biomarkers and neuroimaging, the creation of disease-modifying treatments, and public health strategies focused on prevention through the management of risk factors. This review seeks to present a comprehensive overview of the historical context, epidemiology, and global implications of AD, highlighting the pressing necessity for ongoing research and international cooperation to address this escalating crisis. 


Keywords: Alzheimer’s disease, Dementia, Epidemiology, Neuronal degeneration, Neuroscience.