Neurodegenerative diseases are incurable conditions that result in progressive damage to cells and essential nervous system connections. Many neurodegenerative diseases result from protein misfolding and aggregation. Specifically, proteins can only execute various functions when they are folded correctly using the assistance of chaperone proteins. The sequence of amino acids (primary structure) is required for a correct structure of three-dimensional folding (tertiary structure). Since tertiary structure is the final folded shape of a globular protein, it is stabilized by a number of forces. However, when an unwanted amino acid sequence mutation/ an overall error in the folding process occurs, the misfolded protein can form large polymers of potentially lethal aggregates
Among these neurodegenerative diseases is Alzheimer’s disease, which tends to fall under the most common progressive diseases of the brain. Alzheimer’s disease is a neurodegenerative disease that causes progressive mental deterioration as the most common cause of dementia. Specifically, there are many types of clinical dementia, but Alzheimer’s disease represents sixty to seventy-five percent of dementia cases. Scientists believe that Alzheimer’s disease prevents proper nerve cell function, causing irreversible damage to the brain before the first signs of memory loss. Although Alzheimer’s has no cure, one treatment known as Aducanumab removes amyloid from the brain to likely reduce cognitive and functional decline in people with early Alzheimer’s. Other treatments are also likely to temporarily reduce symptoms of dementia.
Figure 1: Pathology of Alzheimer's Disease
Furthermore, two abnormalities in the brain that have been implicated in the cause of Alzheimer’s disease are neurofibrillary tangles (tau protein aggregates) and amyloid plaques (clumps of beta-amyloid proteins) that induce neuronal loss. The accumulation of insoluble proteins within cells (Tau) and in the extracellular spaces of the brain with failure to eliminate the proteins causes dementia. Additionally, the aging of the vascular system with a failure of blood supply and infarction results in vascular dementia. Although it is difficult to diagnose Alzheimer's, doctors can assess biological and clinical aspects of the disease to reach a conclusion. The misfolding and aggregation of the two proteins causes progressive decline in cognitive function, which indicates biological symptoms including impaired memory, learning, attention span, and executive functions and personality. Furthermore, a clinical approach includes a PET scan that shows hypometabolism in Alzheimer's disease using deoxyglucose.
As there are over 600 neurologic diseases, according to the U.S. National Library of Medicine, emphasizing disease development at the simplest level is the key to developing novel therapeutic strategies. In terms of Alzheimer’s disease, the next steps that can be proposed to study include research about earlier diagnosis of Alzheimer's disease and immunotherapy research that investigates whether beta-amyloid antibodies can prevent symptoms. A specific area of research found that the use of omega-3 fatty acids, such as eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), has been found to play a role in the inhibitory effects of amyloid fibril formation by enhancing phagocytosis of beta-amyloid by human microglia and decreasing inflammatory markers. Therefore, possible further research regarding the specifics of the exact quantity of omega-3 fatty acids that possess inhibitory effects can lead to better understanding of beta-amyloid proteins and its potential treatments.