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Low-Dose Radiation Therapy: A New Treatment Strategy for Alzheimer's Disease?

Publié dansJournal of Alzheimer's Disease, vol. 74, no. 2, p. 411-419
Date de publication2020
Résumé

Alzheimer's disease (AD) is a neurodegenerative disease characterized by extracellular amyloid-β (Aβ) peptide aggregates, forming amyloid plaques, and intracellular deposits of phosphorylated tau. Neuroinflammation is now considered as the third hallmark of AD. The majority of clinical trials tested pharmacological strategies targeting amyloid, tau, and neuroinflammation, with disappointing results overall. In parallel, innovative strategies exploring other pathways and approaches are being tested. In this article, we focus on the rationale and preliminary preclinical evidence for a novel application to AD of a widely used therapeutic strategy for oncological and benign conditions: low-dose radiation therapy (LD-RT). LD-RT has shown to be effective against systemic amyloid deposits, as well as against chronic inflammatory diseases, and could thus be able to modulate amyloid load and neuroinflammation in AD. The anti-amyloid effect could be possibly mediated by the LD-RT action on the β-sheet structure of amyloid fibrils, by breaking H-bonds, and depolymerize glucoaminoglycans which are highly radiation-sensitive molecules associated with amyloid fibrils. The anti-inflammatory effect could be linked to the decrease of leukocytes-endothelial cells interactions and to the stimulation of the release of anti-inflammatory molecules. One preclinical study has observed a dramatic reduction of amyloid plaques 4 weeks post-RT, more important with fractionated protocols at low doses than hypofractionated single dose treatments, associated with modulation of inflammatory and anti-inflammatory cytokines and cognitive improvement. Ongoing Phase I clinical trials will test the ability of LD-RT to hold these promises.

Mots-clés
  • Alzheimer's disease
  • Amyloid
  • Inflammation
  • Radiotherapy
  • Therapy
Citation (format ISO)
CEYZERIAT, Kelly et al. Low-Dose Radiation Therapy: A New Treatment Strategy for Alzheimer’s Disease? In: Journal of Alzheimer’s Disease, 2020, vol. 74, n° 2, p. 411–419. doi: 10.3233/JAD-190984
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Identifiants
ISSN du journal1387-2877
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Informations techniques

Création02/03/2020 15:57:00
Première validation02/03/2020 15:57:00
Heure de mise à jour15/03/2023 21:26:52
Changement de statut15/03/2023 21:26:52
Dernière indexation05/05/2024 16:38:42
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