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Neuropathol Appl Neurobiol. 2021 Nov 25; doi: 10.1111/nan.12781. Epub 2021 Nov 25.

Neuropathology of a patient with Alzheimer disease treated with low doses of verubecestat.

Neuropathology and applied neurobiology

Marta Querol-Vilaseca, Sònia Sirisi, Laura Molina-Porcel, Beatriu Molina, Jordi Pegueroles, Paula Ferrer-Raventós, Raúl Nuñez-Llaves, Oriol Dols-Icardo, Mircea Balasa, Maria Florencia Iulita, Rafael Blesa, Olivia Belbin, Jordi Clarimon, Juan Fortea, Ellen Gelpi, Raquel Sánchez-Valle, Alberto Lleó

Affiliations

  1. Memory Unit, Department of Neurology, Institut d'Investigacions Biomèdiques Sant Pau - Hospital de Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
  2. Centro de Investigación Biomédica en Red en Enfermedades Neurodegenerativas (CIBERNED), Madrid, Spain.
  3. Neurological Tissue Bank of the Biobanc-Hospital Clínic-IDIBAPS, Barcelona, Spain.
  4. Alzheimer's Disease and Other Cognitive Disorders Unit, Neurology Service, Hospital Clínic de Barcelona-IDIBAPS, University of Barcelona, Barcelona, Spain.
  5. Institute of Neurology, Medical University of Vienna, Vienna, Austria.

PMID: 34825396 DOI: 10.1111/nan.12781

Abstract

We report the neuropathological examination of a patient with Alzheimer's disease (AD) treated for 38 months with low doses of the BACE-1 inhibitor verubecestat. Brain examination showed small plaque size, reduced dystrophic neurites around plaques and reduced synaptic-associated Aβ compared with a group of age-matched untreated sporadic AD (SAD) cases. Our findings suggest that BACE-1 inhibition has an impact on synaptic soluble Aβ accumulation and neuritic derangement in AD.

© 2021 British Neuropathological Society.

Keywords: Alzheimer's disease; BACE-1; amyloid beta; amyloid plaques; synapse; verubecestat

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