Amyloid-β and heart failure in Alzheimer’s disease: the new vistas

Alzheimer’s disease (AD) is the most common cause of dementia and represents 75% of all dementia types. AD neuropathology is due to the progressive deposition of extracellular amyloid-beta (Aβ) peptide and intracellular hyperphosphorylated tau protein. The accumulated Aβ forms amyloid plaques, while...

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Main Authors: Hayder M. Al-Kuraishy, Ghassan M. Sulaiman, Hamdoon A. Mohammed, Sohaib G. Mohammed, Ali I. Al-Gareeb, Ali K. Albuhadily, Retaj A. Dawood, Amer Al Ali, Mohammed H. Abu-Alghayth
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Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1494101/full
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author Hayder M. Al-Kuraishy
Ghassan M. Sulaiman
Hamdoon A. Mohammed
Sohaib G. Mohammed
Ali I. Al-Gareeb
Ali K. Albuhadily
Retaj A. Dawood
Amer Al Ali
Mohammed H. Abu-Alghayth
author_facet Hayder M. Al-Kuraishy
Ghassan M. Sulaiman
Hamdoon A. Mohammed
Sohaib G. Mohammed
Ali I. Al-Gareeb
Ali K. Albuhadily
Retaj A. Dawood
Amer Al Ali
Mohammed H. Abu-Alghayth
author_sort Hayder M. Al-Kuraishy
collection DOAJ
description Alzheimer’s disease (AD) is the most common cause of dementia and represents 75% of all dementia types. AD neuropathology is due to the progressive deposition of extracellular amyloid-beta (Aβ) peptide and intracellular hyperphosphorylated tau protein. The accumulated Aβ forms amyloid plaques, while the hyperphosphorylated tau protein forms neurofibrillary tangles (NFTs). Both amyloid plaques and NFTs are hallmarks of AD neuropathology. The fundamental mechanism involved in the pathogenesis of AD is still elusive, although Aβ is the more conceivable theory. Aβ-induced neurodegeneration and associated neuroinflammation, oxidative stress, endoplasmic reticulum stress (ER), and mitochondrial dysfunction contribute to the development of cognitive impairment and dementia. Of note, Aβ is not only originated from the brain but also produced peripherally and, via the blood–brain barrier (BBB), can accumulate in the brain and result in the development of AD. It has been shown that cardiometabolic conditions such as obesity, type 2 diabetes (T2D), and heart failure (HF) are regarded as possible risk factors for the development of AD and other types of dementia, such as vascular dementia. HF-induced chronic cerebral hypoperfusion, oxidative stress, and inflammation can induce the development and progression of AD. Interestingly, AD is regarded as a systemic disease that causes systemic inflammation and oxidative stress, which in turn affects peripheral organs, including the heart. Aβ through deranged BBB can be transported into the systemic circulation from the brain and accumulated in the heart, leading to the development of HF. These findings suggest a close relationship between AD and HF. However, the exact mechanism of AD-induced HF is not fully elucidated. Therefore, this review aims to discuss the link between AD and the risk of HF regarding the potential role of Aβ in the pathogenesis of HF.
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spelling doaj-art-e7db29e60d2b4af89d13bf31f4a59a952025-02-04T06:32:08ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-02-011210.3389/fmed.2025.14941011494101Amyloid-β and heart failure in Alzheimer’s disease: the new vistasHayder M. Al-Kuraishy0Ghassan M. Sulaiman1Hamdoon A. Mohammed2Sohaib G. Mohammed3Ali I. Al-Gareeb4Ali K. Albuhadily5Retaj A. Dawood6Amer Al Ali7Mohammed H. Abu-Alghayth8Department of Clinical Pharmacology and Medicine, College of Medicine, Mustansiriyah University, Baghdad, IraqDepartment of Applied Sciences, University of Technology, Baghdad, IraqDepartment of Medicinal Chemistry and Pharmacognosy, College of Pharmacy, Qassim University, Qassim, Saudi ArabiaDepartment of Pathological Analysis, College of Applied Science, Samarra University, Saladin, IraqJabir ibn Hayyan Medical University, Najaf, IraqDepartment of Clinical Pharmacology and Medicine, College of Medicine, Mustansiriyah University, Baghdad, IraqDepartment of Biology, College of Science, Al-Mustaqbal University, Hilla, IraqDepartment of Medical Laboratory Sciences, College of Applied Medical Sciences, University of Bisha, Bisha, Saudi ArabiaDepartment of Medical Laboratory Sciences, College of Applied Medical Sciences, University of Bisha, Bisha, Saudi ArabiaAlzheimer’s disease (AD) is the most common cause of dementia and represents 75% of all dementia types. AD neuropathology is due to the progressive deposition of extracellular amyloid-beta (Aβ) peptide and intracellular hyperphosphorylated tau protein. The accumulated Aβ forms amyloid plaques, while the hyperphosphorylated tau protein forms neurofibrillary tangles (NFTs). Both amyloid plaques and NFTs are hallmarks of AD neuropathology. The fundamental mechanism involved in the pathogenesis of AD is still elusive, although Aβ is the more conceivable theory. Aβ-induced neurodegeneration and associated neuroinflammation, oxidative stress, endoplasmic reticulum stress (ER), and mitochondrial dysfunction contribute to the development of cognitive impairment and dementia. Of note, Aβ is not only originated from the brain but also produced peripherally and, via the blood–brain barrier (BBB), can accumulate in the brain and result in the development of AD. It has been shown that cardiometabolic conditions such as obesity, type 2 diabetes (T2D), and heart failure (HF) are regarded as possible risk factors for the development of AD and other types of dementia, such as vascular dementia. HF-induced chronic cerebral hypoperfusion, oxidative stress, and inflammation can induce the development and progression of AD. Interestingly, AD is regarded as a systemic disease that causes systemic inflammation and oxidative stress, which in turn affects peripheral organs, including the heart. Aβ through deranged BBB can be transported into the systemic circulation from the brain and accumulated in the heart, leading to the development of HF. These findings suggest a close relationship between AD and HF. However, the exact mechanism of AD-induced HF is not fully elucidated. Therefore, this review aims to discuss the link between AD and the risk of HF regarding the potential role of Aβ in the pathogenesis of HF.https://www.frontiersin.org/articles/10.3389/fmed.2025.1494101/fullAlzheimer’s diseasecardiovascular diseasesheart failurepathogenesisamyloid peptide
spellingShingle Hayder M. Al-Kuraishy
Ghassan M. Sulaiman
Hamdoon A. Mohammed
Sohaib G. Mohammed
Ali I. Al-Gareeb
Ali K. Albuhadily
Retaj A. Dawood
Amer Al Ali
Mohammed H. Abu-Alghayth
Amyloid-β and heart failure in Alzheimer’s disease: the new vistas
Frontiers in Medicine
Alzheimer’s disease
cardiovascular diseases
heart failure
pathogenesis
amyloid peptide
title Amyloid-β and heart failure in Alzheimer’s disease: the new vistas
title_full Amyloid-β and heart failure in Alzheimer’s disease: the new vistas
title_fullStr Amyloid-β and heart failure in Alzheimer’s disease: the new vistas
title_full_unstemmed Amyloid-β and heart failure in Alzheimer’s disease: the new vistas
title_short Amyloid-β and heart failure in Alzheimer’s disease: the new vistas
title_sort amyloid β and heart failure in alzheimer s disease the new vistas
topic Alzheimer’s disease
cardiovascular diseases
heart failure
pathogenesis
amyloid peptide
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1494101/full
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