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[Antibody therapy in Alzheimer's disease].

Created on 10 Sep 2026

Authors

Marlena Schnieder

Published in

Zeitschrift fur Gerontologie und Geriatrie. Sep 09, 2026. Epub Sep 09, 2026.

Abstract

Alzheimer's disease, the leading cause of dementia, is defined by extracellular amyloid‑β (Aβ) plaques, intracellular tau aggregates and neurodegeneration. Lecanemab and donanemab, are the first disease-modifying antibodies available for early Alzheimer's disease. Both reduce Aβ plaques and slow cognitive decline. Lecanemab targets soluble protofibrils and donanemab targets fibrillar Aβ. The primary side effect is amyloid-related imaging abnormalities (ARIA), which can occur as edema (ARIA-E) or hemorrhages (ARIA-H). The risk is higher in APOE4 homozygotes, anticoagulation or cerebrovascular diseases. Therefore, during treatment a regular monitoring with magnetic resonance imaging (MRI) is mandatory.

PMID:
42714614
Bibliographic data and abstract were imported from PubMed on 10 Sep 2026.

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