Abstract
To be clear, the amyloid cascade hypothesis is well-established, beyond dispute, and ‘alive and well’ as a framework for the scientific investigation of Alzheimer’s disease. Imbalances in amyloid production and clearance occur very early and are seminal factors in the pathophysiology and phenotypic expression of the illness (1, 2). Although we define clinical Alzheimer’s by amyloid plaques, consider aggregates as initiating events, and note that several amyloid-related genotypes are causative or protective, this does not mean that targeting any component of the amyloid cascade necessarily will be therapeutic. Other factors may be at play.
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