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. 2024 Dec 6. Online ahead of print. doi: 10.1039/d4md00630e

Table 1. Important events in developing the amyloid cascade hypothesis and practical implementations11.

Year Key research findings
1906 Senile plaques were first established
1984 Amyloid β protein (Aβ) was isolated as the principal constituent found within the plaques in the brains of individuals with AD
1987 The observation that the formation of Aβ resulted from the processing of amyloid precursor proteins
1990 Evidence of the neurotoxic properties of Aβ aggregates was presented
1992 The hypothesis of the amyloid cascade was put forward
1995 AD patients exhibit a significant decrease in CSF Aβ42 levels, revealing an established connection between Aβ and inflammation
1997 The discovery of the ability of Aβ42 to inhibit long-term potentiation
1998 The primary instigator of neuronal damage was identified as Aβ oligomers
2001 Evidence was provided to establish a connection between Aβ and the formation of neurofibrillary tangles
2004 The inaugural amyloid PET tracer, Pittsburgh compound-B (PIB), was formulated
2016 Light therapy led to a reduction in Aβ accumulation in both animal models of AD and patients
2017 The transfer of Aβ from the periphery through the blood–brain barrier into the brain is reported
2018 The ultrasensitive technology, Simoa, was devised for quantifying Aβ at sub-femtomolar concentrations
2021 Aducanumab became the inaugural FDA-approved medication for diminishing Aβ plaques
2023 FDA approval has been granted to lecanemab for the treatment of AD