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Non-Drug and Non-Invasive Therapeutic Options in Alzheimer's Disease.

Authors: Șovrea AS, Boșca AB, Dronca E, Constantin AM, Crintea A, Suflețel R, Ștefan RA, Ștefan PA, Onofrei MM, Tschall C, Crivii CB

Despite the massive efforts of modern medicine to stop the evolution of Alzheimer's disease (AD), it affects an increasing number of people, changing individual lives and imposing itself as a burden on families and the health systems. Considering that the vast majority of conventional drug therapies did not lead to the expected results, this review will discuss the newly developing therapies as an alternative in the effort to stop or slow AD. Focused Ultrasound (FUS) and its derived Transcranial Pulse Stimulation (TPS) are non-invasive therapeutic approaches. Singly or as an applied technique to change the permeability of the blood-brain-barrier (BBB), FUS and TPS have demonstrated the benefits of use in treating AD in animal and human studies. Adipose-derived stem Cells (ADSCs), gene therapy, and many other alternative methods (diet, sleep pattern, physical exercise, nanoparticle delivery) are also new potential treatments since multimodal approaches represent the modern trend in this disorder research therapies.

Introduction

Purpose Transcranial ultrasound stimulation
Study Objective To review newly developing therapies for Alzheimer’s disease, focusing on focused ultrasound/transcranial pulse stimulation and other alternative multimodal approaches aimed at stopping or slowing disease progression.
Animal model / Human subject not provided
Disease model Alzheimer's disease
MRI or image guidance method MRI
Targeted brain region(s) Not Provided
Target coordinates not provided
Cargo name and characteristics Adipose-derived stem cells (ADSCs) — cell therapy (adipose-derived mesenchymal stem cells); Gene therapy — genetic cargo delivered via unspecified vectors (viral or non-viral, not specified); Nanoparticle delivery — nanoparticles used as delivery vehicles for therapeutic agents (nanoparticle-based carriers).
Route of administration not provided

Outcomes and Safety

Summary of Outcomes Focused ultrasound (FUS) and transcranial pulse stimulation (TPS), used alone or to transiently increase blood–brain barrier permeability, showed therapeutic benefits in animal and human Alzheimer's studies; no specific FUS parameters were reported.
Duration of biological effect not provided
Safety-related matter No safety concerns or adverse effects are mentioned in the provided text.

Brain Region

Ultrasound Parameters

Ultrasound instrument not provided
FUS Frequency not provided
FUS Intensity not provided
FUS Pressure not provided
FUS Mode not provided
Pulse duration not provided
Duration of a single FUS session not provided
Focal Characteristics not provided
Treatment frequency single

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