This term refers to therapeutic or lifestyle interventions specifically designed to alter the biological processes that drive the initiation and progression of Alzheimer’s disease. The goal is to influence key pathological hallmarks, such as the accumulation of amyloid-beta plaques and hyperphosphorylated tau tangles within the brain. Clinically, this modulation seeks to slow cognitive decline and preserve neuronal function by addressing the underlying pathology rather than merely treating symptoms.
Origin
The concept arises from modern neuropathology and clinical neurology, where a deeper understanding of Alzheimer’s disease etiology, or its pathogenesis, has shifted focus from symptomatic relief to disease modification. This approach is intrinsically linked to endocrinology due to the recognized role of hormones like estrogen and testosterone in neuroprotection and brain metabolism. Pathogenesis itself is derived from the Greek pathos (suffering) and genesis (creation).
Mechanism
Modulation often targets hormonal balance, insulin signaling in the brain, or inflammatory pathways that exacerbate neuronal stress. For instance, optimizing neurosteroid levels can impact synaptic plasticity and reduce the burden of amyloid deposition. By stabilizing the cellular environment and enhancing mitochondrial function, these interventions aim to disrupt the cascade of events leading to neurodegeneration. Effective modulation acts upstream of severe structural damage to sustain cognitive reserve.
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