Review Articles

Application of Low Intensity Ultrasound in the Treatment of Alzheimer’s Disease

  • Hong Fei ,
  • Xu Fei
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  • Affiliated Hospital of Shaoxing University Shaoxing City, Zhejiang, China
*Affiliated Hospital of Shaoxing University, Shaoxing, Zhejiang, China. e-mail: 2359734489@qq.com

Received date: 2024-04-10

  Revised date: 2024-06-04

  Accepted date: 2024-06-21

  Online published: 2025-02-08

Abstract

Alzheimer’s disease (AD) is a common neurodegenerative disease in clinical practice. The pathogenesis is still unclear, and there is no specific method. According to the current known pathological studies, AD biomarker TAU protein, phosphorylated tau and amyloid-β (Aβ) play an important role in the pathophysiological changes of AD. For pathological research, the development of low-intensity ultrasound (LIUS) provides another idea for the mechanism of AD treatment, which can better treat AD, regulate various factors specifically, and effectively treat AD by stimulating synapses and improving neurons. Based on this research background, this paper summarizes the role of AD biomarkers TAU protein, phosphorylated tau and amyloid protein in the occurrence and development of AD and the mechanism of pathological changes in the treatment of AD by low-intensity ultrasound, aiming to provide new insights into clarifying the pathological changes of AD biomarkers and the mechanism of LIUS in the treatment of AD. Given that the treatment for AD based on LIUS is still far from a complete cure, we will discuss the prospects for future development of LIUS to guide the treatment of AD.

Cite this article

Hong Fei , Xu Fei . Application of Low Intensity Ultrasound in the Treatment of Alzheimer’s Disease[J]. ADVANCED ULTRASOUND IN DIAGNOSIS AND THERAPY, 2025 , 9(1) : 50 -55 . DOI: 10.37015/AUDT.2025.240007

References

[1] Livingston G, Sommerlad A, Orgeta V, Costafreda SG, Huntley J, Ames D, et al. Dementia prevention, intervention, and care. Lancet 2017;390:2673-2734.
[2] Knopman DS, Amieva H, Petersen RC, Chételat G, Holtzman DM, Hyman BT, et al. Alzheimer disease. Nat Rev Dis Prim 2021;7:33.
[3] Salwa kumar L. Engrafted stem cell therapy for Alzheimer's disease: A promising treatment strategy with clinical outcome. J Control Release 2021;338:837-857.
[4] Yu Z, Wang K, Xu JC, Sun WM, Zhang LL. Progress in the study of traditional Chinese medicine prevention and treatment of Alzheimer's disease based on the mechanism of A β generation and aggregation. Chinese Journal of Gerontology 2022;42:3858-3862
[5] Li YC, Zhao WT, Li SW, Yin AW, Fan MR, Wu XM et al. Research progress of traditional Chinese medicine in Intervention of Alzheimer's disease based on Tau protein phosphorylation. Chinese Archives of Traditional Chinese Medicine 2024;42:161-165.
[6] Ding MR, Qu YJ, Hu B, An HM. Signal pathways in the treatment of Alzheimer's disease with traditional Chinese medicine. Biomed Pharmacother 2022;152:113208.
[7] Weng YX, Yang CC, Hsu WC, Kuo RN. Effects of traditional Chinese medicine on outcomes and costs of dementia care: results from a retrospective real-world study. Aging Clin Exp Res 2024;36:204.
[8] Cuperlovic-Culf M, Badhwar A. Recent advances from metabolomics and lipidomics application in alzheimer's disease inspiring drug discovery. Expert Opin Drug Discov 2020;15:319-331.
[9] Wang QJ, Shen YE, Wang X, Fu S, Zhang X, Zhang YN, et al. Concomitant memantine and Lactobacillus plantarum treatment attenuates cognitive impairments in APP/PS1 mice. Aging (Albany NY) 2020;12:628-649.
[10] Zhang LZ, Hou SJ, Movahedi F, Li ZJ, Li L, Hu J, et al. Amyloid-β/tau burden and neuroinflammation dual-targeted nanomedicines synergistically restore memory and recognition of Alzheimer’s disease mice. Nano Today 2023;49:101788.
[11] Qin Y, Zhang F, Zhang M, Zhu W. Effects of repetitive transcranial magnetic stimulation combined with cognitive training on resting-state brain activity in Alzheimer's disease. Neuroradiol J 2022;35:566-572.
[12] Fu L, Guo YQ, Sun Y, Dong Y, Wu JX, Yu B, et al. A novel Aβ epitope vaccine based on bacterium-like particle against Alzheimer's disease. Mol Immunol 2018;101:259-267.
[13] Revesz Tamas, Ghiso J, Lashley T, Plant G, Rostagno A, Frangione Blas, et al. Cerebral amyloid angiopathies: a pathologic, biochemical, and genetic view. J Neuropathol Exp Neurol 2003;62:885-898.
[14] Greenberg SM, Bacskai BJ, Hernandez-Guillamon M, Pruzin J, Sperling R, van Veluw SJ. Cerebral amyloid angiopathy and Alzheimer disease-one peptide, two pathways. Nature reviews. Neurology, 2020;16:30-42.
[15] van Helmond Z, Miners JS, Kehoe PG, Love S. Oligomeric Abeta in Alzheimer's disease: relationship to plaque and tangle pathology, APOE genotype and cerebral amyloid angiopathy. Brain Pathol 2010;20:468-480.
[16] Revesz Tamas, Holton JL, Lashley T, Plant G, Frangione B, Rostagno A, et al. Genetics and molecular pathogenesis of sporadic and hereditary cerebral amyloid angiopathies. Acta Neuropathol 2009;118:115-130.
[17] Hutton M, Lendon CL, Patrizia Rizzu, Baker M, Froelich S, Houlden H, et al. Association of missense and 5' - splice-site mutations in tau with the inherited dementia FTDP-17. Nature 1998;393:702-705.
[18] Kopke E, Tung YC, Shaikh S, Alonso AC, Iqbal K, Grundke-Iqbal I. Microtubule-associated protein tau: Abnormal phosphorylation of a non-paired helical filament pool in Alzheimer disease. J Biol Chem 1993: 268:24374-24384.
[19] Iqbal K, Liu F, Gong CX. Tau and neurodegenerative disease: The story so far. Nat Rev Neurol 2016;12:15-27.
[20] Braak H, Braak E. Neuropathological stageing of Alzheimer-related changes. Acta Neuropathol 1991;82:239-259.
[21] Roberson ED, Scearce-Levie K, Palop JJ, Yan F, Cheng IH, Wu T, et al. Reducing endogenous tau ameliorates amyloid beta-induced deficits in an Alzheimer's disease mouse model. Science 2007;316:750-754.
[22] Huang XW, Lin ZR, Wang KY, Liu XF, Zhou W, Meng L et al. Transcranial Low-Intensity Pulsed Ultrasound Modulates Structural and Functional Synaptic Plasticity in Rat Hippocampus. IEEE Trans Ultrason Ferroelectr Freq Control 2019;66:930-938.
[23] Huang XW, Lin ZR, Meng L, Wang KY, Liu XF, Zhou W, et al. Non-invasivelow-intensity pulsed ultrasound modulates primary cilia of rat hippocampal neurons. Ultrasound Med Biol 2019;45:1274-1283.
[24] Papp T, Ferenczi Z, Szilagyi B, Petro M, Varga A, Kókai E, et al. Ultrasound used for diagnostic imaging facilitates dendritic branching of developing neurons in the mouse cortex. Front Neurosci 2022;16:803356.
[25] Huang X, Niu L, Meng L, Lin Z, Zhou W, Liu X, et al. Transcranial low-intensity pulsed ultrasound stimulation induces neuronal autophagy. IEEE Trans Ultrason Ferroelectr Freq Control 2021;68:46-53.
[26] Zhang T, Pan N, Wang Y, Liu C, Hu S. Transcranial focused ultrasound neuromodulation: A review of the excitatory and inhibitory effects on brain activity in human and animals. Front Hum Neurosci 2021;15:749162.
[27] Collins MN, Mesce KA. A review of the bioeffects of low-intensity focused ultrasound and the benefits of a cellular approach. Front Physiol 2022;13:1047324.
[28] Pandit R, Leinenga G, G?tz J. Repeated ultrasound treatment of tau transgenic mice clears neuronal tau by autophagy and improves behavioral functions. Theranostics 2019;9:3754-3767.
[29] Bobola MS, Chen L, Ezeokeke CK, Olmstead TA, Nguyen C, Sahota A, et al. Transcranial focused ultrasound, pulsed at 40 Hz, activates microglia acutely and reduces Aβ load chronically, as demonstrated in vivo. Brain Stimul 2020;13:1014-1023.
[30] Lipsman N, Meng Y, Bethune AJ, Huang Y, Lam B, Masellis M, et al. Blood-brain barrier opening in Alzheimer's disease using MR-guided focused ultrasound. Nat Commun 2018;9:2336.
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