Background: Alzheimers disease AD is a progressive neurodegenerative disorder characterized by synaptic dysfunction neuronal loss and cognitive decline. Increasing evidence identifies chronic neuroinflammation as a central pathogenic mechanism in AD driven by amyloid beta accumulation.
Purpose: The purpose of this review is to critically examine recent pharmacological advances targeting neuroinflammatory mechanisms in AD with emphasis on molecular signaling pathways glial activation dynamics and emerging disease modifying therapeutic strategies.
Methods: A comprehensive literature survey was conducted using PubMed Web of Science and Google Scholar to identify relevant preclinical and clinical studies focusing on neuroinflammation targeted interventions in AD. Evidence related to cytokine and eicosanoid signaling inflammasome activation microglial immunoreceptors nonsteroidal anti inflammatory drugs biologics and nanotechnology based drug delivery systems was systematically analyzed.
Results: Mechanistic studies demonstrate that pharmacological modulation of microglial phenotypes inhibition of pro inflammatory mediators TNF alpha IL 1 IL 6 and targeting pathways such as NF kappa B NLRP3 inflammasome p38 MAPK JAK STAT and TREM2 can attenuate neuroinflammatory cascades and reduce amyloid beta and tau associated neurotoxicity. However clinical translation remains inconsistent due to limited blood brain barrier permeability off target toxicity and patient heterogeneity. Advanced nanocarrier based delivery systems and intranasal strategies show promise in improving brain bioavailability and therapeutic precision.
Conclusion: Targeting neuroinflammation represents a mechanistically robust avenue for disease modification in AD. Future therapeutic success will likely depend on integrated multimodal strategies combining precise inflammatory pathway modulation with advanced brain targeted drug delivery and biomarker guided patient stratification.
Kunal. Pharmacological Advances in Targeting Neuroinflammation for Alzheimer’s Disease.
. 2025, 13, 134-149