001     280046
005     20250824001726.0
024 7 _ |a 10.1002/bies.70030
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024 7 _ |a 1521-1878
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037 _ _ |a DZNE-2025-00885
041 _ _ |a English
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100 1 _ |a Espay, Alberto J
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245 _ _ |a Physics of Protein Aggregation in Normal and Accelerated Brain Aging.
260 _ _ |a New York, NY
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520 _ _ |a Protein aggregation is a normal response to age-related exposures. According to the thermodynamic hypothesis of protein folding, soluble proteins precipitate into amyloids (pathology) under supersaturated conditions through a process similar to crystallization. This soluble-to-insoluble phase transition occurs via nucleation and may be catalyzed by ectopic surfaces such as lipid nanoparticles, microbes, or chemical pollutants. The increasing prevalence of these exposures with age correlates with the rising incidence of pathology over the lifespan. However, the formation of amyloid fibrils does not inherently cause neurodegeneration. Neurodegeneration emerges when the levels of functional monomeric proteins, from which amyloids form, fall below a critical threshold. The preservation of monomeric proteins may explain neurological resilience, regardless of the extent of amyloid deposition. This biophysical framework challenges the traditional clinicopathological view that considers amyloids intrinsically toxic, despite the absence of a known mechanism of toxicity. Instead, it suggests that chronic exposures driving persistent nucleation consume monomeric proteins as they aggregate. In normal aging, replacement matches loss; in accelerated aging, it does not. A biophysical approach to neurodegenerative diseases has important therapeutic implications, refocusing treatment strategies from removing pathology to restoring monomeric protein homeostasis above the threshold needed to sustain normal brain function.
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650 _ 7 |a Alzheimer's disease
|2 Other
650 _ 7 |a Parkinson's disease
|2 Other
650 _ 7 |a amyloid
|2 Other
650 _ 7 |a cross‐beta
|2 Other
650 _ 7 |a nucleation
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650 _ 7 |a seed amplification assay
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650 _ 7 |a supersaturation
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650 _ 7 |a Amyloid
|2 NLM Chemicals
650 _ 7 |a Protein Aggregates
|2 NLM Chemicals
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Aging: metabolism
|2 MeSH
650 _ 2 |a Aging: pathology
|2 MeSH
650 _ 2 |a Brain: metabolism
|2 MeSH
650 _ 2 |a Brain: pathology
|2 MeSH
650 _ 2 |a Amyloid: metabolism
|2 MeSH
650 _ 2 |a Amyloid: chemistry
|2 MeSH
650 _ 2 |a Protein Aggregates
|2 MeSH
650 _ 2 |a Neurodegenerative Diseases: metabolism
|2 MeSH
650 _ 2 |a Neurodegenerative Diseases: pathology
|2 MeSH
650 _ 2 |a Animals
|2 MeSH
650 _ 2 |a Protein Aggregation, Pathological: metabolism
|2 MeSH
650 _ 2 |a Protein Folding
|2 MeSH
650 _ 2 |a Thermodynamics
|2 MeSH
700 1 _ |a Sturchio, Andrea
|b 1
700 1 _ |a Imarisio, Alberto
|0 0000-0002-1206-4170
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700 1 _ |a Hill, Emily J
|b 3
700 1 _ |a Williamson, Brady
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700 1 _ |a Montemagno, Kora
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700 1 _ |a Hoffmann, Christian
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700 1 _ |a Roy, Hugo Le
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700 1 _ |a Milovanovic, Dragomir
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700 1 _ |a Manfredsson, Fredric P
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773 _ _ |a 10.1002/bies.70030
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910 1 _ |a Deutsches Zentrum für Neurodegenerative Erkrankungen
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