Progress and Challenges in Emerging Therapies for Alzheimer’s Disease and Its Comorbidities

A special issue of Life (ISSN 2075-1729). This special issue belongs to the section "Medical Research".

Deadline for manuscript submissions: 31 December 2026 | Viewed by 1006

Special Issue Editor


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Guest Editor
Advanced Research and Development Center for Experimental Medicine “Prof. Ostin C. Mungiu”, “Grigore T. Popa” University of Medicine and Pharmacy of Iasi, 700115 Iasi, Romania
Interests: neuroscience; Alzheimer’s disease; in vivo studies; drug development; cannabinoid-based pharmaceuticals; repurposing current therapeutics
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Special Issue Information

Dear Colleagues,

Alzheimer’s disease remains one of the most pressing public health challenges worldwide, with its incidence increasing alongside aging populations. Despite significant progress in understanding its pathophysiology, truly effective therapies remain limited. In recent years, numerous emerging therapeutic strategies—ranging from novel pharmacological agents and immunotherapies to lifestyle-based and digital interventions—have shown promise. However, translation to clinical treatment is often hampered by the frequent presence of comorbidities such as cardiovascular, metabolic and neuropsychiatric conditions, which complicate treatment responses and the design of trials.

This Special Issue aims to present cutting-edge research and critical reviews on innovative therapeutic approaches to Alzheimer’s disease and its major comorbidities. We welcome original research, systematic reviews and meta-analyses that provide mechanistic insights, clinical trial results, personalized medicine approaches and integrative strategies that consider comorbid conditions. By assembling diverse contributions, this Special Issue seeks to highlight current progress, identify remaining challenges and foster interdisciplinary dialogue to accelerate the development of effective interventions for patients affected by Alzheimer’s disease in real-world, multimorbid contexts.

Dr. Gabriela Dumitrița Stanciu
Guest Editor

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Keywords

  • Alzheimer’s disease
  • emerging therapies/novel treatments
  • multimorbidity/comorbidities
  • translational research
  • cognitive decline
  • drug development
  • innovative approaches

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Published Papers (1 paper)

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Review

25 pages, 712 KB  
Review
Smart Drug-Delivery Approaches for Enhanced Management of Comorbid Conditions in Alzheimer’s Disease
by Gabriela-Dumitrita Stanciu, Ivona Costachescu, Camelia Dascalu and Bogdan-Ionel Tamba
Life 2026, 16(3), 510; https://doi.org/10.3390/life16030510 - 19 Mar 2026
Viewed by 704
Abstract
Alzheimer’s disease (AD) remains a major unmet medical challenge due to its complex pathology, high interpatient heterogeneity and frequent association with systemic comorbidities. Conventional pharmacotherapy is limited by poor blood–brain barrier permeability, off-target effects and reduced efficacy in polymedicated elderly populations. Smart drug-delivery [...] Read more.
Alzheimer’s disease (AD) remains a major unmet medical challenge due to its complex pathology, high interpatient heterogeneity and frequent association with systemic comorbidities. Conventional pharmacotherapy is limited by poor blood–brain barrier permeability, off-target effects and reduced efficacy in polymedicated elderly populations. Smart drug-delivery systems (DDS), particularly nanotechnology-based platforms, have emerged as promising strategies to enhance brain targeting, optimize controlled drug release and mitigate systemic toxicity. This review examines recent advances in intelligent DDS for AD, with a focus on nanocarriers designed to modulate amyloid aggregation, neuroinflammation, oxidative stress and cholinergic dysfunction. Special attention is given to the impact of the most common comorbid conditions on DDS pharmacokinetics, safety and clinical performance. Furthermore, the challenges associated with clinical translation, such as long-term safety, immunogenicity, manufacturing scalability and regulatory harmonization, are critically discussed. In this context, versatile controlled release platforms that integrate rational design, predictive modeling and Quality by Design-driven manufacturing are highlighted as key enablers of translational success. By bridging intelligent formulation design with scalable production and regulatory readiness, advanced controlled release systems offer a pathway toward precision and patient-centered therapies. Such platforms hold significant potential to accelerate the safe integration of smart DDS into Alzheimer’s disease management and broader neurotherapeutic applications. Full article
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