As a result of advances in the understanding of neurodegenerative mech
anisms in Alzheimer's disease, several strategies for the development
of disease-modifying treatment are being investigated. Nerve growth fa
ctor and other neurotrophins may improve neuronal survival, although t
argeted delivery remains an obstacle. Modulation of protein processing
has the potential to decrease the formation of plaques and tangles. P
harmacologic reduction of oxidative stress and destructive inflammatio
n may slow the rate of neurodegeneration. Continued research into basi
c mechanisms, along with therapeutic trials of promising drugs, are im
proving the likelihood that it will soon be possible to slow the progr
ession of this disease.