Among the different types of cognitive impairment that appear with increasi
ng age, Alzheimer's disease (AD) is rated as the most frequent. Despite int
ensive research, key questions concerning AD aetiology remain elusive, but
it appears that many biochemical events crucial for neuronal communication
and synaptic plasticity fail during the course of the disease. The aim of t
his review is therefore to provide an overview of intracellular cascades in
volved in AD pathology. For almost all factors, it is a matter of controver
sy whether their contribution should be considered to be cause or effect. H
owever: intracellular signalling may be crucial-as it is in learning and me
mory mechanisms-and malfunction of biochemical pathways may be a common den
ominator in neurodegenerative processes, thus providing new venues for trea
tment and therapeutic strategies.