Evidence map›Paper›PMID 41748984›Full record

ReviewCellular and molecular neurobiology2026

The Double-Edged Sword Effect of the Fibrinolytic System in Alzheimer's Disease.

Mingqing Tang, Meimei Liang, Xianying Zhang, Chunzhan Hong, Lichao Ye

Abstract readReview
In one paragraph

Review in Cellular and molecular neurobiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mingqing Tang *Medical School, Huaqiao University, Quanzhou, 362021, Fujian, China.ORCID http://orcid.org/0009-0004-1917-1069
Meimei Liang *Medical School, Huaqiao University, Quanzhou, 362021, Fujian, China.ORCID http://orcid.org/0009-0007-8757-8196
Xianying ZhangMedical School, Huaqiao University, Quanzhou, 362021, Fujian, China.ORCID http://orcid.org/0009-0002-1333-8046
Chunzhan HongNeurology Department, The 2 nd Affiliated Hospital of Fujian Medical University, Quanzhou, 362021, Fujian, China.ORCID http://orcid.org/0009-0005-9196-3308
Lichao YeNeurology Department, The 2 nd Affiliated Hospital of Fujian Medical University, Quanzhou, 362021, Fujian, China. yelichao126@fjmu.edu.cn.

Funding

Science and Technology Bureau of Xiamen City 3502Z20227197
6 · The paper itself

Abstract

Alzheimer's disease (AD), the most prevalent neurodegenerative disorder, is fundamentally driven by dysregulation between amyloid-β (Aβ) production and clearance. Although multiple Aβ clearance pathways have been reported, the fibrinolytic system remains the only enzymatically validated degradation route. Notably, a striking paradox is emerging: fibrinolytic agents exhibit both neuroprotective and AD-promoting effects in clinical observations. This duality necessitates urgent investigation into the fibrinolytic system's double-edged sword mechanism in AD pathogenesis. This review provides the first comprehensive analysis of the fibrinolytic system's dichotomous regulatory functions in AD progression, summarizes current advancements in the pathogenesis and therapeutic interventions, and proposes novel research directions. By resolving this molecular paradox, we aim to accelerate transformative breakthroughs in AD prevention and precision medicine strategies. Fibrinolytic System: Neuroprotection vs. Pathogenesis. The fibrinolytic system alleviates AD by directly degrading Aβ and indirectly improving the microenvironment of the central nervous system and cerebrovascular system. Meanwhile, this system also accelerates AD by promoting neuroinflammation and tau hyperphosphorylation.

Indexed as

Alzheimer DiseaseFibrinolysisAmyloid beta-PeptidesAnimalsHumansAmyloid beta-PeptidesAlzheimer's diseaseAmyloid-βFibrinolytic systemPlasminPlasminogen activator

Identifiers

PMID41748984
PMCPMC12992866

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.