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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Russian Medicine</journal-id><journal-title-group><journal-title xml:lang="en">Russian Medicine</journal-title><trans-title-group xml:lang="ru"><trans-title>Российский медицинский журнал</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0869-2106</issn><issn publication-format="electronic">2412-9100</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">678002</article-id><article-id pub-id-type="doi">10.17816/medjrf678002</article-id><article-id pub-id-type="edn">WDBZMO</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Reviews</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Научные обзоры</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Targeted therapy in older adults with Alzheimer disease: a review</article-title><trans-title-group xml:lang="ru"><trans-title>Таргетная терапия у пожилых пациентов с болезнью Альцгеймера: литературный обзор</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0002-2633-7501</contrib-id><contrib-id contrib-id-type="spin">8752-4164</contrib-id><name-alternatives><name xml:lang="en"><surname>Bulina</surname><given-names>Polina A.</given-names></name><name xml:lang="ru"><surname>Булина</surname><given-names>Полина Алексеевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>pollybulina@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0003-1947-1443</contrib-id><name-alternatives><name xml:lang="en"><surname>Popova</surname><given-names>Polina A.</given-names></name><name xml:lang="ru"><surname>Попова</surname><given-names>Полина Анатольевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>apolinaria_2002@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0000-7558-4555</contrib-id><name-alternatives><name xml:lang="en"><surname>Dyatchina</surname><given-names>Lyubov S.</given-names></name><name xml:lang="ru"><surname>Дятчина</surname><given-names>Любовь Сергеевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>lyubov.dyatchina@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0000-3798-3600</contrib-id><name-alternatives><name xml:lang="en"><surname>Goliatina</surname><given-names>Mariia M.</given-names></name><name xml:lang="ru"><surname>Голятина</surname><given-names>Мария Михайловна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>padalekimary@mail.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-0131-025X</contrib-id><name-alternatives><name xml:lang="en"><surname>Zaitseva</surname><given-names>Anastasia P.</given-names></name><name xml:lang="ru"><surname>Зайцева</surname><given-names>Анастасия Павловна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>super.z-nastia@ya.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0005-8777-1055</contrib-id><name-alternatives><name xml:lang="en"><surname>Abramenko</surname><given-names>Anastasiia A.</given-names></name><name xml:lang="ru"><surname>Абраменко</surname><given-names>Анастасия Александровна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>nabramenko32@gmail.com</email><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9939-3443</contrib-id><contrib-id contrib-id-type="spin">9133-3802</contrib-id><name-alternatives><name xml:lang="en"><surname>Raevskii</surname><given-names>Kirill P.</given-names></name><name xml:lang="ru"><surname>Раевский</surname><given-names>Кирилл Павлович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>raevskiikp@my.msu.ru</email><xref ref-type="aff" rid="aff4"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">North-Western State Medical University named after I.I. Mechnikov</institution></aff><aff><institution xml:lang="ru">Северо-Западный государственный медицинский университет имени И.И. Мечникова</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Saint-Petersburg State Pediatric Medical University</institution></aff><aff><institution xml:lang="ru">Санкт-Петербургский государственный педиатрический медицинский университет</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Academician I.P. Pavlov First St. Petersburg State Medical University</institution></aff><aff><institution xml:lang="ru">Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">Lomonosov Moscow State University</institution></aff><aff><institution xml:lang="ru">Московский государственный университет имени М.В. Ломоносова</institution></aff></aff-alternatives><pub-date date-type="preprint" iso-8601-date="2025-06-18" publication-format="electronic"><day>18</day><month>06</month><year>2025</year></pub-date><pub-date date-type="pub" iso-8601-date="2025-11-04" publication-format="electronic"><day>04</day><month>11</month><year>2025</year></pub-date><volume>31</volume><issue>5</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>493</fpage><lpage>500</lpage><history><date date-type="received" iso-8601-date="2025-04-04"><day>04</day><month>04</month><year>2025</year></date><date date-type="accepted" iso-8601-date="2025-06-05"><day>05</day><month>06</month><year>2025</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2025, Eco-Vector</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2025, Эко-Вектор</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="en">Eco-Vector</copyright-holder><copyright-holder xml:lang="ru">Эко-Вектор</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/" start_date="2028-11-04"/></permissions><self-uri xlink:href="https://medjrf.com/0869-2106/article/view/678002">https://medjrf.com/0869-2106/article/view/678002</self-uri><abstract xml:lang="en"><p>One of the most pressing issues today is the somatic and mental health of older adults due to increasing life expectancy and expanding diagnostic capabilities for various diseases.</p> <p>Alzheimer disease has a significant impact on the quality of life of patients and their families and results in substantial economic and social consequences for society. Patients with Alzheimer disease require continuous care and support, which demands considerable resources from health care and social service systems. Moreover, Alzheimer disease leads to reduced work productivity and increased health care expenditures.</p> <p>This review analyzes foreign and Russian articles published in the past 5 years in Scopus, PubMed Central, the Cochrane Library, and BMJ Case Reports regarding targeted therapy for Alzheimer disease, one of the most common neurodegenerative disorders that reduce quality of life. This review considers the main principles of targeted therapy used in older adults with Alzheimer disease are considered, along with its advantages, limitations, and future perspectives for this therapeutic approach.</p></abstract><trans-abstract xml:lang="ru"><p>Одной из наиболее актуальных проблем в настоящее время является соматическое и психическое здоровье старшего поколения ввиду увеличения продолжительности жизни и расширения возможностей в сфере диагностики тех или иных заболеваний.</p> <p>Болезнь Альцгеймера оказывает значительное влияние на качество жизни пациентов и их семей, а также создаёт серьёзные экономические и социальные последствия для общества. Пациенты с болезнью Альцгеймера нуждаются в постоянном уходе и поддержке, что требует значительных ресурсов системы здравоохранения и социальных служб. Кроме того, болезнь Альцгеймера приводит к снижению производительности труда и увеличению расходов на медицинское обслуживание.</p> <p>В данном обзоре проанализированы зарубежные и отечественные статьи из баз данных Scopus, Pubmed Central, Cochrane Library и BMJ Case Reports за последние 5 лет на тему таргетной терапии болезни Альцгеймера как одного из самых распространённых нейродегенеративных заболеваний, снижающих качество жизни. Рассмотрены основные принципы таргетной терапии, используемой при болезни Альцгеймера у пожилых пациентов, её преимущества и ограничения, а также перспективы развития этого направления в будущем.</p></trans-abstract><kwd-group xml:lang="en"><kwd>Alzheimer disease</kwd><kwd>targeted therapy</kwd><kwd>memantine</kwd><kwd>amyloid cascade hypothesis</kwd><kwd>lecanemab</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>болезнь Альцгеймера</kwd><kwd>таргетная терапия</kwd><kwd>мемантин</kwd><kwd>теория амилоидного каскада</kwd><kwd>леканемаб</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Tkacheva ON, Frolova EV, Yakhno NN, editors. Geriatrics. Moscow: GEOTAR-Media; 2019. (In Russ.)</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Alzheimer’s Disease International. Long S, editor. World Alzheimer Report 2023: Reducing dementia risk: never too early, never too late. 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