image: Katerina Akassoglou, PhD, has pioneered research into interactions between the brain, blood vessels, and immune system—and has shown how those interactions drive Alzheimer’s and other neurological diseases.
Credit: Gladstone Institutes
The Alzheimer’s Association has selected Gladstone’s Katerina Akassoglou, PhD, as a 2025 recipient of the Zenith Fellows Award, an international prize given annually to scientists making substantial contributions to the field of Alzheimer’s research.
A senior investigator at Gladstone Institutes and director of the Gladstone-UCSF Center for Neurovascular Brain Immunology, Akassoglou has pioneered research into interactions between the brain, blood vessels, and immune system—and has shown how those interactions drive the development and progression of Alzheimer’s and other neurodegenerative diseases.
“Katerina Akassoglou’s research exemplifies the type of bold, innovative science that brings us closer to effective treatments and, ultimately, a world without Alzheimer’s and other dementias,” says Heather Snyder, PhD, the Alzheimer’s Association’s senior vice president of medical and scientific relations.
The Zenith Fellows Awards are among the most prestigious worldwide for Alzheimer’s and dementia science. With funding from Zenith Society members, the program has provided more than $48 million in awards to 152 leading Alzheimer’s researchers in nine countries since 1991.
The awards are supported philanthropically by members of the Alzheimer’s Association Zenith Society, who have an exceptional commitment to the advancement of Alzheimer’s and other dementia research. The society’s mission aligns closely with Gladstone’s Alzheimer’s research program, which is dedicated to uncovering the root causes of neurodegeneration and advancing therapies that address disease mechanisms at their source.
Revealing the Role of Fibrin
Among Akassoglou’s most significant findings, she and her team discovered that Alzheimer’s, multiple sclerosis, and other neurological conditions share a common thread: a toxic immune reaction caused by blood that leaks into the brain through damaged blood vessels. She identified fibrin as the main culprit, and demonstrated how this blood-clotting protein hijacks the brain’s immune system— setting off a cascade of often-irreversible processes that damage neurons.
With this knowledge, Akassoglou developed a new immunotherapy to neutralize the toxic effects of blood in the brain. A humanized version of the fibrin-targeting immunotherapy is now in clinical trials in patients with Alzheimer’s disease and diabetic macular edema. In mouse models, the therapy protected against neuroinflammation, neurodegeneration, and disease progression.
But this is only the start.
The Zenith Fellows Award provides $450,000 in research funding, which Akassoglou will use to further unravel the mechanisms of cerebrovascular dysfunction in Alzheimer’s disease.
Her studies will fill a major gap in knowledge—particularly related to the connections between blood vessel damage and neuron impairments in Alzheimer’s. This research seeks to uncover how our brain, immune system, and vascular systems communicate with each other, with the goal of developing novel approaches for treating and preventing disease.
“Our discoveries into the role of fibrin in Alzheimer’s and other neurological diseases is only the beginning,” says Akassoglou, a member of the Gladstone Institute of Neurological Disease. “So much remains to be known about how our immune system and vasculature control brain-body communication. I look forward to deepening our understanding of these reciprocal connections that play a critical role in neurological disease.”
Enduring Leadership in Alzheimer’s Research
“The importance and urgency of Alzheimer’s research has never been so great, with more than one in 10 people over the age of 65 living with the disease in the U.S. alone,” says Lennart Mucke, MD, director of the Gladstone Institute of Neurological Disease and a previous recipient of the Zenith Fellows Award. “The breakthroughs our investigators are making give me hope that real solutions are coming into sight and that we’ll soon have much more effective ways to treat and prevent Alzheimer’s, as well as other major brain disorders.”
Mucke adds that the latest Zenith Award to Akassoglou highlights the perfect match between the vision of the Zenith Society’s members and the groundbreaking science at Gladstone. In addition to Akassoglou and Mucke, Gladstone investigator Karl Weisgraber, PhD, (now retired) also was a recipient of a Zenith Award, demonstrating Gladstone’s longstanding leadership in Alzheimer’s research.
Other prestigious awards Akassoglou previously received include the Barancik Prize, which is the highest honor from the National Multiple Sclerosis Society. She’s also an elected lifetime fellow of the American Association for the Advancement of Science (AAAS), as well as an elected fellow of the National Academy of Inventors and of the American Neurological Association.