Research in neurodegenerative diseases has increasingly focused on the early molecular changes that precede clinical symptoms. For instance, a study utilizing human induced pluripotent stem cell-derived cerebral organoids expressing the MAPT mutation revealed that at two months, these organoids exhibited upregulated MAPT expression and alterations in glutamatergic signaling pathways, indicating early neuronal stress before cell death (ref: Bowles doi.org/10.1016/j.cell.2021.07.003/). Another study explored the exacerbation of Alzheimer's disease (AD) due to seizures, demonstrating that chronic hyperexcitability in a mouse model led to more severe seizures and cognitive deficits, which were mitigated by mTOR inhibition (ref: Gourmaud doi.org/10.1093/brain/). Furthermore, the role of copper imbalance in AD was highlighted, suggesting that it may contribute to the complex etiology of the disease (ref: Squitti doi.org/10.3233/JAD-201556/). In contrast, research on Machado-Joseph disease indicated that ULK overexpression could alleviate motor deficits and neuropathology, emphasizing the potential of targeting autophagy pathways in neurodegeneration (ref: Vasconcelos-Ferreira doi.org/10.1016/j.ymthe.2021.07.012/). The interplay of neuroinflammation was also underscored by a study showing that targeting the NLRP3 inflammasome improved cognitive function in AD models (ref: Kuwar doi.org/10.3233/JAD-210400/). Collectively, these findings illustrate the multifaceted nature of neurodegenerative diseases, where early molecular changes, neuroinflammation, and genetic factors converge to influence disease progression.