Alzheimer's Disease (AD) is a progressive neurodegenerative disorder that leads to cognitive
decline and memory impairment. It is characterized by the accumulation of Amyloid-beta
(Aβ) plaques, the abnormal phosphorylation of tau protein forming neurofibrillary tangles, and is
often accompanied by neuroinflammation and oxidative stress, which contribute to neuronal loss
and brain atrophy. At present, clinical anti-AD drugs are mostly single-target, improving the cognitive
ability of AD patients, but failing to effectively slow down the progression of AD. Therefore,
research on effective multi-target drugs for AD has become an urgent problem to address. The main
derivatives of hydroxycinnamic acid, caffeic acid, and ferulic acid, are widely present in nature and
have many pharmacological activities, such as antimicrobial, antioxidant, anti-inflammatory, neuroprotective,
anti-Aβ deposition, and so on. The occurrence and development of AD are often accompanied
by pathologies, such as oxidative stress, neuroinflammation, and Aβ deposition, suggesting
that caffeic acid and ferulic acid can be used in the research on anti-AD drugs. Therefore, in this
article, we have summarized the multi-target anti-AD derivatives based on caffeic acid and ferulic
acid in recent years, and discussed the new design direction of cinnamic acid derivatives as backbone
compounds. It is hoped that this review will provide some useful strategies for anti-AD drugs
based on cinnamic acid derivatives.