Peripheral oxidative damage in mild cognitive impairment and mild Alzheimer's disease

Inês Baldeiras1, Isabel Santana, Maria Teresa Proença

  • 1Laboratory of Neurochemistry, Neurology Department, Coimbra University Hospital, Coimbra, Portugal. ines.baldeiras@sapo.pt

Insights

Oxidative stress markers are present in Mild Cognitive Impairment (MCI) patients, indicating early disease changes. Antioxidant levels correlate with cognitive function in MCI, suggesting a role in disease progression.

Area of Science:

  • Neuroscience
  • Biochemistry
  • Gerontology

Background:

  • Oxidative stress is implicated in Alzheimer's disease (AD) pathogenesis.
  • The role of oxidative imbalance in Mild Cognitive Impairment (MCI), a precursor to AD, is less understood.
  • Understanding oxidative stress in MCI is crucial for early detection and intervention.

Purpose of the Study:

  • To investigate peripheral blood levels of antioxidant defenses and oxidative damage markers in MCI patients.
  • To compare oxidative stress profiles between MCI, mild AD, and healthy controls.
  • To explore correlations between oxidative markers, cognitive function, and demographic factors in MCI.

Main Methods:

  • Assessed non-enzymatic and enzymatic antioxidant defenses, lipid/protein oxidation markers, and nitrogen oxidative species.
  • Studied 85 MCI patients, 42 mild AD patients, and 37 age-matched controls.
  • Analyzed plasma and erythrocyte samples.

Main Results:

  • Increased oxidized glutathione and oxidative markers in plasma and erythrocytes were observed in both MCI and mild AD patients compared to controls.
  • Mild AD patients showed decreased vitamin E levels.
  • Higher antioxidant levels were found in females, while apolipoprotein E epsilon4 carriers had increased intracellular oxidative markers. Cognitive function positively correlated with antioxidant levels in MCI patients.

Conclusions:

  • Oxidative changes characteristic of mild AD are already present in the MCI stage.
  • Antioxidant depletion may accompany the progression from MCI to AD.
  • Oxidative stress markers and antioxidant status are relevant in MCI and may serve as potential biomarkers.

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