The dying of the light: mitochondrial failure in Alzheimer's disease

Kisha J Young-Collier1, Michael McArdle, James P Bennett

  • 1Neuroscience Graduate Program and Medical Scientist Training Program, University of Virginia School of Medicine, Charlottesville, VA, USA.

Insights

Brain energy production declines in Alzheimer's disease (AD), marked by reduced mitochondrial mass and impaired respiration. Correcting mitochondrial biogenesis and boosting antioxidant defenses may help slow AD progression.

Area of Science:

  • Neuroscience
  • Biochemistry
  • Pathology

Background:

  • Reduced cortical glucose metabolism (2-FDG PET) is a biomarker for mild cognitive impairment (MCI) and Alzheimer's disease (AD).
  • Progression to AD involves further decline in glucose uptake, suggesting worsening brain energy production.

Purpose of the Study:

  • To investigate mitochondrial function, mass, and related gene expression in postmortem frontal cortex of AD patients and controls.
  • To determine the relationship between these mitochondrial changes and amyloid-beta levels in AD.

Main Methods:

  • Analysis of mitochondrial respiration in brain mitochondria.
  • Quantification of respiratory protein levels.
  • Measurement of gene expression for mitochondrial DNA (mtDNA), biogenesis, and antioxidant signaling.

Main Results:

  • Mitochondrial respiration was significantly reduced in AD brains due to a loss of mitochondrial mass.
  • While most respiratory proteins were preserved, gene expression for mtDNA, mitochondrial biogenesis, and antioxidant enzymes was decreased in AD.
  • These mitochondrial alterations were not correlated with amyloid-beta 1-42 peptide levels.

Conclusions:

  • Mitochondrial biogenesis is suppressed in the AD frontal cortex, leading to reduced mitochondrial mass and impaired respiratory capacity.
  • Downregulation of antioxidant proteins exacerbates neuronal dysfunction in AD.
  • Therapeutic strategies for AD may need to address both impaired mitochondrial biogenesis and antioxidant protection.

Related Concept Videos

Alzheimer Disease l: Introduction01:29

Alzheimer Disease l: Introduction

Alzheimer disease is a chronic, progressive, and irreversible neurodegenerative disorder and the most common cause of dementia in older adults. It leads to gradual neuronal loss, causing cognitive decline, behavioral changes, and loss of functional independence.Risk Factors and EtiologyThe disease is multifactorial. Age is the strongest risk factor, with prevalence doubling every 5 years after age 65. Genetic factors include mutations in genes such as APP, PSEN1, and PSEN2, which are associated...
Alzheimer Disease ll: Pathophysiology01:23

Alzheimer Disease ll: Pathophysiology

Alzheimer disease involves structural changes in the brain that begin long before symptoms appear. The most distinctive features are extracellular neuritic plaques and intracellular neurofibrillary tangles.Neuritic plaques form in the cerebral cortex and around blood vessels. These plaques contain a dense core of beta-amyloid (Aβ)—a toxic protein fragment that clumps outside neurons. The core is surrounded by damaged neuronal extensions, as well as reactive astrocytes and microglia. Abnormal...
Dementia l: Introduction01:22

Dementia l: Introduction

Dementia is an acquired, progressive syndrome characterized by a decline in multiple cognitive domains severe enough to impair daily functioning and reduce independence. Although memory loss is a central feature, the diagnosis requires additional deficits involving language, executive function, visuospatial skills, judgment, calculation, or abstract reasoning. These cognitive impairments reflect underlying neurodegenerative or vascular processes that gradually disrupt neuronal networks...
Mitochondria01:37

Mitochondria

Mitochondria are eukaryotic cellular organelles that are known to produce energy through a process called oxidative phosphorylation. Besides their primary function, mitochondria are involved in various cellular processes, including cell growth, differentiation, signaling, metabolism, and senescence. Age-related changes cause a decline in mitochondrial quality and integrity due to increased mitochondrial mutations and oxidative damage. Thus, aging can severely impact mitochondrial functions,...
Electron Transport Chain: Complex I and II01:46

Electron Transport Chain: Complex I and II

The mitochondrial electron transport chain (ETC) is the main energy generation system in the eukaryotic cells. However, mitochondria also produce cytotoxic reactive oxygen species (ROS) due to the large electron flow during oxidative phosphorylation. While Complex I is one of the primary sources of superoxide radicals, ROS production by Complex II is uncommon and may only be observed in cancer cells with mutated complexes.
ROS generation is regulated and maintained at moderate levels necessary...
Alzheimer's Disease: Overview01:26

Alzheimer's Disease: Overview

Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ and tau...