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Antioxidants in Down syndrome
1Department of Pediatrics and Neurology, School of Medicine, University of California Irvine (UCI), Orange, CA 92868, USA. itlott@uci.edu
Abstract:
Individuals with Down syndrome (DS) have high levels of oxidative stress throughout the lifespan. Mouse models of DS share some structural and functional abnormalities that parallel findings seen in the human phenotype. Several of the mouse models show evidence of cellular oxidative stress and have provided a platform for antioxidant intervention. Genes that are overexpressed on chromosome 21 are associated with oxidative stress and neuronal apoptosis. The lack of balance in the metabolism of free radicals generated during processes related to oxidative stress may have a direct role in producing the neuropathology of DS including the tendency to Alzheimer disease (AD). Mitochondria are often a target for oxidative stress and are considered to be a trigger for the onset of the AD process in DS. Biomarkers for oxidative stress have been described in DS and in AD in the general population. However, intervention trials using standard antioxidant supplements or diets have failed to produce uniform therapeutic effect. This chapter will examine the biological role of oxidative stress in DS and its relationship to abnormalities in both development and aging within the disorder. This article is part of a Special Issue entitled: Antioxidants and Antioxidant Treatment in Disease.
Insights
Down syndrome (DS) is linked to increased oxidative stress, impacting brain health and Alzheimer
Area of Science:
- Neuroscience
- Genetics
- Biochemistry
Background:
- Individuals with Down syndrome (DS) exhibit elevated oxidative stress across their lifespan.
- Mouse models of DS display cellular oxidative stress, serving as platforms for antioxidant research.
- Overexpressed genes on chromosome 21 are implicated in oxidative stress and neuronal apoptosis in DS.
Purpose of the Study:
- To examine the biological role of oxidative stress in Down syndrome (DS).
- To investigate the relationship between oxidative stress and developmental/aging abnormalities in DS.
- To explore the connection between oxidative stress, neuropathology, and Alzheimer disease (AD) risk in DS.
Main Methods:
- Review of existing literature on oxidative stress in Down syndrome.
- Analysis of mouse models exhibiting DS-related phenotypes and oxidative stress.
- Examination of genetic factors (chromosome 21) linked to oxidative stress and apoptosis.
Main Results:
- Imbalance in free radical metabolism contributes to DS neuropathology and Alzheimer disease (AD) predisposition.
- Mitochondria are identified as key targets of oxidative stress, potentially triggering AD in DS.
- Biomarkers for oxidative stress are documented in both DS and the general AD population.
Conclusions:
- Oxidative stress plays a significant role in the development and aging processes in Down syndrome.
- Therapeutic interventions using standard antioxidants have yielded inconsistent results.
- Further research is needed to understand and target oxidative stress pathways effectively in DS.
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