Targeting multiple pathogenic mechanisms with polyphenols for the treatment of Alzheimer's disease-experimental
Jun Wang1, Weina Bi2, Alice Cheng2
1Department of Neurology, Icahn School of Medicine at Mount Sinai New York, NY, USA ; Geriatric Research, Education and Clinical Center, James J. Peters Veterans Affairs Medical Center Bronx, NY, USA.
Abstract:
Alzheimer's disease (AD) is the most prevalent neurodegenerative disease of aging and currently has no cure. Its onset and progression are influenced by multiple factors. There is growing consensus that successful treatment will rely on simultaneously targeting multiple pathological features of AD. Polyphenol compounds have many proven health benefits. In this study, we tested the hypothesis that combining three polyphenolic preparations (grape seed extract, resveratrol, and Concord grape juice extract), with different polyphenolic compositions and partially redundant bioactivities, may simultaneously and synergistically mitigate amyloid-β (Aβ) mediated neuropathology and cognitive impairments in a mouse model of AD. We found that administration of the polyphenols in combination did not alter the profile of bioactive polyphenol metabolites in the brain. We also found that combination treatment resulted in better protection against cognitive impairments compared to individual treatments, in J20 AD mice. Electrophysiological examination showed that acute treatment with select brain penetrating polyphenol metabolites, derived from these polyphenols, improved oligomeric Aβ (oAβ)-induced long term potentiation (LTP) deficits in hippocampal slices. Moreover, we found greatly reduced total amyloid content in the brain following combination treatment. Our studies provided experimental evidence that application of polyphenols targeting multiple disease-mechanisms may yield a greater likelihood of therapeutic efficacy.
Insights
Combining grape seed extract, resveratrol, and Concord grape juice extract showed synergistic effects in mitigating Alzheimer's disease (AD) pathology and cognitive decline in mice. This multi-target polyphenol approach offers promising therapeutic potential for AD.
Area of Science:
- Neuroscience
- Pharmacology
- Gerontology
Background:
- Alzheimer's disease (AD) is a leading cause of age-related neurodegeneration with no current cure.
- Effective AD treatment likely requires targeting multiple pathological pathways simultaneously.
- Polyphenols offer potential therapeutic benefits due to their known health advantages.
Purpose of the Study:
- To investigate the synergistic effects of a combination of three polyphenolic preparations (grape seed extract, resveratrol, Concord grape juice extract) on Alzheimer's disease (AD) pathology and cognitive function.
- To evaluate whether this combined polyphenol treatment can mitigate amyloid-beta (Aβ) mediated neuropathology and cognitive impairments in a mouse model of AD.
Main Methods:
- Administration of a combination of three polyphenolic preparations to J20 AD mice.
- Assessment of cognitive impairments and neuropathology, including amyloid content.
- Electrophysiological examination of hippocampal slices to assess long-term potentiation (LTP) deficits induced by oligomeric Aβ (oAβ).
Main Results:
- Combination polyphenol treatment demonstrated superior protection against cognitive impairments compared to individual treatments in J20 AD mice.
- Significant reduction in total brain amyloid content was observed following combination treatment.
- Acute treatment with brain-penetrating polyphenol metabolites improved oAβ-induced LTP deficits in hippocampal slices.
Conclusions:
- A multi-target approach using combined polyphenols can synergistically mitigate AD neuropathology and cognitive deficits.
- This study provides evidence for the therapeutic potential of combining polyphenols with distinct compositions and bioactivities for AD treatment.
- Targeting multiple disease mechanisms with polyphenols may increase the likelihood of therapeutic efficacy in Alzheimer's disease.
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