Related Experiment Video
Updated: Apr 22, 2026

Author Spotlight: Decoding Mitochondrial Aging
Published on: June 30, 2023
Lymphocytic mitochondrial aconitase activity is reduced in Alzheimer's disease and mild cognitive impairment
Francesca Mangialasche1, Mauro Baglioni2, Roberta Cecchetti2
1Section of Gerontology and Geriatrics, Department of Medicine, University of Perugia, Perugia, Italy Aging Research Center, Karolinska Institutet-Stockholm University, Stockholm, Sweden.
Background:
Specific mechanisms behind the role of oxidative/nitrosative stress and mitochondrial dysfunction in Alzheimer's disease (AD) pathogenesis remain elusive. Mitochondrial aconitase (ACO2) is a Krebs cycle enzyme sensitive to free radical-mediated damage.
Objective:
We assessed activity and expression of ACO2 extracted from blood lymphocytes of subjects with AD, mild cognitive impairment (MCI), older adults with normal cognition (OCN, age ≥65 years), and younger adults with normal cognition (YCN, age <65 years). Plasma levels and activities of antioxidants were also measured.
Methods:
Blood samples were collected from 28 subjects with AD, 22 with MCI, 21 OCN, and 19 YCN. ACO2 activity was evaluated in a subsample before and after in vitro exposure to free radicals.
Results:
ACO2 activity was significantly lower in AD and MCI cases than controls: ACO2 median activity was 0.64 ± 0.21 U/mg protein for AD, 0.93 ± 0.28 U/mg protein for MCI, 1.17 ± 0.78 U/mg protein for OCN subjects, and 1.23 ± 0.43 U/mg protein for YCN individuals. In subjects with AD and MCI, ACO2 expression was lower than OCN subjects, and ACO2 activity correlated with vitamin E plasma levels (rho: 0.64, p < 0.001) and Mini-Mental State Examination total score (rho: 0.82, p < 0.001). Furthermore, free radicals exposure reduced ACO2 activity more in individuals with AD than in OCN subjects.
Conclusion:
Our results suggest that ACO2 activity is reduced in peripheral lymphocytes of subjects with AD and MCI and correlates with antioxidant protection. Further studies are warranted to verify the role of ACO2 in AD pathogenesis and its importance as a marker of AD progression.
Insights
Reduced mitochondrial aconitase (ACO2) activity in blood lymphocytes is linked to Alzheimer's disease (AD) and mild cognitive impairment (MCI). Lower ACO2 activity correlates with cognitive decline and antioxidant levels, suggesting its potential as an AD biomarker.
Area of Science:
- Biochemistry
- Neuroscience
- Mitochondrial Biology
Background:
- Oxidative stress and mitochondrial dysfunction are implicated in Alzheimer's disease (AD) pathogenesis.
- Mitochondrial aconitase (ACO2), a Krebs cycle enzyme, is sensitive to free radical damage.
Purpose of the Study:
- To assess ACO2 activity and expression in lymphocytes of AD, mild cognitive impairment (MCI), and cognitively normal individuals.
- To evaluate the correlation between ACO2 levels, antioxidant status, and cognitive function.
Main Methods:
- Collected blood samples from AD, MCI, older normal cognition (OCN), and younger normal cognition (YCN) groups.
- Measured ACO2 activity in lymphocytes, including assessment after in vitro free radical exposure.
- Quantified plasma antioxidant levels and ACO2 expression.
Main Results:
- Significantly lower ACO2 activity was observed in AD and MCI groups compared to controls.
- ACO2 expression was reduced in AD and MCI subjects.
- ACO2 activity positively correlated with vitamin E levels and cognitive scores (MMSE).
- AD lymphocytes showed greater ACO2 activity reduction upon free radical exposure.
Conclusions:
- Reduced ACO2 activity in peripheral lymphocytes may indicate AD and MCI.
- ACO2 activity correlates with antioxidant protection and cognitive status.
- ACO2 warrants further investigation as a potential biomarker for AD pathogenesis and progression.
More Related Videos
06:41Quantitative Analysis of Mitochondria-Associated Endoplasmic Reticulum Membrane (MAM) Stabilization in a Neural Model of Alzheimer's Disease (AD)
Published on: January 10, 2025
15:04Interactions with and Membrane Permeabilization of Brain Mitochondria by Amyloid Fibrils
Published on: September 28, 2019
Related Concept Videos
Alzheimer's Disease: Overview
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
Alzheimer Disease ll: Pathophysiology
Alzheimer Disease l: Introduction
Alzheimer's Disease: Treatment
Dementia l: Introduction
Electron Transport Chain: Complex I and II
ROS generation is regulated and maintained at moderate levels necessary...