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Free radicals in Alzheimer's disease: From pathophysiology to clinical trial results
José Viña1, Consuelo Borrás1, Cristina Mas-Bargues1
1Freshage Research Group, Department of Physiology, Faculty of Medicine, University of Valencia, Centro de Investigación Biomédica en Red Fragilidad y Envejecimiento Saludable-Instituto de Salud Carlos III (CIBERFES-ISCIII), INCLIVA, Valencia, 46010, Spain.
Abstract:
In this review, we examine the role of oxidative stress in the pathophysiology of Alzheimer's Disease (AD). Amyloid-beta (Aβ) induces damage not only extracellularly but also within the intracellular environment. Mitochondria, a principal source of free radicals, are closely associated with Aβ, as it binds to heme, thereby disrupting the normal electron flow in the respiratory chain. At the turn of the century, it was hypothesized that the majority, if not all, pathological events in AD are linked to free radical damage. Notably, free radicals also possess signaling capabilities that contribute to the disease's progression. A substantial body of evidence suggests that radical signaling is implicated in the relationship between amyloid-β and tau hyperphosphorylation. Antioxidant therapy represents a potential strategy to delay the progression from cognitive impairment to overt dementia. Enhancing endogenous antioxidant defenses, for instance, through polyphenol supplementation, offers a promising approach to partially prevent dementia onset, particularly in at-risk populations. Understanding the redox-related pathophysiology of AD opens new avenues for prevention and treatment, providing a source of hope in the fight against Alzheimer's Disease.
Insights
Oxidative stress and free radical damage are central to Alzheimer's Disease (AD) progression. Antioxidant therapies, like polyphenol supplementation, may help prevent dementia onset and slow cognitive decline.
Area of Science:
- Neuroscience
- Biochemistry
- Pathophysiology
Background:
- Alzheimer's Disease (AD) pathophysiology involves oxidative stress.
- Amyloid-beta (Aβ) contributes to intracellular damage, particularly via mitochondrial dysfunction.
- Free radicals play a role in AD signaling pathways, linking Aβ to tau hyperphosphorylation.
Purpose of the Study:
- To review the role of oxidative stress in Alzheimer's Disease.
- To explore the link between free radicals, amyloid-beta, and tau pathology.
- To discuss antioxidant strategies for AD prevention and treatment.
Main Methods:
- Literature review of studies on oxidative stress in Alzheimer's Disease.
- Examination of the molecular mechanisms involving amyloid-beta and mitochondria.
- Analysis of evidence linking radical signaling to AD progression.
Main Results:
- Amyloid-beta disrupts mitochondrial function, increasing free radical production.
- Free radicals contribute to signaling pathways implicated in tau hyperphosphorylation.
- Evidence supports the hypothesis that free radical damage is linked to AD pathology.
Conclusions:
- Antioxidant therapy is a potential strategy to delay dementia progression.
- Enhancing endogenous antioxidant defenses, such as with polyphenols, may help prevent dementia onset.
- Understanding redox-related pathophysiology offers new avenues for AD prevention and treatment.
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