Mitophagy in Alzheimer's disease and its potential as a therapeutic target

Jiahua Wei1, Tiegang Xiao2, Jialu Lyu1

  • 1Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200233, China; Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.

Neurobiology of Disease
|October 30, 2025
PubMed

Insights

Mitophagy, the process of clearing damaged mitochondria, is crucial in Alzheimer's disease (AD). Enhancing mitophagy may offer a novel therapeutic strategy to combat neurodegeneration and inflammation in AD.

Area of Science:

  • Neuroscience
  • Cell Biology
  • Pathology

Background:

  • Damaged mitochondria accumulate in neurodegenerative diseases like Alzheimer's disease (AD).
  • Mitophagy, a selective mitochondrial clearance process, is implicated in AD pathogenesis.
  • Deficits in mitophagy can create a cycle with amyloid-beta (Aβ) and Tau pathologies, leading to neuronal death.

Purpose of the Study:

  • To elucidate the molecular mechanisms of mitophagy in AD.
  • To explore the dual role of mitophagy in ferroptosis within AD.
  • To highlight mitophagy as a therapeutic target for AD intervention.

Main Methods:

  • Review of current literature on mitophagy, mitochondrial dysfunction, and AD.
  • Analysis of molecular pathways involving mitophagy, NLRP3 inflammasome, Aβ, Tau, and ferroptosis.
  • Synthesis of evidence linking mitophagy deficits to AD progression and neuroinflammation.

Main Results:

  • Mitochondrial dysfunction exacerbates AD by activating the NLRP3 inflammasome.
  • Mitophagy modulation can reduce neuroinflammation in neurons and microglia.
  • Mitophagy plays a complex, dual role in pathological ferroptosis in AD.

Conclusions:

  • Mitophagy is a critical factor in AD pathogenesis, influencing neuronal survival and inflammation.
  • Targeting mitophagy presents a promising therapeutic avenue for Alzheimer's disease.
  • Understanding mitophagy mechanisms is key to developing effective AD interventions.

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