4.7 Review

Disentangling Mitochondria in Alzheimer's Disease

Journal

Publisher

MDPI
DOI: 10.3390/ijms222111520

Keywords

Alzheimer's disease; neurodegeneration; mitochondria; antioxidants; PGC-1 alpha; sirtuins

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Alzheimer's disease is a major cause of dementia in older adults, with age being the main factor. Currently, only symptomatic treatments are available, but restoration of mitochondrial bioenergetics, prevention of oxidative stress, and maintaining a healthy diet and exercise have been shown to be effective in reducing A beta and improving cognitive deficits.
Alzheimer's disease (AD) is a major cause of dementia in older adults and is fast becoming a major societal and economic burden due to an increase in life expectancy. Age seems to be the major factor driving AD, and currently, only symptomatic treatments are available. AD has a complex etiology, although mitochondrial dysfunction, oxidative stress, inflammation, and metabolic abnormalities have been widely and deeply investigated as plausible mechanisms for its neuropathology. A beta plaques and hyperphosphorylated tau aggregates, along with cognitive deficits and behavioral problems, are the hallmarks of the disease. Restoration of mitochondrial bioenergetics, prevention of oxidative stress, and diet and exercise seem to be effective in reducing A beta and in ameliorating learning and memory problems. Many mitochondria-targeted antioxidants have been tested in AD and are currently in development. However, larger streamlined clinical studies are needed to provide hard evidence of benefits in AD. This review discusses the causative factors, as well as potential therapeutics employed in the treatment of AD.

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