Mitochondrial abnormalities in Alzheimer brain: Mechanistic implications
Abstract
Reductions in cerebral metabolism sufficient to impair cognition in normal individuals also occur in Alzheimer's disease (AD). The degree of clinical disability in AD correlates closely to the magnitude of the reduction in brain metabolism. Therefore, we tested whether impairments in tricarboxylic acid (TCA) cycle enzymes of mitochondria correlate with disability. Brains were from patients with autopsy‐confirmed AD and clinical dementia ratings (CDRs) before death. Significant ( p < 0.01) decreases occurred in the activities of the pyruvate dehydrogenase complex (−41%), isocitrate dehydrogenase (−27%), and the α‐ketoglutarate dehydrogenase complex (−57%). Activities of succinate dehydrogenase (complex II) (+44%) and malate dehydrogenase (+54%) were increased ( p < 0.01). Activities of the other four TCA cycle enzymes were unchanged. All of the changes in TCA cycle activities correlated with the clinical state ( p < 0.01), suggesting a coordinated mitochondrial alteration. The highest correlation was with pyruvate dehydrogenase complex ( r = 0.77, r 2 = 0.59). Measures to improve TCA cycle metabolism might benefit AD patients. Ann Neurol 2005;57:695–703
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Impaired activities of three key TCA enzyme complexes, pyruvate dehydrogenase, isocitrate dehydrogenase, and α-ketoglutarate dehydrogenase, were observed in postmortem AD brain and fibroblasts from AD patients.
“Evidence for mitochondrial dysfunction in the AD pathogenesis comes from impaired activities of the three key TCA enzyme complexes, pyruvate dehydrogenase, isocitrate dehydrogenase, and α-ketoglutarate dehydrogenase, observed in postmortem AD brain and fibroblasts from AD patients74,75.”
From Mitochondrial Approaches for Neuroprotection (2008) · cites this paper as [75]
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- Authors
- Bubber, P., Haroutunian, V., Fisch, G., Blass, J. P., & Gibson, G. E.
- Affiliations
- Cornell University (US)
- Icahn School of Medicine at Mount Sinai (US)
- Northwell Health (US)
- Corresponding author
- Gibson, Gary E.
- Venue
- Annals of Neurology
- Publisher
- Wiley
- Published
- 2005-04-25
- Volume
- 57
- Issue
- 5
- Pages
- 695-703
- ISSN
- 0364-5134 (ISSN-L)
- 1531-8249
- OpenAlex
- W2152420555
- Cited by
- 622
- References
- 56
- Citations by year
- 2026: 25 · 2025: 29 · 2024: 31 · 2023: 21 · 2022: 33 · 2021: 38 · 2020: 31 · 2019: 34 · 2018: 34 · 2017: 29 · 2016: 32 · 2015: 30 · 2014: 22 · 2013: 22 · 2012: 44
- FWCI
- 13.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Neurology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging (AG11921, AG19589, R01AG019589, P01AG014930, AG 05138, P50AG005138, R01AG014600, R01AG011921, AG14930, AG-14600)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- Alzheimer's disease, mitochondrial dysfunction, TCA cycle, pyruvate dehydrogenase complex, isocitrate dehydrogenase, alpha-ketoglutarate dehydrogenase complex, succinate dehydrogenase, malate dehydrogenase, brain energy metabolism, clinical disability, cognitive impairment
- MeSH terms
- Aged, Aged, 80 and over, Aging, Alzheimer Disease, Animals, Brain, Choline O-Acetyltransferase, Citric Acid Cycle, Female, Humans, Male, Middle Aged, Mitochondria, Postmortem Changes, Psychiatric Status Rating Scales, Pyruvate Dehydrogenase Complex, Prefrontal Cortex, Mice, Plaque, Amyloid
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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