Cited by 30Alzheimer's disease research and treatmentsMitochondrial Function and PathologyAutophagy in Disease and Therapy

Aerobic exercise improves astrocyte mitochondrial quality and transfer to neurons in a mouse model of Alzheimer's disease

Open access
Cai, Jiachen, Chen, Yan, She, Yuzhu, He, Xiaoxin, Feng, Hu, Sun, Huaiqing, Yin, Mengmei, Gao, Junying +3 more·2025·Brain Pathology

Abstract

Mitochondrial dysfunction is a well‐established hallmark of Alzheimer's disease (AD). Despite recent documentation of transcellular mitochondrial transfer, its role in the pathogenesis of AD remains unclear. In this study, we report an impairment of mitochondrial quality within the astrocytes and neurons of adult 5 × FAD mice. Following treatment with mitochondria isolated from aged astrocytes induced by exposure to amyloid protein or extended cultivation, cultured neurons exhibited an excessive generation of reactive oxygen species and underwent neurite atrophy. Notably, aerobic exercise enhanced mitochondrial quality by upregulating CD38 within hippocampal astrocytes of 5 × FAD mice. Conversely, the knockdown of CD38 diminished astrocytic–neuronal mitochondrial transfer, thereby abolishing the ameliorative effects of aerobic exercise on neuronal oxidative stress, β‐amyloid plaque deposition, and cognitive dysfunction in 5 × FAD mice. These findings unveil an unexpected mechanism through which aerobic exercise facilitates the transference of healthy mitochondria from astrocytes to neurons, thus countering the AD‐like progression.

AI snapshot

Written from the paper’s full text.

TL;DR

In 5 × FAD mice, hippocampal astrocytic and neuronal mitochondria are damaged, and aged astrocyte-derived mitochondria can transfer to neurons and worsen oxidative stress and neurite atrophy. Aerobic exercise improves astrocytic mitochondrial quality and increases CD38-dependent astrocyte-to-neuron mitochondrial transfer, reducing AD-like pathology and cognitive impairment.

Key findings

  • In 6-month-old 5 × FAD mice, more than 40% of mitochondria in hippocampal neuronal bodies, axon terminals, and astrocytes showed impaired ultrastructure, with decreased mitochondrial area and circumference; astrocytic mitochondrial quality and the number entering neurons were also reduced.
  • In vitro, mitochondria from astrocytes exposed to 5 μM Aβ1–42 for 24 h or from 8-week cultured aged astrocytes entered neurons less efficiently and caused increased neuronal ROS, decreased ATP, reduced neurite branch number/length, and lower SYP and PSD-95.
  • Four weeks of aerobic exercise improved mitochondrial quality in hippocampal astrocytes, increased astrocytic mitochondria entering neurons, reduced ROS and Aβ accumulation, and improved performance in the novel object recognition and Y-maze tests in 5 × FAD mice.
  • CD38 knockdown reduced astrocytic–neuronal mitochondrial transfer and abolished the ameliorative effects of aerobic exercise on neuronal oxidative stress, β-amyloid plaque deposition, and cognitive dysfunction in 5 × FAD mice; aerobic exercise upregulated CD38 and CREB in the hippocampus.

Methods

  • Five- and six-month-old male 5 × FAD mice and age-matched wild-type littermates received bilateral hippocampal injections of AAV-GFAP-mito-timer and/or CD38 siRNA, followed by 4 weeks of treadmill aerobic exercise.
  • Primary astrocytes and neurons were cultured; astrocytes were treated with 5 μM Aβ1–42 oligomers for 24 h or repeatedly subcultured for 8 weeks to model aging, and astrocyte-derived mitochondria were isolated from conditioned medium and co-cultured with neurons.
  • Analyses included transmission electron microscopy, immunofluorescence, Western blotting, ATP and ROS measurements, mitochondrial membrane potential, behavioral tests (novel object recognition and Y-maze), and ANOVA or t-tests as appropriate.

Limitations

  • The paper states that future research is needed to determine whether aerobic exercise mediates mitochondria transfer from neurons to astrocytes, that the role of tunneling nanotubes in astrocyte-to-neuron mitochondrial transfer in AD remains undetermined, and that clinical studies are needed; it also notes a contrary view that age-related CD38 upregulation may itself cause mitochondrial dysfunction and that CD38–NAD+ interactions are complex.
  • Evident from the Methods: all in vivo experiments used male mice only, so sex differences are not addressed; the findings are from a mouse model and in vitro cultures, not human tissue or clinical intervention.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1111/bpa.13316

Cites

82 of 82 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

25 of 44 cited sources checked · 10 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    Mitochondrial damage in astrocytes can lead to the accumulation of lipid droplets, thereby further exacerbating the pathological progression of Alzheimer's disease.

    “Mitochondrial damage in astrocytes can lead to the accumulation of lipid droplets, thereby further exacerbating the pathological progression of AD [16, 17, 18].”
    Quote in the paperSubstantial claim3 of 3 sources checked
    • cites [16] Galea E, Weinstock LD, Larramona‐Arcas R, Pybus AF, Giménez‐Llort L, Escartin C, et al. Multi‐transcriptomic analysis points to early organelle dysfunction in human astrocytes in Alzheimer's disease. Neurobiol Dis. 2022; 166: 105655. 35143967 PMC9504227 source

      The Discussion (Key implications and predictions; page unavailable) describes mitochondrial dysfunction in AD astrocytes. The Discussion’s model of astrocyte transformation predicts that this dysfunction contributes to AD progression, but neither passage links mitochondrial damage to lipid-droplet accumulation or identifies lipid droplets as a cause of worsening disease. Searches for lipid droplets and lipid accumulation found no such link in our copy. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
    • cites [17] Mi Y, Qi G, Vitali F, Shang Y, Raikes AC, Wang T, et al. Loss of fatty acid degradation by astrocytic mitochondria triggers neuroinflammation and neurodegeneration. Nat Metab. 2023; 5: 445– 465. 36959514 PMC10202034 source

      The Abstract reports that impaired astrocytic mitochondrial oxidative phosphorylation induces lipid-droplet accumulation followed by AD-like neurodegeneration. But the Discussion describes lipid-droplet formation as a protective response rather than a driver of reactivity or neuroinflammation. The paper therefore does not support the claim that the droplets themselves exacerbate AD progression. (LLM, conf=0.89)

      Experimental — accuracy not yet measured
    • cites [18] Lee H, Cho S, Kim MJ, Park YJ, Cho E, Jo YS, et al. ApoE4‐dependent lysosomal cholesterol accumulation impairs mitochondrial homeostasis and oxidative phosphorylation in human astrocytes. Cell Rep. 2023; 42: 113183. 37777962 source

      The Introduction and Discussion report dysfunctional mitochondria in ApoE4 human astrocytes and suggest that these changes contribute to AD pathogenesis. They do not report that mitochondrial damage causes lipid-droplet accumulation or that such droplets further exacerbate AD progression; the causal pathway studied instead runs from lysosomal cholesterol accumulation to impaired removal of damaged mitochondria. No page numbers are available in our copy. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • Premisecitation

    Mitochondrial transfer between astrocytes and neurons represents a novel target for neuroprotection.

    “A mounting body of evidence supports the notion that mitochondrial transfer between astrocytes and neurons represents a novel target for neuroprotection.”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [13] Hayakawa K, Esposito E, Wang X, Terasaki Y, Liu Y, Xing C, et al. Transfer of mitochondria from astrocytes to neurons after stroke. Nature. 2016; 535: 551– 555. 27466127 PMC4968589 source
    • cites [14] Ni XC, Wang HF, Cai YY, Yang D, Alolga RN, Liu B, et al. Ginsenoside Rb1 inhibits astrocyte activation and promotes transfer of astrocytic mitochondria to neurons against ischemic stroke. Redox Biol. 2022; 54: 102363. 35696763 PMC9198466

      Not checked in the free run.

  • Premisecitation

    5×FAD mice exhibit abnormal neuron-astrocyte transmitophagy, characterized by increased degradation of neuronal mitochondria by astrocytes.

    “Notably, 5 × FAD mice exhibit abnormal neuron–astrocyte transmitophagy, characterized by an increased degradation of neuronal mitochondria by astrocytes [15].”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [15] Lampinen R, Belaya I, Saveleva L, Liddell JR, Rait D, Huuskonen MT, et al. Neuron‐astrocyte transmitophagy is altered in Alzheimer's disease. Neurobiol Dis. 2022; 170: 105753. 35569719 source

      Results §3.1 (p. 5) report increased degradation of neuronal mitochondria by astrocytes harvested from 6- and 11-month-old 5xFAD mice in co-culture. The same passage reports no change in young astrocytes, so the unqualified claim about 5xFAD mice omits an important age restriction; the measured increase was in co-culture, not a quantified increase in intact mice. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • Premisecitation

    Mitochondrial intercellular transfer plays a crucial role in the maintenance of mitochondrial homeostasis.

    “Recent evidence suggests that mitochondrial intercellular transfer also plays a crucial role in the maintenance of mitochondrial homeostasis [7, 8].”
    Quote in the paperSubstantial claim2 of 2 sources checked
    • cites [7] Liang W, Sagar S, Ravindran R, Najor RH, Quiles JM, Chi L, et al. Mitochondria are secreted in extracellular vesicles when lysosomal function is impaired. Nat Commun. 2023; 14: 5031. 37596294 PMC10439183 source

      The Results section reports that mitochondria released from adult mouse heart cells are taken up by macrophages and that this response is sufficient to maintain cardiac homeostasis during autophagy dysfunction. The Discussion describes this as an alternative quality-control pathway when lysosomal degradation is impaired. These passages support a role for intercellular mitochondrial transfer in homeostasis, but not the broader claim that it is generally crucial for maintaining mitochondrial homeostasis. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
    • cites [8] Shanmughapriya S, Langford D, Natarajaseenivasan K. Inter and intracellular mitochondrial trafficking in health and disease. Ageing Res Rev. 2020; 62: 101128. 32712108 PMC7484258 source
  • Premisecitation

    The CD38 signaling pathway mediates the transfer of mitochondria from astrocytes to neurons.

    “Recent studies have reported that the CD38 signaling pathway mediates the transfer of mitochondria from astrocytes to neurons [13].”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [13] Hayakawa K, Esposito E, Wang X, Terasaki Y, Liu Y, Xing C, et al. Transfer of mitochondria from astrocytes to neurons after stroke. Nature. 2016; 535: 551– 555. 27466127 PMC4968589 source
  • Classified as probably not a substantial claim. 19
  • May combine two claims. 22
  • Classified as probably not a substantial claim.

    Premisecitation

    Impaired brain energy metabolism is an early pathological manifestation of neurodegenerative diseases including Alzheimer's disease.

    “Impaired brain energy metabolism serves as an early pathological manifestation of neurodegenerative diseases, including Alzheimer's disease (AD) [1, 2].”
    Quote in the paperSubstantial claim2 of 2 sources checked
    • cites [1] Johnson ECB, Dammer EB, Duong DM, Ping L, Zhou M, Yin L, et al. Large‐scale proteomic analysis of Alzheimer's disease brain and cerebrospinal fluid reveals early changes in energy metabolism associated with microglia and astrocyte activation. Nat Med. 2020; 26: 769– 780. 32284590 PMC7405761 source

      The Results (Construction and Validation of a Consensus AD Protein Co-Expression Network; page not provided) report changes in mitochondrial and astrocyte/microglial metabolism protein modules during asymptomatic, preclinical AD. That supports early metabolism-related changes in AD, but not the stronger claim that brain energy metabolism is impaired. The comparison with other neurodegenerative diseases examines network changes in tissue from disease cases, not whether metabolic impairment is an early manifestation of those diseases. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
    • cites [2] Han S, Zhang M, Jeong YY, Margolis DJ, Cai Q. The role of mitophagy in the regulation of mitochondrial energetic status in neurons. Autophagy. 2021; 17: 4182– 4201. 33757395 PMC8726713 source

      The Introduction (page unavailable) says that AD patients show early metabolic deficits associated with impaired mitochondrial function, before histopathological or clinical abnormalities appear. The Discussion mentions other age-related neurodegenerative diseases but does not say that impaired energy metabolism is an early manifestation of those diseases generally. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim.

    Premisecitation

    In a mouse model of stroke, functional mitochondria can be transferred from astrocytes to adjacent neurons, mitigating neuronal damage.

    “For instance, in a mouse model of stroke, functional mitochondria can be transferred from astrocytes to adjacent neurons, mitigating neuronal damage [13, 14].”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [13] Hayakawa K, Esposito E, Wang X, Terasaki Y, Liu Y, Xing C, et al. Transfer of mitochondria from astrocytes to neurons after stroke. Nature. 2016; 535: 551– 555. 27466127 PMC4968589 source
    • cites [14] Ni XC, Wang HF, Cai YY, Yang D, Alolga RN, Liu B, et al. Ginsenoside Rb1 inhibits astrocyte activation and promotes transfer of astrocytic mitochondria to neurons against ischemic stroke. Redox Biol. 2022; 54: 102363. 35696763 PMC9198466 source

      Checked before — its earlier verdict is held back until a new check runs.

  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    Mitochondria are the primary producers of intracellular reactive oxygen species and are susceptible to oxidative stress caused by toxic metabolites such as β-amyloid.

    “Mitochondria not only generate ATP but also act as the primary producers of intracellular reactive oxygen species (ROS) and are susceptible to oxidative stress caused by various toxic metabolites, such as β‐amyloid (Aβ) [3, 4].”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [3] Nunnari J, Suomalainen A. Mitochondria: in sickness and in health. Cell. 2012; 148: 1145– 1159. 22424226 PMC5381524 source

      The section “Mitochondria Are Metabolic Signaling Centers” states that mitochondrial complexes I and III generate ROS, and the paper also describes mitochondrial ATP production. It does not establish that mitochondria are the primary intracellular ROS producers or say that β-amyloid causes oxidative stress in mitochondria; searches for amyloid and Alzheimer-related oxidative stress did not find that link. Page numbers are unavailable in our copy. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
    • cites [4] Yan SF, Akhter F, Sosunov AA, Yan SS. Identification and characterization of amyloid‐β accumulation in synaptic mitochondria. Methods Mol Biol. 2018; 1779: 415– 433. 29886547 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    CD38 signaling is responsible for the extracellular release of mitochondria by astrocytes in a mouse model of stroke.

    “Recent reports have unveiled that CD38 signaling is responsible for the extracellular release of mitochondria by astrocytes in a mouse model of stroke [13].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [13] Hayakawa K, Esposito E, Wang X, Terasaki Y, Liu Y, Xing C, et al. Transfer of mitochondria from astrocytes to neurons after stroke. Nature. 2016; 535: 551– 555. 27466127 PMC4968589 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Aberrant mitochondrial exchange between cells is implicated in the pathogenesis of several neurological diseases including stroke and acute respiratory distress syndrome.

    “The aberrant mitochondrial exchange between cells has been implicated in the pathogenesis of several neurological diseases including stroke and acute respiratory distress syndrome [9, 10, 11].”
    Quote in the paperNot a substantial claim2 of 3 sources checked
    • cites [9] Liu D, Gao Y, Liu J, Huang Y, Yin J, Feng Y, et al. Intercellular mitochondrial transfer as a means of tissue revitalization. Signal Transduct Target Ther. 2021; 6: 65. 33589598 PMC7884415 source

      The CNS section links intercellular mitochondrial transfer to stroke and discusses a possible role in Parkinson’s disease progression. But it describes transfer after stroke as aiding repair and recovery, not causing disease. The respiratory-system section discusses acute lung injury rather than acute respiratory distress syndrome, and likewise describes transfer as protective; it does not support the claim that aberrant exchange contributes to its pathogenesis. Page numbers were not available in our copy. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
    • cites [10] Masuzawa A, Black KM, Pacak CA, Ericsson M, Barnett RJ, Drumm C, et al. Transplantation of autologously derived mitochondria protects the heart from ischemia‐reperfusion injury. Am J Physiol Heart Circ Physiol. 2013; 304: H966– H982. 23355340 PMC3625892 source
    • cites [11] Jackson MV, Morrison TJ, Doherty DF, McAuley DF, Matthay MA, Kissenpfennig A, et al. Mitochondrial transfer via tunneling nanotubes is an important mechanism by which mesenchymal stem cells enhance macrophage phagocytosis in the in vitro and in vivo models of ARDS. Stem Cells. 2016; 34: 2210– 2223. 27059413 PMC4982045 source

      The Results and Conclusion (pages unavailable in our copy) link mitochondrial transfer to an ARDS-related infection model, but describe it as enhancing macrophage phagocytosis and antimicrobial activity—not as aberrant exchange contributing to disease pathogenesis. The paper does not address stroke or classify ARDS as a neurological disease. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Exercise promotes the upregulation of mitochondrial peroxisome proliferator-activated receptor gamma coactivator 1-alpha in muscle cells.

    “Exercise promotes the upregulation of mitochondrial peroxisome proliferator‐activated receptor gamma coactivator 1‐alpha, a principal regulator of mitochondrial biogenesis, within muscle cells [21].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [21] Ruas JL, White JP, Rao RR, Kleiner S, Brannan KT, Harrison BC, et al. A PGC‐1α isoform induced by resistance training regulates skeletal muscle hypertrophy. Cell. 2012; 151: 1319– 1331. 23217713 PMC3520615 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    CD38 is highly enriched in astrocytes and regulates their development and activation.

    “CD38 is highly enriched in astrocytes, which regulates their development and activation [13, 23].”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites [13] Hayakawa K, Esposito E, Wang X, Terasaki Y, Liu Y, Xing C, et al. Transfer of mitochondria from astrocytes to neurons after stroke. Nature. 2016; 535: 551– 555. 27466127 PMC4968589 source

      Extended Data Figure 5 reports that CD38 was primarily expressed in astrocytes in neuron–astrocyte co-cultures. The paper does not establish that CD38 regulates astrocyte development or activation; Extended Data Figure 8 reports no clear change in astrocyte morphology or GFAP expression after CD38 suppression. (LLM, conf=0.87)

      Experimental — accuracy not yet measured
    • cites [23] Hattori T, Kaji M, Ishii H, Jureepon R, Takarada‐Iemata M, Minh Ta H, et al. CD38 positively regulates postnatal development of astrocytes cell‐autonomously and oligodendrocytes non‐cell‐autonomously. Glia. 2017; 65: 974– 989. 28295574 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Only a minute fraction of mitochondria undergoes senescence under physiological conditions.

    “Only a minute fraction of mitochondria undergoes senescence under physiological conditions [5].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [5] Miwa S, Kashyap S, Chini E, von Zglinicki T. Mitochondrial dysfunction in cell senescence and aging. J Clin Invest. 2022; 132: e158447. 35775483 PMC9246372 source

      The Introduction section “What is mitochondrial dysfunction?” describes dysfunctional mitochondria accumulating in senescent cells, but does not say what fraction of mitochondria undergo senescence under physiological conditions. Searches for a minute or small fraction of senescent mitochondria and their prevalence under normal conditions found no passage addressing that claim; page numbers were unavailable. (LLM, conf=0.75)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductcitation

    The Y-maze test was conducted according to established laboratory protocols.

    “The Y‐maze test was conducted as per the established laboratory protocols [72].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [72] Sarnyai Z, Sibille EL, Pavlides C, Fenster RJ, McEwen BS, Toth M. Impaired hippocampal‐dependent learning and functional abnormalities in the hippocampus in mice lacking serotonin(1A) receptors. Proc Natl Acad Sci U S A. 2000; 97: 14731– 14736. 11121072 PMC18987 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingcitation

    After repeated subculture for 8 weeks, astrocytes almost lost their proliferative ability, manifested as over 80% of cells expressing SA-β-Gal.

    “Some astrocytes were repeatedly subcultured for 8 weeks to establish a replicated aging model. At this point, astrocytes almost lost their proliferative ability, manifested as over 80% of cells expressing SA‐β‐Gal [78, 79].”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites [78] Bang M, Gonzales EL, Shin CY, Kwon KJ. Late passage cultivation induces aged astrocyte phenotypes in rat primary cultured cells. Biomol Ther (Seoul). 2021; 29: 144– 153. 33262320 PMC7921865 source

      The Methods (Rat primary cortical astrocyte culture; page unavailable) describe repeated subculture to passage 7, and the Results (Late passage astrocytes show phenotypes of morphologically aged cells; page unavailable) report more SA-β-gal-positive cells than at passage 1. Our copy does not establish an eight-week duration, near-total loss of proliferative ability, or SA-β-gal positivity in over 80% of cells; it reports an approximately 1.3-fold increase instead. (LLM, conf=0.87)

      Experimental — accuracy not yet measured
    • cites [79] Bellaver B, Souza DG, Souza DO, Quincozes‐Santos A. Hippocampal astrocyte cultures from adult and aged rats reproduce changes in glial functionality observed in the aging brain. Mol Neurobiol. 2017; 54: 2969– 2985. 27026184 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    MitoTimer is a mutant of the red fluorescent protein dsRed whose fluorescence shifts over time from green to red as the protein matures.

    “AAV‐GFAP‐mito‐timer expressed a mutant of the red fluorescent protein, dsRed, in which fluorescence shifts over time from green to red as the protein matures [27].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [27] Hernandez G, Thornton C, Stotland A, Lui D, Sin J, Ramil J, et al. MitoTimer: a novel tool for monitoring mitochondrial turnover. Autophagy. 2013; 9: 1852– 1861. 24128932 PMC4028337 source
  • May combine two claims.

    Premisecitation

    The CD38-cADPR signaling pathway is involved in mitochondrial internalization, catalyzing the cyclization of extracellular NAD+ into intracellular cADPR, triggering the release of Ca2+, and promoting cytoskeleton remodeling, thus facilitating the internalization of extracellular mitochondria.

    “Additionally, the CD38‐cADPR signaling pathway is involved in mitochondrial internalization, catalyzing the cyclization of extracellular nicotinamide adenine dinucleotide (NAD+) into intracellular cADPR, triggering the release of Ca2+, and promoting cytoskeleton remodeling, thus facilitating the internalization of extracellular mitochondria [62].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [62] Sun C, Liu X, Wang B, Wang Z, Liu Y, Di C, et al. Endocytosis‐mediated mitochondrial transplantation: transferring normal human astrocytic mitochondria into glioma cells rescues aerobic respiration and enhances radiosensitivity. Theranostics. 2019; 9: 3595– 3607. 31281500 PMC6587163 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Under transmission electron microscopy, synaptic terminals are spherical in shape and contain various synaptic vesicles.

    “As for synaptic terminals, they are spherical in shape and contain various synaptic vesicles [75].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [75] Burette AC, Lesperance T, Crum J, Martone M, Volkmann N, Ellisman MH, et al. Electron tomographic analysis of synaptic ultrastructure. J Comp Neurol. 2012; 520(12): 2697– 2711. 22684938 PMC3856703 source

      The Results section, “The presynaptic terminal” (page unavailable), describes vesicles within the terminal, supporting that part of the claim. The Discussion describes the vesicles as hollow spheres, but the copy does not say the terminal itself is spherical. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim.

    Study design and conductcitation

    The quantitative analysis of mitochondrial integrity was performed according to a previously described method.

    “The quantitative analysis of mitochondrial integrity was performed according to the method previously described [76].”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [76] Zhang KL, Li SJ, Pu XY, Wu FF, Liu H, Wang RQ, et al. Targeted up‐regulation of Drp1 in dorsal horn attenuates neuropathic pain hypersensitivity by increasing mitochondrial fission. Redox Biol. 2022; 49: 102216. 34954498 PMC8718665 source
  • May combine two claims.

    Findingown data

    In neuronal bodies, axon terminals, and astrocytes of 5×FAD mice, more than 40% of mitochondrial ultrastructure is impaired, and mitochondrial area and circumference are decreased.

    “Statistical results showed that in neuronal bodies, axon terminals, and astrocytes of AD mice, more than 40% of mitochondrial ultrastructure was impaired, and mitochondrial area and circumference were decreased (Figure 1B–D).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Transfer of aged astrocyte-derived mitochondria to primary cultured neurons elevates neuronal ROS levels, diminishes ATP content, and reduces neurite length and branching.

    “The transfer of aged astrocyte‐derived mitochondria to primary cultured neurons elevated neuronal ROS levels (Figure S4A,B), diminished ATP content (Figure S4C), and reduced neurite length and branching (Figure S4D–F), although transfer efficiency was reduced when compared with mitochondria secreted by astrocytes cultured for 2 weeks (Figure S4G,H).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Aβ1-42-treated astrocytes have reductions in both the number and length of mitochondrial branches.

    “Mitochondrial Mitotracker staining, combined with GFAP immunofluorescence, revealed reductions in both the number and length of mitochondrial branches in astrocytes exposed to Aβ1–42 (Figure 2E–G).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Aβ1-42-treated astrocytes release fewer mitochondria and have lower mitochondrial SOD activity.

    “We found that Aβ1–42‐treated astrocytes released fewer mitochondria and had lower mitochondrial SOD activity (Figure S2A–D).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Aerobic exercise enhances the cognitive performance of 5×FAD mice in both the novel object recognition test and the Y-maze test.

    “Results from behavioral tests demonstrated that aerobic exercise enhanced the cognitive performance of 5 × FAD mice in both the novel object recognition test and the Y‐maze test (Figure S7A–C).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Aβ1-42-treated astrocytes have reduced mitochondrial membrane potential and increased mitochondrial ROS levels.

    “The toxic impact of Aβ1–42 on cultured astrocytes was further confirmed by a reduction in mitochondrial membrane potential (Figure 2H,I) and an increase in mitochondrial ROS levels (Figure 2J–M).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Mitochondria derived from aged astrocytes display abnormal morphology, decreased membrane potential, and increased ROS levels.

    “Mitochondria derived from aged astrocytes displayed abnormal morphology (Figure S3E–G), decreased membrane potential (Figure S3H,I), and increased ROS levels (Figure S3J,K).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Exercised 5×FAD mice have a reduced proportion of damaged mitochondria in neurons and astrocytes, accompanied by increased mitochondrial area and circumference.

    “Transmission electron microscopy showed that exercised 5 × FAD mice had a reduced proportion of damaged mitochondria in neurons and astrocytes, accompanied with increased mitochondrial area and circumference (Figure 4B–E).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Aged mitochondria are sequestered within autophagosomes and transferred to lysosomes for degradation, while newly synthesized mitochondria are regenerated.

    “The aged mitochondria are sequestered within autophagosomes and subsequently transferred to lysosomes for degradation, while newly synthesized mitochondria are promptly regenerated [6].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [6] Ashrafi G, Schwarz TL. The pathways of mitophagy for quality control and clearance of mitochondria. Cell Death Differ. 2013; 20: 31– 42. 22743996 PMC3524633 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    During exercise, CD38 in skeletal muscle is upregulated through the cAMP-responsive element-binding protein (CREB) pathway.

    “During exercise, CD38 in skeletal muscle is upregulated through the cAMP‐responsive element‐binding protein (CREB) pathway [22].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [22] Park DR, Nam TS, Kim YW, Lee SH, Kim UH. CD38‐cADPR‐SERCA signaling axis determines skeletal muscle contractile force in response to β‐adrenergic stimulation. Cell Physiol Biochem. 2018; 46: 2017– 2030. 29723871 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Aerobic exercise is an effective measure for combating muscle aging by enhancing mitochondrial quality.

    “Aerobic exercise has been demonstrated to be an effective measure for combating muscle aging by enhancing mitochondrial quality [20].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [20] Hood DA, Memme JM, Oliveira AN, Triolo M. Maintenance of skeletal muscle mitochondria in health, exercise, and aging. Annu Rev Physiol. 2019; 81: 19– 41. 30216742 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Exercise is one of the most pragmatic and secure strategies to mitigate the aging process and reduce the risk of Alzheimer's disease.

    “Exercise emerges as one of the most pragmatic and secure strategies to mitigate the aging process and reduce the risk of AD [19].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [19] López‐Ortiz S, Valenzuela PL, Seisdedos MM, Morales JS, Vega T, Castillo‐García A, et al. Exercise interventions in Alzheimer's disease: a systematic review and meta‐analysis of randomized controlled trials. Ageing Res Rev. 2021; 72: 101479. 34601135 source
  • May combine two claims.

    Premisecitation

    CD38 plays a crucial role in mediating mitochondrial release and enhances the expression of the O-GlcNA cycle.

    “CD38 plays a crucial role in mediating mitochondrial release and also enhances the expression of the O‐GlcNA cycle [60].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [60] Park JH, Nakamura Y, Li W, Hamanaka G, Arai K, Lo EH, et al. Effects of O‐GlcNAcylation on functional mitochondrial transfer from astrocytes. J Cereb Blood Flow Metab. 2021; 41: 1523– 1535. 33153373 PMC8221762 source
  • May combine two claims.

    Interpretationown data

    Aerobic exercise enhances mitochondrial quality and increases astrocytic-neuronal mitochondrial transfer by upregulating the CD38 signaling pathway.

    “Aerobic exercise not only enhances mitochondrial quality, but also increases astrocytic–neuronal mitochondrial transfer by upregulating the CD38 signaling pathway.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Under transmission electron microscopy, the prominent feature of astrocyte cytoplasm is the presence of numerous parallel-arranged filamentous structures.

    “The prominent feature of astrocyte cytoplasm is the presence of numerous parallel‐arranged filamentous structures [74].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [74] Karasek M, Swiltosławski J, Zielińiska A. Ultrastructure of the central nervous system: the basics. Folia Neuropathol. 2004; 42(Suppl B): 1– 9. 16903138

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    Astrocyte mitochondria with poor quality can be transferred to neurons in 5×FAD mice, potentially exacerbating oxidative damage to neurons and Aβ accumulation.

    “We further found that astrocyte mitochondria with poor quality can be transferred to neurons in 5 × FAD mice, potentially exacerbating oxidative damage to neurons and Aβ accumulation.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Aerobic exercise promotes the entry of healthy mitochondria from astrocytes into neurons, potentially providing benefits in alleviating Alzheimer's disease-like pathology in 5×FAD mice.

    “Collectively, these results suggest that aerobic exercise promotes the entry of healthy mitochondria from astrocytes into neurons, potentially providing benefits in alleviating AD‐like pathology in 5 × FAD mice.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The O-GlcNA cycle is involved in maintaining extracellular mitochondrial function during and after intercellular mitochondrial transfer.

    “It has been reported that the O‐GlcNA cycle is involved in maintaining extracellular mitochondrial function during and after intercellular mitochondrial transfer [60].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [60] Park JH, Nakamura Y, Li W, Hamanaka G, Arai K, Lo EH, et al. Effects of O‐GlcNAcylation on functional mitochondrial transfer from astrocytes. J Cereb Blood Flow Metab. 2021; 41: 1523– 1535. 33153373 PMC8221762 source
  • May combine two claims.

    Interpretationown data

    Aerobic exercise enhances mitochondrial quality in astrocytes of Alzheimer's disease mice and increases the efficiency of mitochondrial transfer from astrocytes to neurons, thus mitigating oxidative stress in neurons and reducing the deposition of Aβ plaques.

    “In this study, we demonstrated that aerobic exercise enhances mitochondrial quality in astrocytes of AD mice and increases the efficiency of mitochondrial transfer from astrocytes to neurons, thus mitigating oxidative stress in neurons and reducing the deposition of Aβ plaques.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Aerobic exercise not only improves the mitochondrial quality of astrocytes but also facilitates astrocyte-neuron mitochondrial transfer, thereby ameliorating Alzheimer's disease-like pathology.

    “In summary, the present study has revealed that aerobic exercise not only improves the mitochondrial quality of astrocytes but also facilitates astrocyte–neuron mitochondrial transfer, thereby ameliorating AD‐like pathology.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    After aerobic exercise, the low expression of CD38 in astrocytes of Alzheimer's disease mice is restored, and the ability of astrocytes to transfer healthy mitochondria to neurons is improved, thereby reducing neuronal oxidative stress and Aβ load.

    “After aerobic exercise, the low expression of CD38 in astrocytes of AD mice was restored, and the ability of astrocytes to transfer healthy mitochondria to neurons was improved, thereby reducing neuronal oxidative stress and Aβ load.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Activation of CD38 enhances mitochondrial release in astrocytes, while the use of an intracellular Ca2+ chelator or CD38 knockdown reduces mitochondrial release in astrocytes.

    “Activation of CD38 enhances mitochondrial release in astrocytes, while the use of an intracellular Ca2+ chelator or CD38 knockdown reduces mitochondrial release in astrocytes [61].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [61] Wang Y, Ni J, Gao T, Gao C, Guo L, Yin X. Activation of astrocytic sigma‐1 receptor exerts antidepressant‐like effect via facilitating CD38‐driven mitochondria transfer. Glia. 2020; 68: 2415– 2426. 32460411 source
36 of 36
  • The paper relies on this without support.

    The 5×FAD mouse model recapitulates key aspects of Alzheimer's disease relevant to mitochondrial dysfunction and the effects of aerobic exercise.

    “Five‐ and six‐month‐old male 5 × FAD mice and age‐matched WT littermate mice with a C57BL/6 background were utilized for this study.”
  • The paper relies on this without support.

    Aβ1–42 oligomer treatment of primary astrocytes is a valid model of astrocyte aging in Alzheimer's disease.

    “Primary astrocytes were isolated from the hippocampus of newborn mice and cultured for 2 weeks before treatment with 5 μM Aβ1–42 oligomers for 24 h.”
  • The paper relies on this without support.

    CD38 siRNA specifically reduces CD38 expression without off-target effects on mitochondrial transfer.

    “In order to validate this notion, we downregulated CD38 gene expression in primary astrocytes using CD38 short interfering RNA (siRNA).”
  • The paper relies on this without support.

    Under transmission electron microscopy, neuronal nuclei have low chromatin electron density with a small amount of heterochromatin plaques.

    “Under transmission electron microscopy, the chromatin electron density of neuronal nuclei is low with a small amount of heterochromatin plaques.”
  • The paper relies on this without support.

    Under transmission electron microscopy, neuronal cytoplasm has very low electron density and is rich in plate-like rough endoplasmic reticulum.

    “The cytoplasmic electron density of neurons is also very low and rich in plate‐like rough endoplasmic reticulum.”
  • The paper relies on this without support.

    Under transmission electron microscopy, the nucleus of astrocytes is usually irregular in shape with heterochromatin accumulation near the nuclear membrane region.

    “The nucleus of astrocytes is usually irregular in shape with heterochromatin accumulation near the nuclear membrane region.”
6 of 6

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Primary astrocyte tissue source differs between Results and Methods

    Major

    The Results say the primary astrocytes were isolated from newborn hippocampus, whereas the culture method says they were established from neonatal cerebral cortices.

  • The same GFAP antibody is identified as both mouse and rat

    Minor

    The SA-β-gal/GFAP staining method calls antibody ab279291 a mouse anti-GFAP antibody, but the immunofluorescence method calls that same antibody a rat monoclonal anti-GFAP antibody.

  • Figure 6 mice have inconsistent reported ages

    Minor

    The methods described for this experiment start with 6-month-old mice and add four weeks of exercise, which would make them about 7 months old. The Figure 6 caption instead calls them 6.5 months old.

3 of 3

Cites

Flagged first, then by citations

Research works printed but not linked: 1

  1. Karasek M, 2004, Ultrastructure of the central nervous system: the basics, Folia Neuropathol, 42, 1

Cited by

Sorted by citations

Authors
Cai, J., Chen, Y., She, Y., He, X., Feng, H., Sun, H., Yin, M., Gao, J., Sheng, C., Li, Q., & Xiao, M.
Affiliations
  • Nanjing Brain Hospital (CN)
  • Nanjing Medical University (CN)
  • Jiangsu Province Hospital (CN)
Corresponding author
  • Li, Qian
  • Xiao, Ming
Venue
Brain Pathology
Publisher
Wiley
Published
2024-10-26
Volume
35
Issue
3
Pages
e13316-e13316
ISSN
  • 1015-6305 (ISSN-L)
  • 1750-3639
OpenAlex
W4403795009
Cited by
30
References
82
Citations by year
2026: 20 · 2025: 10
FWCI
8.47
Type
journal article
Language
en
Open access
Locations
  • Brain Pathology (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
  • National Natural Science Foundation of China (81871117, 82471608)
  • Natural Science Foundation of Jiangsu Province (BK20230057)
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 › Epidemiology › Autophagy in Disease and Therapy
Keywords
aerobic exercise, Alzheimer's disease, astrocytes, mitochondrial quality control, astrocyte-neuron communication, CD38, 5xFAD mice, amyloid-beta, reactive oxygen species, oxidative stress, amyloid plaques, cognitive impairment, hippocampus, mitochondrial dysfunction
MeSH terms
Aerobiosis, Alzheimer Disease, Animals, Astrocytes, Atrophy, Cells, Cultured, Disease Models, Animal, Hippocampus, Male, Membrane Glycoproteins, Mice, Inbred C57BL, Mitochondria, Neurons, Signal Transduction, Cellular Senescence, Oxidative Stress, Mice, ADP-ribosyl Cyclase 1

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.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-11-02.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-11-02.

Cited sources are checked by gpt-6-sol.

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