Cited by 426Alzheimer's disease research and treatmentsMitochondrial Function and PathologyDementia and Cognitive Impairment Research

Mitochondrial dysfunction in Alzheimer's disease: role in pathogenesis and novel therapeutic opportunities

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Perez Ortiz, Judit M., Swerdlow, Russell H.·2019·British Journal of Pharmacology

Abstract

Dysfunction of cell bioenergetics is a common feature of neurodegenerative diseases, the most common of which is Alzheimer's disease (AD). Disrupted energy utilization implicates mitochondria at its nexus. This review summarizes some of the evidence that points to faulty mitochondrial function in AD and highlights past and current therapeutic development efforts. Classical neuropathological hallmarks of disease (β-amyloid and τ) and sporadic AD risk genes (APOE) may trigger mitochondrial disturbance, yet mitochondrial dysfunction may incite pathology. Preclinical and clinical efforts have overwhelmingly centred on the amyloid pathway, but clinical trials have yet to reveal clear-cut benefits. AD therapies aimed at mitochondrial dysfunction are few and concentrate on reversing oxidative stress and cell death pathways. Novel research efforts aimed at boosting mitochondrial and bioenergetic function offer an alternative treatment strategy. Enhancing cell bioenergetics in preclinical models may yield widespread favourable effects that could benefit persons with AD. LINKED ARTICLES: This article is part of a themed section on Therapeutics for Dementia and Alzheimer's Disease: New Directions for Precision Medicine. To view the other articles in this section visit http://onlinelibrary.wiley.com/doi/10.1111/bph.v176.18/issuetoc.

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Crossref · 10.1111/bph.14585

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Authors
Perez Ortiz, J. M., & Swerdlow, R. H.
Affiliations
  • University of Kansas Alzheimer's Disease Center Fairway KS USA
  • University of Kansas (US)
Corresponding author
Swerdlow, Russell H.
Venue
British Journal of Pharmacology
Publisher
Wiley
Published
2019-03-06
Volume
176
Issue
18
Pages
3489-3507
ISSN
  • 0007-1188 (ISSN-L)
  • 1476-5381
OpenAlex
W2913440408
Cited by
426
References
152
Citations by year
2026: 37 · 2025: 52 · 2024: 66 · 2023: 75 · 2022: 84 · 2021: 52 · 2020: 44 · 2019: 16
FWCI
5.77
Type
journal article
Language
en
Open access
Locations
  • British Journal of Pharmacology (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • University of Kansas Medical Center
  • National Institutes of Health (P30 AG035982)
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
mitochondrial dysfunction, Alzheimer's disease, bioenergetics, oxidative stress, amyloid-beta, tau protein, apolipoprotein E, neurodegeneration, mitochondrial-targeted therapy, cell death pathways
MeSH terms
Aging, Alzheimer Disease, Animals, Brain, Energy Metabolism, Humans, Mitochondria

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