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Ceramides in Alzheimer’s Disease: Key Mediators of Neuronal Apoptosis Induced by Oxidative Stress and A β Accumulation
Open accessAbstract
Alzheimer’s disease (AD), the most common chronic and progressive neurodegenerative disorder, is characterized by extracellular deposits of amyloid β -peptides (A β ) and intracellular deposits of hyperphosphorylated tau (phospho-tau) protein. Ceramides, the major molecules of sphingolipid metabolism and lipid second messengers, have been associated with AD progression and pathology via A β generation. Enhanced levels of ceramides directly increase A β through stabilization of β -secretase, the key enzyme in the amyloidogenic processing of A β precursor protein (APP). As a positive feedback loop, the generated oligomeric and fibrillar A β induces a further increase in ceramide levels by activating sphingomyelinases that catalyze the catabolic breakdown of sphingomyelin to ceramide. Evidence also supports important role of ceramides in neuronal apoptosis. Ceramides may initiate a cascade of biochemical alterations, which ultimately leads to neuronal death by diverse mechanisms, including depolarization and permeabilization of mitochondria, increased production of reactive oxygen species (ROS), cytochrome c release, Bcl-2 depletion, and caspase-3 activation, mainly by modulating intracellular signalling, particularly along the pathways related to Akt/PKB kinase and mitogen-activated protein kinases (MAPKs). This review summarizes recent findings related to the role of ceramides in oxidative stress-driven neuronal apoptosis and interplay with A β in the cascade of events ending in neuronal degeneration.
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“Elevated Cer levels have been associated with AD pathology, including promoting Aβ accumulation, mitochondrial dysfunction, and inflammation. 24 , 25”
From Protective mechanisms against Alzheimer's disease in APOE3‐Christchurch homozygous astrocytes (2025) · cites this paper as [25]
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“Ceramides are also known to initiate some of the pathological changes that drive AD progression. 24 , 25”
From Protective mechanisms against Alzheimer's disease in APOE3‐Christchurch homozygous astrocytes (2025) · cites this paper as [25]
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Metadata
- Authors
- Jazvinšćak Jembrek, M., Hof, P. R., & Šimić, G.
- Affiliations
- Laboratory for Molecular Neuropharmacology, Division of Molecular Medicine, Rudjer Bošković Institute, 10000 Zagreb, Croatia
- Icahn School of Medicine at Mount Sinai (US)
- University of Zagreb (HR)
- Venue
- Oxidative Medicine and Cellular Longevity
- Publisher
- Wiley
- Published
- 2015
- Volume
- 2015
- Pages
- 1-17
- ISSN
- 1942-0994 (ISSN-L)
- 1942-0900
- PMC
- PMC4458271
- OpenAlex
- W1484835368
- Cited by
- 244
- References
- 199
- Citations by year
- 2026: 13 · 2025: 22 · 2024: 26 · 2023: 23 · 2022: 27 · 2021: 29 · 2020: 21 · 2019: 29 · 2018: 20 · 2017: 21 · 2016: 10 · 2015: 3
- FWCI
- 1.74
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Oxidative Medicine and Cellular Longevity (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Repository of the Medical Faculty of the University of Zagreb (University of Zagreb) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Institutional Repository of the Ruđer Bošković Institute (Ruđer Bošković Institute) (submittedVersion, cc-by)
- Institutional Repository of the Ruđer Bošković Institute (Ruđer Bošković Institute) (submittedVersion, other-oa)
- Funders
- Croatian Ministry of Science, Education and Sport (098-0000000-2448, 09/16, AG005138)
- Croatian Science Foundation (098-0000000-2448, 09/16, AG005138)
- National Institutes of Health (098-0000000-2448, 09/16, AG005138)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Sphingolipid Metabolism and Signaling
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Genetics (clinical) › Lysosomal Storage Disorders Research
- Keywords
- ceramide, Alzheimer's disease, amyloid-beta, oxidative stress, neuronal apoptosis, sphingolipid metabolism, beta-secretase, sphingomyelinase, tau hyperphosphorylation, mitochondrial membrane permeabilization, reactive oxygen species, caspase-3, Akt signaling, MAPK signaling, neurodegeneration
- MeSH terms
- Alzheimer Disease, Animals, Ceramides, Humans, Neurons, Amyloid beta-Peptides, Apoptosis, Oxidative Stress
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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