Cited by 295Mitochondrial Function and PathologyCoenzyme Q10 studies and effectsParkinson's Disease Mechanisms and Treatments

The DOI matches its Crossref record; 312 of the 314 references it cites were found in a registry or an index; none of the 132 sources its claims cite is checked for support yet.

Mitochondrial Approaches for Neuroprotection

Open access
Chaturvedi, Rajnish K., Beal, M. Flint·2008·Annals of the New York Academy of Sciences

Abstract

A large body of evidence from postmortem brain tissue and genetic analysis in humans and biochemical and pathological studies in animal models (transgenic and toxin) of neurodegeneration suggest that mitochondrial dysfunction is a common pathological mechanism. Mitochondrial dysfunction from oxidative stress, mitochondrial DNA deletions, pathological mutations, altered mitochondrial morphology, and interaction of pathogenic proteins with mitochondria leads to neuronal demise. Therefore, therapeutic approaches targeting mitochondrial dysfunction and oxidative damage hold great promise in neurodegenerative diseases. This review discusses the potential therapeutic efficacy of creatine, coenzyme Q10, idebenone, synthetic triterpenoids, and mitochondrial targeted antioxidants (MitoQ) and peptides (SS‐31) in in vitro studies and in animal models of Parkinson's disease, Huntington's disease, amyotrophic lateral sclerosis, and Alzheimer's disease. We have also reviewed the current status of clinical trials of creatine, coenzyme Q10, idebenone, and MitoQ in neurodegenerative disorders. Further, we discuss newly identified therapeutic targets, including peroxisome proliferator‐activated receptor‐γ‐coactivator and sirtuins, which provide promise for future therapeutic developments in neurodegenerative disorders.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This review argues that mitochondrial dysfunction and oxidative damage are common pathological mechanisms in Parkinson’s disease, Huntington’s disease, Alzheimer’s disease, and amyotrophic lateral sclerosis. It evaluates mitochondria-targeted neuroprotective agents—including creatine, coenzyme Q10, idebenone, MitoQ, SS-31, and synthetic triterpenoids—and highlights PGC-1α and sirtuins as emerging therapeutic targets.

Key findings

  • Mitochondrial dysfunction is implicated across neurodegenerative diseases: complex-I inhibition by MPTP/rotenone in PD models; reduced complexes II–III and aconitase in HD; impaired TCA enzymes and respiratory complexes I, III, and IV in AD; and mutant SOD1-associated mitochondrial defects in ALS.
  • Creatine showed neuroprotection in multiple models, including MPTP-treated mice, G93A ALS mice, and R6/2 and N-171-82Q HD mice. In early PD, a phase II trial of creatine 10 g/day plus minocycline reported tolerability of 91% for creatine versus 77% for minocycline, and UPDRS progression slowed by almost 50% at 1 year compared with DATATOP controls; an NIH phase III trial planned to randomize 1720 participants to 10 g creatine or placebo. In HD, creatine 8 g/day for 16 weeks in 64 subjects was safe, bioavailable to brain, and decreased serum 8-hydroxy-2-deoxyguanosine.
  • CoQ10 at 360 mg/day reduced occipital cortex lactate concentrations by 37% in 18 HD patients. In the CARE-HD trial of 340 patients, CoQ10 600 mg/day produced a 14% decrease in disease progression over 30 months, while remacemide showed no efficacy. A phase II early-PD trial using 300, 600, or 1,200 mg/day for 16 months found a statistically significant dose-dependent reduction in UPDRS score; high doses up to 3,600 mg/day were safe, though plasma CoQ10 plateaued at 2,400 mg/day.
  • Mitochondrial-targeted agents showed preclinical promise: MitoQ entered a phase II PD trial; SS-31 at 5 mg/kg daily intraperitoneally from 30 days of age improved survival and motor performance in G93A ALS mice; CDDO-MA reduced MPTP and 3-NP toxicity; and PGC-1α and sirtuin/resveratrol pathways were protective in models of neurodegeneration.

Methods

  • Design: narrative review; no systematic review, meta-analysis, or formal search methodology is stated.
  • Data/sample: evidence from post-mortem human tissue, genetic analyses, in vitro cell models, transgenic and toxin animal models, and clinical trials in PD, HD, AD, and ALS.
  • Analysis: qualitative synthesis of preclinical and clinical findings for mitochondrial-targeted neuroprotective agents and emerging targets including PGC-1α and sirtuins.

Limitations

  • The paper states no explicit limitations.
  • Evident from the text: as a narrative review, it lacks systematic search criteria, inclusion/exclusion criteria, and quantitative synthesis.
  • Evident from the text: several cited findings are unpublished (e.g., Chaturvedi et al., Kipiani et al., Yang et al., Kiaei et al.), and clinical results for idebenone are described as controversial, with one large trial showing no benefit.

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

Integrity signals

Registry

Crossref · 10.1196/annals.1427.027

Cites

312 of 312 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

0 of 132 cited sources checked · 0 supported · 0 flagged

Show all 75 claims

  • It may state two separate claims as one. 41
  • Probably not a substantial claim. 4
44 of 44
  • The paper relies on this without support.

    Animal model results for neuroprotective agents predict clinical efficacy in human neurodegenerative diseases.

    “The success of creatine in experimental studies led to clinical trials in neurodegenerative diseases including PD, HD and ALS.”
  • The paper relies on this without support.

    Mitochondrial dysfunction is a valid therapeutic target for neurodegenerative diseases.

    “There is ample evidence showing involvement of mitochondrial dysfunction in the pathogenesis of neurodegenerative disorders, therefore, one would predict that agents that alleviate mitochondrial dysfunction could be beneficial and exert neuroprotective effects.”
  • The paper relies on this without support.

    Neuroprotective effects observed in animal models of neurodegenerative diseases predict neuroprotective efficacy in human patients.

    “On the basis of results from animal studies, we and others initiated several clinical trials of CoQ10 in neurodegenerative disorders.”
  • The paper relies on this without support.

    Plasma CoQ10 levels are a valid basis for selecting the dose for phase III clinical trials in HD.

    “This dose was chosen based on the studies of plasma CoQ10 concentrations discussed above.”
4 of 4

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Citations

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2 of the 314 references couldn’t be matched to a known paper.

Research works printed but not linked: 3

  1. 10.1002/1531-8249(200011)48:5<723::aid-ana5>3.0.co;2-w · DOI
  2. 10.1111/j.1471-4159.2005.03112.x · DOI · Paper page
  3. 10.1002/ana.410420221 · DOI · Paper page

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Metadata

Authors
Chaturvedi, R. K., & Beal, M. F.
Affiliations
Cornell University (US)
Corresponding author
  • Chaturvedi, Rajnish K.
  • Beal, M. Flint
Venue
Annals of the New York Academy of Sciences
Publisher
Wiley
Published
2008-12
Volume
1147
Issue
1
Pages
395-412
ISSN
  • 0077-8923 (ISSN-L)
  • 1749-6632
OpenAlex
W2157205154
Cited by
294
References
314
Citations by year
2026: 8 · 2025: 10 · 2024: 13 · 2023: 17 · 2022: 14 · 2021: 10 · 2020: 12 · 2019: 9 · 2018: 13 · 2017: 9 · 2016: 11 · 2015: 15 · 2014: 21 · 2013: 15 · 2012: 27
FWCI
2.29
Type
journal article
Language
en
Open access
Locations
  • Annals of the New York Academy of Sciences (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Neurological Disorders and Stroke (R01NS039258)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Coenzyme Q10 studies and effects
  • Health Sciences › Medicine › Clinical Neurology › Parkinson's Disease Mechanisms and Treatments
Keywords
mitochondrial dysfunction, neuroprotection, neurodegenerative diseases, oxidative stress, mitochondrial DNA deletions, creatine, coenzyme Q10, idebenone, synthetic triterpenoids, MitoQ, SS-31, Parkinson's disease, Huntington's disease, amyotrophic lateral sclerosis, Alzheimer's disease, PPARγ coactivator, sirtuins, mitochondria-targeted antioxidants
MeSH terms
Animals, Humans, Mitochondria, Neuroprotective Agents, Neurodegenerative Diseases

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