Oxidative Stress, Synaptic Dysfunction, and Alzheimer’s Disease
Open accessAbstract
Alzheimer's disease (AD) is a devastating neurodegenerative disorder without a cure. Most AD cases are sporadic where age represents the greatest risk factor. Lack of understanding of the disease mechanism hinders the development of efficacious therapeutic approaches. The loss of synapses in the affected brain regions correlates best with cognitive impairment in AD patients and has been considered as the early mechanism that precedes neuronal loss. Oxidative stress has been recognized as a contributing factor in aging and in the progression of multiple neurodegenerative diseases including AD. Increased production of reactive oxygen species (ROS) associated with age- and disease-dependent loss of mitochondrial function, altered metal homeostasis, and reduced antioxidant defense directly affect synaptic activity and neurotransmission in neurons leading to cognitive dysfunction. In addition, molecular targets affected by ROS include nuclear and mitochondrial DNA, lipids, proteins, calcium homeostasis, mitochondrial dynamics and function, cellular architecture, receptor trafficking and endocytosis, and energy homeostasis. Abnormal cellular metabolism in turn could affect the production and accumulation of amyloid-β (Aβ) and hyperphosphorylated Tau protein, which independently could exacerbate mitochondrial dysfunction and ROS production, thereby contributing to a vicious cycle. While mounting evidence implicates ROS in the AD etiology, clinical trials with antioxidant therapies have not produced consistent results. In this review, we will discuss the role of oxidative stress in synaptic dysfunction in AD, innovative therapeutic strategies evolved based on a better understanding of the complexity of molecular mechanisms of AD, and the dual role ROS play in health and disease.
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Oxidative stress is a significant biomarker common to the pathophysiology of both AD and PD.
“Oxidative stress is associated with a number of inflammatory and degenerative pathologies and is a significant biomarker common to the pathophysiology of both AD and PD. 55 , 58”
From Therapeutic Properties and Pharmacological Activities of Asiaticoside and Madecassoside: A Review (2023) · cites this paper as [58]
In “The Role of Oxidative Stress in Alzheimer’s Disease” (page not provided), the paper describes oxidative-stress markers in people with preclinical or early AD and links oxidative stress to AD mechanisms. It does not establish that oxidative stress is a significant biomarker common to both AD and PD; searches for Parkinson’s disease and shared biomarkers found no supporting passage. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThere is a strong correlation between immune activation and oxidative damage in neurodegenerative disease.
“since there is a strong correlation between immune activation and oxidative damage in neurodegenerative disease [42,43,44]”
From ROS Generation in Microglia: Understanding Oxidative Stress and Inflammation in Neurodegenerative Disease (2020) · cites this paper as [43]
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The neuroprotective potential of carotenoids in vitro and in vivo
Manochkumar, J., Doss, C. G. P., El-Seedi, H. R., Efferth, T., & Ramamoorthy, S. (2021) · Phytomedicine · doi:10.1016/j.phymed.2021.153676 · Cited by 115 · see citing works
The Role of Astaxanthin as a Nutraceutical in Health and Age-Related Conditions
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The Role of Mitochondrial Calcium Homeostasis in Alzheimer’s and Related Diseases
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Oxidative Stress, Endoplasmic Reticulum Stress and Apoptosis in the Pathology of Alzheimer’s Disease
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Dietary antioxidants remodel DNA methylation patterns in chronic disease
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Mitochondrial Dysfunction: A Key Player in Brain Aging and Diseases
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- Authors
- Tönnies, E., & Trushina, E.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- Trushina, Eugenia
- ORCID
- Trushina, Eugenia
- Venue
- Journal of Alzheimer s Disease
- Publisher
- SAGE Publications
- Published
- 2017-04-19
- Volume
- 57
- Issue
- 4
- Pages
- 1105-1121
- ISSN
- 1387-2877 (ISSN-L)
- 1875-8908
- PMC
- PMC5409043
- OpenAlex
- W2568450381
- Cited by
- 1,750
- References
- 237
- Citations by year
- 2026: 135 · 2025: 220 · 2024: 259 · 2023: 258 · 2022: 253 · 2021: 246 · 2020: 193 · 2019: 101 · 2018: 54 · 2017: 30
- FWCI
- 12.72
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Alzheimer s Disease (publishedVersion)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Institute on Aging (RF1AG055549)
- National Institute of Environmental Health Sciences (R01ES020715)
- 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, oxidative stress
- MeSH terms
- Alzheimer Disease, Animals, Humans, Synapses, 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.
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