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Mitochondrial alterations in Alzheimer's disease
Abstract
Morphological alterations of mitochondria may be related to metabolic and energy deficiency in neurons in Alzheimer's disease and other neurodegenerative disorders. Mitochondrial dysfunction is also a hallmark of beta peptide induced neuronal toxicity in Alzheimer's disease. A general change in glucose utilization, increased oxidative stress, and Ca;{2+} deregulation are additional metabolic defects in the AD brain that may also be associated with defective mitochondrial function the result is a cycle of increased mitochondrial dysfunction causing increased oxidative damage until the cellular energy supply falls below the threshold for cellular survival. In a series of studies on the morphological and morphometric estimation of mitochondria in Alzheimer's disease, by electron microscopy we noticed substantial morphological and morphometric changes in the neurons of the hippocampus, the acoustic cortex, the frontal cortex, the cerebellar cortex, the climbing fibers, the thalamus, the globus pallidus, the red nucleus and the locus coeruleus. The morphological alterations consisted of considerable changes of the mitochondrial cristae, accumulation of osmiophilic material, and decrease of their size, in comparison with the normal controls. Mitochondrial alterations were particularly prominent in neurons, which showed loss of dendritic spines and abbreviation of the dendritic arborization. The ultrastructural study of large number of neurons in the thalamus and the red nucleus revealed that the mitochondrial alterations did not coexist with cytoskeletal pathology and accumulation of amyloid deposits, though they were prominent in neurons, which demonstrated fragmentation of the cisternae of the Golgi apparatus. Morphometric analysis showed that mitochondria are significantly reduced in Alzheimer's disease. The relationship between the site and extent of mitochondrial abnormalities and the synaptic alterations suggests an intimate and early association between these features in Alzheimer's disease.
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“Most studies report the number of intact, normal appearing mitochondria declines [111, 138].”
From Brain aging, Alzheimer's disease, and mitochondria (2011) · cites this paper as [138]
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Torres, A. K., Jara, C., Park-Kang, H. S., Polanco, C. M., Tapia, D., Alarcón, F., de la Peña, A., Llanquinao, J., Vargas-Mardones, G., Álvarez‐Indo, J., et al. (2021) · Journal of Alzheimer s Disease · doi:10.3233/jad-215139 · Cited by 80
Mitostasis, Calcium and Free Radicals in Health, Aging and Neurodegeneration
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“Keywords: 3xTgAD, Alzheimer’s disease, high-fat diet, memory, mitochondria, Non-Tg, obesity, synapses”
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“Conversely, in AD, FTD, and transgenic mice overexpressing human tau (hTau), tau oligomers are found co-localized with active microglia, suggesting active phagocytosis of tau oligomers by microglia (Nilson et al., 2016).”
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“AD neurons contain more and abnormally smaller mitochondria with broken cristae [18,19], suggesting excessive fission or fragmentation of mitochondria occurred in AD.”
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Correia, S. C., Santos, R. X., Perry, G. L., Zhu, X., Moreira, P. I., & Smith, M. A. (2012) · Advances in experimental medicine and biology · doi:10.1007/978-1-4614-0653-2_16 · Cited by 65
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“…acid short chain dehydrogenase/reductase (Lustbader et al., 2004) and of OXPHOS complex I (Bobba et al., 2013), inhibition of mitochondrial trafficking and reduced axonal mitochondrial density (Du et al., 2010; Calkins and Reddy, 2011), and increased mitochondrial fragmentation (Baloyannis, 2006).”
BackgroundJayatunga, D. P. W., Hone, E., Khaira, H., Lunelli, T., Singh, H., Guillemin, G. J., Fernando, B., Garg, M. L., Verdile, G., & Martins, R. N. (2021) · Nutrients · doi:10.3390/nu13113744 · Cited by 67
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“Although tau is widely known for this cellular physiological role, recent studies have identified additional functions for tau including the regulation of actin polymerization, recruitment of signaling molecules, control of mitochondrial dynamics, and even the control of gene expression (Dehmelt and Halpain, 2005; Bal…”
BackgroundBase excision DNA repair levels in mitochondrial lysates of Alzheimer's disease
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“Additionally, degraded mtDNA and proteins were found in the secondary lysozomes, and swollen mitochondria with damaged cristae are found in the neurons of AD brains (Baloyannis, 2006; Baloyannis et al., 2004; Reddy, 2009).”
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“Indeed, mitochondrial alterations have been described for many years in AD (Baloyannis, 2006; Bubber, Haroutunian, Fisch, Blass, & Gibson, 2005; Hirai et al., 2001).”
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Mancuso, M., Coppedè, F., Murri, L., & Siciliano, G. (2007) · Antioxidants and Redox Signaling · doi:10.1089/ars.2007.1761 · Cited by 56
“Recently, Baloyannis (3) reviewed the morphologic alterations of the mitochondria in 22 brains of AD patients.”
Anti-herpetic tau preserves neurons via the cGAS-STING-TBK1 pathway in Alzheimer’s disease
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Self-citationStressed mitochondria: A target to intrude alzheimer’s disease
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“In brains of AD patients, significant alterations in mitochondrial cristae, decreases in mitochondrial size and the accumulation of osmiophilic material are found prominently in neurons.(12,13) It has also been reported that amyloid-beta, the key mediator of AD, localizes to mitochondria, and promotes mitochondrial dy…”
BackgroundMitochondrial links between brain aging and Alzheimer’s disease
Wilkins, H., & Swerdlow, R. H. (2021) · Translational Neurodegeneration · doi:10.1186/s40035-021-00261-2 · Cited by 53
“Overall, AD brain mitochondria are smaller in size, yet manifest increased numbers of swollen organelles with disrupted cristae [43, 56, 57].”
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Rauchová, H. (2021) · Physiological Research · doi:10.33549/physiolres.934712 · Cited by 68
“Damaged mitochondria also have an important role (Baloyannis 2006, Stanga et al. 2020, Wang et al. 2020).”
BackgroundGolgi Apparatus and Protein Trafficking in Alzheimer's Disease
Balogiannis, S. (2014) · Journal of Alzheimer s Disease · doi:10.3233/jad-132660 · Cited by 53
“It is well documented that morphological and functional alterations of mitochondria may also occur in a considerable number of degenerative disorders of the brain [24–29], associated frequently with oxidative stress [27, 30, 31] and vascular changes [31].”
Self-citationOverdosing on iron: Elevated iron and degenerative brain disorders
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“Experimental work, however, with a mouse model of AD demonstrates that the early provision of energy to the brain limits both the development of NFTs and the deposition of A (Kashiwaya et al., 2013).”
BackgroundInfluentialWright, K. M., Bollen, M., David, J., Speers, A. B., Brandes, M. S., Gray, N. E., Magaña, A. A., McClure, C., Stevens, J. F., Maier, C. S., et al. (2022) · Antioxidants · doi:10.3390/antiox11020215 · Cited by 51
Mitochondria as the Essence of Yang Qi in the Human Body
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“These abnormalities of mitochondria related to metabolism and energy deficiency include mtDNA mutations, defective mitochondrial enzymes, decreased ETC function, altered mitochondrial morphology, autophagy, fission–fusion dynamics, and biogenesis (Baloyannis 2006; Gibson et al. 1998; Selfridge et al. 2013; Yan et al.…”
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“Furthermore, although the amyloid-(cid:1) protein precursor (cid:1) consistent localization at Golgi/trans-Golgi network [11] a significant amount targets the mitochondria [12] and organelles [13] deeply affecting their morphology enzymatic activity, and DNA integrity [14].”
Diphenyl diselenide confers neuroprotection against hydrogen peroxide toxicity in hippocampal slices
Posser, T., Franco, J. L., Santos, D. A., Rigon, A. P., Farina, M., Dafré, A. L., da Rocha, J. B. T., & Leal, R. B. (2008) · Brain Research · doi:10.1016/j.brainres.2008.01.004 · Cited by 47
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Activation of the Mitochondrial Unfolded Protein Response: A New Therapeutic Target?
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“drial structure revealed that AD neurons contained a significantly lower percentage of normal mitochondria instead of a higher percentage of the mitochondria with broken cristae, compared to agedmatched control group, suggesting that a potential change in mitochondrial dynamics may be involved [176,203,204].”
BackgroundStrategic Role for Mitochondria in Alzheimer's Disease and Cancer
Hedskog, L., Zhang, S., & Ankarcrona, M. (2011) · Antioxidants and Redox Signaling · doi:10.1089/ars.2011.4259 · Cited by 45
“Abnormal mitochondrial structure (7) and an impaired balance of mitochondrial fusion and fission is found in the AD brain (172).”
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Schmidt, S. P., Corydon, T. J., Pedersen, C. B., Bross, P., & Gregersen, N. V. (2010) · Molecular Genetics and Metabolism · doi:10.1016/j.ymgme.2010.03.009 · Cited by 45
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“In the brains of AD patients, significant alterations in mitochondrial cristae, the accumulation of osmiophilic material and significant decreases in mitochondrial size are found prominently in neurons [66].”
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“In all of the cases, the alterations of the mitochondria in the soma and the dendritic spines in the majority of neurons [12,13] of the acoustic cortex and the subcortical centers of the auditory pathway plead in favor of the oxidative damage [14], even in early cases of Alzheimer’s disease, since there is an intimate…”
BackgroundSelf-citationUnified theory of Alzheimer’s disease (UTAD): implications for prevention and curative therapy
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“Accordingly, accelerated aging [74], memory decline and AD [75] might be caused by a lack of these cues.”
BackgroundMitochondrial chaperones in human health and disease
Bahr, T. A., Katuri, J., Liang, T. B., & Bai, Y. (2021) · Free Radical Biology and Medicine · doi:10.1016/j.freeradbiomed.2021.11.015 · Cited by 43
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“These abnormalities, which weremilder at 6months, mainly involvemitochondria and Golgi complex, consistent with electron microscopic observations on human tissue [53].”
BackgroundDDHD2 provides a flux of saturated fatty acids for neuronal energy and function
Saber, S. H., Yak, N., Yong, X. L. H., Bong, Y. T., Leeson, H., Dai, C.-Y., Binder, T., Lu, S., Purushothaman, R., Lenaerts, A.-S., et al. (2025) · Nature Metabolism · doi:10.1038/s42255-025-01367-x · Cited by 44
Perspective: Mitochondria-ER Contacts in Metabolic Cellular Stress Assessed by Microscopy
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Mitochondrial retrograde signalling in neurological disease
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“In a vicious cycle, Aβ itself not only causes mitochondrial dysfunctions, thus favoring OS, but also produces ROS, particularly in the presence of other free radicals [84,82].”
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“1 3 degeneration, and insoluble protein deposits such as peptide amyloid-β (Aβ) plaques and hyperphosphorylated tau proteins [12, 88, 89].”
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“Changes in mitochondrial morphology occur in many neurological diseases including Alzheimer’s [31] and Parkinson’s [32] diseases and amyotrophic lateral sclerosis [33].”
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“Discussion Mitochondrial damage is a hallmark of TBI and other neurological disorders (11,23,60,70-72).”
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“DATA AVAIL ABILIT Y S TATEMENT The data that support the findings of this study are available from the corresponding author upon reasonable request.”
BackgroundInfluentialDisturb mitochondrial associated proteostasis: Neurodegeneration and imperfect ageing
Jagtap, Y. A., Kumar, P., Kinger, S., Dubey, A. R., Choudhary, A., Gutti, R. K., Singh, S., Jha, H. C., Poluri, K. M., & Mishra, A. (2023) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2023.1146564 · Cited by 36
“Inner mitochondrial membrane (IMM) folded in cristae-like structures provides a site for complexes of electron transport chain (ETC.) (ATP synthesis).”
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“Moreover, changes in mitochondrial morphology in the globus pallidus can also be observed in Alzheimer’s disease (29).”
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“size and number has also been reported in the neurons of patients with Alzheimer’s disease((43)), the pathogenesis of”
Intercellular transfer of mitochondria
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“Disorders in axonal transport are very often associat ed with various neurological diseases, in particular, with Alzheimer’s disease [6].”
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“RNS60 Stimulates Mitochondrial Biogenesis in Dopaminergic Neurons The mitochondria is the most important organelle in cells that not only participates in energy homeostasis and metabolism but also play significant roles in other biological processes like signal transduction, aging, oxidative stress, and apoptosis (Miz…”
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“For example, patients with early stage AD, whose brains are distinguished by the presence of abnormal or fragmented mitochondria [189, 191], regularly exhibit declining mitochondrial energy metabolism and ATP production, which may subsequently cause synaptic loss and neuronal damage [203–205].”
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“It is known that A β -mediated mitochondrial dysfunction can also result in impaired calcium homeostasis [37,45], as well the fact that A β interacts with mitochondrial matrix components such as Krebs cycle enzymes [195–197].”
BackgroundAlzheimer disease as a vascular disorder: Where do mitochondria fit?
Correia, S. C., Santos, R. X., Cardoso, S., Carvalho, C., Candeias, E., Duarte, A. I., Plácido, A. I., Santos, M. S., & Moreira, P. I. (2012) · Experimental Gerontology · doi:10.1016/j.exger.2012.07.006 · Cited by 32
“Previous studies show a reduced mitochondrial content in the brains of AD subjects, which points to a possible compromise of mitochondrial biogenesis (Baloyannis, 2006; Hirai et al., 2001).”
Proteomic profiling of mitochondria: what does it tell us about the ageing brain?
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Donner, L., Feige, T., Freiburg, C., Toska, L. M., Reichert, A. S., Chatterjee, M., & Elvers, M. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22179633 · Cited by 32
Banerjee, K., Munshi, S., Xu, H., Frank, D. E., Chen, H., Chu, C. T., Yang, J., Cho, S., Kagan, V. E., Denton, T. T., et al. (2016) · Neurochemistry International · doi:10.1016/j.neuint.2016.02.011 · Cited by 30
“Earlier mitochondrial morphometric studies from the brains of AD patients have shown that the organelle undergoes reduction in length and diameter suggestive of mitochondrial fission in humans (Baloyannis, 2006).”
BackgroundNovel Insights into Insect-Microbe Interactions—Role of Epigenomics and Small RNAs
Kim, D., Thairu, M. W., & Hansen, A. K. (2016) · Frontiers in Plant Science · doi:10.3389/fpls.2016.01164 · Cited by 29
“As such, in mammals, mitochondrial dysfunction has been linked to various diseases (Au et al., 2005; Baloyannis, 2006; Lemieux et al., 2010; Ritov et al., 2010; Gong et al., 2011).”
BackgroundMitochondria in Alzheimer’s Disease and Diabetes-Associated Neurodegeneration: License to Heal!
Cardoso, S., Correia, S. C., Carvalho, C., & Moreira, P. I. (2017) · Handbook of experimental pharmacology · doi:10.1007/164_2017_3 · Cited by 29
Forest, K. H., Alfulaij, N., Arora, K., Taketa, R., Sherrin, T., Todorovic, C., Lawrence, J. L. M., Yoshikawa, G. T., Ng, H. L., Hruby, V. J., et al. (2017) · Journal of Neurochemistry · doi:10.1111/jnc.14257 · Cited by 28
Cristae shaping and dynamics in mitochondrial function
Caron, C., & Bertolin, G. (2024) · Journal of Cell Science · doi:10.1242/jcs.260986 · Cited by 30
Neurodegenerative disorders, metabolic icebergs, and mitohormesis
Phillips, M. C. L., & Picard, M. A. (2024) · Translational Neurodegeneration · doi:10.1186/s40035-024-00435-8 · Cited by 31
“Lastly, hippocampal and cortical neuron mitochondria display increased variability in shape, decreased size, altered cristae, and oxidative damage to mtDNA [89].”
BackgroundMammillary Bodies in Alzheimer’s Disease
Balogiannis, S., Mavroudis, I. A., Baloyannis, I. S., & Costa, V. (2015) · American Journal of Alzheimer s Disease & Other Dementias® · doi:10.1177/1533317515602548 · Cited by 29
“It is well documented that neurodegeneration and synaptic alterations are considered as principal factors of cognitive decline in patients with AD,(87,88) associated with alterations of mitochondria and Golgi apparatus(89-91) in various areas of the brain, including the vestibulocerebellar system.(92,93) Although ther…”
BackgroundSelf-citationNutraceutical based SIRT3 activators as therapeutic targets in Alzheimer's disease
Govindarajulu, M., Ramesh, S., Neel, L. T., Fabbrini, M., Buabeid, M. A., Fujihashi, A., Dwyer, D., Lynd, T. O., Shah, K., Mohanakumar, K. P., et al. (2021) · Neurochemistry International · doi:10.1016/j.neuint.2021.104958 · Cited by 31
Mitophagy in Neurodegeneration: An Opportunity for Therapy?
Santos, R. X., Correia, S. C., Carvalho, C., Cardoso, S., Santos, M. S., & Moreira, P. I. (2011) · Current Drug Targets · doi:10.2174/138945011795528813 · Cited by 29
Budni, J., Garcez, M. L., Mina, F., Bellettini‐Santos, T., da Silva, S., da Luz, A. P., Schiavo, G. L., Batista-Silva, H., Scaini, G., STRECK, E. L., et al. (2017) · Metabolic Brain Disease · doi:10.1007/s11011-017-9972-9 · Cited by 27
“This disorder is accompanied by important alterations in cerebral energetic metabolism, which includes mitochondrial dysfunctions (Baloyannis 2006), oxidative stress (Lin and Beal 2006), the formation of excessive advanced glycation endproducts and neurotoxicity (Munch et al. 2012; Srikanth et al.…”
El Massry, M., Alaeddine, L. M., Ali, L., Saad, C., & Eid, A. A. (2021) · Current Medicinal Chemistry · doi:10.2174/0929867327666200908114902 · Cited by 27
The Drosophila inner-membrane protein PMI controls cristae biogenesis and mitochondrial diameter
Macchi, M., Fissi, N. E., Tufi, R., Bentobji, M., Liévens, J.-C., Martins, L. M., Royet, J., & Rival, T. (2012) · Journal of Cell Science · doi:10.1242/jcs.115675 · Cited by 29
Panahzadeh, F., Mirnasuri, R., & Rahmati, M. (2021) · Journal of Ethnopharmacology · doi:10.1016/j.jep.2021.114871 · Cited by 26
Keleş, M. K., & Kılıç, Ü. (2022) · IEEE Access · doi:10.1109/access.2022.3196649 · Cited by 26
Zeng, Y., Jun-mei, W., Qu, Z.-Q., Wu, J.-L., & Chung, P. (2017) · Neural Regeneration Research · doi:10.4103/1673-5374.221160 · Cited by 27
“and little or no residual cristae (Baloyannis, 2006).”
BackgroundInfluentialMondal, S., Rangasamy, S. B., Roy, A., Dasarathi, S., Kordower, J. H., & Pahan, K. (2019) · The Journal of Immunology · doi:10.4049/jimmunol.1800587 · Cited by 27
Mitochondrial deficiency: a double-edged sword for aging and neurodegeneration
Troulinaki, K., & Bano, D. (2012) · Frontiers in Genetics · doi:10.3389/fgene.2012.00244 · Cited by 24
“For example, in Alzheimer’s disease (AD) there are significant changes in mitochondrial morphology and number (Hirai et al., 2001; Baloyannis, 2006), which are associated with reduced levels of some of the ETC subunits.”
BackgroundKim, Y. J., Park, J. K., Kang, W. S., Kim, S. K., Han, C., Na, H. R., Park, H. J., Kim, J.-W., Kim, Y. Y., Park, M. H., et al. (2017) · Psychiatry Investigation · doi:10.4306/pi.2017.14.1.81 · Cited by 25
Qiao, P., Zhao, F., Liu, M., Gao, D., Zhang, H., & Yan, Y. (2017) · Molecular Medicine Reports · doi:10.3892/mmr.2017.6627 · Cited by 23
“In addition, numerous reports have indicated that excessive mitochondrial fission contributes to Alzheimer's disease (AD) pathogenesis via synaptic damage and neuronal death (12,13).”
Mitochondrially-Targeted Therapeutic Strategies for Alzheimer’s Disease
Onyango, I. G., Bennett, J. P., & Stokin, G. B. (2021) · Current Alzheimer Research · doi:10.2174/1567205018666211208125855 · Cited by 22
Correia, S. C., Machado, N. J., Alves, M. G., Oliveira, P. F., & Moreira, P. I. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22010461 · Cited by 25
Balogiannis, S., Manolides, S. L., & Manolides, L. S. (2011) · Acta Oto-Laryngologica · doi:10.3109/00016489.2010.539626 · Cited by 23
“In our previous morphological studies on Alzheimer’s disease [1,8], we described the histological and ultrastructural alterations of the cytoarchitecture in the human acoustic cortex and the medial geniculate bodies, as well as the alterations of the organelles in the soma and the neuronal synapses [9,10].”
BackgroundSelf-citationMitochondrial Regulatory Pathways in the Pathogenesis of Alzheimer’s Disease
Adiele, R. C., & Adiele, C. A. (2016) · Journal of Alzheimer s Disease · doi:10.3233/jad-150967 · Cited by 23
“However, available reports reinforce the alteration of mitochondrial morphology in autopsy and biopsy samples of patients suffering from AD [65, 66].”
Gezen‐Ak, D., Alaylıoğlu, M., Genç, G., Şengül, B., Keskin, E., Sordu, P., Güleç, Z. E. K., Apaydın, H., Gurel, C. B., Ulutin, T., et al. (2020) · Journal of Alzheimer s Disease · doi:10.3233/jad-191164 · Cited by 21
Metadata
- Authors
- Baloyannis, S. J.
- Affiliations
- Department of Neurology, Aristotelian University, Thessaloniki 540 06, Greece
- Venue
- Journal of Alzheimer s Disease
- Publisher
- SAGE Publications
- Published
- 2006-07-14
- Volume
- 9
- Issue
- 2
- Pages
- 119-126
- ISSN
- 1387-2877 (ISSN-L)
- 1875-8908
- OpenAlex
- W2120143950
- Cited by
- 318
- References
- 0
- Citations by year
- 2026: 6 · 2025: 11 · 2024: 8 · 2023: 11 · 2022: 14 · 2021: 28 · 2020: 28 · 2019: 16 · 2018: 18 · 2017: 21 · 2016: 21 · 2015: 13 · 2014: 11 · 2013: 11 · 2012: 20
- FWCI
- 6.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Alzheimer s Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › 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, mitochondrial dysfunction
- MeSH terms
- Alzheimer Disease, Animals, Energy Metabolism, Homeostasis, Humans, Mitochondria, Oxidative Stress
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