Review Article

Link between Aluminum and the Pathogenesis of Alzheimer's Disease: The Integration of the Aluminum and Amyloid Cascade Hypotheses

Table 1

Effects of aluminum on the central nervous system.

References

(1) Nucleus and gene expression

Binding to DNA
Binds to histone-DNA complex and induces conformational changes of chromatin.[29]
Induces topological changes of DNA.[30, 31]

Altered gene expression
Induces decreased expression of neurofilament and tubulin.[32]
Induces altered expression of genes of neurofilament, APP, and neuron specific enolase.[33]
Induces decreased expression of transferrin receptor.[34]
Induces altered expression of RNA polymerase I.[35]
Induces downregulation of mitochondrial cytochrome c oxidase.[36]
Induces altered expression of calbindin-D28k.[37]
Induces decrease in the expression of nerve growth factor (NGF) and brain derived neurotrophic factor (BDNF).[38]
Induces expression of pro-inflammatory genes and pro-apoptotic genes.[39]
Induces elevated expression of APP.[40, 41]
Induces altered expression of oxidative stress marker genes (SOD1, glutathione reductase, etc.).[42]
Induces decreased expression of neprilysin.[43]
Induces altered expression of -APP secretase (BACE1 and BACE2).[40, 44]

(2) Cellular functions

Energy metabolism
Inhibits the activity of hexokinase[45]
Inhibits the activity of phosphofructokinase[46]
Inhibits the activity of glucose-6-phosphate dehydrogenase[47]
Causes mitochondrial dysfunction and depletion of ATP[48, 49]
Decreases in activity and expression of TCA-cycle related enzymes (succinate dehydrogenase (SDH), alpha-ketoglutarate dehydrogenase (KGDH), isocitrate dehydrogenase-NAD+ (IDH), fumarase (FUM), aconitase (ACN), and cytochrome c oxidase (Cyt C Ox)).[50]

Phosphorylation and dephosphorylation
Inhibits the activity of protein phosphatase.[51]
Increases the activity of protein kinase C and cytoskeleton proteins.[52]
Accelerates phosphorylation and accumulation of neurofilament.[53]
Enhances Ca2+/Calmodulin dependent protein kinase activity.[54]
Accelerates phosphorylation of MAP 2 and neurofilament.[55]
Inhibits dephosphorylation of tau.[56]
Induces nonenzymatic phosphorylation of tau.[57]

Abnormal accumulation of proteins
Causes the conformational change and the accumulation of neurofilament and MAP1A, MAP1B.[58]
Accelerates the phosphorylation of tau and its accumulation.[59]
Causes the accumulation of tau protein in neuroblastoma cells or in primary cultured neurons.[60, 61]
Causes the accumulation of tau protein in experimental animals.[33, 62, 63]
Causes neurofibrillary degeneration in vivo.[9]
Causes the accumulation of A P in cultured neurons or in neuroblastoma cells.[64, 65]
Causes the accumulation of A P in vivo.[44, 66, 67]

Neurotransmitter release
Inhibits glutamate release.[68]
Impairs synaptic transmission.[69, 70]
Inactivates glutamate dehydrogenase.[71]
Inhibits NMDA-type glutamate receptor.[72]
Inhibits choline acetyl transferase and tyrosine hydroxylase, glutamate decarboxylase.[73, 74]
Influences acetyl-CoA and inhibits acetylcholine release.[75]
Activates monoamine oxidase.[76, 77]
Inhibits dopamine beta-hydroxylase.[78]
Inhibits uptake of serotonin and noradrenalin in synaptosomes.[79]

Channel inhibition
Influences the activities of Na+ channels and K+ channels.[80]
Enhances the voltage-activated Na+ channels.[81]
Inhibits the voltage-gated calcium channel.[70, 82]
Inhibits the IP3-mediated Ca2+ release.[83]

Others
Influences GTP binding proteins as aluminum fluoride.[84]
Inhibits GAP junction.[85]
Inhibits axonal transports.[86]
Binds to calmodulin and inhibition of calmodulin-binding enzymes.[87]
Induces inflammatory responses.[88]

(3) Membrane lipids

Peroxidation
Accelerates iron-induced membrane lipid peroxidation.[89]
Enhances lipid peroxidation in liposomes.[90]
Induces peroxidation of myelin lipids in vivo.[91]
Increases peroxidation products (malondialdehyde).[59]

Membrane properties
Causes the change the lipid/phospholipids profiles of myelin in vivo.[92]
Induces the change in membrane physical properties (surface potential, lipid fluidity, and lipid arrangement).[91]
Induces the change of membrane fluidity.[93]

(4) Higher functions

Cell death
Causes the apoptotic neuronal death.[94, 95]
Causes the apoptosis of astrocytes.[96]
Causes the death of motor neuron.[97, 98]

Behavior, learning, and memory, others
Inhibits long term potentiation (LTP).[99, 100]
Causes learning disorder or memory deficit in experimental animals.[101103]
Influences electrical activity in hippocampus and inhibits spatial learning memory deficit in aging rats.[104]
Causes memory deficit in AD model mice.[105, 106]
Causes encephalopathy in dialysis patients.[20]
Causes encephalopathy in patients with renal failure.[107]