Review Article

Antioxidant Therapies for Alzheimer's Disease

Table 1

Chemical structure and potential function of the antioxidants.

AntioxidantChemical structuresPotential functions

Vitamin E
(α-tocopherol)
472932.tab.001A powerful, lipid-soluble chain-breaking antioxidant found in lipid membranes, circulating lipoproteins and low-density lipoprotein (LDL) particles [70] and has been shown to decrease Free-radical-mediated damage caused by toxic chain reactions in neuronal cells and helps to inhibit dementia pathogenesis in mammalian cells.

Vitamin C472932.tab.002A water-soluble antioxidant, and an inhibitor of lipid peroxidation, acts as a major defense against free radicals in whole blood and plasma.

β-carotene472932.tab.003A lipid-soluble antioxidant which may reduce lipid peroxidation, improve antioxidant status [80], and quench singlet oxygen rapidly [81].

Vitamin B12472932.tab.004An antioxidant that increases choline acetyltransferase activity in cholinergic neurons in cats [88] and improves cognitive functions in AD patients.

LA(α-lipoic acid)472932.tab.005A coenzyme of mitochondrial pyruvate dehydrogenase and α-ketoglutarate dehydrogenase, can recycle other antioxidants such as vitamin C and E and glutathione and increase the production of acetylcholine or as a chelator of redox-active metals to combat the accumulation of lipid peroxidation products [94].

CoQ10 (ubiquinone)472932.tab.006A cofactor of the electron transport chain and it preserves mitochondrial membrane potential during oxidative stress and protects neuronal cells through attenuating Aβ overproduction and intracellular Aβ plaque deposits.

SeleniumA cofactor of glutathione peroxidase, and Se-glutathione peroxidase can also act as an antioxidant.

MitoQAn antioxidant targeted to mitochondria and is produced by conjugation of the lipophilic triphenylphosphonium (TPP+) cation to coenzyme Q [100].

Szeto Schiller (SS) peptide 31A mitochondria-targeted antioxidants (MTAs) concentrate in the inner mitochondrial membrane and decrease mitochondrial toxicity [103], they can prevent the neurotoxin 1-methyl-4-phenylpyridium (MPP+-) induced inhibition of oxygen consumption and ATP production and mitochondrial swelling [106].

Caffeine472932.tab.007An antioxidant that can inhibit amyloidosis and Aβ production and reduce brain Aβ levels in transgenic mouse models for early-onset familial AD.

Curcumin472932.tab.008472932.tab.009An antioxidant that has antioxidant, antiinflammatory, and antiamyloid pathology activity in an Alzheimer transgenic mouse models, and it inhibits enzymes lipoxygenase and cyclooxygenase 2 that are responsible for the synthesis of the proinflammatory leukotrienes, prostaglandins, and thromboxanes [108].

Berberine472932.tab.0010an antioxidant that exhibits anti-AD effects through both ChEs and Aβ pathways, and can also inhibit ROS and RNS [23].

Palmatine472932.tab.0011An antioxidant that exhibits anti-AD effects through both ChEs and Aβ pathways and can also inhibit ROS and RNS [23].

Silibinin (silybin)472932.tab.0012A flavonoid derived from the herb milk thistle (Silybum marianum), it prevents memory impairment and oxidative damage induced by Aβ in mice.

Ginkgo bilobaA natural plant that contains a variety of compounds such as flavonoids and terpenoids which have free radical scavenging ability, and it can reduce amyloid precursor protein [112] and inhibit Aβ aggregation in vitro.

Melatonin472932.tab.0013A mammalian hormone synthesized mainly in the pineal gland, and it scavenges oxygen and nitrogen-based reactants generated in mitochondria by stimulating the expression and activity of glutathione peroxidase, superoxide dismutase, and NO synthetase [116], and it also contributes to the reduction of oxidative damage in cells [79].

Selegiline (L-deprenyl)472932.tab.0014A selective monoamine oxidase-B inhibitor which can generate potent vasodilator nitric oxide particularly in cerebral blood vessels rapidly [127] and protect the vascular endothelium from the toxic effects of Aβ peptide and enhance the function of nigral neurons or enhance their survival by inhibiting oxidative deamination [73, 115].

Estrogen472932.tab.0015472932.tab.0016An antioxidant which protects neurons from the toxicity of Aβ.

Estrogen472932.tab.0017An antioxidant which protects neurons from the tacitly of Aβ.