Review Article

Antioxidant Therapies for Alzheimer's Disease

Table 2

Summary of the various antioxidants interventions in cells or animal models of AD and human trials studied for Alzheimer’s disease.

Antioxidant interventionCells or animal models of ADHuman trialsOutcomeReference

Vitamin E (α-tocopherol)Aβ-induced AD rats modelAttenuated toxic effects of Aβ and improved cognitive performance.[71]
Treatment with α-tocopherol (2000 IU a day) in patients with moderately severe impairment from ADReduced neuronal damage and slowed progression of AD.[73]
APP Tg2576 miceSuppressed brain lipid peroxidation, reduced Aβ levels and senile plaque deposition, and decreased F2-IsoPs levels.[74]
Transgenic mouse models of human tauopathies and ADSuppressed tau-induced neurotoxicity, decreased carbonyls, and decreased 8OHdG.[74, 75]
DrosophilaSuppressed tau-induced neurotoxicity.[76]
AD patients whose regimens included vitamin ELonger survival rate than those taking no drug or a ChEI alone.[77]

Vitamin CMethionine diet-induced hyperhomocysteinemia ratsDecreased oxidative stress in vivo, enhanced NO bioavailability, restored regulation of shear stress in arterioles, and normalized systemic blood pressure.[78]

vitamin B12CatsIncreased choline acetyltransferase activity in cholinergic neurons.[88]
AD patientsImproved cognitive functions.[89]

MnSODAPP Tg2576 miceDeficiency of MnSOD increases Aβ levels and accelerates the onset of behavioral alteration.[92]

LA(α-lipoic acid)APP Tg2576 miceDecreased expression of lipid peroxidation markers of oxidative modification but not β-amyloid load within the brains; improved performance in Morris water maze but not effective at altering cognition in the Y-maze test.[96]

MitoQ and Szeto Schiller (SS) peptide 31APP Tg2576 mice and mouse neuroblastoma (N2a) cells incubated with the Aβ peptidePrevented Aβ toxicity in mitochondria on neurons.[105]

CaffeineCholesterol-fed rabbit model system for late onset sporadic ADDecreased Aβ production and accumulation, reduced phosphorylation of tau, attenuated ROS and 8-Iso-PGF2α levels, and reduced glutathione depletion, and protection against cholesterol-induced ER stress.[107]

CurcuminAPP Tg2576 miceReduced carbonyls and facilitated disaggregation of Aβ and reduction in AD associated neuropathology.[109]

SilibininAggregated A -induced AD model micePrevented memory impairment and oxidative damage induced by Aβ.[111]

Ginkgo bilobaAPP Tg2576 miceImproved cognitive functions but without any effects on Aβ levels or senile plaque.[112]
Postmortem brain ELISA measurementNo significant effects on senile plaque size or Aβ levels.[113]

MelatoninAPP695 transgenic mouse modelImproved learning and memory deficits.[124]
AD cell models such as mouse microglial BV2 cells, rat astroglioma C6 cells, and PC12 cellsAttenuated Aβ-induced apoptosis, inhibited Aβ-induced mitochondria-related bax increase.[124]
Microglia exposed to A Inhibited phosphorylation of NADPH oxidase via a PI3K/Akt-dependent signaling pathway.[117]
APP Tg2576 miceDecreased Aβ burden in young mice; no effects on F2-IsoPs or Aβ burden in older plaque-bearing mice.[125, 126]

Selegiline (L-deprenyl)Treatment with selegiline (10 mg a day) in patients with moderately severe impairment from ADReduced neuronal damage and slowed progression of AD.[73]

AD: Alzheimer’s disease; 8OHdG: 8-hydroxy-2-deoxyguanosine; ChEI: cholinesterase inhibitors.