Abstract

Alzheimer’s disease (AD) is a neurodegenerative disease that is usually accompanied by aging, increasingly being the most common cause of dementia in the elderly. This disorder is characterized by the accumulation of beta amyloid plaques (Aβ) resulting from impaired amyloid precursor protein (APP) metabolism, together with the formation of neurofibrillary tangles and tau protein hyperphosphorylation. The exacerbated production of reactive oxygen species (ROS) triggers the process called oxidative stress, which increases neuronal cell abnormalities, most often followed by apoptosis, leading to cognitive dysfunction and dementia. In this context, the development of new therapies for the AD treatment is necessary. Antioxidants, for instance, are promising species for prevention and treatment because they are capable of disrupting the radical chain reaction, reducing the production of ROS. These species have also proven to be adjunctive to conventional treatments making them more effective. In this sense, several recently published works have focused their attention on oxidative stress and antioxidant species. Therefore, this review seeks to show the most relevant findings of these studies.

Highlights

  • Alzheimer’s disease (AD) is a gradual and neurodegenerative disorder, being the most common cause of dementia [1]

  • This review presents the main roles of the oxidative stress in AD

  • The neurotoxic Aβ is formed from the amyloid precursor protein (APP) due to aggregation processes of soluble oligomers, which result in the production of senile plaques, being considered the main neuropathological marker of AD

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Summary

Introduction

Alzheimer’s disease (AD) is a gradual and neurodegenerative disorder, being the most common cause of dementia [1]. Molecules 2019, 24, 4410 stress is the commonality in the pathophysiology of NDs, such as AD, Parkinson’s disease (PD), Huntington’s disease (HD), amyotrophic lateral sclerosis (ALS), and multiple sclerosis (MS) [6] In this approach, reactive oxygen species (ROS) are usually generated in the cell of living organisms. The increased ROS production is harmful, leading to adverse oxidative modifications to cell components, such as the mitochondrial structures, which are important targets of ROS-induced damage [8]. In this context, this review presents the main roles of the oxidative stress in AD. The development of novel drugs and therapies taking into account this approach is discussed

Oxidative Stress
Amyloid-β Cascade Hypothesis
Cholinergic Hypothesis
Antioxidants
Other Relevant Therapeutic Approaches in AD Treatment
Findings
Conclusions
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