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      Role of Oxidative Stress and Metal Toxicity in the Progression of Alzheimer’s Disease

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          Abstract

          Alzheimer’s disease (AD) is one of the life-threatening neurodegenerative disorders in the elderly (>60 years) and incurable across the globe to date. AD is caused by the involvement of various genetic, environmental and lifestyle factors that affect neuronal cells to degenerate over the period of time. The oxidative stress is engaged in the pathogenesis of various disorders and its key role is also linked to the etiology of AD. AD is attributed by neuronal loss, abnormal accumulation of Amyloid-β (Aβ) and neurofibrillary tangles (NFTs) with severe memory impairments and other cognitive dysfunctions which lead to the loss of synapses and neuronal death and eventual demise of the individual. Increased production of reactive oxygen species (ROS), loss of mitochondrial function, altered metal homeostasis, aberrant accumulation of senile plaque and mitigated antioxidant defense mechanism all are indulged in the progression of AD. In spite of recent advances in biomedical research, the underlying mechanism of disruption of redox balance and the actual source of oxidative stress is still obscure. This review highlights the generation of ROS through different mechanisms, the role of some important metals in the progression of AD and free radical scavenging by endogenous molecule and supplementation of nutrients in AD.

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          Most cited references138

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          Peroxidation of polyunsaturated fatty acids by lipoxygenases drives ferroptosis.

          Ferroptosis is form of regulated nonapoptotic cell death that is involved in diverse disease contexts. Small molecules that inhibit glutathione peroxidase 4 (GPX4), a phospholipid peroxidase, cause lethal accumulation of lipid peroxides and induce ferroptotic cell death. Although ferroptosis has been suggested to involve accumulation of reactive oxygen species (ROS) in lipid environments, the mediators and substrates of ROS generation and the pharmacological mechanism of GPX4 inhibition that generates ROS in lipid environments are unknown. We report here the mechanism of lipid peroxidation during ferroptosis, which involves phosphorylase kinase G2 (PHKG2) regulation of iron availability to lipoxygenase enzymes, which in turn drive ferroptosis through peroxidation of polyunsaturated fatty acids (PUFAs) at the bis-allylic position; indeed, pretreating cells with PUFAs containing the heavy hydrogen isotope deuterium at the site of peroxidation (D-PUFA) prevented PUFA oxidation and blocked ferroptosis. We further found that ferroptosis inducers inhibit GPX4 by covalently targeting the active site selenocysteine, leading to accumulation of PUFA hydroperoxides. In summary, we found that PUFA oxidation by lipoxygenases via a PHKG2-dependent iron pool is necessary for ferroptosis and that the covalent inhibition of the catalytic selenocysteine in Gpx4 prevents elimination of PUFA hydroperoxides; these findings suggest new strategies for controlling ferroptosis in diverse contexts.
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            Brain energy metabolism: focus on astrocyte-neuron metabolic cooperation.

            The energy requirements of the brain are very high, and tight regulatory mechanisms operate to ensure adequate spatial and temporal delivery of energy substrates in register with neuronal activity. Astrocytes-a type of glial cell-have emerged as active players in brain energy delivery, production, utilization, and storage. Our understanding of neuroenergetics is rapidly evolving from a "neurocentric" view to a more integrated picture involving an intense cooperativity between astrocytes and neurons. This review focuses on the cellular aspects of brain energy metabolism, with a particular emphasis on the metabolic interactions between neurons and astrocytes. Copyright © 2011 Elsevier Inc. All rights reserved.
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              Oxidative stress, dysfunctional glucose metabolism and Alzheimer disease

              Alzheimer disease (AD) is a major cause of age-related dementia. We do not fully understand AD aetiology and pathogenesis, but oxidative damage is a key component. The brain mostly uses glucose for energy, but in AD and amnestic mild cognitive impairment glucose metabolism is dramatically decreased, probably owing, at least in part, to oxidative damage to enzymes involved in glycolysis, the tricarboxylic acid cycle and ATP biosynthesis. Consequently, ATP-requiring processes for cognitive function are impaired, and synaptic dysfunction and neuronal death result, with ensuing thinning of key brain areas. We summarize current research on the interplay and sequence of these processes and suggest potential pharmacological interventions to retard AD progression.
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                Author and article information

                Journal
                Curr Neuropharmacol
                Curr Neuropharmacol
                CN
                Current Neuropharmacology
                Bentham Science Publishers
                1570-159X
                1875-6190
                July 2020
                July 2020
                : 18
                : 7
                : 552-562
                Affiliations
                Department of Biochemistry, Institute of Science, Banaras Hindu University , Varanasi, -221005 , India; Department of Zoology, Institute of Science, Banaras Hindu University , Varanasi, -221005 , India; School of Biomedical Engineering, Indian Institute of Technology, Banaras Hindu University , Varanasi, -221005 , India; Institute of medical Science, Banaras Hindu University , Varanasi, -221005 , India; Centre of Biomedical Research, SGPGI Campus, Lucknow, -226014 , India; Indian Scientific Education and Technology Foundation, Lucknow, -226002 , India; School of Biochemical & Biomedical Engineering, Galgotias University, Greater Noida, UP, India
                Author notes
                [* ]Address correspondence to this author at the Indian Scientific Education and Technology Foundation, Lucknow-226002, India;E-mails: sandeeps.bhu@ 123456gmail.com ; sks.1247@ 123456gmail.com
                [#]

                These authors have contributed equally to the work.

                Article
                CN-18-552
                10.2174/1570159X18666200122122512
                7457422
                31969104
                2ce3b21a-27b8-4dfc-9fec-e9bd28473d3a
                © 2020 Bentham Science Publishers

                This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) ( https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

                History
                : 11 August 2019
                : 18 November 2019
                : 14 January 2020
                Categories
                Article

                Pharmacology & Pharmaceutical medicine
                alzheimer’s disease (ad),oxidative stress,metal toxicity,mitochondrial dysfunction and neurodegeneration,reactive oxygen species (ros)

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