Impaired mitochondrial energy metabolism as a novel risk factor for selective onset and progression of dementia in oldest-old subjects

Wei Zhao,1,2 Jun Wang,1,2 Merina Varghese,1 Lap Ho,1,2 Paolo Mazzola,1,3 Vahram Haroutunian,2,4,5 Pavel L Katsel,2,4 Gary E Gibson,6 Samara Levine,1 Lauren Dubner,1 Giulio Maria Pasinetti1,2,4,7 1Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, USA; 2Geriatri...

Full description

Bibliographic Details
Main Authors: Zhao W, Wang J, Varghese M, Ho L, Mazzola P, Haroutunian V, Katsel PL, Gibson GE, Levine S, Dubner L, Pasinetti GM
Format: Article
Language:English
Published: Dove Medical Press 2015-03-01
Series:Neuropsychiatric Disease and Treatment
Online Access:http://www.dovepress.com/impaired-mitochondrial-energy-metabolism-as-a-novel-risk-factor-for-se-peer-reviewed-article-NDT
_version_ 1818405950556471296
author Zhao W
Wang J
Varghese M
Ho L
Mazzola P
Haroutunian V
Katsel PL
Gibson GE
Levine S
Dubner L
Pasinetti GM
author_facet Zhao W
Wang J
Varghese M
Ho L
Mazzola P
Haroutunian V
Katsel PL
Gibson GE
Levine S
Dubner L
Pasinetti GM
author_sort Zhao W
collection DOAJ
description Wei Zhao,1,2 Jun Wang,1,2 Merina Varghese,1 Lap Ho,1,2 Paolo Mazzola,1,3 Vahram Haroutunian,2,4,5 Pavel L Katsel,2,4 Gary E Gibson,6 Samara Levine,1 Lauren Dubner,1 Giulio Maria Pasinetti1,2,4,7 1Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, USA; 2Geriatric Research Education Clinical Center – James J Peter VA Medical Center, Bronx, NY, USA; 3Department of Health Sciences, University of Milano-Bicocca, Monza, Italy; 4Department of Psychiatry, 5Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, USA; 6Department of Neurology and Neuroscience, Weill Cornell Medical College, Burke Medical Research Institute, New York, NY, USA; 7Department of Geriatrics, Icahn School of Medicine at Mount Sinai, New York, NY, USA Abstract: Recent evidence shows that Alzheimer disease (AD) dementia in the oldest-old subjects was associated with significantly less amyloid plaque and fibrillary tangle neuropathology than in the young-old population. In this study, using quantitative (q) PCR studies, we validated genome-wide microarray RNA studies previously conducted by our research group. We found selective downregulation of mitochondrial energy metabolism genes in the brains of oldest-old, but not young-old, AD dementia cases, despite a significant lack of classic AD neuropathology features. We report a significant decrease of genes associated with mitochondrial pyruvate metabolism, the tricarboxylic acid cycle (TCA), and glycolytic pathways. Moreover, significantly higher levels of nitrotyrosylated (3-NT)-proteins and 4-hydroxy-2-nonenal (HNE) adducts, which are indexes of cellular protein oxidation and lipid peroxidation, respectively, were detected in the brains of oldest-old subjects at high risk of developing AD, possibly suggesting compensatory mechanisms. These findings support the hypothesis that although oldest-old AD subjects, characterized by significantly lower AD neuropathology than young-old AD subjects, have brain mitochondrial metabolism impairment, which we hypothesize may selectively contribute to the development of dementia. Outcomes from this study provide novel insights into the molecular mechanisms underlying clinical dementia in young-old and oldest-old AD subjects and provide novel strategies for AD prevention and treatment in oldest-old dementia cases. Keywords: Alzheimer disease, energy metabolism, neuropathology, mitochondria, dementia
first_indexed 2024-12-14T09:04:11Z
format Article
id doaj.art-f88b5a94ee75469cadd571c9dc4ce859
institution Directory Open Access Journal
issn 1178-2021
language English
last_indexed 2024-12-14T09:04:11Z
publishDate 2015-03-01
publisher Dove Medical Press
record_format Article
series Neuropsychiatric Disease and Treatment
spelling doaj.art-f88b5a94ee75469cadd571c9dc4ce8592022-12-21T23:08:45ZengDove Medical PressNeuropsychiatric Disease and Treatment1178-20212015-03-012015default56557420731Impaired mitochondrial energy metabolism as a novel risk factor for selective onset and progression of dementia in oldest-old subjectsZhao WWang JVarghese MHo LMazzola PHaroutunian VKatsel PLGibson GELevine SDubner LPasinetti GMWei Zhao,1,2 Jun Wang,1,2 Merina Varghese,1 Lap Ho,1,2 Paolo Mazzola,1,3 Vahram Haroutunian,2,4,5 Pavel L Katsel,2,4 Gary E Gibson,6 Samara Levine,1 Lauren Dubner,1 Giulio Maria Pasinetti1,2,4,7 1Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, USA; 2Geriatric Research Education Clinical Center – James J Peter VA Medical Center, Bronx, NY, USA; 3Department of Health Sciences, University of Milano-Bicocca, Monza, Italy; 4Department of Psychiatry, 5Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, USA; 6Department of Neurology and Neuroscience, Weill Cornell Medical College, Burke Medical Research Institute, New York, NY, USA; 7Department of Geriatrics, Icahn School of Medicine at Mount Sinai, New York, NY, USA Abstract: Recent evidence shows that Alzheimer disease (AD) dementia in the oldest-old subjects was associated with significantly less amyloid plaque and fibrillary tangle neuropathology than in the young-old population. In this study, using quantitative (q) PCR studies, we validated genome-wide microarray RNA studies previously conducted by our research group. We found selective downregulation of mitochondrial energy metabolism genes in the brains of oldest-old, but not young-old, AD dementia cases, despite a significant lack of classic AD neuropathology features. We report a significant decrease of genes associated with mitochondrial pyruvate metabolism, the tricarboxylic acid cycle (TCA), and glycolytic pathways. Moreover, significantly higher levels of nitrotyrosylated (3-NT)-proteins and 4-hydroxy-2-nonenal (HNE) adducts, which are indexes of cellular protein oxidation and lipid peroxidation, respectively, were detected in the brains of oldest-old subjects at high risk of developing AD, possibly suggesting compensatory mechanisms. These findings support the hypothesis that although oldest-old AD subjects, characterized by significantly lower AD neuropathology than young-old AD subjects, have brain mitochondrial metabolism impairment, which we hypothesize may selectively contribute to the development of dementia. Outcomes from this study provide novel insights into the molecular mechanisms underlying clinical dementia in young-old and oldest-old AD subjects and provide novel strategies for AD prevention and treatment in oldest-old dementia cases. Keywords: Alzheimer disease, energy metabolism, neuropathology, mitochondria, dementiahttp://www.dovepress.com/impaired-mitochondrial-energy-metabolism-as-a-novel-risk-factor-for-se-peer-reviewed-article-NDT
spellingShingle Zhao W
Wang J
Varghese M
Ho L
Mazzola P
Haroutunian V
Katsel PL
Gibson GE
Levine S
Dubner L
Pasinetti GM
Impaired mitochondrial energy metabolism as a novel risk factor for selective onset and progression of dementia in oldest-old subjects
Neuropsychiatric Disease and Treatment
title Impaired mitochondrial energy metabolism as a novel risk factor for selective onset and progression of dementia in oldest-old subjects
title_full Impaired mitochondrial energy metabolism as a novel risk factor for selective onset and progression of dementia in oldest-old subjects
title_fullStr Impaired mitochondrial energy metabolism as a novel risk factor for selective onset and progression of dementia in oldest-old subjects
title_full_unstemmed Impaired mitochondrial energy metabolism as a novel risk factor for selective onset and progression of dementia in oldest-old subjects
title_short Impaired mitochondrial energy metabolism as a novel risk factor for selective onset and progression of dementia in oldest-old subjects
title_sort impaired mitochondrial energy metabolism as a novel risk factor for selective onset and progression of dementia in oldest old subjects
url http://www.dovepress.com/impaired-mitochondrial-energy-metabolism-as-a-novel-risk-factor-for-se-peer-reviewed-article-NDT
work_keys_str_mv AT zhaow impairedmitochondrialenergymetabolismasanovelriskfactorforselectiveonsetandprogressionofdementiainoldestoldsubjects
AT wangj impairedmitochondrialenergymetabolismasanovelriskfactorforselectiveonsetandprogressionofdementiainoldestoldsubjects
AT varghesem impairedmitochondrialenergymetabolismasanovelriskfactorforselectiveonsetandprogressionofdementiainoldestoldsubjects
AT hol impairedmitochondrialenergymetabolismasanovelriskfactorforselectiveonsetandprogressionofdementiainoldestoldsubjects
AT mazzolap impairedmitochondrialenergymetabolismasanovelriskfactorforselectiveonsetandprogressionofdementiainoldestoldsubjects
AT haroutunianv impairedmitochondrialenergymetabolismasanovelriskfactorforselectiveonsetandprogressionofdementiainoldestoldsubjects
AT katselpl impairedmitochondrialenergymetabolismasanovelriskfactorforselectiveonsetandprogressionofdementiainoldestoldsubjects
AT gibsonge impairedmitochondrialenergymetabolismasanovelriskfactorforselectiveonsetandprogressionofdementiainoldestoldsubjects
AT levines impairedmitochondrialenergymetabolismasanovelriskfactorforselectiveonsetandprogressionofdementiainoldestoldsubjects
AT dubnerl impairedmitochondrialenergymetabolismasanovelriskfactorforselectiveonsetandprogressionofdementiainoldestoldsubjects
AT pasinettigm impairedmitochondrialenergymetabolismasanovelriskfactorforselectiveonsetandprogressionofdementiainoldestoldsubjects