Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Monday, June 26, 2023

Caffeic Acid, a Polyphenolic Micronutrient Rescues Mice Brains against Aβ-Induced Neurodegeneration and Memory Impairment

Did your doctor get human testing initiated after this research came out? NO? Then you don't have a functioning stroke doctor.  Run away.

Caffeic acid improves locomotor activity and lessens inflammatory burden in a mouse model of rotenone-induced nigral neurodegeneration: Relevance to Parkinson’s disease therapy August 2018 

The latest here: Will your doctors redeem themselves by getting human testing done with this research?

Caffeic Acid, a Polyphenolic Micronutrient Rescues Mice Brains against Aβ-Induced Neurodegeneration and Memory Impairment 

1
Division of Life Science and Applied Life Science (BK21 FOUR), College of Natural Sciences, Gyeongsang National University, Jinju 52828, Republic of Korea
2
Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience (MHeNs), Maastricht University, 6229ER Maastricht, The Netherlands
3
Alz-Dementia Korea Co., Jinju 52828, Republic of Korea
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Antioxidants 2023, 12(6), 1284; https://doi.org/10.3390/antiox12061284
Received: 17 May 2023 / Revised: 8 June 2023 / Accepted: 12 June 2023 / Published: 15 June 2023

Abstract

Oxidative stress plays an important role in cognitive dysfunctions and is seen in neurodegeneration and Alzheimer’s disease (AD). It has been reported that the polyphenolic compound caffeic acid possesses strong neuroprotective and antioxidant effects. The current study was conducted to investigate the therapeutic potential of caffeic acid against amyloid beta (Aβ1–42)-induced oxidative stress and memory impairments. Aβ1–42 (5 μL/5 min/mouse) was administered intracerebroventricularly (ICV) into wild-type adult mice to induce AD-like pathological changes. Caffeic acid was administered orally at 50 mg/kg/day for two weeks to AD mice. Y-maze and Morris water maze (MWM) behavior tests were conducted to assess memory and cognitive abilities. Western blot and immunofluorescence analyses were used for the biochemical analyses. The behavioral results indicated that caffeic acid administration improved spatial learning, memory, and cognitive abilities in AD mice. Reactive oxygen species (ROS) and lipid peroxidation (LPO) assays were performed and showed that the levels of ROS and LPO were markedly reduced in the caffeic acid-treated mice, as compared to Aβ-induced AD mice brains. Moreover, the expression of nuclear factor erythroid 2–related factor 2 (Nrf2) and heme oxygenase-1 (HO-1) were regulated with the administration of caffeic acid, compared to the Aβ-injected mice. Next, we checked the expression of ionized calcium-binding adaptor molecule 1 (Iba-1), glial fibrillary acidic proteins (GFAP), and other inflammatory markers in the experimental mice, which suggested enhanced expression of these markers in AD mice brains, and were reduced with caffeic acid treatment. Furthermore, caffeic acid enhanced synaptic markers in the AD mice model. Additionally, caffeic acid treatment also decreased Aβ and BACE-1 expression in the Aβ-induced AD mice model.

1. Introduction

Alzheimer’s disease (AD) is the most prevalent cause of dementia, which impairs memory and cognitive functions [1]. AD is characterized by two main pathological hallmarks: the accumulation of amyloid-beta (Aβ) peptide and the formation of neurofibrillary tangles (NFTs) in the brain [2]. The main enzyme responsible for the production of Aβ is β-secretase, also known as β-site amyloid precursor protein-cleaving enzyme-1 (BACE-1), which generates toxic Aβ peptide that causes AD-associated pathological changes and neurodegeneration [3,4]. Neurofibrillary tangles are formed from the hyperphosphorylation of tau, which is a microtubule-associated protein that plays a major role in the stabilization of neuronal microtubules and provides the track for intracellular transport. In the hyperphosphorylated state, the tau loses its capacity to bind to the microtubules and is unable to maintain the cytoskeleton organization, resulting in misfolded proteins and NFTs [5,6]. The accumulation of these two pathological proteins in the brain leads to oxidative stress, neuroinflammation, downregulation of the brain’s neurotrophic factors, and synaptic dysfunction [7]. Accumulation of Aβ in the brain triggers reactive oxygen species (ROS) formation and lipid peroxidation, which disrupt the intracellular defense mechanisms. The endogenous cellular antioxidant mechanism is solely regulated by certain factors, such as nuclear factor erythroid 2–related factor 2 (Nrf2) and its associated genes. Nrf2 is a major signaling pathway responsible for regulating reactive oxygen and redox signaling by activating the phase II detoxification enzymes [8,9]. Nrf2 acts as a modulator of cellular antioxidant and detoxification defense mechanisms, and its activation can reduce cellular injury and insult in several organs and tissues. Several studies have suggested that boosting the endogenous antioxidant system by upregulating the expression of Nrf2 and its downstream targets may reduce elevated oxidative stress and neuroinflammation [10,11].
The elevated oxidative stress associated with AD may induce the transcription of certain inflammatory factors such as nuclear factor kappa B (NF-κB), which is a member of mitogen-activated protein kinase. Studies have suggested that NF-κb plays an important role in the accumulation of amyloid-beta and subsequent neurodegeneration [12,13]. Apart from oxidative stress, neuroinflammation is another feature of neurodegenerative diseases executed by multiple factors, such as activated astrocytes and microglial cells. Of note, it is reported that oxidative stress is involved in the activation of astrocytes and microglial cells [14,15]. The activation of microglia and astrocytes is one of core importance for neuroinflammation and is involved in the pathogenesis of several neurodegenerative diseases, such as AD and Parkinson’s disease (PD) [16,17]. Several brain regions are susceptible to AD-related pathology; the most important one is the hippocampus, which is affected in the earlier stage of AD. Hippocampus plays a role in the storage of long- and short-term memories. Previous studies have extensively highlighted the roles of growth factors and phosphatidylinositol 3-kinases (PI3K)/protein kinase B (AKT) signaling pathways in hippocampal plasticity and memory functions. The PI3K/AKT signaling pathway promotes cell survival, proliferation, and differentiation, which are important for normal cellular activities [18,19]. Brain-derived neurotrophic factor (BDNF) is considered the key factor in the homeostasis of brain physiology and functions. This growth factor support neuronal survival, synaptic functions, and induced hippocampal neurogenesis and improve cognition [20,21]. A growing body of research shows that activations of neurotrophic factors considerably reduce the effects of oxidative stress and neuroinflammation [22,23].
Currently, there is no known treatment available to cure AD, only certain drugs may reduce the sign and symptoms associated with AD. Meanwhile, several natural compounds such as flavonoids, vitamins, phenolic acids, and polyphenols, have received special interest in the management of these diseases. The natural compounds possess antioxidant and anti-inflammatory activities and they also increase synaptic integrity, memory, and cognitive functions [24,25]. Phenolic compounds, which possess antioxidant, anticancer, antibacterial, and anti-inflammatory properties, are a group of compounds mainly found in fruits and vegetables [26,27]. Here, we hypothesize that caffeic acid, a polyphenolic compound found in vegetables, fruits, and herbs may reduce AD symptoms and its pathological features. The chemical structure of caffeic acid is given in Figure 1.
Figure 1. Chemical structure of caffeic acid.
 

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