Domino Effect: Individual Damaged Neuron Types Cause Neurodegenerative Diseases

Domino Effect: Individual Damaged Neuron Types Cause Neurodegenerative Diseases

Summary: Age related neurodegeneration may be delayed by preventing oxidative damage in a few neuron types, researchers report.

Source: TUM.

If the sense of smell disappears, this can indicate a disease such as Alzheimer’s or Parkinson’s disease. However, unlike previously assumed, general degenerations in the nervous system do not play a leading role in the loss of the sense of smell with increasing age, but individual nerve cells or classes of nerves are decisive.

Some nerve cells (neurons) or neuron classes in the brain seem to age faster than others. For example, the loss of the sense of smell is one of the first clinical signs of natural aging. This can be accompanied by a neurodegenerative disease such as Alzheimer’s.

“Age is the major risk factor as to why people suffer from Alzheimer’s or Parkinson’s disease,” says Prof. Ilona Grunwald Kadow from the School of Life Sciences at the Technical University of Munich (TUM) – “only a small proportion of these diseases are due to known genetic reasons”. The question is why do some neurons age faster than others? Why are some more sensitive? And is the damage to certain types of neurons the reason why whole nerve networks no longer function properly?

A new study conducted under the direction of Prof. Grunwald Kadow (TUM) in collaboration with the groups of Prof. Julien Gagneur (TUM), Prof. Stephan Sigrist (Free University of Berlin) and Prof. Nicolas Gompel (LMU) using the genetic model organism of the fruit fly now shows how the olfactory capacity of these animals ages and how much this resembles the aging process in the human olfactory system. Like humans, the fruit fly loses its powers of smell as it ages. Several key genes and mechanisms were identified that contribute to this aging – associated degeneration.

Which neurons are affected?

In the next step, the scientists examined whether all or only specific neurons of the olfactory circuit are affected. The team found that some neurons are more sensitive than others and decline faster during aging.

They determined that oxidative stress alters primarily specific neuron types, causing the functioning of the entire neural network to gradually collapse. Oxidative stress results in too many reactive oxygen compounds in the cell or tissue, which can cause temporary or permanent damage and accelerated aging.

Interestingly, if the formation of these reactive oxygen compounds in only this type of neurons is prevented, this completely stopped the loss of sense of smell: Old flies sense odors just like their young conspecifics again. This suggests that age-related degeneration could be significantly delayed by preventing oxidative damage in only one or a few neuron types.

But what can reduce oxidative stress in its effect?

A trial with an antioxidant in the form of several weeks of resveratrol administration in younger flies showed that it can counteract oxidative stress, which develops during aging. This treatment appeared to protect the particularly sensitive neurons and thereby contributed to maintaining the function of the neurons connected to them within the neural network. In the elderly, such treatments might help to delay the onset of neurodegenerative diseases associated with ageing.

fruit fly

Another possible factor that could play a role in the aging process is the intestinal microbiome. It could be involved in the progression of Parkinson’s disease. Grunwald Kadow and her team have therefore also tested the effect of specific microbiota on olfactory ageing in fruit flies with the result that certain bacteria have a positive effect and slow down olfactory neurodegeneration.

According to Prof. Grunwald Kadow, these findings and further ongoing experiments in the fruit fly model can help to pave the way for more targeted and new treatments and therapy routes, in which, among other things, drug or microbiota administration would be combined with each other.


Source: Ilona Grunwald Kadow – TUM
Publisher: Organized by
Image Source: image is credited to Ariane Böhm / TUM.
Original Research: Open access research in eLife.

TUM “Domino Effect: Individual Damaged Neuron Types Cause Neurodegenerative Diseases.” NeuroscienceNews. NeuroscienceNews, 1 March 2018.


Inhibition of oxidative stress in cholinergic projection neurons fully rescues aging-associated olfactory circuit degeneration in Drosophila

Loss of the sense of smell is among the first signs of natural aging and neurodegenerative diseases such as Alzheimer’s and Parkinson’s. Cellular and molecular mechanisms promoting this smell loss are not understood. Here, we show that Drosophila melanogaster also loses olfaction before vision with age. Within the olfactory circuit, cholinergic projection neurons show a reduced odor response accompanied by a defect in axonal integrity and reduction in synaptic marker proteins. Using behavioral functional screening, we pinpoint that expression of the mitochondrial reactive oxygen scavenger SOD2 in cholinergic projection neurons is necessary and sufficient to prevent smell degeneration in aging flies. Together, our data suggest that oxidative stress induced axonal degeneration in a single class of neurons drives the functional decline of an entire neural network and the behavior it controls. Given the important role of the cholinergic system in neurodegeneration, the fly olfactory system could be a useful model for the identification of drug targets.

Paternal exposure to environmental chemical stress affects male offspring’s hepatic mitochondria

Paternal exposure to environmental chemical stress affects male offspring’s hepatic mitochondria

Toxicological Sciences, kfx246,


Pre-conceptional paternal exposures may affect offspring’s health, which cannot be explained by mutations in germ cells, but by persistent changes in the regulation of gene expression. Therefore, we investigated whether pre-conceptional paternal exposure to benzo[a]pyrene (B[a]P) could alter the offspring’s phenotype. Male C57BL/6 mice were exposed to B[a]P by gavage for 6 weeks, 3x per week, and were crossed with unexposed BALB-c females 6 weeks after the final exposure.

The offspring was kept under normal feeding conditions and was sacrificed at 3 weeks of age. Analysis of the liver proteome by 2D-gel electrophoresis and mass spectrometry indicated that proteins involved in mitochondrial function were significantly down-regulated in the offspring of exposed fathers.

This down-regulation of mitochondrial proteins was paralleled by a reduction in mitochondrial DNA copy number and reduced activity of citrate synthase and β−hydroxyacyl-CoA dehydrogenase, but in male offspring only.

Surprisingly, analysis of hepatic mRNA expression revealed a male-specific up-regulation of the genes, whose proteins were down-regulated, including Aldh2 and Ogg1. This discrepancy could be related to several selected miRNA’s that regulate the translation of these proteins; miRNA-122, miRNA-129-2-5p and miRNA-1941 were upregulated in a gender-specific manner.

Since mitochondria are thought to be a source of intracellular reactive oxygen species, we additionally assessed oxidatively-induced DNA damage. Both 8-hydroxy-deoxyguanosine and malondialdehyde-dG adduct levels were significantly reduced in male offspring of exposed fathers.

In conclusion, we show that paternal exposure to B[a]P can regulate mitochondrial metabolism in offspring, which may have profound implications for our understanding of health and disease risk inherited from fathers.

Check this site for AGELOC products that can reset your gene expression to a younger you coupled with adequate sleep, exercise and whole foods (colorful ones):

Oxidative Stress, Inflammation, Thyroid and Anti-oxidant

Why is it harder for older people to lose weight? Is inflammed thyroid the culprit?

It can be anything from stress and hormones to poor nutrition, food sensitivities, bacteria in your gut, or toxins in your liver. It could even be the result of an event that happened decades ago that’s causing unhealthy coping patterns or emotional stress.

Although you may think you are past those things, they could still be triggering a reaction in your body and making you sick. In fact, they could be disrupting the thyroid hormones that virtually every cell in the body needs to work properly!

When something triggers a disruption in your thyroid hormone, everything can go awry, from your GI tract to your liver and kidney function. You may experience all kinds of symptoms: gas and bloating, unexplained weight gain, mood swings, rashes, fatigue, aches and pains, and so many others.

How do you balance reactive oxygen species and anti-oxidant species? Whole foods, less inflammed body, rest and sleep, exercise, sunshine and anti-oxidants. AgeLOC is one of its class in my opinion in helping our aging mechanism from oxidation, inflammation and aging.


Email or order AgeLOC to help your aging mechanisms at:

sponsor connie USW9578356

agelok youth 2agelok youth

Inflammation and oxidative stress (OS) are closely related processes, as well exemplified in obesity and cardiovascular diseases. OS is also related to hormonal derangement in a reciprocal way. Among the various hormonal influences that operate on the antioxidant balance, thyroid hormones play particularly important roles, since both hyperthyroidism and hypothyroidism have been shown to be associated with OS in animals and humans. In this context, the nonthyroidal illness syndrome (NTIS) that typically manifests as reduced conversion of thyroxine (T4) to triiodothyronine (T3) in different acute and chronic systemic conditions is still a debated topic. The pathophysiological mechanisms of this syndrome are reviewed, together with the roles of deiodinases, the enzymes responsible for the conversion of T4 to T3, in both physiological and pathological situations. The presence of OS indexes in NTIS supports the hypothesis that it represents a condition of hypothyroidism at the tissue level and not only an adaptive mechanism to diseases.

Balance of Reactive oxygen species and Anti-oxidant defenses

Oxidative stress (OS) is defined as an unbalance between the production of prooxidant substances and antioxidant defenses.

The most important prooxidants are the reactive oxygen species (ROS) and reactive nitrogen species (RNS) [1]. The ROS family includes superoxide anion, hydroxyl radical, hydrogen peroxide, and hypochlorous acid. The first three substances are produced in vivo mainly by the mitochondrial respiratory chain during the oxidative metabolism of energetic substrates [2, 3]. They are regulators of redox-sensitive pathways involved in cellular homeostasis [4] and influence some transcription factors, in addition to the endogenous antioxidant pool [4–7].

RNS are peroxynitrite, produced by the reaction of nitric oxide (NO) with superoxide, and nitrosoperoxycarbonate, formed by the reaction of peroxynitrite with carbon dioxide. ROS and RNS are considered important pathogenetic factors in different diseases [8]. Among them, a particular pathogenetic role is played by the free radicals, that is, superoxide anion and hydroxyl radical, that are molecules characterized by high chemical reactivity due to a single unpaired electron in the external orbital.

In some cell types, such as leukocytes, endothelial and mesangial cells, fibroblasts, thyrocytes, oocytes, Leydig cells, and adipocytes, ROS generation could play functional roles [9]. Dual oxidases (DUOX), enzymes crucial for hydrogen peroxide generation, are essential for thyroid peroxidase- (TPO-) catalyzed hormone synthesis [10]. Two oxidases of such family are present in thyroid (DUOX1 and DUOX2). They work in conjunction with DUOXA1 and DUOXA2, which are maturation factors that allow DUOX enzymes to translocate to the follicular cell membrane and exert their enzymatic activity [10]. In addition, NADPH oxidase 4 (NOX4) [11] is a new intracellular ROS generating system recently described in the human thyroid gland.

An increased ROS production by the respiratory chain resulting from the rise of the energetic demand or substrate availability [12], as occurs in obesity, or mitochondrial dysfunction or impairment, can produce cell damage and contribute to the pathophysiology of different diseases, such as inflammatory (e.g., rheumatoid arthritis) and cardiovascular (e.g., myocardial infarction) diseases [2].

A pathophysiological role of ROS has been also suggested in diabetes mellitus, in which oxidation accompanies glycation in vivoand the antioxidant capacity is decreased, resulting in increased susceptibility to oxidative stress [13].

Different defensive mechanisms that protect against the free radical damage have been characterized in various cellular localizations, including the endoplasmic reticulum, mitochondria, plasma membrane, peroxisomes, and cytosol [2]. Enzymes such as superoxide dismutase (SOD), catalase (CAT) and glutathione peroxidase (GPx), and transition-metal binding proteins, such as transferrin, ferritin, and ceruloplasmin, prevent the production of or rapidly inactivate free radicals. SOD accelerates the dismutation process of superoxide anion in hydrogen peroxide and molecular oxygen that normally occurs with a rate constant 104-fold lower. CAT detoxifies hydrogen peroxide by transforming it in water and molecular oxygen.

GPx also participates in hydrogen peroxide detoxification when hydrogen peroxide levels are high. In addition, GPx detoxifies lipid peroxides by transforming them in the corresponding alcohols. “Scavengers” molecules, including both water-soluble, such as albumin, bilirubin, ascorbic acid, urates and thiols, and liposoluble, such as Vitamin E and coenzyme Q10 (CoQ10), substances interrupt the lipid-peroxidation chain by reacting with and neutralizing the intermediate radicals.

The high diffusion rate of scavengers, particularly the liposoluble ones in biological membranes, allows them to intercept radicals and transform them into more stable molecules, thus stopping the radical chain. Sometimes scavengers can be regenerated.

A third defensive mechanism uses processes which remove the molecules damaged by the oxidative attack, allowing the reconstitution of normal structures (e.g., specific phospholipases remove the peroxidized fatty acids, making the enzymatic reacylation of damaged molecules possible) [2].

The production of ROS and RNS can occur at the cellular level in response to metabolic overload caused by the overabundance of macronutrients. In addition, mitochondrial dysfunction and endothelial reticulum stress contribute to adipose tissue metabolic derangement in obese patients [14, 15]. ROS generation is further maintained by an inflammatory response, feeding a vicious circle. This picture is worse in pre- and postpubertal children, because puberty alters some inflammatory markers associated with endothelial dysfunction (adipocytokine levels, OS, and insulin sensitivity).

Recent findings suggest that mitochondrial reactive species are signalling molecules that mediate the production of proinflammatory cytokines, thus connecting OS and inflammation. This topic has been extensively studied in cardiovascular diseases [16].

However, besides inflammation, OS can be related to hormonal derangement in a reciprocal way. Some hormones influence antioxidant levels; on the other hand, OS can modify synthesis, activity, and metabolism of hormones. Therefore, OS is related to both systemic inflammation and hormonal derangement. In particular, thyroid hormones play important roles in antioxidant modulation, as demonstrated in different in vitro and in vivo studies. Reduced glutathione (GSH) is an important cofactor of both antioxidant enzymes and deiodinases, the enzymes responsible for the conversion of thyroxine (T4) to triiodothyronine (T3).

Moreover, plasma levels of small antioxidant molecules, such as Vitamin E and CoQ10, and thyroid hormones are closely related to each other [2, 17]. Both hyperthyroidism and hypothyroidism have been shown to be associated with OS and special cases are the autoimmune thyroiditis or the functional picture of low-T3 syndrome, observed in acute and chronic nonthyroidal illness syndrome (NTIS) [17–19]. It is still debated whether NTIS represents an adaptive response or a real hypothyroidism at the tissue level. Therefore, studies on OS in NTIS are important to gain knowledge about the pathophysiology of the syndrome itself.

In this review, we firstly examine the relationships between OS and inflammation. Then, we present available data on thyroid hormones and antioxidant regulation. Finally, we report the results of investigations on the relationships between inflammatory mediators and OS in NTIS, in the attempt of hypothesizing a reciprocal influence between tissue hypothyroidism (as primary cause or secondary to inflammation) and OS. Thus, the aim of our review is to discuss and clarify the relationships between thyroid hormones and parameters of OS in the context of the inflammatory diseases.

2. Oxidative Stress and Inflammation

Different mediators produced by the adipose tissue may potentially cause an increase of systemic and local ROS and RNS. Thus, the dysregulation of signalling pathway originating in adipocytes, as observed in obese patients, can induce and perpetuate inflammation and OS. Recent studies clearly indicate that the adipose tissue can be considered as an endocrine organ producing different proteins (adipokines) with wide biologic activities. In addition, after maturation from the stage of preadipocytes, the adipocytes gain functions similar to those of macrophages, including the ability to be activated by components of the bacterial wall and to synthesize and secrete cytokines [20]. Moreover, during the periods in which weight gain or loss occurs, the cellular composition of the adipose tissue dynamically changes, showing variations in the levels of various cell types represented in the tissue, in particular vascular and immune cells.

The levels of the latter, in particular the macrophages, importantly increase in obese patients.

The macrophages seem to play important roles in the pathogenesis of insulin resistance associated with obesity, through the production of Monocyte Chemoattractant Protein-1 (MCP-1) and the modulation of the spreading and the growth of the adipose tissue itself [21]. Monocytes mobilized and attracted by MCP-1, together with neutrophils and lymphocytes T present in the adipose tissue, originate an inflammatory response that is reinforced by the stimulation of the synthesis and secretion of tumor necrosis factor (TNF) by macrophages, in turn induced by the increased production of free fatty acids (FFAs) by adipocytes. In addition, a two-way interaction between adipocytes and macrophages seems to develop, by which the macrophages stimulate the expression and release of MCP-1 from the adipocytes through ROS production.

By this way a vicious circle is established, which may promote a chronic inflammatory status gradually more and more intense, typical of obesity and its complications. Finally, the macrophages regulate the remodelling of the adipose tissue when a chronic positive energetic balance ensues. Different pathways are activated in adipocytes depending on whether subtype M1 or M2 macrophages are stimulated, that regulate adipocyte proliferation, growth, and survival. The induced changes are responsible for the appearance of a hypertrophic or hyperplastic obesity. In case of the prevalence the M1 proinflammatory macrophagic subtype, the reduced survival and proliferation of the preadipocytes will cause an inadequate adipocyte reserve; consequently, the energetic backlog, through an excessive hypertrophy, will produce a dysfunctional adipose tissue, which will perpetuate the inflammatory process and, in the long term, produce insulin resistance. Conversely, if the M2 macrophagic subtype is prevalent, the functional pool of preadipocytes will be favoured. They will differentiate into adipocytes, contributing to the formation of an adequate hyperplastic adipose tissue with preserved cell functions and insulin sensitivity [22].

Therefore, obesity is associated with increased secretion of proinflammatory hormones and cytokines (leptin, resistin, TNF-α, and interleukin- (IL-) 6) and decreased release of adipokines that downregulate inflammation (adiponectin, IL-10). Recent studies [23] show that not only the amount but also the kind of adipose tissue, as well as the kinds of fats in the diet, influence in different ways this chronic inflammatory state.

Many other mechanisms reviewed by Siti et al. [16] reinforce the link between OS and inflammation. Among these, there is the overexpression of endothelin that induces ROS production in endothelial cells by increasing NADPH oxidase activity [24]; on the other hand, OS causes an increase in angiotensin converting enzyme [25], creating a loop with the previously cited mechanism. Another important mechanism is the OS-induced Ca2+ influx, responsible for inflammatory processes [26].

In diabetes, the chronic inflammation, the increase in FFA levels, and the overactivation of the renin-angiotensin system contribute to insulin resistance via OS [27]. TNF-α, an important mediator of inflammation, interferes with insulin signals through the activation of the PI3-kinase pathway in endothelial cells [28]. A systemic lipid infusion, that induces acute elevation of plasma FFA levels, causes the activation of the NF-kB pathway, OS, and impairment of endothelium-dependent vasodilatation. In addition, insulin effects on vasodilatation, NO production, and muscle capillary recruitment are blunted by the lipid infusion [29–32]. Regarding this subject, we have shown that a naturally enriched antioxidant diet is capable of improving insulin sensitivity and metformin effects in adult obese patients [33].

Other studies confirmed the link between OS, vascular inflammation, and hypertension-associated vascular changes [34]. Moreover, it is well known that oxidized LDL have a key role in the initiation and progression of the atheromatous plaque [16, 35]; a main role has been recently attributed to the lectin-like oxidized LDL receptor-1 (LOX-1), which is upregulated by the exposure to inflammatory stimuli [36]. The role of the renin-angiotensin system in OS-related injury of endothelial cells has been recently reviewed [37]. Elegant studies conducted in experimental animal models, such as the ApoE knock-out mouse, confirmed an oxidant/antioxidant unbalance in the atherosclerotic process [38–40]. A large number of studies have been published on this topic, which, however, is not among the subjects of the present review. Nevertheless, they overall confirm the association between inflammation and OS.

3. The Role of Thyroid Hormones in Antioxidant Regulation

The role of thyroid in the regulation of the antioxidant systems has been recently reviewed in the context of the reproductive endocrinology [41]. It is well known that thyroid function influences the ovarian activity. ROS play physiological roles in the ovary and hypothyroidism, or a low-T3 syndrome, can induce ovarian dysfunction by interfering with the antioxidant systems.

OS has been shown to be associated with both hyperthyroidism and hypothyroidism [42]. However, the mechanisms by which OS is generated in these two clinical conditions are different: increased ROS production in hyperthyroidism and low availability of antioxidants in hypothyroidism.

Some complications of hyperthyroidism in target tissues are caused by OS [43]. Thyroid hormones per secan act as oxidants and produce DNA damage (contrasted by CAT), probably through the phenolic group, which is similar to that of steroidal estrogens [44]. Many other mechanisms, as previously reviewed [45], can be involved, in particular the enhanced Nitric Oxide Synthase (NOS) gene expression with NO overproduction and the activation of hepatic NF-kB with the consequent increase in cytokines levels which induces ROS production. On the other hand, other mechanisms regulated by thyroid hormones carry out a fine regulation of the oxidative status via autoloop feedback. Among them, we underline the role of Uncoupling Protein- (UCP-) 2 and Uncoupling Protein-3. Data obtained in plants and animals indicate that these molecules have antioxidant activity [46–48]. However, only T3 seems to regulate UCP, whereas no effect is exerted by T4 [49, 50]. An opposite effect is induced by estrogens, which increase ROS production by repressing UCP [51].

The increased turnover of mitochondrial proteins and mitoptosis also participate in the regulation of the oxidative status, by removing the mitochondria damaged by OS [52]. These processes are regulated by peroxisome proliferator-activated receptor gamma coactivator-1, which in turn is upregulated by T3administration [53].

Thyroid hormones influence lipid composition of rat tissues and consequently the susceptibility to OS.

However, the response is tissue-specific, and discrepant effects of T3 and T4 have been reported. In rat liver, T3-induced hyperthyroidism was found to be associated with altered lipid-peroxidation indexes, including elevated levels of thiobarbituric reactive substances (TBARS) and lipid hydroperoxides that are byproducts of lipid peroxidation [45, 53–55]. On the contrary, no changes in TBARS production were found in homogenized livers from rats made hyperthyroid by administration of T4 over a 4-week period [56]. No significant changes of TBARS or lipid hydroperoxides were observed in testes of hyperthyroid adult rats as well; however, hyperthyroidism promoted protein oxidation in testes, as indicated by the enhanced content of protein-bound carbonyls [57]. In addition, it should be emphasized that the effects of hyperthyroidism on the activity of antioxidant enzymes, including Mn- or Cu,Zn-SOD, CAT, and GPx, depend on the tissue investigated, with T3 and T4 having differentiated effects [58].

At the systemic level, hyperthyroidism has been associated with reduced circulating levels of alpha-tocopherol [59, 60] and CoQ10 [60, 61] in humans. CoQ10 showed a trend toward higher levels in hypothyroidism [61]. Thus, it seems to be a sensitive index of tissue effect induced by thyroid hormones in situations in which drug interference, such as treatment with amiodarone [62], or systemic illness inducing low-T3 conditions [63] complicate the interpretation of thyroid hormone levels.

On the other side, data on hypothyroidism and OS in humans are conflicting. In a group of patients with primary hypothyroidism, Baskol et al. [64] found high plasma levels of malondialdehyde (MDA), an OS marker that is formed by lipid peroxidation, and NO, low activity of paraoxonase- (PON-) 1, an enzyme synthetized in the liver with antioxidant properties, and SOD levels not significantly different from those of controls. Interestingly, the treatment with thyroid hormones decreased MDA levels and increased PON-1 activity, even though values similar to those observed in controls were not reached [64]. They hypothesized that in patients with hypothyroidism the prooxidant environment could play a role in the development of atherosclerosis. Elevated MDA levels were also shown in subclinical hypothyroidism [65]. In this setting, the increased OS was attributed primarily not only to the decrease in antioxidants levels, but also to altered lipid metabolism, since a significant correlation among MDA and LDL-cholesterol, total cholesterol, and triglyceride levels was found. Total antioxidant status (TAS) was similar in overt hypothyroidism, subclinical hypothyroidism, and controls.

Excess TSH is known to directly produce OS [66]. Other studies confirmed the lipid peroxidation both in overt hypothyroidism and in subclinical hypothyroidism [67] as indicated by MDA elevation; protein oxidation has been reported as well, with elevation of protein carbonyls [67]. In this study, the correlation analysis suggested that both the TSH increase and the MDA elevation contribute to protein damage. Finally, different studies reported NO elevation [68, 69].

Data on other parameters are more conflicting. As far as PON-1 is concerned, a decreased activity of this enzyme was observed both in hypothyroidism and in hyperthyroidism [70], whereas no significant differences with respect to controls were shown in other studies [68]. Increased levels of TBARS, but also antioxidants, such as SOD, CAT, and Vitamin E, have been also reported [71]. All these parameters correlated with T3 and the correlation between T3 and CAT remained significant also when corrected for total cholesterol. TBARS elevation was shown in both overt hypothyroidism and subclinical hypothyroidism [69, 72], but these findings were not confirmed in other studies [68, 73].

Another matter of discussion is whether OS is related to hypothyroidism per se or to lipid profile alterations caused by thyroid disfunction, as reported above. Indeed, Santi et al. [74] reported OS in subclinical hypothyroidism, as shown by reduced arylesterase and increased TBARS and CAT, but they attributed this pattern to hypercholesterolemia.

We showed low total antioxidant capacity (TAC) levels in hypothyroid patients [75] and increased CoQ10plasma levels in secondary hypothyroidism. This latter finding is mainly to be put in correlation with the metabolic role of CoQ10 in the mitochondrial respiratory chain and its consequent reduced cell use in hypothyroid patients. In secondary hypothyroidism, the picture is complicated by concomitant alterations of other pituitary-dependent axes, which can have opposite effect on CoQ10 plasma levels. Acromegaly and hypoadrenalism are characterized by low CoQ10 plasma concentrations; however, when they are associated with hypothyroidism, this latter has a predominant effect [75, 76].

New perspectives concern DUOX, DUOXA, and NOX4. Cases of hypothyroidism due to mutation of DUOX or DUOXA genes have been reported in the literature [10, 11]. In addition, alterations of NOX4 could be associated with thyroid cancer (via activation by H-Ras oncogene) and Hashimoto’s thyroiditis, in which the increased extracellular expression of this enzyme raises Intercellular Adhesion Molecule-1 (ICAM-1) expression and cytokine release [77, 78].

Finally, another study conducted on patients affected by subclinical hypothyroidism secondary to Hashimoto’s thyroiditis did not show any difference in endogenous MDA levels between hypothyroid patients and controls; however, MDA induction by the prooxidant 2,2′-azobis-(2-amidinopropane) hydrochloride was markedly augmented in hypothyroid patients. This response in serum was not accompanied by a similar pattern in the LDL fraction: in fact, copper-induced MDA production did not differ in patients affected by subclinical hypothyroidism with respect to controls, whereas it was significantly different from controls in patients with overt hypothyroidism [79]. Studies on patients with thyroiditis should be, however, interpreted with caution, in that both tissue inflammation and systemic inflammation are present in this autoimmune disorder.

The experimental procedures by which hypothyroidism is induced affect the OS findings. Hypothyroidism obtained by surgical thyroid resection in rats was associated with decreased OS in heart [80] and kidney [81]. On the contrary, drug-induced hypothyroidism was associated with increased lipid peroxidation in amygdala [82] and hippocampus in rats [82, 83]. Other cerebral areas, including the cerebellum, remained unaffected [84]. The latter findings, however, were not confirmed in other studies [82, 83]. Similarly, cell damage in various organs, including heart, spleen, liver, lung, and kidney, has been found in animals following methimazole treatment, but not after thyroidectomy [84]. Some studies, however, indicate that the organ damage is not consequent to the hypothyroidism per se, but to the drug itself [85, 86].

In the latest years, the attention has been concentrated on the damage induced by OS in certain organs, including liver, bone, skeletal muscle, and particularly the heart [53]. The metabolism of cardiomyocytes depends on serum T3, in that these cells lack a significant deiodinase activity [87]. Increased, decreased, or unmodified levels of total SOD, Mn-SOD, Cu,Zn-SOD, GPx, GSH, or Vitamin E have been reported in cardiomyocytes in response to hypothyroidism [88]. Unchanged or decreased levels of various other antioxidant molecules or parameters, such CoQ9, CoQ10, and TAC, have been also reported. These findings indicate that the evaluation of a single OS parameter is not a reliable index of the cellular oxidative status and the evaluation of TAC depends on the measurement method used.

OS has been also involved in the pathophysiology of schizophrenia. In fact, higher plasma levels of MDA and total plasma peroxides have been found in schizophrenic patients with respect to control subjects, which showed a significant correlation with T3 levels [89].

The thyroid itself can be damaged by OS, which occurs in case of iodine excess. This topic has been studied both in vitro and in animals fed with a diet rich in iodide [90, 91]. Iodide has a stimulatory action of on hydrogen peroxide generation in thyroid slices and induces thyroid cell apoptosis at high concentrations [92].

Vitamin E has been shown to be protective against the tissue damage induced by peroxyl radicals, mainly not only by preserving the polyunsaturated fatty acids in biological membranes, but also by reducing the activity of NADPH oxidase [53].

4. The Model of Low-T3 Syndrome

Low-T3 syndrome is a condition characterized by a reduced peripheral conversion of T4 to T3 in the presence of normal thyroid hormone secretion. It occurs in a variety of nonthyroidal illness (NTI) and is defined as nonthyroidal illness syndrome (NTIS). The most important acute conditions in which the low-T3syndrome occurs include starvation and eating disorders and critical illness. During starvation (especially carbohydrate deprivation) and nonthyroid illness, deiodination of T4 to T3 is rapidly inhibited, causing the low-T3 syndrome. As the illness progresses to more and more severe stages, a more complex syndrome with low-T3 and T4 ensues. In critical illness, many other changes of the pituitary-thyroid axis have been shown, including attenuated response to TRH, low tissue uptake of thyroid hormones, and altered thyroid hormone metabolism. A low-T3 syndrome caused by the reduced peripheral conversion from the prohormone T4 is also observed in different chronic diseases, including chronic kidney disease, liver failure, and chronic inflammatory diseases.

A component of NTIS can be related to cachexia, which is common in chronic systemic inflammation, renal failure, and heart failure. This field has been widely investigated in cancer patients. Cachexia represents a hypermetabolic wasting syndrome with progressive depletion of adipose tissue and skeletal muscle mass, often accompanied by anorexia [93]. Among the mediators of cachexia in cancer patients there are several cytokines and hormones also involved in the pathophysiology of NTIS. They are produced by tumour cells or macrophages surrounding them, as expression of the interaction between the neoplasia and the host environment. The most important are TNF-α, IL-1, IL-6, interferon- (IFN-) γ, proteolysis-inducing factor (PIF), angiotensin II, and myostatin, a member of the transforming growth factor-β superfamily. Interestingly, the signal transduction pathways of many of these substances involve NF-kB, the activity of which is in turn related to ROS levels. In fact, it has been shown that hydrogen peroxide, PIF, and angiotensin II activate NF-kB in myotubes [94] and the treatment of myotubes exposed to TNF-α, PIF, or angiotensin II with antioxidants reduces the NF-kB binding to DNA [94, 95]. In addition, it has been reported that the treatment of MAC16 colon-tumour bearing mice with Vitamin E reduces protein degradation in skeletal muscle [95]. Finally, some cytokines, including TNF-α, IL-1, IL-6, and IFN-γ, mimic leptin signalling, inducing central suppression of appetite [96].

The condition of NTIS is considered as an adaptive response rather than true hypothyroidism. Thyroid replacement therapy is not usually required, but this topic is still debated, since indirect signs of true hypothyroidism at tissue level have been shown. Some molecular mechanisms of NTIS are known, but more studies are necessary to further elucidate its pathogenesis. Indeed, it is probable that a full understanding of the pathophysiological mechanisms at the tissue level will allow the identification of patients who would benefit from replacement therapy. Our discussion will focus on the roles of cytokines and OS in the pathophysiology of NTIS.

The roles of cytokines as key molecules involved in coordinating the hormone, immune, and inflammatory responses to a variety of stressful stimuli are well known [18]. In a series of septic patients studied shortly after admission to the ICU, total T4 (tT4), free T4 (fT4), total T3 (tT3), and TSH plasma concentrations were depressed, and plasma levels of IL-1β, sIL-2 receptor, and TNF-α were elevated [97], indicating the establishment of central TSH suppression. The hypothalamic-pituitary-adrenal axis was activated as expected. Continuous infusion of IL-1 in rats causes reduction of TSH, free T3 (fT3), and fT4 plasma levels. Higher doses of IL-1 induced a febrile reaction and suppression of food intake, with a cascade of events altering thyroid hormone economy [98]. However, IL-1 did not decrease the hepatic 5′-deiodinase activity that, on the contrary, is typically reduced in NTIS.

TNF is another proinflammatory cytokine that is thought to be involved in many of the alterations associated with NTIS. Infusion of rTNF in man decreases serum T3 and TSH and increases reverse-T3(rT3) [99]. These findings suggest that TNF could be involved in the IL-6-mediated suppression of the hypothalamic-pituitary axis. However, the involvement of TNF in NTIS pathophysiology was not confirmed in other studies, in which the effects of endotoxin on thyroid hormones in humans were not counteracted by TNF-α blockade through specific IgG fusion proteins [100]. TNF-α was found in in vitrostudies to activate NF-kB [101], which in turn inhibits T3-induced expression of deiodinase 1 (D1).

An important pathophysiological role in NTIS has been attributed to IL-6, which is often elevated in serum of NTIS patients [102] in an inversely proportional manner with respect to T3 levels [103]. Short term infusion of rIL-6 to healthy volunteers [104] suppressed TSH secretion, whereas daily injections over a 6-week period only slightly decreased T3 levels and transiently increased rT3 and fT4 concentrations.

Deiodinases are dimeric selenoproteins that catalyze the stereospecific removal of iodine atoms from the prohormone T4, generating the active and inactive isomers of both T3 and diiodothyronine (T2). Different isoforms are expressed with tissue specificity: D1 and D2, via the deiodination of the outer ring, convert T4to active T3; D3, via the inner ring deiodination, converts T4 to inactive metabolites: rT3 and 3,3′-T2 [105, 106]. Phylogenetic analysis suggests that D1 is the oldest vertebrate deiodinase, while D2 is the most recent one; this is in agreement with the key role of D2 as the most specialized and finely regulated member of this enzyme family [106].

Deiodinases play pivotal roles in the regulation of the intracellular levels of active thyroid hormones [107]. D2 is located in the endoplasmic reticulum and plays the primary role in the conversion of T4 to T3. D1 has lower affinities for the substrates with respect to D2 and seems to be mainly a scavenger enzyme, involved in iodine recycling. Furthermore, the balance between D2 and D3 activities seems to be an important factor in determining the amount of T3 available to bind the nuclear receptors. Different mechanisms regulate the expression of deiodinase genes (DIO1, DIO2, and DIO3), first of all the levels of thyroid hormones: hyperthyroidism suppresses D2 activity and DIO2 expression, whereas hypothyroidism exerts the opposite effects [108]. The ubiquitination of the enzymes, which can be reversible to assure the appropriate protein homeostasis, is a mechanism of finer regulation of deiodinase activity [109].

D2 plays important roles in the regulation of the energetic balance as well. It has been shown that animal exposure to low temperatures activates D2 in brown adipose tissue through catecholamine-induced cAMP production. The resulting increase in T3 levels induces thermogenic genes, including UCP-1 [110]. In addition, DIO2 expression is upregulated by bile acids in the brown adipose tissue of mice through the increase in cAMP levels. When fed with a high fat diet supplemented with bile acids, the animals do not gain weight, showing a resistance to diet-induced obesity, and this effect is absent in D2 knock-out animals [111, 112].

Recent studies on the effects of IL-6 on both endogenous cofactor-mediated and dithiothreitol-stimulated deiodinase activity in human cell lines [112] have shown that T3 generation by D1 and D2 is suppressed by IL-6, despite an increase in expression of deiodinases. The inhibitory action of IL-6 is prevented by the addition of N-acetyl-cysteine (NAC), an antioxidant that restores intracellular GSH concentrations, suggesting the involvement of prooxidant substances in IL-6-induced effects.

Finally, the interaction between the complex network of cytokines and the hypothalamic-pituitary-thyroid axis probably plays pathogenetic roles in NTIS, even though it is not possible to build a simplistic model [18]. Also the role of cytokines in eating disorders and related thyroid hormone alterations has been recently reviewed [113].

Different conditions in which NTIS develops are associated with OS, due to augmented production ROS or RNS [114]. Since thyroid hormones, as above discussed, increase ROS generation, low-T3 could be viewed as a compensatory mechanism. In fact, low-T3 concentrations would be associated with decreased metabolic rate that would reduce further radical generation. Cytosolic thiols, particularly GSH, and Thioredoxin (Trx), which are also deiodinase cofactors, contribute to the maintaining of a reducing intracellular environment. Thus, their depletion, consequent to their buffering effect on radical propagation, could interfere with the conversion of T4 to T3 [115]. The nuclear sequestration of SECIS binding protein 2 (SBP2), which reduces the incorporation of selenocysteine residues in the selenoproteins [116], might be another mechanism. It is well known that IL-6 induces OS, so that a unifying mechanism might be that cytokine-induced OS alters secondarily the expression and activity of deiodinases [115]. The contribution of the reduction in the levels of thiol cofactor of deiodinases, consequent to the increase in intracellular ROS concentrations, has been suggested by other authors [117].

On the basis of the pathophysiological studies available in the literature, we can conclude that the alterations of the pituitary-thyroid axis depend not only on the severity of the disease, but also on the inflammatory response and the patients’ nutritional status. They also indicate that low-T3 is simply not an adaptive mechanism, but it is associated with tissue hypothyroidism and OS.

A special, reevaluated role could be played by selenium. This essential trace element exerts complex effects on the endocrine system, due to its antioxidant capacity; it is a cofactor of GPx and Trx reductase (TrxR), enzymes that protect the cells from the oxidative damage [118]. On the other hand, selenium is involved in the mechanisms of deiodination: a proposed model involves the formation of selenenyl iodide intermediate [119], even though the catalytic mechanisms and the regulation of deiodinases by selenium are not fully understood [120]. Thus, because of its double function, molecules that compete with this element could, in a reciprocal way, connect hypothyroidism due to low-T3 and OS. This hypothesis is supported by the evidence that NAC, an antioxidant that restores intracellular GSH levels, prevents the IL-6-induced effects on the intracellular redox state [121, 122]. In addition, the administration of sodium selenite in cells expressing deiodinases decreases the IL-6-induced ROS production and carbonyl protein content and enhances GPx and TrxR activities [123].

Also deiodinases may be involved in NTIS pathophysiology, with possible tissue specificity [124]. DIO1 is a T3-responsive gene; thus, D1 activity and intracellular T3 concentrations can affect each other in a reciprocal way. D1 activity has been shown to be suppressed in hepatocytes. The activity of D2 has been reported to be reduced [125], unchanged [126], or increased [127] in skeletal muscle. An increase in DIO2 expression in skeletal muscle has been reported in mice during chronic inflammation that has been linked to enhanced CREB signaling [128]. On the contrary, skeletal muscle DIO2 expression was found to be decreased in sepsis and this decrease was related to the reduction in food intake [129]. DIO2 expression increases in lung and in endothelial cells following LPS-induced injury [130] and in hepatic resident macrophages during acute and chronic inflammation [128]. As far as D3 is concerned, a decrease in DIO3 mRNA levels has been reported in liver during inflammation and sepsis [131, 132]. On the contrary, hepatic expression and activity of D3 were found to be increased in rabbits with prolonged critical illness [133]. Similarly, D3 activity was found to be increased in the skeletal muscle of critically ill patients [134] and in patients after myocardial infarction [135, 136].

In summary, even if the picture appears to be quite complex, some of these changes are mediated by inflammatory pathways, such as NF-kB and AP-1, whereas the CREB pathway seems to be predominant in skeletal muscle [124]. On the other hand, overexpression of D2 in tanycytes, that has been observed in rats after LPS infusion [117, 137, 138], could be responsible for central suppression of the hypothalamic-pituitary-thyroid axis, thereby contributing to the complex picture of the regulation of thyroid function in this clinical condition.


In conclusion, OS seems to be an important mechanism underlying the progress of inflammation. A vicious circle creates a link between these two conditions. Thyroid hormones can have a protective role, modulating antioxidant levels; on the other side, a tissue hypothyroidism can worsen OS (Figure 1). An interesting model is represented by NTIS, in which IL production due to inflammation can reduce the expression of deiodinases, inducing low-T3 levels and consequently a condition of tissue hypothyroidism. In turn, this latter could cause further OS (Figure 2).

These pathophysiological observations suggest the possible therapeutic efficacy of antioxidants in the NTIS.

Figure 1
Proposed model of the interrelationships between inflammation, oxidative stress, and thyroid derangement. Inflammation, via hormone and cytokine changes, leads to oxidative stress and also affects thyroid function, causing nonthyroidal illness syndrome …

Figure 2
Both hyperthyroidism and hypothyroidism can cause oxidative stress but with different mechanisms. We speculate that nonthyroidal illness syndrome (NTIS) may represent a tissue hypothyroidism condition linked to intracellular and systemic oxidative stress. …

MRI Scans Detect “Brain Rust” in Schizophrenia

Summary: According to a new study, the brain blocks the ability for creating new memories shortly after waking in order to prevent the disruption of the stabilization of memory consolidation that occurs during sleep.

Source: ACNP.

A damaging chemical imbalance in the brain may contribute to schizophrenia, according to research presented at the American College of Neuropsychopharmacology Annual Meeting in Hollywood, Florida.

Using a new kind of MRI measurement, neuroscientists reported higher levels of oxidative stress in patients with schizophrenia, when compared both to healthy individuals and those with bipolar disorder.

“Intensive energy demands on brain cells leads to accumulation of highly reactive oxygen species, such as free radicals and hydrogen peroxide,” according to the study’s lead investigator, Dr. Fei Du, an Assistant Professor of Psychiatry at Harvard Medical School. In schizophrenia, excessive oxidation – which involves the same type of chemical reaction that causes metal to corrode into rust – is widely thought to cause inflammation and cellular damage. However, measuring this process in the living human brain has remained challenging.

Du and colleagues at McLean Hospital measured oxidative stress using a novel magnetic resonance spectroscopy technique. This technique uses MRI scanners to non-invasively measure brain concentrations of two molecules, NAD+ and NADH, that give a readout of how well the brain is able to buffer out excessive oxidants.

Image shows a brain model.

Among 21 patients with chronic schizophrenia, Du observed a 53% elevation in NADH compared to healthy individuals of similar age. A similar degree of NADH elevation was seen in newly diagnosed schizophrenia, suggesting that oxidation imbalance is present even in the early stages of illness. More modest NADH increases were also seen in bipolar disorder, which shares some genetic and clinical overlap with schizophrenia.

In addition to offering new insights into the biology of schizophrenia, this finding also provides a potential way to test the effectiveness of new interventions. “We hope this work will lead to new strategies to protect the brain from oxidative stress and improve brain function in schizophrenia,” Du concludes.


Funding: This work was supported by grants from MH092704 (F.D.); NARSAD (F.D.); NARSAD (D.O.); MH094594 (D.O.); MH104449 (D.O.); Shervert Frazier Research Institute (B.M.C.).

Source: Erin Colladay – ACNP
Image Source: image is in the public domain.
Original Research: The study will be presented at the 55th Annual Meeting of the American College of Neuropsychopharmacology.

Anti-aging blend of thirty vitamins and minerals

A dietary supplement containing a blend of thirty vitamins and minerals—all natural ingredients widely available in health food stores—has shown remarkable anti-aging properties that can prevent and even reverse massive brain cell loss, according to new research from McMaster University.

It’s a mixture scientists believe could someday slow the progress of catastrophic neurological diseases such as Alzheimer’s, ALS and Parkinson’s.

“The findings are dramatic,” says Jennifer Lemon, research associate in the Department of Biology and a lead author of the study. “Our hope is that this supplement could offset some very serious illnesses and ultimately improve quality of life.”

The formula, which contains common ingredients such as vitamins B, C and D, folic acid, green tea extract, cod liver oil and other nutraceuticals, was first designed by scientists in McMaster’s Department of Biology in 2000.

A series of studies published over the last decade and a half have shown its benefits in mice, in both normal mice and those specifically bred for such research because they age rapidly, experiencing dramatic declines in cognitive and motor function in a matter of months.

The mice used in this study had widespread loss of more than half of their brain cells, severely impacting multiple regions of the brain by one year of age, the human equivalent of severe Alzheimer’s disease.

The mice were fed the supplement on small pieces of bagel each day over the course of several months. Over time, researchers found that it completely eliminated the severe brain cell loss and abolished cognitive decline.

“The research suggests that there is tremendous potential with this supplement to help people who are suffering from some catastrophic neurological diseases,” says Lemon, who conducted the work with co-author Vadim Aksenov, a post-doctoral fellow in the Department of Biology at McMaster.

“We know this because mice experience the same basic cell mechanisms that contribute to neurodegeneration that humans do. All species, in fact. There is a commonality among us all.”

In addition to looking at the major markers of aging, they also discovered that the mice on the supplements experienced enhancement in vision and most remarkably in the sense of smell—the loss of which is often associated with neurological disease—improved balance and motor activity.

The next step in the research is to test the supplement on humans, likely within the next two years, and target those who are dealing with neurodegenerative diseases.

The research is published online in the journal Environmental and Molecular Mutagenesis.

Explore further: ‘Silver bullet’ supplement could slow brain aging

Provided by: McMaster University


  • aging;
  • neurodegeneration;
  • multi-ingredient dietary supplement;
  • oxidative stress;
  • neuroprotectant


Transgenic growth hormone mice (TGM) are a recognized model of accelerated aging with characteristics including chronic oxidative stress, reduced longevity, mitochondrial dysfunction, insulin resistance, muscle wasting, and elevated inflammatory processes. Growth hormone/IGF-1 activate the Target of Rapamycin known to promote aging. TGM particularly express severe cognitive decline.

We previously reported that a multi-ingredient dietary supplement (MDS) designed to offset five mechanisms associated with aging extended longevity, ameliorated cognitive deterioration and significantly reduced age-related physical deterioration in both normal mice and TGM.

Here we report that TGM lose more than 50% of cells in midbrain regions, including the cerebellum and olfactory bulb. This is comparable to severe Alzheimer’s disease and likely explains their striking age-related cognitive impairment.

We also demonstrate that the MDS completely abrogates this severe brain cell loss, reverses cognitive decline and augments sensory and motor function in aged mice. Additionally, histological examination of retinal structure revealed markers consistent with higher numbers of photoreceptor cells in aging and supplemented mice.

We know of no other treatment with such efficacy, highlighting the potential for prevention or amelioration of human neuropathologies that are similarly associated with oxidative stress, inflammation and cellular dysfunction.

Environ. Mol. Mutagen., 2016. © 2016 Wiley Periodicals, Inc.

Reduce oxidative stress in dogs, an anti-aging supplement for your friend

love your pets anti aging supplement

Contact Connie Dello Buono 408-854-1883 to be a distributor in 7 countries: Philippines, Australia, USA, Hongkong, Canada, Japan and Mexico. Be a global-internet base business owner for less than $800.

%d bloggers like this: