Neuroprotective Effects of Ellagic Acid in Alzheimer's Disease: Focus on Underlying Molecular Mechanisms of Therapeutic Potential

Curr Pharm Des. 2021;27(34):3591-3601. doi: 10.2174/1381612826666201112144006.

Abstract

Neurodegeneration is a multifactorial process involved the different cytotoxic pathways that lead to neuronal cell death. Alzheimer's disease (AD) is a persistent neurodegenerative disorder that normally has a steady onset and gradually worsens. Neuropathology, AD is characterized by the presence of neuroinflammation, mitochondrial dysfunction, increased oxidative stress, decreased antioxidant defense as well as increased acetylcholinesterase activity. Moreover, enhanced expression of amyloid precursor proteins leads to neural apoptosis, which has a vital role in the degeneration of neurons. The inability of commercial therapeutics to treat a single feature of AD pathology leads to the attraction towards organic drugs. Ellagic acid is a dimer of gallic acid; latest studies revealed that ellagic acid can initiate numerous cell signaling transmissions and decrease the progression of neurodegeneration. The neuroprotective effects of ellagic acid to protect the neurons against neurodegenerative events are due to its antioxidant effect, iron chelating, and mitochondrial protective effect. The main goal of this review is to critically analyze the molecular mechanism of action of ellagic acid against AD.

Keywords: Alzheimer's disease; Ellagic acid; acetylcholinesterase; antioxidant activity; cell signaling.; mitochondrial dysfunction; neurodegeneration.

Publication types

  • Review

MeSH terms

  • Acetylcholinesterase / pharmacology
  • Alzheimer Disease* / drug therapy
  • Ellagic Acid / pharmacology
  • Ellagic Acid / therapeutic use
  • Humans
  • Neuroprotective Agents* / pharmacology
  • Neuroprotective Agents* / therapeutic use
  • Oxidative Stress

Substances

  • Neuroprotective Agents
  • Ellagic Acid
  • Acetylcholinesterase