Agent Orange Herbicidal Toxin-Initiation of Alzheimer-Type Neurodegeneration

J Alzheimers Dis. 2024;97(4):1703-1726. doi: 10.3233/JAD-230881.

Abstract

Background: Agent Orange (AO) is a Vietnam War-era herbicide that contains a 1 : 1 ratio of 2,4-dichlorophenoxyacetic acid (2,4-D) and 2,4,5-trichlorophenoxyacetic acid (2,4,5-T). Emerging evidence suggests that AO exposures cause toxic and degenerative pathologies that may increase the risk for Alzheimer's disease (AD).

Objective: This study investigates the effects of the two main AO constituents on key molecular and biochemical indices of AD-type neurodegeneration.

Methods: Long Evans rat frontal lobe slice cultures treated with 250μg/ml of 2,4-D, 2,4,5-T, or both (D + T) were evaluated for cytotoxicity, oxidative injury, mitochondrial function, and AD biomarker expression.

Results: Treatment with the AO constituents caused histopathological changes corresponding to neuronal, white matter, and endothelial cell degeneration, and molecular/biochemical abnormalities indicative of cytotoxic injury, lipid peroxidation, DNA damage, and increased immunoreactivity to activated Caspase 3, glial fibrillary acidic protein, ubiquitin, tau, paired-helical filament phosphorylated tau, AβPP, Aβ, and choline acetyltransferase. Nearly all indices of cellular injury and degeneration were more pronounced in the D + T compared with 2,4-D or 2,4,5-T treated cultures.

Conclusions: Exposures to AO herbicidal chemicals damage frontal lobe brain tissue with molecular and biochemical abnormalities that mimic pathologies associated with early-stage AD-type neurodegeneration. Additional research is needed to evaluate the long-term effects of AO exposures in relation to aging and progressive neurodegeneration in Vietnam War Veterans.

Keywords: 2; 4; 4-D; 5-T; Agent Orange; Alzheimer’s disease; Vietnam Veterans; brain; herbicide; neurodegeneration; neurons; pesticide; white matter.

MeSH terms

  • 2,4,5-Trichlorophenoxyacetic Acid
  • Agent Orange
  • Alzheimer Disease* / metabolism
  • Animals
  • Herbicides* / toxicity
  • Rats
  • Rats, Long-Evans

Substances

  • Agent Orange
  • Herbicides
  • 2,4,5-Trichlorophenoxyacetic Acid