Objective:
Oxidative stress is the main feature of several diseases including Alzheimer’s disease (AD). The
involvement of oxysterols derivates has been recently reported. In this study, the implication of oxidative stress in
cholesterol impairment in AD patients will be evaluated.
Methods:
A case-control study was conducted on 56 AD patients
and 97 controls. Levels of oxidative biomarkers, including lipid peroxidation products and antioxidant enzyme activities
were measured with spectrophotometric methods on red blood cells (RBCs) and plasma. Cholesterol precursors and
oxysterols (7KC, 7α-OHC, 7β-OHC, 24S-OH, 27-OHC, and 25-OHC) in plasma were quantified by gas chromatography
coupled with mass spectrometry. In RBCs and plasma of AD patients, a significant decrease of glutathione peroxidase
(GPx) activity was detected associated with raised levels of malondialdehyde (MDA). A decreased level of lanosterol and an
accumulation of 7β-OHC, 24S-OHC, 27-OHC, and 25-OHC that were higher in plasma of AD patients, compared to
controls, were also observed in AD patients.
Conclusion:
Mini-Mental State Examination (MMSE) score was correlated with
MDA and conjugated dienes (CD) levels in plasma. Besides, the MDA level in RBCs was correlated with 7βhydroxycholesterol (7β-OHC). Binary logistic regression revealed an association between GPx activity and AD (OR=0.895,
95%CI: 0.848-0.945; P<0.001). Our data consolidate the relationship between the rupture of redox homeostasis and lipid
and cholesterol oxidation in AD.