The possible role of the abnormal trace element tellurium in the patho
genesis of Alzheimer's disease is examined. Tellurium has been reporte
d to produce cognitive impairment and cerebral lipofuscinosis in rats
- changes akin to those seen in Kufs disease, a condition which shares
certain clinical and neuropathological features with Alzheimer's dise
ase. Tellurium can damage mitochondria; defects in mitochondrial energ
y metabolism may be relevant to the pathogenesis of neurodegenerative
disease. The deficiency of selenium, which may act physiologically as
an antagonist of tellurium, in the Alzheimer's disease brain would als
o be in keeping with the hypothesis of tellurium toxicity as a factor
in the pathogenesis of Alzheimer's disease.