A defect in energy metabolism may play a role in the pathogenesis of n
eurodegenerative diseases, such as Alzheimer's disease. In the present
study, we examined the activities of the enzymes that catalyze oxidat
ive phosphorylation in frontal, temporal, parietal, and occipital cort
ex from Alzheimer's disease patients and age-matched controls. Complex
I and complex II-III activities showed a small decrease in occipital
cortex, but were unaffected in the other cortical areas. The most cons
istent change was a significant decrease of cytochrome oxidase (comple
x IV) activity of 25-30% in the four cortical regions examined. These
results provide further evidence of a cytochrome oxidase defect in Alz
heimer's disease postmortem brain tissue. A deficiency in this key ene
rgy-metabolizing enzyme could lead to a reduction in energy stores and
thereby contribute to the neurodegenerative process.