Cn. Bassett et al., Cerebrospinal fluid lipoproteins are more vulnerable to oxidation in Alzheimer's disease and are neurotoxic when oxidized ex vivo, LIPIDS, 34(12), 1999, pp. 1273-1280
Brain regional oxidative damage is thought to be a central mechanism in the
pathogenesis of Alzheimer's disease (AD). Recent studies of cerebrospinal
fluid (CSF) have suggested that increased lipid peroxidation of CSF and CSF
lipoproteins also may occur in AD patients. In the present Study, we deter
mined the susceptibility of human CSF to ex vivo lipid peroxidation and tes
ted the hypothesis that oxidized CSF lipoproteins may be neurotoxic. Whole
CSF or a CSF lipoprotein fraction (d < 1.210 g/mL) was oxidized with 2,2'-a
zobis(2-amidinopropane)d dihydrochloride (AAPH), a hydrophilic free-radical
generator. Kinetics of CSF lipid peroxidation were followed by a standard
fluorescence product accumulation assay. Oxidation of AD CSF yielded signif
icantly shorter fluorescent lag times than controls, indicating reduced ant
ioxidant capacity. Electrophoretic mobilities of CSF apolipoproteins were s
pecifically reduced upon oxidation of CSF with AAPH, suggesting that lipopr
oteins are primary targets of CSF lipid peroxidation. Cultured neuronal cel
ls were exposed to physiological concentrations of isolated CSF lipoprotein
s oxidized with increasing concentrations of AAPH; the resulting neurotoxic
ity showed a significant linear AAPH concentration-response relationship. T
hese results suggest that oxidized CSF lipoproteins may contribute to the p
athogenesis of neurodegeneration in AD.