JOURNAL OF MEDICINAL FOOD J Med Food 14 (3) 2011, 304–309 # Mary Ann Liebert, Inc. and Korean Society of Food Science and Nutrition DOI: 10.1089=jmf.2010.0047

SHORT COMMUNICATIONS

Ipomoea batatas Attenuates Amyloid b Peptide-Induced Neurotoxicity in ICR Mice Jae Kyeom Kim,1,2 Soo Jung Choi,3 Hong Yon Cho,1 Young Jun Kim,1 Seung-Taik Lim,3 Chang-Ju Kim,4 Eun Ki Kim,5 Hye Kyung Kim,6 Sabrina Peterson,2 and Dong-Hoon Shin1 1

Department of Food and Biotechnology and 3Graduate School of Life Sciences and Biotechnology, Korea University; Department of Physiology, Kyung Hee University, Seoul; 5Department of Biological Engineering, Inha University, Incheon; 6 Department of Food and Biotechnology, Hanseo University, Seosan, Republic of Korea; and 2Department of Food Science and Nutrition, University of Minnesota, St. Paul, Minnesota, USA

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ABSTRACT In this study, the protective effects of 17 Korean native plants against amyloid b peptide (Ab)-induced oxidative stress were screened using the 20 ,70 -dichlorofluorescin diacetate assay and the 3-(4,5-dimethylthiazol-2-yl)-2, 5-diphenyltetrazolium bromide assay. Ipomoea batatas exerted the highest protective effects against oxidative stress and was selected for further investigation. To confirm the protective activity of this extract, the I. batatas extract was fed to ICR mice that had been injected with Ab to induce neuronal deficits. In these experiments, the extract of I. batatas significantly reversed Ab-induced neurotoxicity as assessed by the passive avoidance test, a behavioral experiment. Moreover, I. batatas administration reduced the level of lipid peroxidation and increased catalase activities in biochemical studies using the brain tissue of mice. These results indicate that I. batatas might be beneficial against Alzheimer’s disease, especially by limiting oxidative stress in the brain. KEY WORDS:



Alzheimer’s disease



amyloid b peptide



Ipomoea batatas



neurotoxicity



oxidative stress

compounds compared to those of other tissues.4 In particular, the unsaturated carbon side chains of membrane lipids have been shown to be easily damaged by ROS attack, and their oxidation could result in membrane dysfunction and cell lysis.5 Several studies have also shown increased oxidative damage to DNA, which is a feature of neuron cell death that has been observed in AD brains.6,7 Thus, inhibiting and=or reversing the Ab-induced deleterious effects by dietary antioxidant agents or rich foods is a rational approach to prevent AD. Ipomoea batatas is a creeping dicotyledonous plant that belongs to the Convolvulaceae family. The edible tuberous root of sweet potato is long and tapered, and its colors range from red to purple brown and white. The sweet potato has been an important food source in human diets. Its nutritional composition consists of protein, carbohydrates, minerals, carotenoids, dietary fiber, and vitamins with small amounts of fat and sodium. Also, the sweet potato has been considered a promising alternative to artificial colorants due to its high concentrations of anthocyanin and b-carotene with good stability.8,9 The aim of this work was to screen and measure the protective effects of various Korean edible plant extracts against Ab-induced neurotoxicity. Rat pheochromocytoma cells (PC12) and Ab-injected ICR mice were used as neuronal models, respectively. Biochemical markers of

INTRODUCTION

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athological parameters in Alzheimer’s disease (AD) are characterized by the presence of neurofibrillary tangles, lowered levels of neurotransmitters, and abnormal deposition of the amyloid b peptide (Ab) in senile plaques in the brain.1 Ab, a 39–42-amino-acid peptide, has been believed to play a key role in the onset of AD by inducing oxidative stress (e.g., hydrogen peroxide and superoxide) and inflammation. The demonstration of production of reactive oxygen species (ROS) and evidence of oxidative damage by Ab in neurons support this ‘‘amyloid hypothesis.’’2 The protective effects of antioxidants such as vitamins C and E on neuronal cells against Ab-induced neurotoxicity also support this hypothesis.3 The central nervous system is readily damaged by oxidative stress because of high oxygen consumption, which corresponds to its volume. The central nervous system constitutes only 2% of body weight but consumes 20% of total oxygen, which provides more opportunities to generate ROS. Moreover, it has relatively low levels of antioxidant Manuscript received 23 February 2010. Revision accepted 18 May 2010. Address correspondence to: Prof. Dong-Hoon Shin, Department of Food and Biotechnology, Korea University, Seoul 136-701, Republic of Korea, E-mail: dhshin@ korea.ac.kr

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oxidative stress in the brain tissue of the mice were also analyzed after feeding I. batatas-supplemented diet. MATERIALS AND METHODS Chemicals 20 ,70 -Dichlorofluorescin diacetate (DCF-DA), 3-(4,5dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT), dimethyl sulfoxide, hydrogen peroxide (H2O2), Ab1–42 peptide, and l-ascorbic acid (vitamin C) were purchased from Sigma-Aldrich Inc. (St. Louis, MO, USA). The Ab42–1 peptide was purchased from BACHEM Holding AG (Bubendorf, Switzerland). All other chemicals used were of analytical grade.

mentation were based on our previous experience with other plant extracts. There were nine mice per dietary group. Ab was injected intracerebroventricularly to induce learning and memory impairment.10 The control group mice were injected with reverse Ab42–1, which is known to be nontoxic. All animal experimental procedures were approved by the Animal Care and Use Committee of Korea University, Seoul. Passive avoidance test After the diets were administered for 4 weeks, a behavioral study was carried out to assess the passive avoidance response of ICR mice in a nonblinded manner.10

Preparation of plant extracts Seventeen different Korean edible plants were obtained from the Gyeong-dong market or a local grocery store in Seoul, Republic of Korea (Table 1). Dried samples were pulverized, and five times the sample weight of ethanol was added. Samples were shaken for 24 hours at the rate of 125 rpm (1.57 g) and filtered through Whatman ashless filter paper No. 42 (Whatman International Ltd., Maidstone, UK). The sample residue was collected, and the above extraction process was repeated five times. The ethanol extract was evaporated under reduced pressure at 398C. The dried extract was prepared to the concentration of 1 mg=mL with deionized water containing 5% (vol=vol) dimethyl sulfoxide and used for screening. Cell culture The PC12 cell line (ATCC CRL-1721) was obtained from the American Type Culture Collection (Rockville, MD, USA) and maintained as previously described.10 Measurement of intracellular oxidative stress and cell viability Levels of intracellular ROS formation (DCF-DA) and cell viability (MTT) after inducing oxidative stress were evaluated as previously described.11,12 Both assays were not blinded but were confirmed twice by further repeated experiments. Animals and in vivo experimental design ICR mice were purchased from Daehan Biolink (Chungnam, Republic of Korea) to assess in a behavioral study whether Ab-induced neurotoxicity could be mitigated by supplementing the diet with the plant extract. The mice were housed in a room maintained at 23  28C with a 12hour light=-dark cycle and fed for 4 weeks ad libitum a commercial diet (Purina Korea, Seoul) supplemented with the plant extract. The plant extract was mixed with the commercial diet at concentrations of 400, 800, and 1,200 mg=kg of body weight=day (0.25%, 0.50%, and 0.75%, respectively). The concentrations of plant supple-

Table 1. Protective Effect of Korean Edible Plant Extracts Against H2O2-Induced Oxidative Stress

Scientific name Eleutherococcus senticosus Cinnamomum zeylanicum Nees Sesamum indicum L. Allium monanthum Allium fistulosum L. Ipomoea batatas Benincasa hispida C. Zingiber officinale R. Perilla frutescens var. japonica Allium fistulosum Perilla frutescens L. Aster scaber T. Allium cepa Cuscuta chinensis L. Polygonum multiflorum T. Spinacia oleracea Allium scorodorpasum

Protective Common name effects against Cell (if applicable) ROS (%)a viability (%)b Siberian ginseng

48.6

137.5

Cinnamon

35.1

62.5

Sesame leaf

45.9

121.9

Wild garlic Spring onion

132.4 81.1

96.9 96.9

Sweet potato Wax gourd

226.7 40.5

100.0 81.3

Ginger

26.7

25.0

Perilla

10.8

68.8

96.7 60.0

106.3 178.1

76.7 36.7 86.7 100.0

218.8 25.0 128.1 59.4

53.3 33.3

54.2 12.5

Shallot Beefsteak plant NA Onion NA NA Spinach Garlic

The results from the present study are given in bold. a Protective effects against reactive oxygen species (ROS) (%) ¼ 100 – {[(20 ,70 -dichlorofluorescein formation of sample group with oxidative stress – 20 ,70 -dichlorofluorescein formation of control group without oxidative stress)100]=(20 ,70 -dichlorofluorescein formation of negative group with oxidative stress – 20 ,70 -dichlorofluorescein formation of control group without oxidative stress)}. b Cell viability (%) ¼ 100 – {[(formazan formation of control group without oxidative stress – formazan formation of sample group with oxidative stress)100]=(formazan formation of control group without oxidative stress – formazan formation of negative group with oxidative stress)}. NA, not applicable.

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Biochemical experiments Mice were sacrificed after performing the passive avoidance test. Then, brain tissues were collected and stored at 808C until further analyzed using biochemical assays. Brain tissues were homogenized in 5 volumes of cold phosphate-buffered saline. The homogenates were immediately centrifuged twice at 10,000 rpm (33,600 g) for 10 seconds. The resulting supernatants were used for measuring the level of lipid peroxidation and catalase (CAT) activity. Measurement of lipid peroxidation. The level of lipid peroxidation in brain tissues was analyzed by measuring thiobarbituric acid-reactive substance (TBARS) formation as described previously.13

formation in neuronal cells (cell viability [peel vs. flesh], 48.81  0.38% vs. 40.15  1.24%; DCF formation, 120.79  4.30% vs. 189.69  8.48%). Passive avoidance test To confirm the protective activity of I. batatas, ICR mice were treated with one of three concentrations of the I. batatas peel extract for 4 weeks ad libitum, and Ab was delivered via intracerebroventricular injection. As shown in Table 2, mice with Ab-only treatment exhibited a significantly shorter step-through latency than the control group (Table 2, P < .01). In contrast, administration of the I. batatas peel extract for 4 weeks effectively reversed this

Measurement of CAT activity. CAT activity was measured using a slightly modified method.14 In brief, 650 mL of phosphate buffer (50 mM, pH 7.0) and 50 mL of brain homogenate were mixed in a quartz cuvette. Then, the reaction was initiated by adding 300 mL of H2O2. The decomposition of H2O2 was measured spectrophotometrically at 240 nm (model UV-1601 spectrometer, Shimadzu, Kyoto, Japan). CAT activity was expressed as U=mg of protein. Statistical analysis Each result was expressed as the mean  SD. The statistical significance of differences among groups was calculated by a one-way analysis of variance. Data were analyzed by Duncan’s multiple-range test using the Statistical Analysis System (SAS) software package, version 9.0 (SAS Institute, Cary, NC). P values < .05 were considered statistically significant. RESULTS Screening of Korean edible plant extracts The results of screening 17 Korean edible plant extracts are presented in Table 1. All of the plants are commonly consumed as foods or teas in Korea. The levels of intracellular oxidative stress and cell viability were evaluated after a 2-hour H2O2 treatment on PC12 cells using DCFDA and MTT. Of all the plant extracts investigated, the I. batatas extract exhibited the most potent inhibitory activity against 20 ,70 -dichlorofluorescein (DCF) formation, which represents the level of oxidative stress in PC12 cells (Table 1). Comparison of I. batatas peel versus flesh extract A 2-hour H2O2 treatment resulted in a 142.03  8.51% increase of intracellular oxidative stress and 66.56  4.23% decrease in cell viability, respectively, compared with control group (Fig. 1). A 48-hour pretreatment with skin and flesh extracts resulted in protective activity against H2O2. Interestingly, however, the peel extract demonstrated more potent activity in both cell viability and inhibition of DCF

FIG. 1. Comparison of the protective activities of I. batatas peel and flesh against oxidative damage. The control group was not treated. The negative group was treated with 100 mM H2O2 for 2 hours. The vitamin C (Vit.-C) group was preincubated with 100 mM vitamin C for 48 hours before treatment with 100 mM H2O2. Sample groups (peel and flesh) were pretreated with 1 mg=mL sample extract for 48 hours before treatment with 100 mM H2O2. (A) Intracellular oxidative stress levels were evaluated by measuring fluorescent 20 ,70 dichlorofluorescein (DCF) formation in PC12 cells. Data are mean SD values (n ¼ 4). Duncan’s multiple range test indicates a significant difference. A different number of symbols (i.e., #) implies a different comparison group (*P < 0.01 vs. control group, #P, ## P < 0.05 vs. negative group). (B) Cell viability was evaluated using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide reduction assay. Data are mean  SD values (n ¼ 4). Duncan’s multiple range test indicates a significant difference. A different number of symbols implies a different comparison group (*P < .01 vs. control group, #P, ##P, ###P < .05 vs. negative group).

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PROTECTIVE EFFECTS OF I. BATATAS AGAINST Ab Table 2. Effects of Sweet Potato Extract on Amyloid b Peptide-Treated ICR Mice and Their Brain Tissues Experimental treatment Controld Abe Ab þ I. batatas þ 400 mg=kg of body weight þ 800 mg=kg of body weight þ 1,200 mg=kg of body weight

Step-through latency (seconds)a

TBARS (mmol=mg of protein)b

CAT activity (U=mg of protein)c

227.6  73.9 40.8  34.2*

0.98  0.01 1.26  0.07*

3.02  0.43 1.05  0.14*

259.8  94.0# 278.4  34.8# 271.6  39.2#

0.67  0.14# 0.45  0.11# 0.41  0.10#

1.95  0.26# 2.19  0.18# 2.03  0.03#

Data are mean  SD values (n ¼ 9). Duncan’s multiple range test indicates a significant difference. a The mean latency in the passive avoidance test (*P < .01 vs. control group, #P < .01 vs. Ab group). b Lipid peroxidation levels evaluated by measuring thiobarbituric acid-reactive substances (TBARS) in the brain tissues (*P < .05 vs. control group, #P < .05 vs. Ab group). c Antioxidant enzyme (catalase [CAT]) activity (*P < .01 vs. control group, #P < .05 vs. Ab group). d Control was injected with 410 pmol of nontoxic reverse Ab42–1 per mouse. e Each mouse was injected with 410 pmol of Ab1–42. Peel extract groups were injected with the same concentration of Ab1–42 after feeding I. batatas peel extract for 4 weeks (400 mg=kg, 800 mg=kg, and 1,200 mg=kg per day, respectively). Ab, amyloid b peptide.

Ab-induced reduction in step-through latency by 96.7% (400 mg=kg of body weight), 104.9% (800 mg=kg of body weight), and 101.9% (1,200 mg=kg of body weight). There were no statistical differences in the step-through latency among the three groups receiving different doses (P < .01). Measurement of lipid peroxidation The effects of administration of I. batatas peel extract on lipid peroxidation was measured using the TBARS level in the brain tissues of ICR mice. Mice receiving the Ab-only treatment had an increased level of TBARS compared with those of the control group (control group, 100.0  1.31%; Ab group, 127.7  23.8%; P < .05), whereas all peel extract groups had lower levels of TBARS in the brain tissues compared with control (Table 2, P < .05). There were no statistically significant differences in TBARS level among the peel extract groups. Measurement of CAT activity The CAT activity in the brains of mice was measured. As shown in Table 2, Ab injection decreased the CAT activity by 65.1  9.6%. In contrast, compared to the Ab-only mice, all peel extract groups had statistically significant higher CAT activity (P < .01). DISCUSSION The initial approach for AD therapy was to inhibit cholinesterase, which is responsible for degrading acetylcholine in the synaptic clefts, based on evidence of the loss of basal forebrain cholinergic neurons in AD patients.15 This ‘‘cholinergic hypothesis’’ has led to the development of cholinesterase inhibitors such as tacrine, denepezil, and ravastigmine for AD treatment. Their efficacies, however, are modest and provide only palliative effects on the progress of the disease. Moreover, the use of some of the above cholinesterase inhibitors (e.g., tacrine) was limited as they

resulted in considerable side effects, including hepatotoxicity.16 The newer approach for preventing and=or treating AD is blocking Ab-induced neurotoxicity, which is known to cause cognitive decline through various mechanisms (e.g., inflammation, synaptic damage, and mitochondrial dysfunction).17,18 Although the mechanisms of pre-= postsymptomatic damage are not fully elucidated, it seems clear that intracellular oxidative stress and production of ROS from Ab play major roles in neurodegeneration.7,19 Given the variety of antioxidants in the diet, the screening of commonly consumed foods for effective and specific compounds against Ab-induced oxidative stress that may have less adverse effects than pharmacologic agents is warranted. Based upon the screening of results, even though several sample groups displayed higher cell viability (Table 1), the Ab-specific protective activity of I. batatas was investigated further as it showed the highest potency against intracellular oxidative stress. To compare the antioxidative activity of its peel and flesh, I. batatas was divided into skin and body parts. Consequently, the peel extract showed higher protective effects against oxidative stress in both MTT assay and DCF formation assay (Fig. 1). These results are in agreement with a previous study that compared the total phenolic and anthocyanin values between the peel and the flesh part of sweet potato.20 It is well known that Ab generates oxidative stress, including H2O2. H2O2 itself and hydroxyl radical (OH), which can be produced by either the Fenton reaction or the Haber-Weiss reaction from H2O2, may damage most cellular macromolecules such as proteins, lipids, mitochondria, and DNA, eventually leading to cell death.4–6,17 In this respect, these results suggest that the antioxidative capacity of I. batatas, particularly the peel, may provide protection against oxidative damage caused by Ab. In order to evaluate the effects of the dietary intervention against Ab neurotoxicity, it is important to use the proper methods to induce cognitive deficits and measuring memory ability. Mice given an intracerebroventricular injection of

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Ab have been commonly used for AD research as it has been previously shown that intracerebroventricular injection of Ab effectively causes memory deficits.10,21 During the experimental period of this study, all mice receiving the peel extract diets gained body weight normally (control group, 40.3  1.46 g; Ab group, 38.4  2.17 g; peel extract groups, 41.4  2.75 g), and no significant differences in aspartate aminotransferase and alanine aminotransferase were observed between the peel extract groups and control group (data not shown). The passive avoidance test was performed 3 days after injection of Ab to test the effects of the I. batatas peel extract. The step-through latency from the light chamber to the dark chamber was used to measure the learning and memory ability of mice. As described in Results, our data indicated that administration of the I. batatas peel extract effectively reversed Ab-induced cognitive deficits in the passive avoidance test without any acute toxicity. There is a significant amount of evidence showing that oxidative damage is closely related with neurodegeneration and the pathogenesis of AD. In addition, many studies have found increased levels of lipid peroxidation and decreased levels of polyunsaturated fatty acids, which are the major constituents of neuronal cell membranes, in the brain tissue of AD patients.22,23 Besides the direct damage to lipids by ROS, by-products of peroxidation such as 4-hydroxynonenal and acrolein can also exert neurotoxic effects on neurons. Several studies have indicated that these by-products not only impair enzymes such as Naþ,Kþ-ATPase,24 glucose transport, glutamate uptake,25 and calcium homeostasis,26 but also damage DNA bases.27 Therefore, it may be possible to delay or prevent the progress of AD through the oral administrations of potential antioxidants that suppress the level of lipid peroxidation in brain tissues. As shown in Table 2, all groups given sample extracts showed significantly decreased level of lipid peroxidation in the brain tissues, and this may explain the beneficial effects of I. batatas against cognitive deficits that were induced via intracerebroventricular injection of Ab. On the other hand, oxidative damage in brain could be accelerated by a failure of antioxidant defense systems. Hence, antioxidant enzymes are important in preventing the accumulation of ROS. CAT, one of these antioxidant enzymes, catalyzes the decomposition of H2O2 to water and oxygen.14 As shown in Table 2, CAT activity negatively corresponded to the level of TBARS; thus, it is possible that the protective effects of I. batatas are due to the increased activity of antioxidative enzymes, which would decrease the level of lipid peroxidation. Among the several pathological features of AD, deposition of Ab has been demonstrated to play a pivotal role in neurodegeneration. Even though the exact mechanism of neurotoxicity induced by this peptide still remains unclear, growing evidence supports the notion that Ab may increase intracellular oxidative damage and inflammatory response in AD.18,19 These burdens are closely related with learning and memory deficits.2 The brain tissue is particularly susceptible to oxidative stress because of its characteristics,

including a high metabolic rate and polyunsaturated fatty acid content and low levels of antioxidant defense enzymes, yet it is rich in enzymatically active transition metals, which can accelerate radical generation.4 Therefore, it is possible that dietary antioxidants may either lower the level of oxidative stress or contribute to maintaining ROS homeostasis in the brain. Several studies have been done in terms of examining the protective effects of consuming antioxidant containing foods and supplements (e.g., green tea, Gingko biloba, and red wine).5,28 However, this is the first report where the I. batatas peel extract has been shown to possess anti-Ab activities by lowering oxidative stress in the brain. One potential limitation of this study is that the performance of the behavioral test and cell viability assay (i.e., MTT reduction assay) could not be blinded in order to reduce any possible bias. However, all of the in vitro experiments were done by only one of the authors ( J.K.K.) and then confirmed by further repeated experiments as well. Another limitation is the concentrations (i.e., 400, 800, and 1,200 mg=kg of body weight=day) that were given to mice; although these concentrations did not exhibit any hepatotoxicity in mice, they are difficult to achieve through direct consumption of sweet potato peels based upon the extraction yield (19.4%). To achieve these concentrations in a 70-kg adult, he or she would have to eat more than 0.5 kg of sweet potato peel=day; thus it will be more reasonable to have as a supplement. And, future studies are also warranted investigating the efficacy of dietary concentrations lower than those tested here. Lastly, we obtained the samples from a local grocery store in order to use what is normally consumed; however, this approach may also be limited because of biochemical and nutritional variations of I. batatas depending on genetic and environmental factors.8 In summary, we showed that the I. batatas peel extract effectively reversed the deleterious effects of oxidative damage in both in vitro and in vivo models of AD. Moreover, biochemical experiments using brain tissues clearly showed lowered oxidative stress levels, and these biochemical changes could explain, at least in part, the improved learning and memory ability of the mice in the behavioral test. Therefore, it is suggested that consumption of I. batatas, especially with the peel, might be beneficial to mitigate the effects of AD by possibly decreasing oxidative stress.

ACKNOWLEDGMENT This work was supported by a National Research Foundation of Korea grant (KRF-2008-313-F00165) funded by the Korean Government. AUTHOR DISCLOSURE STATEMENT The authors have declared no conflict of interest. REFERENCES 1. Reiman EM, Caselli RJ: Alzheimer’s disease. Maturitas 1999;31:185–200.

PROTECTIVE EFFECTS OF I. BATATAS AGAINST Ab 2. Butterfield DA, Castegna A, Lauderback CM, Drake J: Evidence that amyloid beta-peptide-induced lipid peroxidation and its sequelae in Alzheimer’s disease brain contribute to neuronal death. Neurobiol Aging 2002;23:655–664. 3. Behl C: Amyloid beta-protein toxicity and oxidative stress in Alzheimer’s disease. Cell Tissue Res 1997;290:471–480. 4. Reiter RJ: Oxidative processes and antioxidative defense mechanisms in the aging brain. FASEB J 1995;9:526–533. 5. Esposito E, Rotilio D, Di Matteo V, Di Giulio C, Cacchio M, Algeri S: A review of specific dietary antioxidants and the effects on biochemical mechanisms related to neurodegenerative processes. Neurobiol Aging 2002;23:719–735. 6. Dizdaroglu M, Nackerdien Z, Chao BC, Gajewski E, Rao G: Chemical nature of in vivo DNA base damage in hydrogen peroxide-treated mammalian cells. Arch Biochem Biophys 1991; 285:388–390. 7. Lyras L, Cairns NJ, Jenner A, Jenner P, Halliwell B: An assessment of oxidative damage to proteins, lipids, and DNA in brain from patients with Alzheimer’s disease. J Neurochem 1997;68:2061–2069. 8. Bovell-Benjamin AC: Sweet potato: a review of its past, present, and future role in human nutrition. Adv Food Nutr Res 2007;52:1–59. 9. Rabah IO, Hou DX, Komine S, Fujii M: Potential chemopreventive properties of extract from baked sweet potato (Ipomoea batatas Lam. Cv. Koganesengan). J Agric Food Chem 2004; 52:7152–7157. 10. Choi SJ, Kim MJ, Heo HJ, et al.: Protective effect of Rosa laevigata against amyloid beta peptide-induced oxidative stress. Amyloid 2006;13:6–12. 11. Wolfe KL, Liu RH: Cellular antioxidant activity (CAA) assay for assessing antioxidants, foods, and dietary supplements. J Agric Food Chem 2007;55:8896–8907. 12. Kim DO, Heo HJ, Kim YJ, Yang HS, Lee CY: Sweet and sour cherry phenolics and their protective effects on neuronal cells. J Agric Food Chem 2005;53:9921–9927. 13. Mihara M, Uchiyama M: Determination of malonaldehyde precursor in tissues by thiobarbituric acid test. Anal Biochem 1978;86:271–278. 14. Choi-Kwon S, Park KA, Lee HJ, et al.: Temporal changes in cerebral antioxidant enzyme activities after ischemia and reperfusion in a rat focal brain ischemia model: effect of dietary fish oil. Brain Res Dev Brain Res 2004;152:11–18. 15. Giacobini E: Cholinergic foundations of Alzheimer’s disease therapy. J Physiol Paris 1998;92:283–287.

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16. Qizilbash N, Whitehead A, Higgins J, Wilcock G, Schneider L, Farlow M: Cholinesterase inhibition for Alzheimer disease: a meta-analysis of the tacrine trials. Dementia Trialists’ Collaboration. JAMA 1998;280:1777–1782. 17. Reddy PH, Beal MF: Amyloid beta, mitochondrial dysfunction and synaptic damage: implications for cognitive decline in aging and Alzheimer’s disease. Trends Mol Med 2008;14:45–53. 18. Salminen A, Ojala J, Kauppinen A, Kaarniranta K, Suuronen T: Inflammation in Alzheimer’s disease: amyloid-beta oligomers trigger innate immunity defence via pattern recognition receptors. Prog Neurobiol 2009;87:181–194. 19. Behl C: Alzheimer’s disease and oxidative stress: implications for novel therapeutic approaches. Prog Neurobiol 1999;57:301– 323. 20. Steed LE, Truong VD: Anthocyanin content, antioxidant activity, and selected physical properties of flowable purple-fleshed sweetpotato purees. J Food Sci 2008;73:S215–S221. 21. Maurice T, Lockhart BP, Privat A: Amnesia induced in mice by centrally administered beta-amyloid peptides involves cholinergic dysfunction. Brain Res 1996;706:181–193. 22. Lovell MA, Ehmann WD, Butler SM, Markesbery WR: Elevated thiobarbituric acid-reactive substances and antioxidant enzyme activity in the brain in Alzheimer’s disease. Neurology 1995; 45:1594–1601. 23. Prasad MR, Lovell MA, Yatin M, Dhillon H, Markesbery WR: Regional membrane phospholipid alterations in Alzheimer’s disease. Neurochem Res 1998;23:81–88. 24. Mark RJ, Lovell MA, Markesbery WR, Uchida K, Mattson MP: A role for 4-hydroxynonenal, an aldehydic product of lipid peroxidation, in disruption of ion homeostasis and neuronal death induced by amyloid beta-peptide. J Neurochem 1997;68:255– 264. 25. Lovell MA, Xie C, Markesbery WR: Acrolein, a product of lipid peroxidation, inhibits glucose and glutamate uptake in primary neuronal cultures. Free Radic Biol Med 2000;29:714–720. 26. Lovell MA, Xie C, Markesbery WR: Acrolein is increased in Alzheimer’s disease brain and is toxic to primary hippocampal cultures. Neurobiol Aging 2001;22:187–194. 27. Wang J, Xiong S, Xie C, Markesbery WR, Lovell MA: Increased oxidative damage in nuclear and mitochondrial DNA in Alzheimer’s disease. J Neurochem 2005;93:953–962. 28. Moreira PI, Siedlak SL, Aliev G, et al.: Oxidative stress mechanisms and potential therapeutics in Alzheimer disease. J Neural Transm 2005;112:921–932.