PMID- 23086530 OWN - NLM STAT- MEDLINE DCOM- 20130524 LR - 20220408 IS - 1573-6768 (Electronic) IS - 1389-5729 (Linking) VI - 13 IP - 6 DP - 2012 Dec TI - An inverse-Warburg effect and the origin of Alzheimer's disease. PG - 583-94 LID - 10.1007/s10522-012-9403-6 [doi] AB - Glycolysis and oxidative phosphorylation (OxPhos) are the two major mechanisms involved in brain energetics. In this article we propose that the sporadic forms of Alzheimer's disease (AD) are driven by age-related damage to macromolecules and organelles which results in the following series of dynamic processes. (1) Metabolic alteration: Upregulation of OxPhos activity by dysfunctional neurons. (2) Natural selection: Competition for the limited energy substrates between neurons with normal OxPhos activity [Type (1)] and dysfunctional neurons with increased OxPhos [Type (2)]. (3) Propagation, due to the fact that Type (1) neurons are outcompeted for limited substrate by Type (2) neurons which, because of increased ROS production, eventually become dysfunctional and die. Otto Warburg, in his studies of the origin of cancer, discovered that most cancer cells are characterized by an increase in glycolytic activity-a property which confers a selective advantage in oncologic environments. Accordingly, we propose the term "inverse-Warburg effect" to describe increased OxPhos activity--a property which we propose confers a selective advantage in neuronal environments, and which we hypothesize to underlie the shift from normal to pathological aging and subsequent AD. FAU - Demetrius, Lloyd A AU - Demetrius LA AD - Department of Organismic and Evolutionary Biology, Harvard University, Cambridge, MA 02138, USA. ldemetr@oeb.harvard.edu FAU - Simon, David K AU - Simon DK LA - eng PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20121020 PL - Netherlands TA - Biogerontology JT - Biogerontology JID - 100930043 RN - 0 (Reactive Oxygen Species) SB - IM MH - Aging/*metabolism MH - Alzheimer Disease/*metabolism MH - Astrocytes/metabolism MH - Brain/*metabolism MH - *Energy Metabolism MH - *Glycolysis MH - Humans MH - Mitochondria/metabolism MH - Models, Theoretical MH - Neurons/metabolism MH - *Oxidative Phosphorylation MH - Oxidative Stress MH - Reactive Oxygen Species/metabolism EDAT- 2012/10/23 06:00 MHDA- 2013/05/28 06:00 CRDT- 2012/10/23 06:00 PHST- 2012/05/02 00:00 [received] PHST- 2012/09/28 00:00 [accepted] PHST- 2012/10/23 06:00 [entrez] PHST- 2012/10/23 06:00 [pubmed] PHST- 2013/05/28 06:00 [medline] AID - 10.1007/s10522-012-9403-6 [doi] PST - ppublish SO - Biogerontology. 2012 Dec;13(6):583-94. doi: 10.1007/s10522-012-9403-6. Epub 2012 Oct 20.