Associations of Environmental Exposure to Arsenic, Manganese, Lead, and Cadmium with Alzheimer’s Disease: A Review of Recent Evidence from Mechanistic Studies

Numerous epidemiological studies indicate that populations exposed to environmental toxicants such as heavy metals have a higher likelihood of developing Alzheimer’s disease (AD) compared to those unexposed, indicating a potential association between heavy metals exposure and AD. The aim of this rev...

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Main Authors: Giasuddin Ahmed, Md. Shiblur Rahaman, Enrique Perez, Khalid M. Khan
Format: Article
Language:English
Published: MDPI AG 2025-03-01
Series:Journal of Xenobiotics
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Online Access:https://www.mdpi.com/2039-4713/15/2/47
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author Giasuddin Ahmed
Md. Shiblur Rahaman
Enrique Perez
Khalid M. Khan
author_facet Giasuddin Ahmed
Md. Shiblur Rahaman
Enrique Perez
Khalid M. Khan
author_sort Giasuddin Ahmed
collection DOAJ
description Numerous epidemiological studies indicate that populations exposed to environmental toxicants such as heavy metals have a higher likelihood of developing Alzheimer’s disease (AD) compared to those unexposed, indicating a potential association between heavy metals exposure and AD. The aim of this review is to summarize contemporary mechanistic research exploring the associations of four important metals, arsenic (As), manganese (Mn), lead (Pb), and cadmium (Cd), with AD and possible pathways, processes, and molecular mechanisms on the basis of data from the most recent mechanistic studies. Primary research publications published during the last decade were identified via a search of the PubMed Database. A thorough literature search and final screening yielded 45 original research articles for this review. Of the 45 research articles, 6 pertain to As, 9 to Mn, 21 to Pb, and 9 to Cd exposures and AD pathobiology. Environmental exposure to these heavy metals induces a wide range of pathological processes that intersect with well-known mechanisms leading to AD, such as oxidative stress, mitochondrial dysfunction, protein aggregation, neuroinflammation, autophagy dysfunction, and tau hyperphosphorylation. While exposure to single metals shares some affected pathways, certain effects are unique to specific metals. For instance, Pb disrupts the blood–brain barrier (BBB) and mitochondrial functions and alters AD-related genes epigenetically. Cd triggers neuronal senescence via p53/p21/Rb. As disrupts nitric oxide (NO) signaling, cortical, and synaptic function. Mn causes glutamate excitotoxicity and dopamine neuron damage. Our review provides a deeper understanding of biological mechanisms showing how metals contribute to AD. Information regarding the potential metal-induced toxicity relevant to AD may help us develop effective therapeutic AD intervention, treatment, and prevention.
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spelling doaj-art-7e55abc408694aa5b2e3f060bf5ae66a2025-08-20T03:13:45ZengMDPI AGJournal of Xenobiotics2039-47052039-47132025-03-011524710.3390/jox15020047Associations of Environmental Exposure to Arsenic, Manganese, Lead, and Cadmium with Alzheimer’s Disease: A Review of Recent Evidence from Mechanistic StudiesGiasuddin Ahmed0Md. Shiblur Rahaman1Enrique Perez2Khalid M. Khan3Department of Biology and Chemistry, Texas A&M International University, Laredo, TX 78041, USADepartment of Public Health, College of Health Sciences, Sam Houston State University, Huntsville, TX 77341, USADepartment of Biology and Chemistry, Texas A&M International University, Laredo, TX 78041, USADepartment of Public Health, College of Health Sciences, Sam Houston State University, Huntsville, TX 77341, USANumerous epidemiological studies indicate that populations exposed to environmental toxicants such as heavy metals have a higher likelihood of developing Alzheimer’s disease (AD) compared to those unexposed, indicating a potential association between heavy metals exposure and AD. The aim of this review is to summarize contemporary mechanistic research exploring the associations of four important metals, arsenic (As), manganese (Mn), lead (Pb), and cadmium (Cd), with AD and possible pathways, processes, and molecular mechanisms on the basis of data from the most recent mechanistic studies. Primary research publications published during the last decade were identified via a search of the PubMed Database. A thorough literature search and final screening yielded 45 original research articles for this review. Of the 45 research articles, 6 pertain to As, 9 to Mn, 21 to Pb, and 9 to Cd exposures and AD pathobiology. Environmental exposure to these heavy metals induces a wide range of pathological processes that intersect with well-known mechanisms leading to AD, such as oxidative stress, mitochondrial dysfunction, protein aggregation, neuroinflammation, autophagy dysfunction, and tau hyperphosphorylation. While exposure to single metals shares some affected pathways, certain effects are unique to specific metals. For instance, Pb disrupts the blood–brain barrier (BBB) and mitochondrial functions and alters AD-related genes epigenetically. Cd triggers neuronal senescence via p53/p21/Rb. As disrupts nitric oxide (NO) signaling, cortical, and synaptic function. Mn causes glutamate excitotoxicity and dopamine neuron damage. Our review provides a deeper understanding of biological mechanisms showing how metals contribute to AD. Information regarding the potential metal-induced toxicity relevant to AD may help us develop effective therapeutic AD intervention, treatment, and prevention.https://www.mdpi.com/2039-4713/15/2/47Alzheimer’s diseaseneurodegenerative diseasesheavy metalsarseniccadmiummechanistic studies
spellingShingle Giasuddin Ahmed
Md. Shiblur Rahaman
Enrique Perez
Khalid M. Khan
Associations of Environmental Exposure to Arsenic, Manganese, Lead, and Cadmium with Alzheimer’s Disease: A Review of Recent Evidence from Mechanistic Studies
Journal of Xenobiotics
Alzheimer’s disease
neurodegenerative diseases
heavy metals
arsenic
cadmium
mechanistic studies
title Associations of Environmental Exposure to Arsenic, Manganese, Lead, and Cadmium with Alzheimer’s Disease: A Review of Recent Evidence from Mechanistic Studies
title_full Associations of Environmental Exposure to Arsenic, Manganese, Lead, and Cadmium with Alzheimer’s Disease: A Review of Recent Evidence from Mechanistic Studies
title_fullStr Associations of Environmental Exposure to Arsenic, Manganese, Lead, and Cadmium with Alzheimer’s Disease: A Review of Recent Evidence from Mechanistic Studies
title_full_unstemmed Associations of Environmental Exposure to Arsenic, Manganese, Lead, and Cadmium with Alzheimer’s Disease: A Review of Recent Evidence from Mechanistic Studies
title_short Associations of Environmental Exposure to Arsenic, Manganese, Lead, and Cadmium with Alzheimer’s Disease: A Review of Recent Evidence from Mechanistic Studies
title_sort associations of environmental exposure to arsenic manganese lead and cadmium with alzheimer s disease a review of recent evidence from mechanistic studies
topic Alzheimer’s disease
neurodegenerative diseases
heavy metals
arsenic
cadmium
mechanistic studies
url https://www.mdpi.com/2039-4713/15/2/47
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