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Clinical insights into catechin-based nanomedicine: a review of therapeutic potential in neurodegenerative diseases

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Abstract

Neurodegenerative diseases (NDs) such as Alzheimer's, Parkinson's, and Huntington's diseases are characterized by progressive neuronal loss, oxidative stress, neuroinflammation, and cognitive decline. The most prevalent and bioactive catechin in green tea, epigallocatechin-3-gallate (EGCG), has shown promise as a neuroprotective agent because of its many biological properties. The review discusses the potential of EGCG in combating neurodegeneration and cognitive impairments through antioxidant benefits and signaling pathways. Recent advancements in structural analogs, liposomal encapsulation, and nanoformulations have shown potential in improving pharmacokinetics. High dosage safety issues and inter-individual response variability remain significant challenges in the field of medicine. The review emphasizes the importance of structured clinical trials, formulation uniformity, biomarker-guided monitoring, and customized therapy approaches to fully realize EGCG's potential as a neuroprotective drug. EGCG improves autophagic clearance, reduces tau hyperphosphorylation, and inhibits amyloid-beta aggregation, aiding in neuroprotective properties. Early clinical trials suggest it can be used as an adjuvant therapy, and recent advancements in formulation and delivery techniques are promising.

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References

  • Abubakar M et al (2025) Diabetes, alzheimer’s disease risk factors, and the cafeteria diet: a comprehensive review. Curr Neuropharmacol. https://doi.org/10.2174/011570159X384737250626094315

    Article  PubMed  Google Scholar 

  • Ahmad N, Mukhtar H (1999) Green tea polyphenols and cancer: biologic mechanisms and practical implications. Nutr Rev 57(3):78–83

    Article  CAS  PubMed  Google Scholar 

  • Ahmed R, VanSchouwen B, Jafari N, Ni X, Ortega J, Melacini G (2017) Molecular mechanism for the (−)-epigallocatechin gallate-induced toxic to nontoxic remodeling of Aβ oligomers. J Am Chem Soc 139(39):13720–13734

    Article  CAS  PubMed  Google Scholar 

  • Aktas O et al (2004) Green tea epigallocatechin-3-gallate mediates T cellular NF-κB inhibition and exerts neuroprotection in autoimmune encephalomyelitis. J Immunol 173(9):5794–5800

    Article  CAS  PubMed  Google Scholar 

  • Ali B et al (2016) In silico analysis of green tea polyphenols as inhibitors of AChE and BChE enzymes in Alzheimer’s disease treatment. CNS Neurol Disord Drug Targets Form Curr Drug Targets-CNS Neurol Disorders 15(5):624–628

    Article  CAS  Google Scholar 

  • Alkon DL, Sun M-K, Nelson TJ (2007) PKC signaling deficits: a mechanistic hypothesis for the origins of Alzheimer’s disease. Trends Pharmacol Sci 28(2):51–60

    Article  CAS  PubMed  Google Scholar 

  • Almeida L et al (2020) Murine models for the study of fetal alcohol spectrum disorders: an overview. Front Pediatr 8:359

    Article  PubMed  PubMed Central  Google Scholar 

  • Almeida-Toledano L, Andreu-Fernández V, Aras-López R, García-Algar Ó, Martínez L, Gómez-Roig MD (2021) Epigallocatechin gallate ameliorates the effects of prenatal alcohol exposure in a fetal alcohol spectrum disorder-like mouse model. Int J Mol Sci 22(2):715

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Anderson RA, Polansky MM (2002) Tea enhances insulin activity. J Agric Food Chem 50(24):7182–7186

    Article  CAS  PubMed  Google Scholar 

  • Andreu-Fernández V et al (2020) Bioavailability of epigallocatechin gallate administered with different nutritional strategies in healthy volunteers. Antioxidants (Basel). 9:440

    Article  PubMed  PubMed Central  Google Scholar 

  • Andreo-Martínez P, Martínez-González AE (2022) Una propuesta de probiótico basada en el Bifidobacterium para autismo, Revista Española de Nutrición Humana y Dietética, vol 26

  • Antonio AM, Druse MJ (2008) Antioxidants prevent ethanol-associated apoptosis in fetal rhombencephalic neurons. Brain Res 1204:16–23

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Bakun P et al (2023) Tea-break with epigallocatechin gallate derivatives–powerful polyphenols of great potential for medicine. Eur J Med Chem 261:115820

    Article  CAS  PubMed  Google Scholar 

  • Balentine DA, Harbowy ME, Graham HN (2019) Tea: the plant and its manufacture chemistry and consumpatin of the beverage. Caffeine. CRC Press, pp 35–72

    Chapter  Google Scholar 

  • Bao J et al (2020) Epigallocatechin-3-gallate alleviates cognitive deficits in APP/PS1 mice. Curr Med Sci 40:18–27

    Article  CAS  PubMed  Google Scholar 

  • Barber TR, Klein JC, Mackay CE, Hu MT (2017) Neuroimaging in pre-motor Parkinson’s disease. NeuroImage Clin 15:215–227

    Article  PubMed  PubMed Central  Google Scholar 

  • Batista-Nascimento L, Pimentel C, Andrade Menezes R, Rodrigues-Pousada C (2012) Iron and neurodegeneration: from cellular homeostasis to disease. Oxidative Med Cell Longev 2012(1):128647

    Google Scholar 

  • Beasley M et al (2019) Lipid membranes influence the ability of small molecules to inhibit huntingtin fibrillization. Biochemistry 58(43):4361–4373

    Article  CAS  PubMed  Google Scholar 

  • Bellmann-Strobl J et al (2021) Epigallocatechin gallate in relapsing-remitting multiple sclerosis: a randomized, placebo-controlled trial. Neurol Neuroimmunol Neuroinflam 8(3):e981

    Article  Google Scholar 

  • Bennett S, Grant MM, Aldred S (2008) Oxidative stress in vascular dementia and Alzheimer’s disease: a common pathology. J Alzheimer’s Dis 17(2):245–257

    Article  Google Scholar 

  • Berg D et al (2001) Brain iron pathways and their relevance to Parkinson’s disease. J Neurochem 79(2):225–236

    Article  CAS  PubMed  Google Scholar 

  • Berg D et al (2002) Brain iron pathways and their relevance to Parkinson’s disease. J Neurochem 80(4):719–719

    Article  CAS  Google Scholar 

  • Bergstrom HC, Darvesh AS, Berger S (2015) Inducible nitric oxide inhibitors block NMDA antagonist-stimulated motoric behaviors and medial prefrontal cortical glutamate efflux. Front Pharmacol 6:292

    Article  PubMed  PubMed Central  Google Scholar 

  • Bernatoniene J, Kopustinskiene DM (2018) The role of catechins in cellular responses to oxidative stress. Molecules 23(4):965

    Article  PubMed  PubMed Central  Google Scholar 

  • Berra E, Municio MM, Sanz L, Frutos S, Diaz-Meco MT, Moscat J (1997) Positioning atypical protein kinase C isoforms in the UV-induced apoptotic signaling cascade. Mol Cell Biol 17(8):4346–4354

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Biasibetti R et al (2013) Green tea (−) epigallocatechin-3-gallate reverses oxidative stress and reduces acetylcholinesterase activity in a streptozotocin-induced model of dementia. Behav Brain Res 236:186–193

    Article  CAS  PubMed  Google Scholar 

  • Bieschke J et al (2010) EGCG remodels mature α-synuclein and amyloid-β fibrils and reduces cellular toxicity. Proc Natl Acad Sci 107(17):7710–7715

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Birch AM, Katsouri L, Sastre M (2014) Modulation of inflammation in transgenic models of Alzheimer’s disease. J Neuroinflammation 11:1–13

    Article  Google Scholar 

  • Bode AM, Dong Z (2009) Epigallocatechin 3-gallate and green tea catechins: united they work, divided they fail. Cancer Prev Res (Phila) 2(6):514

    Article  CAS  PubMed  Google Scholar 

  • Bors W, Heller W, Michel C, Saran M (1990) Flavonoids as antioxidants: determination of radical-scavenging efficiencies. Methods in enzymology, vol 186. Elsevier, pp 343–355

    Google Scholar 

  • Botten D, Fugallo G, Fraternali F, Molteni C (2015) Structural properties of green tea catechins. J Phys Chem B 119(40):12860–12867

    Article  CAS  PubMed  Google Scholar 

  • Braicu C, Ladomery MR, Chedea VS, Irimie A, Berindan-Neagoe I (2013) The relationship between the structure and biological actions of green tea catechins. Food Chem 141(3):3282–3289

    Article  CAS  PubMed  Google Scholar 

  • Brückner M, Westphal S, Domschke W, Kucharzik T, Lügering A (2012) Green tea polyphenol epigallocatechin-3-gallate shows therapeutic antioxidative effects in a murine model of colitis. J Crohns Colitis 6(2):226–235

    Article  PubMed  Google Scholar 

  • Burré J, Sharma M, Südhof TC (2015) Definition of a molecular pathway mediating α-synuclein neurotoxicity. J Neurosci 35(13):5221–5232

    Article  PubMed  PubMed Central  Google Scholar 

  • Cabezas Llobet N (2019) Therapeutic potential of pituitary adenylate cyclase-activating polypeptide and epigallocatechin gallate in motor and cognitive deficits of Huntington's disease models

  • Cai Z-Y et al (2018) Bioavailability of tea catechins and its improvement. Molecules 23(9):2346

    Article  PubMed  PubMed Central  Google Scholar 

  • Cao S-Y et al (2020) The in vivo antioxidant and hepatoprotective actions of selected Chinese teas. Foods 9(3):262

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Catterall F, King L, Clifford M, Ioannides C (2003) Bioavailability of dietary doses of 3H-labelled tea antioxidants (+)-catechin and (-)-epicatechin in rat. Xenobiotica 33(7):743–753

    Article  CAS  PubMed  Google Scholar 

  • Catuara-Solarz S et al (2015) Principal component analysis of the effects of environmental enrichment and (-)-epigallocatechin-3-gallate on age-associated learning deficits in a mouse model of Down syndrome. Front Behav Neurosci 9:330

    Article  PubMed  PubMed Central  Google Scholar 

  • Catuara-Solarz S et al (2016) Combined treatment with environmental enrichment and (-)-epigallocatechin-3-gallate ameliorates learning deficits and hippocampal alterations in a mouse model of Down syndrome. Eneuro. https://doi.org/10.1523/ENEURO.0103-16.2016

    Article  PubMed  PubMed Central  Google Scholar 

  • Chan P et al (2009) A randomized, double-blind, placebo-controlled, delayed start study to assess safty, tolerability and efficacy of green tea polyphenols in Parkinson’s disease. Parkinsonism & related disorders, vol 15. Elsevier Sci Ltd The Boulevard, Oxford, pp S145–S145

    Google Scholar 

  • Charo IF, Ransohoff RM (2006) The many roles of chemokines and chemokine receptors in inflammation. N Engl J Med 354(6):610–621

    Article  CAS  PubMed  Google Scholar 

  • Che F et al (2017) Effects of epigallocatechin-3-gallate on iron metabolism in spinal cord motor neurons. Mol Med Rep 16(3):3010–3014

    Article  CAS  PubMed  Google Scholar 

  • Chen L, Lee M-J, Li H, Yang CS (1997) Absorption, distribution, and elimination of tea polyphenols in rats. Drug Metab Dispos 25(9):1045–1050

    CAS  PubMed  Google Scholar 

  • Chen M et al (2015a) Tea polyphenols alleviate motor impairments, dopaminergic neuronal injury, and cerebral α-synuclein aggregation in MPTP-intoxicated parkinsonian monkeys. Neuroscience 286:383–392

    Article  CAS  PubMed  Google Scholar 

  • Chen H et al (2015b) Parkinson’s disease research in a prospective cohort in China. Parkinsonism Relat Disord 21(10):1200–1204

    Article  PubMed  PubMed Central  Google Scholar 

  • Chen Y, Liu Z, Gong Y (2024) Neuron-immunity communication: mechanism of neuroprotective effects in EGCG. Crit Rev Food Sci Nutr 64(25):9333–9352

    Article  PubMed  Google Scholar 

  • Chengelis CP et al (2008) 28-Day oral (gavage) toxicity studies of green tea catechins prepared for beverages in rats. Food Chem Toxicol 46(3):978–989

    Article  CAS  PubMed  Google Scholar 

  • Chiu H-F, Venkatakrishnan K, Wang C-K (2020) The role of nutraceuticals as a complementary therapy against various neurodegenerative diseases: a mini-review. J Tradit Complement Med 10(5):434–439

    Article  PubMed  PubMed Central  Google Scholar 

  • Choi YB, Kim YI, Lee KS, Kim BS, Kim DJ (2004) Protective effect of epigallocatechin gallate on brain damage after transient middle cerebral artery occlusion in rats. Brain Res 1019(1–2):47–54

    Article  CAS  PubMed  Google Scholar 

  • Chu K, Wang C, Chu C, Choy K, Pang C, Rogers M (2007) Uptake and distribution of catechins in fetal organs following in utero exposure in rats. Hum Reprod 22(1):280–287

    Article  CAS  PubMed  Google Scholar 

  • Cieuta-Walti C et al (2022) Safety and preliminary efficacy on cognitive performance and adaptive functionality of epigallocatechin gallate (EGCG) in children with Down syndrome. A randomized phase Ib clinical trial (PERSEUS study). Genet Med 24(10):2004–2013

    Article  CAS  PubMed  Google Scholar 

  • Cooper R, Morré DJ, Morré DM (2005) Medicinal benefits of green tea: Part I. review of noncancer health benefits. J Altern Complement Med 11(3):521–528

    Article  PubMed  Google Scholar 

  • Couratier P, Corcia P, Lautrette G, Nicol M, Marin B (2017) ALS and frontotemporal dementia belong to a common disease spectrum. Revue Neurologique 173(5):273–279

    Article  CAS  PubMed  Google Scholar 

  • Cué CM, Dierssen M (2020) Plasticity as a therapeutic target for improving cognition and behavior in Down syndrome. Prog Brain Res 251:269–302

    Article  Google Scholar 

  • Cuerda-Ballester M et al (2023) Improvements in gait and balance in patients with multiple sclerosis after treatment with coconut oil and epigallocatechin gallate. A pilot study. Food Funct 14(2):1062–1071

    Article  CAS  PubMed  Google Scholar 

  • Cummings J, Lee G, Ritter A, Sabbagh M, Zhong K (2020) Alzheimer’s disease drug development pipeline: 2020. Alzheimers Dement (n Y) 6(1):e12050

    Article  PubMed  Google Scholar 

  • Danon JJ, Reekie TA, Kassiou M (2019) Challenges and opportunities in central nervous system drug discovery. Trends Chem 1(6):612–624

    Article  CAS  Google Scholar 

  • de la Rubia Ortí JE et al (2021) "Possible role of butyrylcholinesterase in fat loss and decreases in inflammatory levels in patients with multiple sclerosis after treatment with epigallocatechin gallate and coconut oil: a pilot study. Nutrients 13(9):3230

    Article  PubMed  PubMed Central  Google Scholar 

  • de la Rubia Ortí JE et al (2023) Lipid profile in multiple sclerosis: functional capacity and therapeutic potential of its regulation after intervention with epigallocatechin gallate and coconut oil. Foods 12(20):3730

    Article  PubMed  PubMed Central  Google Scholar 

  • de la Torre R et al (2016) Safety and efficacy of cognitive training plus epigallocatechin-3-gallate in young adults with Down’s syndrome (TESDAD): a double-blind, randomised, placebo-controlled, phase 2 trial. Lancet Neurol 15(8):801–810

    Article  PubMed  Google Scholar 

  • De la Torre R et al (2014) Epigallocatechin-3-gallate, a DYRK1A inhibitor, rescues cognitive deficits in D own syndrome mouse models and in humans. Mol Nutr Food Res 58(2):278–288

    Article  CAS  PubMed  Google Scholar 

  • De Toma I, Ortega M, Aloy P, Sabidó E, Dierssen M (2019) DYRK1A overexpression alters cognition and neural-related proteomic pathways in the hippocampus that are rescued by green tea extract and/or environmental enrichment. Front Mol Neurosci 12:272

    Article  PubMed  PubMed Central  Google Scholar 

  • De Toma I, Ortega M, Catuara-Solarz S, Sierra C, Sabidó E, Dierssen M (2020) Re-establishment of the epigenetic state and rescue of kinome deregulation in Ts65Dn mice upon treatment with green tea extract and environmental enrichment. Sci Rep 10(1):16023

    Article  PubMed  PubMed Central  Google Scholar 

  • Dierssen M (2012) Down syndrome: the brain in trisomic mode. Nat Rev Neurosci 13(12):844–858

    Article  CAS  PubMed  Google Scholar 

  • Domenico FD et al (2009) Glutathionylation of the pro-apoptotic protein p53 in Alzheimer’s disease brain: implications for AD pathogenesis. Neurochem Res 34:727–733

    Article  PubMed  PubMed Central  Google Scholar 

  • Dugger BN, Dickson DW (2017) Pathology of neurodegenerative diseases. Cold Spring Harb Perspect Biol 9(7):a028035

    Article  PubMed  PubMed Central  Google Scholar 

  • Ehrnhoefer DE et al (2006) Green tea (−)-epigallocatechin-gallate modulates early events in huntingtin misfolding and reduces toxicity in Huntington’s disease models. Hum Mol Genet 15(18):2743–2751

    Article  CAS  PubMed  Google Scholar 

  • Ehrnhoefer DE et al (2008) EGCG redirects amyloidogenic polypeptides into unstructured, off-pathway oligomers. Nat Struct Mol Biol 15(6):558–566

    Article  CAS  PubMed  Google Scholar 

  • Elfawy HA, Das B (2019) Crosstalk between mitochondrial dysfunction, oxidative stress, and age related neurodegenerative disease: Etiologies and therapeutic strategies. Life Sci 218:165–184

    Article  CAS  PubMed  Google Scholar 

  • El-Missiry MA, Othman AI, El-Sawy MR, Lebede MF (2018) Neuroprotective effect of epigallocatechin-3-gallate (EGCG) on radiation-induced damage and apoptosis in the rat hippocampus. Int J Radiat Biol 94(9):798–808

    Article  CAS  PubMed  Google Scholar 

  • Erkkinen MG, Kim M-O, Geschwind MD (2018) Clinical neurology and epidemiology of the major neurodegenerative diseases. Cold Spring Harb Perspect Biol 10(4):a033118

    Article  PubMed  PubMed Central  Google Scholar 

  • Ettcheto M et al (2020) Epigallocatechin-3-gallate (EGCG) improves cognitive deficits aggravated by an obesogenic diet through modulation of unfolded protein response in APPswe/PS1dE9 mice. Mol Neurobiol 57:1814–1827

    Article  CAS  PubMed  Google Scholar 

  • Fahn S, Cohen G (1992) The oxidant stress hypothesis in Parkinson’s disease: evidence supporting it. Ann Neurol 32(6):804–812

    Article  CAS  PubMed  Google Scholar 

  • Fan F-Y, Sang L-X, Jiang M (2017) Catechins and their therapeutic benefits to inflammatory bowel disease. Molecules 22(3):484

    Article  PubMed  PubMed Central  Google Scholar 

  • Farkhondeh T, Yazdi HS, Samarghandian S (2019) The protective effects of green tea catechins in the management of neurodegenerative diseases: a review. Curr Drug Discov Technol 16(1):57–65

    Article  CAS  PubMed  Google Scholar 

  • Farooqui AA (2010) Neurochemical aspects of neurotraumatic and neurodegenerative diseases. Springer Science & Business Media

    Book  Google Scholar 

  • Feigin VL et al (2019) Global, regional, and national burden of neurological disorders, 1990–2016: a systematic analysis for the Global burden of Disease Study 2016. Lancet Neurol 18(5):459–480

    Article  Google Scholar 

  • Feigin VL et al (2020) The global burden of neurological disorders: translating evidence into policy. Lancet Neurol 19(3):255–265

    Article  PubMed  Google Scholar 

  • Feng WY (2006) Metabolism of green tea catechins: an overview. Curr Drug Metab 7(7):755–809

    Article  CAS  PubMed  Google Scholar 

  • Feng L, Gwee X, Kua E-H, Ng T-P (2010) Cognitive function and tea consumption in community dwelling older Chinese in Singapore. J Nutr Health Aging 14(6):433–438

    Article  CAS  PubMed  Google Scholar 

  • Feng B, Fang Y, Wei S-M (2013) Effect and mechanism of epigallocatechin-3-gallate (EGCG). against the hydrogen peroxide-induced oxidative damage in human dermal fibroblasts. J Cosmet Sci 64(1):35–44

    CAS  PubMed  Google Scholar 

  • Fraga CG, Oteiza PI (2011) Dietary flavonoids: role of (−)-epicatechin and related procyanidins in cell signaling. Free Radic Biol Med 51(4):813–823

    Article  CAS  PubMed  Google Scholar 

  • Fraga CG, Galleano M, Verstraeten SV, Oteiza PI (2010) Basic biochemical mechanisms behind the health benefits of polyphenols. Mol Aspects Med 31(6):435–445

    Article  CAS  PubMed  Google Scholar 

  • Fraga CG, Croft KD, Kennedy DO, Tomás-Barberán FA (2019) The effects of polyphenols and other bioactives on human health. Food Funct 10(2):514–528

    Article  CAS  PubMed  Google Scholar 

  • Gan R-Y, Li H-B, Sui Z-Q, Corke H (2018) Absorption, metabolism, anti-cancer effect and molecular targets of epigallocatechin gallate (EGCG): an updated review. Crit Rev Food Sci Nutr 58(6):924–941

    Article  CAS  PubMed  Google Scholar 

  • Gao X, Cassidy A, Schwarzschild M, Rimm EB, Ascherio A (2012) Habitual intake of dietary flavonoids and risk of Parkinson disease. Neurology 78(15):1138–1145

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ghiglieri V, Calabrese V, Calabresi P (2018) Alpha-synuclein: from early synaptic dysfunction to neurodegeneration. Front Neurol 9:295

    Article  PubMed  PubMed Central  Google Scholar 

  • Giunta B et al (2010) Fish oil enhances anti-amyloidogenic properties of green tea EGCG in Tg2576 mice. Neurosci Lett 471(3):134–138

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Goncalves PB, Sodero ACR, Cordeiro Y (2021) Green tea epigallocatechin-3-gallate (EGCG) targeting protein misfolding in drug discovery for neurodegenerative diseases. Biomolecules 11(5):767

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Goodlett CR, Stringer M, LaCombe J, Patel R, Wallace JM, Roper RJ (2020) Evaluation of the therapeutic potential of epigallocatechin-3-gallate (EGCG) via oral gavage in young adult Down syndrome mice. Sci Rep 10(1):10426

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Graham HN (1992) Green tea composition, consumption, and polyphenol chemistry. Prev Med 21(3):334–350

    Article  CAS  PubMed  Google Scholar 

  • Greaves CV, Rohrer JD (2019) An update on genetic frontotemporal dementia. J Neurol 266(8):2075–2086

    Article  PubMed  PubMed Central  Google Scholar 

  • Gribkoff VK, Kaczmarek LK (2017) The need for new approaches in CNS drug discovery: why drugs have failed, and what can be done to improve outcomes. Neuropharmacology 120:11–19

    Article  CAS  PubMed  Google Scholar 

  • Gu H-F et al (2014) Epigallocatechin-3-gallate attenuates impairment of learning and memory in chronic unpredictable mild stress-treated rats by restoring hippocampal autophagic flux. PLoS ONE 9(11):e112683

    Article  PubMed  PubMed Central  Google Scholar 

  • Gu Y et al (2020) Molecular rescue of Dyrk1A overexpression alterations in mice with Fontup® dietary supplement: role of green tea catechins. Int J Mol Sci 21(4):1404

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Guedj F et al (2009) Green tea polyphenols rescue of brain defects induced by overexpression of DYRK1A. PLoS ONE 4(2):e4606

    Article  PubMed  PubMed Central  Google Scholar 

  • Gulati A, Rawat R, Singh B, Ravindranath S (2003) Application of microwave energy in the manufacture of enhanced-quality green tea. J Agric Food Chem 51(16):4764–4768

    Article  CAS  PubMed  Google Scholar 

  • Haass C, Selkoe DJ (2007) Soluble protein oligomers in neurodegeneration: lessons from the Alzheimer’s amyloid β-peptide. Nat Rev Mol Cell Biol 8(2):101–112

    Article  CAS  PubMed  Google Scholar 

  • Han SY et al (2018) Cytoprotective effect of epigallocatechin gallate (EGCG)-5′-O-α-glucopyranoside, a novel EGCG derivative. Int J Mol Sci 19(5):1466

    Article  PubMed  PubMed Central  Google Scholar 

  • Hanney M et al (2012) Memantine for dementia in adults older than 40 years with Down’s syndrome (MEADOWS): a randomised, double-blind, placebo-controlled trial. The Lancet 379(9815):528–536

    Article  Google Scholar 

  • Haque AM, Hashimoto M, Katakura M, Hara Y, Shido O (2008) Green tea catechins prevent cognitive deficits caused by Aβ1–40 in rats. J Nutr Biochem 19(9):619–626

    Article  CAS  PubMed  Google Scholar 

  • Harjes P, Wanker EE (2003) The hunt for huntingtin function: interaction partners tell many different stories. Trends Biochem Sci 28(8):425–433

    Article  CAS  PubMed  Google Scholar 

  • He M et al (2012) Research on EGCG improving the degenerative changes of the brain in AD model mice induced with chemical drugs. Zhong Yao Cai= Zhongyaocai= J Chin Med Mater 35(10):1641–1644

    CAS  Google Scholar 

  • He Y et al (2022) EGCG attenuates the neurotoxicity of methylglyoxal via regulating MAPK and the downstream signaling pathways and inhibiting advanced glycation end products formation. Food Chem 384:132358

    Article  CAS  PubMed  Google Scholar 

  • Heaton MB, Paiva M, Madorsky I, Mayer J, Moore DB (2003) Effects of ethanol on neurotrophic factors, apoptosis-related proteins, endogenous antioxidants, and reactive oxygen species in neonatal striatum: relationship to periods of vulnerability. Dev Brain Res 140(2):237–252

    Article  CAS  Google Scholar 

  • Henning SM et al (2015) Randomized clinical trial of brewed green and black tea in men with prostate cancer prior to prostatectomy. Prostate 75(5):550–559

    Article  CAS  PubMed  Google Scholar 

  • Herges K, Millward JM, Hentschel N, Infante-Duarte C, Aktas O, Zipp F (2011) Neuroprotective effect of combination therapy of glatiramer acetate and epigallocatechin-3-gallate in neuroinflammation. PLoS ONE 6(10):e25456

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hibaoui Y et al (2014) Modelling and rescuing neurodevelopmental defect of D own syndrome using induced pluripotent stem cells from monozygotic twins discordant for trisomy 21. EMBO Mol Med 6(2):259–277

    Article  CAS  PubMed  Google Scholar 

  • Higdon JV, Frei B (2003) Tea catechins and polyphenols: health effects, metabolism, and antioxidant functions. Crit Rev Food Sci Nutr. https://doi.org/10.1080/10408690390826464

    Article  PubMed  Google Scholar 

  • Hoensch HP, Oertel R (2015) The value of flavonoids for the human nutrition: short review and perspectives. Clin Nutr Exp 3:8–14

    Article  Google Scholar 

  • Hong JT et al (2000) Neuroprotective effect of green tea extract in experimental ischemia-reperfusion brain injury. Brain Res Bull 53(6):743–749

    Article  CAS  PubMed  Google Scholar 

  • Hong J, Lu H, Meng X, Ryu J-H, Hara Y, Yang CS (2002) Stability, cellular uptake, biotransformation, and efflux of tea polyphenol (−)-epigallocatechin-3-gallate in HT-29 human colon adenocarcinoma cells. Can Res 62(24):7241–7246

    CAS  Google Scholar 

  • Hong H, Kim BS, Im H-I (2016) Pathophysiological role of neuroinflammation in neurodegenerative diseases and psychiatric disorders. Int Neurourol J 20(Suppl 1):S2

    Article  PubMed  PubMed Central  Google Scholar 

  • Hosseinitabatabaei N, Babakhani B, Hosseini-Tabatabaei A, Vahabi Z, Soltanzadeh A (2013) Non-genetic factors associated with the risk of Parkinson’s disease in Iranian patients. Funct Neurol 28(2):107

    CAS  PubMed Central  Google Scholar 

  • Hoyme HE et al (2016) Updated clinical guidelines for diagnosing fetal alcohol spectrum disorders. Pediatrics 138(2):e20154256

    Article  PubMed  PubMed Central  Google Scholar 

  • Hsu Y-W, Tsai C-F, Chen W-K, Huang C-F, Yen C-C (2011) A subacute toxicity evaluation of green tea (Camellia sinensis) extract in mice. Food Chem Toxicol 49(10):2624–2630

    Article  CAS  PubMed  Google Scholar 

  • Hu J, Webster D, Cao J, Shao A (2018) The safety of green tea and green tea extract consumption in adults–results of a systematic review. Regul Toxicol Pharmacol 95:412–433

    Article  CAS  PubMed  Google Scholar 

  • Huang C-Q, Dong B-R, Zhang Y-L, Wu H-M, Liu Q-X (2009) Association of cognitive impairment with smoking, alcohol consumption, tea consumption, and exercise among Chinese nonagenarians/centenarians. Cogn Behav Neurol 22(3):190–196

    Article  PubMed  Google Scholar 

  • Isbrucker R, Edwards J, Wolz E, Davidovich A, Bausch J (2006) Safety studies on epigallocatechin gallate (EGCG) preparations. Part 2: dermal, acute and short-term toxicity studies. Food Chem Toxicol 44(5):636–650

    Article  CAS  PubMed  Google Scholar 

  • Itoh T et al (2011) (−)-Epigallocatechin-3-gallate protects against neuronal cell death and improves cerebral function after traumatic brain injury in rats. NeuroMol Med 13:300–309

    Article  CAS  Google Scholar 

  • Itoh T et al (2013) Neuroprotective effect of (–)-epigallocatechin-3-gallate in rats when administered pre-or post-traumatic brain injury. J Neural Transm 120:767–783

    Article  CAS  PubMed  Google Scholar 

  • Jamal R et al (2022) Increased dosage and treatment time of Epigallocatechin-3-gallate (EGCG) negatively affects skeletal parameters in normal mice and Down syndrome mouse models. PLoS ONE 17(2):e0264254

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Jiang C (2024) Progress in gut microbiota-host interaction. Sci China Life Sci 67(5):851–853

    Article  PubMed  Google Scholar 

  • Jouanne M, Rault S, Voisin-Chiret A-S (2017) Tau protein aggregation in Alzheimer’s disease: an attractive target for the development of novel therapeutic agents. Eur J Med Chem 139:153–167

    Article  CAS  PubMed  Google Scholar 

  • Joya X, Garcia-Algar O, Salat-Batlle J, Pujades C, Vall O (2015) Advances in the development of novel antioxidant therapies as an approach for fetal alcohol syndrome prevention. Birth Defects Res A 103(3):163–177

    Article  CAS  Google Scholar 

  • Kalfon L, Youdim MB, Mandel SA (2007) Green tea polyphenol (–)-epigallocatechin-3-gallate promotes the rapid protein kinase C-and proteasome-mediated degradation of Bad: implications for neuroprotection. J Neurochem 100(4):992–1002

    Article  CAS  PubMed  Google Scholar 

  • Kang KS, Wen Y, Yamabe N, Fukui M, Bishop SC, Zhu BT (2010) Dual beneficial effects of (-)-epigallocatechin-3-gallate on levodopa methylation and hippocampal neurodegeneration: in vitro and in vivo studies. PLoS ONE 5(8):e11951

    Article  PubMed  PubMed Central  Google Scholar 

  • Kapetanovic I, Crowell J, Krishnaraj R, Zakharov A, Lindeblad M, Lyubimov A (2009) Exposure and toxicity of green tea polyphenols in fasted and non-fasted dogs. Toxicology 260(1–3):28–36

    Article  CAS  PubMed  Google Scholar 

  • Kaur T, Pathak C, Pandhi P, Khanduja K (2008) Effects of green tea extract on learning, memory, behavior and acetylcholinesterase activity in young and old male rats. Brain Cogn 67(1):25–30

    Article  PubMed  Google Scholar 

  • Khalatbary AR, Khademi E (2020) The green tea polyphenolic catechin epigallocatechin gallate and neuroprotection. Nutr Neurosci 23(4):281–294

    Article  CAS  PubMed  Google Scholar 

  • Khan N, Mukhtar H (2007) Tea polyphenols for health promotion. Life Sci 81(7):519–533

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Khan N, Mukhtar H (2018) Tea polyphenols in promotion of human health. Nutrients 11(1):39

    Article  PubMed  PubMed Central  Google Scholar 

  • Khan SG, Katiyar SK, Agarwal R, Mukhtar H (1992) Enhancement of antioxidant and phase II enzymes by oral feeding of green tea polyphenols in drinking water to SKH-1 hairless mice: possible role in cancer chemoprevention. Cancer Res 52(14):4050–4052

    CAS  PubMed  Google Scholar 

  • Kim HK, Kim M, Kim S, Kim M, Chung JH (2004) Effects of green tea polyphenol on cognitive and acetylcholinesterase activities. Biosci Biotechnol Biochem 68(9):1977–1979

    Article  CAS  PubMed  Google Scholar 

  • Kim H-S, Quon MJ, Kim J-A (2014a) New insights into the mechanisms of polyphenols beyond antioxidant properties; lessons from the green tea polyphenol, epigallocatechin 3-gallate. Redox Biol 2:187–195

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kim SJ et al (2014b) Epigallocatechin-3-gallate, a green tea catechin, protects the heart against regional ischemia–reperfusion injuries through activation of risk survival pathways in rats. Arch Pharmacal Res 37:1079–1085

    Article  CAS  Google Scholar 

  • Kim GH, Kim JE, Rhie SJ, Yoon S (2015) The role of oxidative stress in neurodegenerative diseases. Exp Neurobiol 24(4):325

    Article  PubMed  PubMed Central  Google Scholar 

  • Kimura-Ohba S, Yang Y (2016) Oxidative DNA damage mediated by intranuclear MMP activity is associated with neuronal apoptosis in ischemic stroke. Oxid Med Cell Longev 2016(1):6927328

    Article  PubMed  PubMed Central  Google Scholar 

  • Kitamura K et al (2016) Modifiable factors associated with cognitive impairment in 1,143 Japanese outpatients: The Project in Sado for Total Health (PROST). Dement Geriatr Cogn Disorders Extra 6(2):341–349

    Article  Google Scholar 

  • Klumbies K et al (2021) Retinal thickness analysis in progressive multiple sclerosis patients treated with epigallocatechin gallate: optical coherence tomography results from the SUPREMES study. Front Neurol 12:615790

    Article  PubMed  PubMed Central  Google Scholar 

  • Koh S-H et al (2004) Epigallocatechin gallate prevents oxidative-stress-induced death of mutant Cu/Zn-superoxide dismutase (G93A) motoneuron cells by alteration of cell survival and death signals. Toxicology 202(3):213–225

    Article  CAS  PubMed  Google Scholar 

  • Koh S-H et al (2006) The effect of epigallocatechin gallate on suppressing disease progression of ALS model mice. Neurosci Lett 395(2):103–107

    Article  CAS  PubMed  Google Scholar 

  • Komatsu Y, Suematsu S, Hisanobu Y, Saigo H, Matsuda R, Hara K (1993) Effects of pH and temperature on reaction kinetics of catechins in green tea infusion. Biosci Biotechnol Biochem 57(6):907–910

    Article  CAS  Google Scholar 

  • Kovacs GG (2019) Molecular pathology of neurodegenerative diseases: principles and practice. J Clin Pathol 72(11):725–735

    Article  CAS  PubMed  Google Scholar 

  • Krook MA, Hagerman AE (2012) Stability of polyphenols epigallocatechin gallate and pentagalloyl glucose in a simulated digestive system. Food Res Int 49(1):112–116

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kumar P, Kumar A (2009) Effect of lycopene and epigallocatechin-3-gallate against 3-nitropropionic acid induced cognitive dysfunction and glutathione depletion in rat: a novel nitric oxide mechanism. Food Chem Toxicol 47(10):2522–2530

    Article  CAS  PubMed  Google Scholar 

  • Kuriyama S et al (2006a) Green tea consumption and cognitive function: a cross-sectional study from the Tsurugaya Project. Am J Clin Nutr 83(2):355–361

    Article  CAS  PubMed  Google Scholar 

  • Kuriyama S et al (2006b) Green tea consumption and mortality due to cardiovascular disease, cancer, and all causes in Japan: the Ohsaki study. JAMA 296(10):1255–1265

    Article  CAS  PubMed  Google Scholar 

  • Kweon M-H, Adhami VM, Lee J-S, Mukhtar H (2006) Constitutive overexpression of Nrf2-dependent heme oxygenase-1 in A549 cells contributes to resistance to apoptosis induced by epigallocatechin 3-gallate. J Biol Chem 281(44):33761–33772

    Article  CAS  PubMed  Google Scholar 

  • Lambert JD, Yang CS (2003) Mechanisms of cancer prevention by tea constituents. J Nutr 133(10):3262S-3267S

    Article  CAS  PubMed  Google Scholar 

  • Lambert JD et al (2003) Epigallocatechin-3-gallate is absorbed but extensively glucuronidated following oral administration to mice. J Nutr 133(12):4172–4177

    Article  CAS  PubMed  Google Scholar 

  • Lambert JD, Kennett MJ, Sang S, Reuhl KR, Ju J, Yang CS (2010) Hepatotoxicity of high oral dose (−)-epigallocatechin-3-gallate in mice. Food Chem Toxicol 48(1):409–416

    Article  CAS  PubMed  Google Scholar 

  • Laurie SA, Miller VA, Grant SC, Kris MG, Ng KK (2005) Phase I study of green tea extract in patients with advanced lung cancer. Cancer Chemother Pharmacol 55:33–38

    Article  PubMed  Google Scholar 

  • Lee S-R, Suh S-I, Kim S-P (2000) Protective effects of the green tea polyphenol (−)-epigallocatechin gallate against hippocampal neuronal damage after transient global ischemia in gerbils. Neurosci Lett 287(3):191–194

    Article  CAS  PubMed  Google Scholar 

  • Lee M-J et al (2002) Pharmacokinetics of tea catechins after ingestion of green tea and (−)-epigallocatechin-3-gallate by humans: formation of different metabolites and individual variability. Cancer Epidemiol Biomark Prev 11(10):1025–1032

    CAS  Google Scholar 

  • Lee JW et al (2009) Green tea (-)-epigallocatechin-3-gallate inhibits β-amyloid-induced cognitive dysfunction through modification of secretase activity via inhibition of ERK and NF-κB pathways in mice. J Nutr 139(10):1987–1993

    Article  CAS  PubMed  Google Scholar 

  • Lee Y-J, Choi D-Y, Yun Y-P, Han SB, Oh K-W, Hong JT (2013) Epigallocatechin-3-gallate prevents systemic inflammation-induced memory deficiency and amyloidogenesis via its anti-neuroinflammatory properties. J Nutr Biochem 24(1):298–310

    Article  CAS  PubMed  Google Scholar 

  • Levin J et al (2019) Safety and efficacy of epigallocatechin gallate in multiple system atrophy (PROMESA): a randomised, double-blind, placebo-controlled trial. Lancet Neurol 18(8):724–735

    Article  CAS  PubMed  Google Scholar 

  • Levites Y, Weinreb O, Maor G, Youdim MB, Mandel S (2001) Green tea polyphenol (–)-epigallocatechin-3-gallate prevents N-methyl-4-phenyl-1, 2, 3, 6-tetrahydropyridine-induced dopaminergic neurodegeneration. J Neurochem 78(5):1073–1082

    Article  CAS  PubMed  Google Scholar 

  • Levites Y, Amit T, Youdim MB, Mandel S (2002) Involvement of protein kinase C activation and cell survival/cell cycle genes in green tea polyphenol (−)-epigallocatechin 3-gallate neuroprotective action. J Biol Chem 277(34):30574–30580

    Article  CAS  PubMed  Google Scholar 

  • Levites Y, Amit T, Mandel S, Youdim MB (2003) Neuroprotection and neurorescue against Aβ toxicity and PKC-dependent release of non-amyloidogenic soluble precursor protein by green tea polyphenol (-)-epigallocatechin-3-gallate. FASEB J 17(8):1–23

    Article  Google Scholar 

  • Li C et al (2006) Green tea polyphenols modulate insulin secretion by inhibiting glutamate dehydrogenase. J Biol Chem 281(15):10214–10221

    Article  CAS  PubMed  Google Scholar 

  • Li Q et al (2009) Long-term green tea catechin administration prevents spatial learning and memory impairment in senescence-accelerated mouse prone-8 mice by decreasing Aβ1-42 oligomers and upregulating synaptic plasticity–related proteins in the hippocampus. Neuroscience 163(3):741–749

    Article  CAS  PubMed  Google Scholar 

  • Li N, Taylor LS, Mauer LJ (2011) Degradation kinetics of catechins in green tea powder: effects of temperature and relative humidity. J Agric Food Chem 59(11):6082–6090

    Article  CAS  PubMed  Google Scholar 

  • Li N, Taylor LS, Ferruzzi MG, Mauer LJ (2012) Kinetic study of catechin stability: effects of pH, concentration, and temperature. J Agric Food Chem 60(51):12531–12539

    Article  CAS  PubMed  Google Scholar 

  • Li G, Yang J, Wang X, Zhou C, Zheng X, Lin W (2020) Effects of EGCG on depression-related behavior and serotonin concentration in a rat model of chronic unpredictable mild stress. Food Funct 11(10):8780–8787

    Article  CAS  PubMed  Google Scholar 

  • Lin S-M, Wang S-W, Ho S-C, Tang Y-L (2010) Protective effect of green tea (-)-epigallocatechin-3-gallate against the monoamine oxidase B enzyme activity increase in adult rat brains. Nutrition 26(11–12):1195–1200

    Article  CAS  PubMed  Google Scholar 

  • Liu S-H et al (2014) Lotus leaf (Nelumbo nucifera) and its active constituents prevent inflammatory responses in macrophages via JNK/NF-κB signaling pathway. Am J Chin Med 42(04):869–889

    Article  PubMed  Google Scholar 

  • Liu M et al (2015) Relationship between gene expression and the accumulation of catechin during spring and autumn in tea plants (Camellia sinensis L.). Hortic Res. https://doi.org/10.1038/hortres.2015.11

    Article  PubMed  PubMed Central  Google Scholar 

  • Liu Z, Li X, Wu X, Zhu C (2019) A dual-inhibitor system for the effective antifibrillation of Aβ40 peptides by biodegradable EGCG–Fe (iii)/PVP nanoparticles. J Mater Chem B 7(8):1292–1299

    Article  CAS  PubMed  Google Scholar 

  • Long L et al (2010) The preventive effect of oral EGCG in a fetal alcohol spectrum disorder mouse model. Alcohol Clinic Exp Res 34(11):1929–1936

    Article  CAS  Google Scholar 

  • Longinetti E et al (2018) The Swedish motor neuron disease quality registry. Amyotroph Lateral Scler Frontotemporal Degener 19(7–8):528–537

    Article  PubMed  Google Scholar 

  • Lott IT, Dierssen M (2010) Cognitive deficits and associated neurological complications in individuals with Down’s syndrome. Lancet Neurol 9(6):623–633

    Article  PubMed  Google Scholar 

  • Lovera J et al (2015) Polyphenon E, non-futile at neuroprotection in multiple sclerosis but unpredictably hepatotoxic: phase I single group and phase II randomized placebo-controlled studies. J Neurol Sci 358(1–2):46–52

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Lu H, Meng X, Yang CS (2003) Enzymology of methylation of tea catechins and inhibition of catechol-O-methyltransferase by (−)-epigallocatechin gallate. Drug Metab Dispos 31(5):572–579

    Article  CAS  PubMed  Google Scholar 

  • Lublin FD (2014) New multiple sclerosis phenotypic classification. Eur Neurol 72(Suppl. 1):1–5

    Article  PubMed  Google Scholar 

  • Luo Y-P, Tang X-F, Zhang Y-C, Chen S-M, Wu Q, Li W-J (2022) Epigallocatechin-3-gallate alleviates galactose-induced aging impairment via gut–brain communication. Food Funct 13(21):11200–11209

    Article  CAS  PubMed  Google Scholar 

  • Ma Q-P et al (2016) Meta-analysis of the association between tea intake and the risk of cognitive disorders. PLoS ONE 11(11):e0165861

    Article  PubMed  PubMed Central  Google Scholar 

  • Machin A, Susilo I, Purwanto DA (2021) Green tea and its active compound epigallocathechin-3-gallate (EGCG) inhibit neuronal apoptosis in a middle cerebral artery occlusion (MCAO) model. J Basic Clin Physiol Pharmacol 32(4):319–325

    Article  CAS  PubMed  Google Scholar 

  • Magrinelli F et al (2016) Pathophysiology of motor dysfunction in Parkinson’s disease as the rationale for drug treatment and rehabilitation. Parkinson’s Dis 2016(1):9832839

    Google Scholar 

  • Maher P (2001) How protein kinase C activation protects nerve cells from oxidative stress-induced cell death. J Neurosci 21(9):2929–2938

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mähler A et al (2015) Metabolic response to epigallocatechin-3-gallate in relapsing-remitting multiple sclerosis: a randomized clinical trial 2 3 4. Am J Clin Nutr 101(3):487–495

    Article  PubMed  Google Scholar 

  • Mallucci GR, Klenerman D, Rubinsztein DC (2020) Developing therapies for neurodegenerative disorders: insights from protein aggregation and cellular stress responses. Annu Rev Cell Dev Biol 36(1):165–189

    Article  CAS  PubMed  Google Scholar 

  • Mandel S, Youdim MB (2004) Catechin polyphenols: neurodegeneration and neuroprotection in neurodegenerative diseases. Free Radical Biol Med 37(3):304–317

    Article  CAS  Google Scholar 

  • Mandel S, Maor G, Youdim MB (2004) Iron and α-synuclein in the substantia nigra of MPTP-treated mice: effect of neuroprotective drugs R-apomorphine and green tea polyphenol (−)-epigallocatechin-3-gallate. J Mol Neurosci 24:401–416

    Article  CAS  PubMed  Google Scholar 

  • Mandel SA et al (2005) Multifunctional activities of green tea catechins in neuroprotection. Neurosignals 14(1–2):46–60

    Article  CAS  PubMed  Google Scholar 

  • Mandel S, Amit T, Bar-Am O, Youdim MB (2007) Iron dysregulation in Alzheimer’s disease: multimodal brain permeable iron chelating drugs, possessing neuroprotective-neurorescue and amyloid precursor protein-processing regulatory activities as therapeutic agents. Prog Neurobiol 82(6):348–360

    Article  CAS  PubMed  Google Scholar 

  • Mandel SA, Amit T, Weinreb O, Reznichenko L, Youdim MB (2008) Simultaneous manipulation of multiple brain targets by green tea catechins: a potential neuroprotective strategy for Alzheimer and Parkinson diseases. CNS Neurosci Ther 14(4):352–365

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mandel SA, Weinreb O, Amit T, Youdim M (2012) Molecular mechanisms of the neuroprotective/neurorescue action of multi-target green tea polyphenols. Front Biosci-Schol Ed 4(2):581–598

    Article  PubMed  Google Scholar 

  • Manoharan RR, Prasad A, Pospíšil P, Kzhyshkowska J (2024) ROS signaling in innate immunity via oxidative protein modifications. Front Immunol 15:1359600

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mastromarino P et al (2014) Correlation between lactoferrin and beneficial microbiota in breast milk and infant’s feces. Biometals 27(5):1077–1086

    Article  CAS  PubMed  Google Scholar 

  • McElyea SD et al (2016) Influence of prenatal EGCG treatment and Dyrk1a dosage reduction on craniofacial features associated with Down syndrome. Hum Mol Genet 25(22):4856–4869

    CAS  PubMed  PubMed Central  Google Scholar 

  • Mehmood S et al (2022) Epigallocatechin gallate: phytochemistry, bioavailability, utilization challenges, and strategies. J Food Biochem 46(8):e14189

    Article  CAS  PubMed  Google Scholar 

  • Mérillon J-M, Ramawat KG (2019) Bioactive molecules in food. Springer Nature

    Book  Google Scholar 

  • Miyazawa T (2000) Absorption, metabolism and antioxidative effects of tea catechin in humans. BioFactors 13(1–4):55–59

    Article  CAS  PubMed  Google Scholar 

  • Molinari M et al (2006) Acute liver failure induced by green tea extracts: case report and review of the literature. Liver Transpl 12(12):1892–1895

    Article  PubMed  Google Scholar 

  • Monnet-Tschudi F, Zurich M-G, Boschat C, Corbaz A, Honegger P (2006) Involvement of environmental mercury and lead in the etiology of neurodegenerative diseases. Rev Environ Health 21(2):105–118

    Article  CAS  PubMed  Google Scholar 

  • Morales I, Guzmán-Martínez L, Cerda-Troncoso C, Farías GA, Maccioni RB (2014) Neuroinflammation in the pathogenesis of Alzheimer’s disease. A rational framework for the search of novel therapeutic approaches. Front Cell Neurosci 8:112

    Article  PubMed  PubMed Central  Google Scholar 

  • Mossakowski AA et al (2015) Tracking CNS and systemic sources of oxidative stress during the course of chronic neuroinflammation. Acta Neuropathol 130:799–814

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Murawski NJ, Moore EM, Thomas JD, Riley EP (2015) Advances in diagnosis and treatment of fetal alcohol spectrum disorders: from animal models to human studies. Alcohol Res Curr Rev 37(1):97

    Google Scholar 

  • Musial C, Kuban-Jankowska A, Gorska-Ponikowska M (2020) Beneficial properties of green tea catechins. Int J Mol Sci 21(5):1744

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Na H-K, Surh Y-J (2008) Modulation of Nrf2-mediated antioxidant and detoxifying enzyme induction by the green tea polyphenol EGCG. Food Chem Toxicol 46(4):1271–1278

    Article  CAS  PubMed  Google Scholar 

  • Nadim M et al (2014) Improvement of polyphenol properties upon glucosylation in a UV-induced skin cell ageing model. Int J Cosmet Sci 36(6):579–587

    Article  CAS  PubMed  Google Scholar 

  • Naito Y et al (2020) Epigallocatechin-3-gallate (EGCG) attenuates non-alcoholic fatty liver disease via modulating the interaction between gut microbiota and bile acids. J Clin Biochem Nutr 67(1):2–9

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Nan W, Zhonghang X, Keyan C, Tongtong L, Wanshu G, Zhongxin X (2018) Epigallocatechin-3-gallate reduces neuronal apoptosis in rats after middle cerebral artery occlusion injury via PI3K/AKT/eNOS signaling pathway. Biomed Res Int 2018(1):6473580

    PubMed  PubMed Central  Google Scholar 

  • Nan S, Wang P, Zhang Y, Fan J (2021) "Epigallocatechin-3-gallate provides protection against Alzheimer’s disease-induced learning and memory impairments in rats. Drug Design Dev Ther. https://doi.org/10.2147/DDDT.S289473

    Article  Google Scholar 

  • Naumovski N, Blades BL, Roach PD (2015) Food inhibits the oral bioavailability of the major green tea antioxidant epigallocatechin gallate in humans. Antioxidants 4(2):373–393

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ng T-P, Feng L, Niti M, Kua E-H, Yap K-B (2008) Tea consumption and cognitive impairment and decline in older Chinese adults. Am J Clin Nutr 88(1):224–231

    Article  CAS  PubMed  Google Scholar 

  • Ng HL et al (2017) Acute vascular and metabolic actions of the green tea polyphenol epigallocatechin 3-gallate in rat skeletal muscle. J Nutr Biochem 40:23–31

    Article  CAS  PubMed  Google Scholar 

  • Nguyen MM et al (2012) Randomized, double-blind, placebo-controlled trial of polyphenon E in prostate cancer patients before prostatectomy: evaluation of potential chemopreventive activities. Cancer Prev Res 5(2):290–298

    Article  CAS  Google Scholar 

  • Ni A, Ernst C (2022) Evidence that substantia nigra pars compacta dopaminergic neurons are selectively vulnerable to oxidative stress because they are highly metabolically active. Front Cell Neurosci 16:826193

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Noguchi-Shinohara M et al (2014) Consumption of green tea, but not black tea or coffee, is associated with reduced risk of cognitive decline. PLoS ONE 9(5):e96013

    Article  PubMed  PubMed Central  Google Scholar 

  • Ohishi T, Goto S, Monira P, Isemura M, Nakamura Y (2016) Anti-inflammatory action of green tea. Anti-Inflamm Anti-Allergy Agents Med Chem 15(2):74–90

    Article  CAS  Google Scholar 

  • Onore C, Careaga M, Ashwood P (2012) The role of immune dysfunction in the pathophysiology of autism. Brain Behav Immun 26(3):383–392

    Article  CAS  PubMed  Google Scholar 

  • Ouyang J, Zhu K, Liu Z, Huang J (2020) Prooxidant effects of epigallocatechin-3-gallate in health benefits and potential adverse effect. Oxid Med Cell Longev 2020(1):9723686

    PubMed  PubMed Central  Google Scholar 

  • Pan T, Fei J, Zhou X, Jankovic J, Le W (2003) Effects of green tea polyphenols on dopamine uptake and on MPP+-induced dopamine neuron injury. Life Sci 72(9):1073–1083

    Article  CAS  PubMed  Google Scholar 

  • Panickar KS, Polansky MM, Anderson RA (2009) Green tea polyphenols attenuate glial swelling and mitochondrial dysfunction following oxygen-glucose deprivation in cultures. Nutr Neurosci 12(3):105–113

    Article  CAS  PubMed  Google Scholar 

  • Park D-J, Kang J-B, Koh P-O (2020) Epigallocatechin gallate alleviates neuronal cell damage against focal cerebral ischemia in rats. J Vet Med Sci 82(5):639–645

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Parker WD Jr, Boyson SJ, Parks JK (1989) Abnormalities of the electron transport chain in idiopathic Parkinson’s disease. Ann Neurol off J Am Neurol Assoc Child Neurol Soc 26(6):719–723

    Google Scholar 

  • Paula-Lima AC, Brito-Moreira J, Ferreira ST (2013) Deregulation of excitatory neurotransmission underlying synapse failure in Alzheimer’s disease. J Neurochem 126(2):191–202

    Article  CAS  PubMed  Google Scholar 

  • Pei J, Baugh L, Andrew G, Rasmussen C (2017) Intervention recommendations and subsequent access to services following clinical assessment for fetal alcohol spectrum disorders. Res Dev Disabil 60:176–186

    Article  PubMed  Google Scholar 

  • Pereira RB, Sousa C, Costa A, Andrade PB, Valentão P (2013) Glutathione and the antioxidant potential of binary mixtures with flavonoids: synergisms and antagonisms. Molecules 18(8):8858–8872

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Pervin M, Unno K, Takagaki A, Isemura M, Nakamura Y (2019) Function of green tea catechins in the brain: Epigallocatechin gallate and its metabolites. Int J Mol Sci 20(15):3630

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Peters CM, Green RJ, Janle EM, Ferruzzi MG (2010) Formulation with ascorbic acid and sucrose modulates catechin bioavailability from green tea. Food Res Int 43(1):95–102

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Pierpaoli W (2005) Neurodegenerative diseases: a common etiology and a common therapy. Ann N Y Acad Sci 1057(1):319–326

    Article  CAS  PubMed  Google Scholar 

  • Platero JL et al (2020) The impact of coconut oil and epigallocatechin gallate on the levels of IL-6, anxiety and disability in multiple sclerosis patients. Nutrients 12(2):305

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Platero JL et al (2021) The impact of epigallocatechin gallate and coconut oil treatment on cortisol activity and depression in multiple sclerosis patients. Life 11(4):353

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Poewe W et al (2022) Multiple system atrophy. Nat Rev Dis Primers 8(1):56

    Article  PubMed  Google Scholar 

  • Polito CA et al (2018) Association of tea consumption with risk of Alzheimer’s disease and anti-beta-amyloid effects of tea. Nutrients 10(5):655

    Article  PubMed  PubMed Central  Google Scholar 

  • Portales-Casamar E et al (2016) DNA methylation signature of human fetal alcohol spectrum disorder. Epigenetics Chromatin 9:1–20

    Article  Google Scholar 

  • Prajapati C et al (2025) Intellectual property rights in neuroprotective biomaterials. Biomaterials and neurodegenerative disorders. Springer, pp 251–269

    Chapter  Google Scholar 

  • Pratico D (2008) Evidence of oxidative stress in Alzheimer’s disease brain and antioxidant therapy: lights and shadows. Ann N Y Acad Sci 1147(1):70–78

    Article  CAS  PubMed  Google Scholar 

  • Priller J (2022) Effects of EGCG (Epigallocatechin Gallate) in Huntington’s Disease. The ETON-Study—A Randomized, Double-Blind, Stratified, Placebo-Controlled Prospective Investigator Initiated Multicenter Trial-Charite University, Berlin, Germany. Identifier: NCT01357681. https://clinicaltrials.gov/ct2/show/NCT01357681. Accessed 4 June 2022

  • Puligundla P, Mok C, Ko S, Liang J, Recharla N (2017) Nanotechnological approaches to enhance the bioavailability and therapeutic efficacy of green tea polyphenols. J Funct Foods 34:139–151

    Article  CAS  Google Scholar 

  • Qi H, Li S (2014) Dose–response meta-analysis on coffee, tea and caffeine consumption with risk of P arkinson’s disease. Geriatr Gerontol Int 14(2):430–439

    Article  PubMed  Google Scholar 

  • Radi E, Formichi P, Battisti C, Federico A (2014) Apoptosis and oxidative stress in neurodegenerative diseases. J Alzheimers Dis 42(s3):S125–S152

    Article  PubMed  Google Scholar 

  • Rae-Grant A et al (2018) Practice guideline recommendations summary: disease-modifying therapies for adults with multiple sclerosis: report of the guideline development, dissemination, and implementation subcommittee of the American Academy of Neurology. Neurology 90(17):777–788

    Article  PubMed  Google Scholar 

  • Raghupathi R (2004) Cell death mechanisms following traumatic brain injury. Brain Pathol 14(2):215–222

    Article  PubMed  Google Scholar 

  • Ramachandran B, Jayavelu S, Murhekar K, Rajkumar T (2016) Repeated dose studies with pure Epigallocatechin-3-gallate demonstrated dose and route dependant hepatotoxicity with associated dyslipidemia. Toxicol Rep 3:336–345

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ramakrishna K et al (2025) Advanced biomaterials in neuroprotection: innovations and clinical applications. Biomaterials and neurodegenerative disorders. Springer, pp 69–92

    Chapter  Google Scholar 

  • Rasheed NOA, Ahmed LA, Abdallah DM, El-Sayeh BM (2017) Nephro-toxic effects of intraperitoneally injected EGCG in diabetic mice: involvement of oxidative stress, inflammation and apoptosis. Sci Rep 7(1):40617

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Rasoulijazi H, Joghataei M, Noubakht M, Roughani M (2007) The beneficial effect of (-)-epigallocatechin-3-gallate in an experimental model of Alzheimer’s disease in rat: a behavioral analysis. Iran Biomed J 11:8

    Google Scholar 

  • Reddy PH, Beal MF (2008) Amyloid beta, mitochondrial dysfunction and synaptic damage: implications for cognitive decline in aging and Alzheimer’s disease. Trends Mol Med 14(2):45–53

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Reglodi D et al (2017) Novel tactics for neuroprotection in Parkinson’s disease: role of antibiotics, polyphenols and neuropeptides. Prog Neurobiol 155:120–148

    Article  CAS  PubMed  Google Scholar 

  • Renaud J, Nabavi SF, Daglia M, Nabavi SM, Martinoli M-G (2015) Epigallocatechin-3-gallate, a promising molecule for Parkinson’s disease? Rejuvenation Res 18(3):257–269

    Article  CAS  PubMed  Google Scholar 

  • Reygaert WC (2018) Green tea catechins: Their use in treating and preventing infectious diseases. Biomed Res Int 2018(1):9105261

    PubMed  PubMed Central  Google Scholar 

  • Rezai-Zadeh K et al (2005) Green tea epigallocatechin-3-gallate (EGCG) modulates amyloid precursor protein cleavage and reduces cerebral amyloidosis in Alzheimer transgenic mice. J Neurosci 25(38):8807–8814

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Rezai-Zadeh K et al (2008) Green tea epigallocatechin-3-gallate (EGCG) reduces β-amyloid mediated cognitive impairment and modulates tau pathology in Alzheimer transgenic mice. Brain Res 1214:177–187

    Article  CAS  PubMed  Google Scholar 

  • Rice-evans CA, Miller NJ, Bolwell PG, Bramley PM, Pridham JB (1995) The relative antioxidant activities of plant-derived polyphenolic flavonoids. Free Radic Res 22(4):375–383

    Article  CAS  PubMed  Google Scholar 

  • Riederer P et al (1989) Transition metals, ferritin, glutathione, and ascorbic acid in parkinsonian brains. J Neurochem 52(2):515–520

    Article  CAS  PubMed  Google Scholar 

  • Ritchie K, Lovestone S (2002) The dementias. Lancet 360(9347):1759–1766

    Article  PubMed  Google Scholar 

  • Roghani M, Baluchnejadmojarad T (2010) Hypoglycemic and hypolipidemic effect and antioxidant activity of chronic epigallocatechin-gallate in streptozotocin-diabetic rats. Pathophysiology 17(1):55–59

    Article  CAS  PubMed  Google Scholar 

  • Rosenblatt A (2007) Neuropsychiatry of Huntington’s disease. Dialogues Clin Neurosci 9(2):191–197

    Article  PubMed  PubMed Central  Google Scholar 

  • Rossi L, Mazzitelli S, Arciello M, Capo C, Rotilio G (2008) Benefits from dietary polyphenols for brain aging and Alzheimer’s disease. Neurochem Res 33:2390–2400

    Article  CAS  PubMed  Google Scholar 

  • Rothwell JA et al (2018) Biomarkers of intake for coffee, tea, and sweetened beverages. Genes Nutr 13:1–18

    Article  CAS  Google Scholar 

  • Rust R et al (2021) Epigallocatechin gallate in progressive MS: a randomized, placebo-controlled trial. Neurol Neuroimmunol Neuroinflam 8(3):e964

    Article  Google Scholar 

  • Saeki K et al (2018) In vitro and in silico studies of the molecular interactions of epigallocatechin-3-O-gallate (EGCG) with proteins that explain the health benefits of green tea. Molecules 23(6):1295

    Article  PubMed  PubMed Central  Google Scholar 

  • Sahoo RK, Gupta T, Kumar V, Rani S, Gupta U (2022) Aetiology and pathophysiology of neurodegenerative disorders. Nanomedical drug delivery for neurodegenerative diseases. Elsevier, pp 1–16

    Google Scholar 

  • Salari S, Bagheri M (2019) In vivo, in vitro and pharmacologic models of Parkinson’s disease. Physiol Res 68(1):17–24

    Article  CAS  PubMed  Google Scholar 

  • Saleh IG et al (2013) Effect of green tea and its polyphenols on mouse liver. Fitoterapia 90:151–159

    Article  CAS  PubMed  Google Scholar 

  • Sánchez-Giraldo V et al (2020) Role of a novel (−)-epigallocatechin-3-gallate delivery system on the prevention against oxidative stress damage in vitro and in vivo model of Parkinson’s disease. J Drug Deliv Sci Technol 55:101466

    Article  Google Scholar 

  • Sang S et al (2003) Chemical studies of the antioxidant mechanism of tea catechins: radical reaction products of epicatechin with peroxyl radicals. Bioorg Med Chem 11(16):3371–3378

    Article  CAS  PubMed  Google Scholar 

  • Sang S, Lee M-J, Hou Z, Ho C-T, Yang CS (2005a) Stability of tea polyphenol (−)-epigallocatechin-3-gallate and formation of dimers and epimers under common experimental conditions. J Agric Food Chem 53(24):9478–9484

    Article  CAS  PubMed  Google Scholar 

  • Sang S et al (2005b) Synthesis and structure identification of thiol conjugates of (−)-epigallocatechin gallate and their urinary levels in mice. Chem Res Toxicol 18(11):1762–1769

    Article  CAS  PubMed  Google Scholar 

  • Savani AA, Login IS (2007) Tetrabenazine as antichorea therapy in Huntington disease: a randomized controlled trial. Neurology 68(10):797–797

    Article  PubMed  Google Scholar 

  • Savignac H, Kiely B, Dinan T, Cryan J (2014) B ifidobacteria exert strain-specific effects on stress-related behavior and physiology in BALB/c mice. Neurogastroenterol Motil 26(11):1615–1627

    Article  CAS  PubMed  Google Scholar 

  • Scholl C et al (2018) Population nutrikinetics of green tea extract. PLoS ONE 13(2):e0193074

    Article  PubMed  PubMed Central  Google Scholar 

  • Schuldesz AC et al (2024) The effects of epigallocatechin-3-gallate nutritional supplementation in the management of multiple sclerosis: a systematic review of clinical trials. Nutrients 16(16):2723

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sebastiani G et al (2021) Therapeutic effects of catechins in less common neurological and neurodegenerative disorders. Nutrients 13(7):2232

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Seeram NP, Henning SM, Niu Y, Lee R, Scheuller HS, Heber D (2006) Catechin and caffeine content of green tea dietary supplements and correlation with antioxidant capacity. J Agric Food Chem 54(5):1599–1603

    Article  CAS  PubMed  Google Scholar 

  • Semnani M-R, Mashayekhi F, Azarnia M, Salehi Z (2016) Effects of green tea epigallocatechin-3-gallate (EGCG) on proteolipid protein (PLP) and oligodendrocyte transcription factor 1 (Olig1) expression in the cerebral cortex of cuprizone induced multiple sclerosis mice; a western blot study. Caspian J Neurol Sci 2(3):1–9

    Google Scholar 

  • Semnani M, Mashayekhi F, Azarnia M, Salehi Z (2017) Effects of green tea epigallocatechin-3-gallate on the proteolipid protein and oligodendrocyte transcription factor 1 messenger RNA gene expression in a mouse model of multiple sclerosis. Folia Neuropathol 55(3):199–205

    Article  PubMed  Google Scholar 

  • Sergi CM (2022) Epigallocatechin gallate for Parkinson’s disease. Clin Exp Pharmacol Physiol 49(10):1029–1041

    Article  CAS  PubMed  Google Scholar 

  • Shaham-Niv S et al (2018) Differential inhibition of metabolite amyloid formation by generic fibrillation-modifying polyphenols. Commun Chem 1(1):25

    Article  Google Scholar 

  • Shay J, Elbaz HA, Lee I, Zielske SP, Malek MH, Hüttemann M (2015) Molecular mechanisms and therapeutic effects of (−)-epicatechin and other polyphenols in cancer, inflammation, diabetes, and neurodegeneration. Oxid Med Cell Longev 2015(1):181260

    PubMed  PubMed Central  Google Scholar 

  • Sheikh S, Safia A, Haque E, Mir SS (2013) Neurodegenerative diseases: multifactorial conformational diseases and their therapeutic interventions. J Neurodegener Dis 2013(1):563481

    PubMed  Google Scholar 

  • Shen J et al (2024) Neuroprotective effect of green tea extract (-)-epigallocatechin-3-gallate in a preformed fibril-induced mouse model of Parkinson’s disease. NeuroReport 35(6):421–430

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Shim S-M, Yoo S-H, Ra C-S, Kim Y-K, Chung J-O, Lee S-J (2012) Digestive stability and absorption of green tea polyphenols: Influence of acid and xylitol addition. Food Res Int 45(1):204–210

    Article  CAS  Google Scholar 

  • Shimizu K et al (2014) Use of positron emission tomography for real-time imaging of biodistribution of green tea catechin. PLoS ONE 9(2):e85520

    Article  PubMed  PubMed Central  Google Scholar 

  • Shirai N, Suzuki H (2008) Effects of simultaneous intakes of fish oil and green tea extracts on plasma, glucose, insulin, C-peptide, and adiponectin and on liver lipid concentrations in mice fed low-and high-fat diets. Ann Nutr Metab 52(3):241–249

    Article  CAS  PubMed  Google Scholar 

  • Silva C, Pinto M, Fernandes C, Benfeito S, Borges F (2021) Antioxidant therapy and neurodegenerative disorders: lessons from clinical trials. Syst Med (New Rochelle) 2:97–110

    Article  Google Scholar 

  • Singh BN, Shankar S, Srivastava RK (2011) Green tea catechin, epigallocatechin-3-gallate (EGCG): mechanisms, perspectives and clinical applications. Biochem Pharmacol 82(12):1807–1821

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Singh NA, Bhardwaj V, Ravi C, Ramesh N, Mandal AKA, Khan ZA (2018) EGCG nanoparticles attenuate aluminum chloride induced neurobehavioral deficits, beta amyloid and tau pathology in a rat model of Alzheimer’s disease. Front Aging Neurosci 10:244

    Article  PubMed  PubMed Central  Google Scholar 

  • Singh S, Rai SN, Singh SK (2024) Synaptic plasticity in neurodegenerative disorders. CRC Press

    Book  Google Scholar 

  • Solanki I, Parihar P, Mansuri ML, Parihar MS (2015) Flavonoid-based therapies in the early management of neurodegenerative diseases. Adv Nutr 6(1):64–72

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Souchet B et al (2015) Pharmacological correction of excitation/inhibition imbalance in Down syndrome mouse models. Front Behav Neurosci 9:267

    Article  PubMed  PubMed Central  Google Scholar 

  • Spagnuolo C, Napolitano M, Tedesco I, Moccia S, Milito A, Russo GL (2016) Neuroprotective role of natural polyphenols. Curr Top Med Chem 16(17):1943–1950

    Article  CAS  PubMed  Google Scholar 

  • Srividhya R, Gayathri R, Kalaiselvi P (2012) Impact of epigallo catechin-3-gallate on acetylcholine-acetylcholine esterase cycle in aged rat brain. Neurochem Int 60(5):517–522

    Article  CAS  PubMed  Google Scholar 

  • Stagni F et al (2016) Short-and long-term effects of neonatal pharmacotherapy with epigallocatechin-3-gallate on hippocampal development in the Ts65Dn mouse model of Down syndrome. Neuroscience 333:277–301

    Article  CAS  PubMed  Google Scholar 

  • Stagni F, Giacomini A, Emili M, Guidi S, Ciani E, Bartesaghi R (2017) Epigallocatechin gallate: A useful therapy for cognitive disability in Down syndrome? Neurogenesis 4(1):e1270383

    Article  PubMed  PubMed Central  Google Scholar 

  • Stagni F, Guidi S, Bartesaghi R (2021) Epigallocatechin-3-gallate: linking the neurogenesis, hippocampus, and down syndrome. Factors affecting neurodevelopment. Elsevier, pp 619–630

    Chapter  Google Scholar 

  • Starbuck JM et al (2021) Green tea extracts containing epigallocatechin-3-gallate modulate facial development in Down syndrome. Sci Rep 11(1):4715

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Stefanova N, Wenning GK (2023) Multiple system atrophy: at the crossroads of cellular, molecular and genetic mechanisms. Nat Rev Neurosci 24(6):334–346

    Article  CAS  PubMed  Google Scholar 

  • Stringer M, Abeysekera I, Dria KJ, Roper RJ, Goodlett CR (2015) Low dose EGCG treatment beginning in adolescence does not improve cognitive impairment in a Down syndrome mouse model. Pharmacol Biochem Behav 138:70–79

    Article  CAS  PubMed  Google Scholar 

  • Stringer M et al (2017) Epigallocatechin-3-gallate (EGCG) consumption in the Ts65Dn model of Down syndrome fails to improve behavioral deficits and is detrimental to skeletal phenotypes. Physiol Behav 177:230–241

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Subramanian N, Venkatesh P, Ganguli S, Sinkar VP (1999) Role of polyphenol oxidase and peroxidase in the generation of black tea theaflavins. J Agric Food Chem 47(7):2571–2578

    Article  CAS  PubMed  Google Scholar 

  • Sun Q et al (2013) Novel immunoregulatory properties of EGCG on reducing inflammation in EAE. Front Biosci (Landmark Ed) 18(1):332–342

    Article  CAS  PubMed  Google Scholar 

  • Sutherland BA, Shaw OM, Clarkson AN, Jackson DM, Sammut IA, Appleton I (2005) Neuroprotective effects of (−)-epigallocatechin gallate after hypoxia-ischemia-induced brain damage: novel mechanisms of action. FASEB J 19(2):1–22

    Article  Google Scholar 

  • Taylor JM, Main BS, Crack PJ (2013) Neuroinflammation and oxidative stress: co-conspirators in the pathology of Parkinson’s disease. Neurochem Int 62(5):803–819

    Article  CAS  PubMed  Google Scholar 

  • Terao J, Piskula M, Yao Q (1994) Protective effect of epicatechin, epicatechin gallate, and quercetin on lipid peroxidation in phospholipid bilayers. Arch Biochem Biophys 308(1):278–284

    Article  CAS  PubMed  Google Scholar 

  • Theoharides TC, Zhang B (2011) Neuro-inflammation, blood-brain barrier, seizures and autism. J Neuroinflammation 8:1–5

    Article  Google Scholar 

  • Theoharides TC, Asadi S, Patel AB (2013) Focal brain inflammation and autism. J Neuroinflammation 10:1–7

    Article  Google Scholar 

  • Tiwari V, Kuhad A, Chopra K (2010) Epigallocatechin-3-gallate ameliorates alcohol-induced cognitive dysfunctions and apoptotic neurodegeneration in the developing rat brain. Int J Neuropsychopharmacol 13(8):1053–1066

    Article  CAS  PubMed  Google Scholar 

  • Toolsee NA et al (2013) Effectiveness of green tea in a randomized human cohort: relevance to diabetes and its complications. Biomed Res Int 2013(1):412379

    PubMed  PubMed Central  Google Scholar 

  • Tseng H-C et al (2020) Protective effect of (−) epigallocatechin-3-gallate on rotenone-induced parkinsonism-like symptoms in rats. Neurotox Res 37:669–682

    Article  CAS  PubMed  Google Scholar 

  • Tunc-Ozcan E, Wert SL, Lim PH, Ferreira A, Redei EE (2018) Hippocampus-dependent memory and allele-specific gene expression in adult offspring of alcohol-consuming dams after neonatal treatment with thyroxin or metformin. Mol Psychiatry 23(7):1643–1651

    Article  CAS  PubMed  Google Scholar 

  • Ullmann, Haller, Decourt, Girault, Spitzer, Weber (2004) Plasma-kinetic characteristics of purified and isolated green tea catechin epigallocatechin gallate (EGCG) after 10 days repeated dosing in healthy volunteers. Int J Vit Nutr Res 74(4):269–278

    Article  CAS  Google Scholar 

  • Unno K, Nakamura Y (2021) Green tea suppresses brain aging. Molecules 26(16):4897

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Unno K et al (2007) Daily consumption of green tea catechin delays memory regression in aged mice. Biogerontology 8:89–95

    Article  CAS  PubMed  Google Scholar 

  • Unno T, SAkUMA M, Mitsuhashi S (2014) Effect of dietary supplementation of (−)-epigallocatechin gallate on gut microbiota and biomarkers of colonic fermentation in rats. J Nutr Sci Vitaminol 60(3):213–219

    Article  CAS  PubMed  Google Scholar 

  • Valenti D et al (2013) "Epigallocatechin-3-gallate prevents oxidative phosphorylation deficit and promotes mitochondrial biogenesis in human cells from subjects with Down’s syndrome. Biochimica Et Biophysica Acta BBA-Mol Basis Dis 1832(4):542–552

    Article  CAS  Google Scholar 

  • Valenti D et al (2016) The polyphenols resveratrol and epigallocatechin-3-gallate restore the severe impairment of mitochondria in hippocampal progenitor cells from a Down syndrome mouse model. Biochimica Et Biophysica Acta BBA Mol Basis Dis 1862:1093–1104

    Article  CAS  Google Scholar 

  • Van Acker SA, Tromp MN, Griffioen DH, Van Bennekom WP, Van Der Vijgh WJ, Bast A (1996) Structural aspects of antioxidant activity of flavonoids. Free Radic Biol Med 20(3):331–342

    Article  PubMed  Google Scholar 

  • Van der Schyf CJ, Gal S, Geldenhuys WJ, Youdim MB (2006) Multifunctional neuroprotective drugs targeting monoamine oxidase inhibition, iron chelation, adenosine receptors, and cholinergic and glutamatergic action for neurodegenerative diseases. Expert Opin Investig Drugs 15(8):873–886

    Article  PubMed  Google Scholar 

  • Varga J, Dér NP, Zsindely N, Bodai L (2020) Green tea infusion alleviates neurodegeneration induced by mutant Huntingtin in Drosophila. Nutr Neurosci 23(3):183–189

    Article  CAS  PubMed  Google Scholar 

  • Vaughan R, McGee C, Guerin S, Tyrrell J, Dodd P (2016) The challenges of diagnosis and treatment of dementia in Down’s syndrome. Irish J Psychol Med 33(3):151–158

    Article  CAS  Google Scholar 

  • Vicari S, Pontillo M, Armando M (2013) Neurodevelopmental and psychiatric issues in Down’s syndrome: assessment and intervention. Psychiatr Genet 23(3):95–107

    Article  CAS  PubMed  Google Scholar 

  • Villemagne VL et al (2013) Amyloid β deposition, neurodegeneration, and cognitive decline in sporadic Alzheimer’s disease: a prospective cohort study. Lancet Neurol 12(4):357–367

    Article  CAS  PubMed  Google Scholar 

  • Walker JM et al (2015) Beneficial effects of dietary EGCG and voluntary exercise on behavior in an Alzheimer’s disease mouse model. J Alzheimers Dis 44(2):561–572

    Article  CAS  PubMed  Google Scholar 

  • Wang J-H, Cheng J, Li C-R, Ye M, Ma Z, Cai F (2011) Modulation of Ca2+ signals by epigallocatechin-3-gallate (EGCG) in cultured rat hippocampal neurons. Int J Mol Sci 12(1):742–754

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wang J, Ren Z, Xu Y, Xiao S, Meydani SN, Wu D (2012a) Epigallocatechin-3-gallate ameliorates experimental autoimmune encephalomyelitis by altering balance among CD4+ T-cell subsets. Am J Pathol 180(1):221–234

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wang Y, Li M, Xu X, Song M, Tao H, Bai Y (2012b) Green tea epigallocatechin-3-gallate (EGCG) promotes neural progenitor cell proliferation and sonic hedgehog pathway activation during adult hippocampal neurogenesis. Mol Nutr Food Res 56(8):1292–1303

    Article  CAS  PubMed  Google Scholar 

  • Wang D et al (2015a) Melatonin attenuates (-)-epigallocatehin-3-gallate-triggered hepatotoxicity without compromising its downregulation of hepatic gluconeogenic and lipogenic genes in mice. J Pineal Res 59(4):497–507

    Article  CAS  PubMed  Google Scholar 

  • Wang D, Wang Y, Wan X, Yang CS, Zhang J (2015b) Green tea polyphenol (−)-epigallocatechin-3-gallate triggered hepatotoxicity in mice: responses of major antioxidant enzymes and the Nrf2 rescue pathway. Toxicol Appl Pharmacol 283(1):65–74

    Article  CAS  PubMed  Google Scholar 

  • Wang Y et al (2022) Epigallocatechin-3-gallate: a phytochemical as a promising drug candidate for the treatment of Parkinson’s disease. Front Pharmacol 13:977521

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wang X, Ding C, Li H-B (2024) The crosstalk between enteric nervous system and immune system in intestinal development, homeostasis and diseases. Sci China Life Sci 67(1):41–50

    Article  PubMed  Google Scholar 

  • Wang J et al (2025) Epigallocatechin gallate mitigates the motor deficits in a rotenone-induced Parkinson’s disease rat model via promoting protein kinase D1 and inhibiting neuronal Parthanatos. Transl Neurosci 16(1):20250366

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ward RJ, Zucca FA, Duyn JH, Crichton RR, Zecca L (2014) The role of iron in brain ageing and neurodegenerative disorders. Lancet Neurol 13(10):1045–1060

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Weinreb O, Amit T, Mandel S, Youdim MB (2009) Neuroprotective molecular mechanisms of (−)-epigallocatechin-3-gallate: a reflective outcome of its antioxidant, iron chelating and neuritogenic properties. Genes Nutr 4:283–296

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wink M (2015) Modes of action of herbal medicines and plant secondary metabolites. Medicines 2(3):251–286

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wolfram S, Wang Y, Thielecke F (2006) Anti-obesity effects of green tea: from bedside to bench. Mol Nutr Food Res 50(2):176–187

    Article  CAS  PubMed  Google Scholar 

  • Wu Y, Cui J (2020) (-)-Epigallocatechin-3-gallate provides neuroprotection via AMPK activation against traumatic brain injury in a mouse model. Naunyn Schmiedebergs Arch Pharmacol 393(11):2209–2220

    Article  CAS  PubMed  Google Scholar 

  • Wu K-J, Hsieh M-T, Wu C-R, Wood WG, Chen Y-F (2012) Green tea extract ameliorates learning and memory deficits in ischemic rats via its active component polyphenol epigallocatechin-3-gallate by modulation of oxidative stress and neuroinflammation. Evid Based Complement Altern Med 2012(1):163106

    Google Scholar 

  • Wyant KJ, Ridder AJ, Dayalu P (2017) Huntington’s disease—update on treatments. Curr Neurol Neurosci Rep 17:1–11

    Article  CAS  Google Scholar 

  • Wyganowska-Świątkowska M, Matthews-Kozanecka M, Matthews-Brzozowska T, Skrzypczak-Jankun E, Jankun J (2018) Can EGCG alleviate symptoms of down syndrome by altering proteolytic activity? Int J Mol Sci 19(1):248

    Article  PubMed  PubMed Central  Google Scholar 

  • Xicota L, Rodriguez-Morato J, Dierssen M, de la Torre R (2017) Potential role of (-)-epigallocatechin-3-gallate (EGCG) in the secondary prevention of Alzheimer disease. Curr Drug Targets 18(2):174–195

    Article  CAS  PubMed  Google Scholar 

  • Xu Z, Chen S, Li X, Luo G, Li L, Le W (2006) Neuroprotective effects of (-)-epigallocatechin-3-gallate in a transgenic mouse model of amyotrophic lateral sclerosis. Neurochem Res 31:1263–1269

    Article  CAS  PubMed  Google Scholar 

  • Xu Y et al (2016) Epigallocatechin gallate (EGCG) inhibits alpha-synuclein aggregation: a potential agent for Parkinson’s disease. Neurochem Res 41:2788–2796

    Article  CAS  PubMed  Google Scholar 

  • Xu Q, Langley M, Kanthasamy AG, Reddy MB (2017) Epigallocatechin gallate has a neurorescue effect in a mouse model of Parkinson disease. J Nutr 147(10):1926–1931

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Yang L et al (2016) Prevalence of dementia, cognitive status and associated risk factors among elderly of Zhejiang province, China in 2014. Age Ageing 45(5):708–712

    Article  PubMed  Google Scholar 

  • Yeasmen N, Orsat V (2024) Maximization of the recovery of phenolic compounds from sugar maple leaves. Biomass Convers Biorefin 14(5):6251–6266

    Article  CAS  Google Scholar 

  • Yoshino K, Suzuki M, Sasaki K, Miyase T, Sano M (1999) Formation of antioxidants from (−)-epigallocatechin gallate in mild alkaline fluids, such as authentic intestinal juice and mouse plasma. J Nutr Biochem 10(4):223–229

    Article  CAS  PubMed  Google Scholar 

  • Zagury Y, Kazir M, Livney YD (2019) Improved antioxidant activity, bioaccessibility and bioavailability of EGCG by delivery in β-lactoglobulin particles. J Funct Foods 52:121–130

    Article  CAS  Google Scholar 

  • Zeng L, Ma M, Li C, Luo L (2017) Stability of tea polyphenols solution with different pH at different temperatures. Int J Food Prop 20(1):1–18

    Article  CAS  Google Scholar 

  • Zeng W et al (2022) The influence of EGCG on the pharmacokinetics and pharmacodynamics of bisoprolol and a new method for simultaneous determination of EGCG and bisoprolol in rat plasma. Front Nutr 9:907986

    Article  PubMed  PubMed Central  Google Scholar 

  • Zhang L, Zheng Y, Chow MS, Zuo Z (2004) Investigation of intestinal absorption and disposition of green tea catechins by Caco-2 monolayer model. Int J Pharm 287(1–2):1–12

    Article  CAS  PubMed  Google Scholar 

  • Zhang Y-J et al (2015a) Antioxidant phytochemicals for the prevention and treatment of chronic diseases. Molecules 20(12):21138–21156

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Zhang F, Li N, Jiang L, Chen L, Huang M (2015b) Neuroprotective effects of (−)-epigallocatechin-3-gallate against focal cerebral ischemia/reperfusion injury in rats through attenuation of inflammation. Neurochem Res 40:1691–1698

    Article  CAS  PubMed  Google Scholar 

  • Zhang B, Wang B, Cao S, Wang Y (2015c) Epigallocatechin-3-gallate (EGCG) attenuates traumatic brain injury by inhibition of edema formation and oxidative stress. Korean J Physiol Pharmacol off J Korean Physiol Soc Korean Soc Pharmacol 19(6):491

    Article  Google Scholar 

  • Zhang S et al (2024) Absorption, metabolism, bioactivity, and biotransformation of epigallocatechin gallate. Crit Rev Food Sci Nutr 64(19):6546–6566

    Article  CAS  PubMed  Google Scholar 

  • Zhao X et al (2017) Involvement of PKCα and ERK1/2 signaling pathways in EGCG’s protection against stress-induced neural injuries in Wistar rats. Neuroscience 346:226–237

    Article  CAS  PubMed  Google Scholar 

  • Zhao C-N et al (2019) Phenolic profiles and antioxidant activities of 30 tea infusions from green, black, oolong, white, yellow and dark teas. Antioxidants 8(7):215

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Zhao T, Li C, Wang S, Song X (2022) Green tea (Camellia sinensis): A review of its phytochemistry, pharmacology, and toxicology. Molecules 27(12):3909

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Zhou T, Zhu M, Liang Z (2018) (-)-Epigallocatechin-3-gallate modulates peripheral immunity in the MPTP-induced mouse model of Parkinson’s disease. Mol Med Rep 17(4):4883–4888

    CAS  PubMed  PubMed Central  Google Scholar 

  • Zhou W, Chen L, Hu X, Cao S, Yang J (2019) Effects and mechanism of epigallocatechin-3-gallate on apoptosis and mTOR/AKT/GSK-3β pathway in substantia nigra neurons in Parkinson rats. NeuroReport 30(2):60–65

    Article  CAS  PubMed  Google Scholar 

  • Zijp IM, Korver O, Tijburg LB (2000) Effect of tea and other dietary factors on iron absorption. Crit Rev Food Sci Nutr 40(5):371–398

    Article  CAS  PubMed  Google Scholar 

  • Zuo G et al (2024) Tea polyphenol epigallocatechin gallate protects against nonalcoholic fatty liver disease and associated endotoxemia in rats via modulating gut microbiota dysbiosis and alleviating intestinal barrier dysfunction and related inflammation. J Agric Food Chem 72(16):9067–9086

    CAS  Google Scholar 

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Acknowledgements

The authors are thankful to their own institutions and to the Deanship of Research and Graduate Studies, King Khalid University, Abha, Saudi Arabia, for financially supporting this work through the Large Research Group Project under Grant no. R.G.P.2/410/46.

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Md. Al Amin: conceptualization; data curation; formal analysis; investigation; methodology; resources; software; supervision; visualization; roles/writing—original draft; writing—review and editing. Mehrukh Zehravi: data curation; investigation; methodology; resources; software; roles/writing—original draft; writing—review and editing; Supervision. Sherouk Hussein Sweilam: data curation; investigation; methodology; resources; software; roles/writing—original draft; writing—review and editing. Thukani Sathanantham Shanmugarajan: data curation; investigation; methodology; resources; software; roles/writing—original draft; writing—review and editing. Uppuluri Varuna Naga Venkata Arjun: formal analysis; investigation; validation; visualization; roles/writing—review and editing. Mogan Babu Nagaiyan: formal analysis; investigation; validation; visualization; roles/writing—review and editing. S. Mounika Reddy: formal analysis; investigation; validation; visualization; roles/writing—review and editing. Vijayakumar Subash: formal analysis; investigation; validation; visualization; roles/writing—review and editing. Kalam Mary swarnalatha: formal analysis; investigation; validation; visualization; roles/writing—review and editing. Arjun Pazhanikumar: formal analysis; investigation; validation; visualization; roles/writing—review and editing. Joel Mart: formal analysis; investigation; validation; visualization; roles/writing—review and editing. P. Dharani Prasad: formal analysis; investigation; validation; visualization; roles/writing—review and editing. Mohammad Idreesh Khan: formal analysis; investigation; validation; visualization; roles/writing—review and editing. Irfan Ahmad: formal analysis; investigation; validation; visualization; roles/writing—review and editing. Talha Bin Emran: conceptualization; formal analysis; funding acquisition; investigation; methodology; project administration; supervision; validation; visualization; writing—review and editing. All authors have read and agreed to the published version of the manuscript. The authors confirm that no paper mill and artificial intelligence was used.

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Al Amin, M., Zehravi, M., Sweilam, S.H. et al. Clinical insights into catechin-based nanomedicine: a review of therapeutic potential in neurodegenerative diseases. 3 Biotech 15, 294 (2025). https://doi.org/10.1007/s13205-025-04470-8

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  • DOI: https://doi.org/10.1007/s13205-025-04470-8

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