General Information:

Id: 5,172
Diseases: Alzheimer disease - [OMIM]
Neurological
Mammalia
review
Reference: Sokolov AN et al.(2013) Chocolate and the brain: neurobiological impact of cocoa flavanols on cognition and behavior Neurosci Biobehav Rev 37: 2445-2453 [PMID: 23810791]

Interaction Information:

Comment Cocoa products and chocolate have recently been recognized as a rich source of flavonoids, mainly flavanols, potent antioxidant and anti-inflammatory agents with established benefits for cardiovascular health but largely unproven effects on neurocognition and behavior. Absorbed cocoa flavonoids penetrate and accumulate in the brain regions involved in learning and memory, especially the hippocampus. The neurobiological actions of flavanols (part of the flavonoids) are believed to occur in two major ways: (i) via direct interactions with cellular cascades yielding expression of neuroprotective and neuromodulatory proteins that promote neurogenesis, neuronal function and brain connectivity, and (ii) via blood-flow improvement and angiogenesis in the brain and sensory systems. Protective effects of long-term flavanol consumption on neurocognition and behavior, including age- and disease-related cognitive decline, were shown in animal models of normal aging, dementia, and stroke. A few human observational and intervention studies appear to corroborate these findings.
Formal Description
Interaction-ID: 50620

drug/chemical compound

Cocoa flavonoid

is localized in

tissue/cell line

hippocampus

after penetration and accumulation in the brain;
Comment Animal studies show that flavanols and their metabolites can cross the blood‚Äďbrain barrier, inducing beneficial effects on the brain tissue and function (angio- and neurogenesis, changes in neuron morphology) and stimulating widespread blood circulation in the brain.
Formal Description
Interaction-ID: 50636

drug/chemical compound

Flavanol

affects_activity of

tissue/cell line

brain

concerning angio- and neurogenesis, and changes in neuron morphology;
Comment Animal studies show that flavanols and their metabolites can cross the blood‚Äďbrain barrier, inducing beneficial effects on the brain tissue and function (angio- and neurogenesis, changes in neuron morphology) and stimulating widespread blood circulation in the brain.
Formal Description
Interaction-ID: 50637

drug/chemical compound

Flavanol

increases_activity of

in animal brain
Comment Daily oral administration of Acticoa powder (a cocoa polyphenolic extract) or vitamin E counteract the overproduction of free radicals, and thereby protect rats from cognitive impairments caused by heat exposure.
Formal Description
Interaction-ID: 50652

drug/chemical compound

Cocoa polyphenolic extract

decreases_quantity of

drug/chemical compound

Free radical

in heat exposed rats
Comment Daily oral administration of Acticoa powder (a cocoa polyphenolic extract) or vitamin E counteract the overproduction of free radicals, and thereby protect rats from cognitive impairments caused by heat exposure.
Formal Description
Interaction-ID: 50653

increases_quantity of

drug/chemical compound

Free radical

in heat exposed rats
Comment Daily oral administration of Acticoa powder (a cocoa polyphenolic extract) or vitamin E counteract the overproduction of free radicals, and thereby protect rats from cognitive impairments caused by heat exposure.
Formal Description
Interaction-ID: 50654

increases_activity of

phenotype

cognitive impairment

in heat exposed rats
Comment Daily oral administration of Acticoa powder (a cocoa polyphenolic extract) or vitamin E counteract the overproduction of free radicals, and thereby protect rats from cognitive impairments caused by heat exposure.
Formal Description
Interaction-ID: 50655

drug/chemical compound

alpha-Tocopherol

decreases_quantity of

drug/chemical compound

Free radical

in heat exposed rats
Comment LMN diet (a diet rich in polyunsaturated fatty acids and polyphenols from dry fruits and cocoa) administered at an age of 10 months (before the amyloid plaques (Abeta) occurred) led to a decreasing tendency of soluble (sAbeta) and fibrillar Abeta (fAbeta) levels in the hippocampus of Tg2576 mice along with a decrease in Abeta plasma content suggesting a putative role of the diet in delaying plaque formation compared to wild type mice.
Formal Description
Interaction-ID: 50656

environment

LMN diet

decreases_quantity of

complex/PPI

Amyloid beta peptide (soluble)

in the hippocampus of Tg2576 mice
Comment LMN diet (a diet rich in polyunsaturated fatty acids and polyphenols from dry fruits and cocoa) administered at an age of 10 months (before the amyloid plaques (Abeta) occurred) led to a decreasing tendency of soluble (sAbeta) and fibrillar Abeta (fAbeta) levels in the hippocampus of Tg2576 mice along with a decrease in Abeta plasma content suggesting a putative role of the diet in delaying plaque formation compared to wild type mice.
Formal Description
Interaction-ID: 50658

environment

LMN diet

decreases_quantity of

complex/PPI

Amyloid beta peptide (fibrillar)

in the hippocampus of Tg2576 mice
Comment A treatment with dark chocolate prevents the inflammation of the vagus nerve resulting from a 16-month exposure of mice to the polluted air of Mexico City. Mice exposed to polluted air had a significant imbalance in genes coding for antioxidant defenses, apoptosis and neurodegeneration at the level of the dorsal vagal complex and this imbalance was mitigated by chocolate administration.
Formal Description
Interaction-ID: 50682

environment

flavonoid supplementation

decreases_activity of

of the vagus nerve resulting from an exposure of mice to polluted air; flavonoid supplementation was given in form of dark chocolate supplementation;
Comment In a cross-sectional study of the elderly Norwegian population, the association between cognitive performance and flavonoid intake from chocolate, wine, and tea was investigated. The participants aged 70‚Äď74 years completed a comprehensive cognitive test battery. Habitual food intake was assessed by a self-reported food frequency questionnaire. Chocolate, wine, or tea consumers yielded significantly better mean test scores and lower prevalence of poor cognitive performance. Those consuming all three items had the best test scores and the lowest risk for poor test performance. The association between intake of the foods and cognition were dose-dependent.
Formal Description
Interaction-ID: 50688

environment

flavonoid supplementation

increases_activity of

In a cross-sectional study of the elderly Norwegian population; flavonoid supplementation was given in form of chocolate supplementation;
Comment In a cross-sectional study of the elderly Norwegian population, the association between cognitive performance and flavonoid intake from chocolate, wine, and tea was investigated. The participants aged 70‚Äď74 years completed a comprehensive cognitive test battery. Habitual food intake was assessed by a self-reported food frequency questionnaire. Chocolate, wine, or tea consumers yielded significantly better mean test scores and lower prevalence of poor cognitive performance. Those consuming all three items had the best test scores and the lowest risk for poor test performance. The association between intake of the foods and cognition were dose-dependent.
Formal Description
Interaction-ID: 50689

environment

flavonoid supplementation

increases_activity of

In a cross-sectional study of the elderly Norwegian population; flavonoid supplementation was given in form of wine supplementation;
Comment In a cross-sectional study of the elderly Norwegian population, the association between cognitive performance and flavonoid intake from chocolate, wine, and tea was investigated. The participants aged 70‚Äď74 years completed a comprehensive cognitive test battery. Habitual food intake was assessed by a self-reported food frequency questionnaire. Chocolate, wine, or tea consumers yielded significantly better mean test scores and lower prevalence of poor cognitive performance. Those consuming all three items had the best test scores and the lowest risk for poor test performance. The association between intake of the foods and cognition were dose-dependent.
Formal Description
Interaction-ID: 50690

environment

flavonoid supplementation

increases_activity of

In a cross-sectional study of the elderly Norwegian population; flavonoid supplementation was given in form of tea supplementation;
Comment Dietary high-flavanol cocoa intake is associated with an increased cerebral blood flow velocity in the middle cerebral artery, suggesting a promising role for high-flavanol cocoa consumption in the treatment of cerebrovascular ischemic syndromes such as dementia and stroke.
Formal Description
Interaction-ID: 50694

environment

high-flavanol cocoa supplementation

increases_activity of

in the middle cerebral artery
Comment A work in cultured human neuroblastoma cells shows that low concentrations of nitric oxide up-regulate the expression of alpha-secretase and down-regulate that of gamma-secretase. This suggests the cerebrovascular nitric oxide might inhibit Abeta production.
Formal Description
Interaction-ID: 50704

drug/chemical compound

NO

increases_expression of

gene/protein

Alpha-secretase

in cultured human neuroblastoma cells; (low concentrations of nitric oxide)
Comment A work in cultured human neuroblastoma cells shows that low concentrations of nitric oxide up-regulate the expression of alpha-secretase and down-regulate that of gamma-secretase. This suggests the cerebrovascular nitric oxide might inhibit Abeta production.
Formal Description
Interaction-ID: 50705

drug/chemical compound

NO

decreases_expression of

complex/PPI

Gamma-secretase complex

in cultured human neuroblastoma cells; (low concentrations of nitric oxide)
Comment Cocoa flavanols, especially epicatechin, act directly on the endothelium of brain vessels, stimulating activity of the endothelial nitric oxide synthase that in turn induces vasodilation and improves cerebrovascular perfusion.
Formal Description
Interaction-ID: 50706

drug/chemical compound

Cocoa flavanol

affects_activity of

tissue/cell line

blood vessel endothelium

in brain; especially epicatechin acts directly on the endothelium of brain vessels;
Comment Cocoa flavanols, especially epicatechin, act directly on the endothelium of brain vessels, stimulating activity of the endothelial nitric oxide synthase that in turn induces vasodilation and improves cerebrovascular perfusion. It is conceivable that beneficial properties of cocoa flavanols may slow down the transition from mild cognitive impairment to Alzheimer’s disease.
Formal Description
Interaction-ID: 50710

drug/chemical compound

Cocoa flavanol

increases_activity of

gene/protein

NOS3

in brain; via acting directly on the endothelium of brain vessels;
Drugbank entries Show/Hide entries for NOS3
Comment Cocoa flavanols, especially epicatechin, act directly on the endothelium of brain vessels, stimulating activity of the endothelial nitric oxide synthase that in turn induces vasodilation and improves cerebrovascular perfusion. It is conceivable that beneficial properties of cocoa flavanols may slow down the transition from mild cognitive impairment to Alzheimer’s disease.
Formal Description
Interaction-ID: 50711

gene/protein

NOS3

increases_activity of

process

vasodilation

Drugbank entries Show/Hide entries for NOS3
Comment Cocoa flavanols, especially epicatechin, act directly on the endothelium of brain vessels, stimulating activity of the endothelial nitric oxide synthase that in turn induces vasodilation and improves cerebrovascular perfusion. It is conceivable that beneficial properties of cocoa flavanols may slow down the transition from mild cognitive impairment to Alzheimer’s disease.
Formal Description
Interaction-ID: 50729

gene/protein

NOS3

increases_activity of

process

cerebrovascular perfusion

in brain
Drugbank entries Show/Hide entries for NOS3
Comment 90 elderly individuals with mild cognitive impairment (mean age, 71 years; 43 males) consumed once daily for eight weeks a drink containing either 990 mg (high), 520 mg (moderate), or 45 mg (low-flavanol) of cocoa flavanols. In the high- and moderate-flavanol compared to the low-flavanol groups time required to complete different Trail Making Tests was significantly lower and also the verbal fluency score was significantly better. The high- and moderate-flavanol groups also exhibited decreased insulin resistance, blood pressure, and lipid peroxidation.
Formal Description
Interaction-ID: 50733

drug/chemical compound

Cocoa flavanol

increases_activity of

phenotype

verbal fluency

in elderly individuals with mild cognitive impairment;
Comment 90 elderly individuals with mild cognitive impairment (mean age, 71 years; 43 males) consumed once daily for eight weeks a drink containing either 990 mg (high), 520 mg (moderate), or 45 mg (low-flavanol) of cocoa flavanols. In the high- and moderate-flavanol compared to the low-flavanol groups time required to complete different Trail Making Tests was significantly lower and also the verbal fluency score was significantly better. The high- and moderate-flavanol groups also exhibited decreased insulin resistance, blood pressure, and lipid peroxidation.
Formal Description
Interaction-ID: 50754

drug/chemical compound

Cocoa flavanol

decreases_activity of

phenotype

insulin resistance

in elderly individuals with mild cognitive impairment;
Comment 90 elderly individuals with mild cognitive impairment (mean age, 71 years; 43 males) consumed once daily for eight weeks a drink containing either 990 mg (high), 520 mg (moderate), or 45 mg (low-flavanol) of cocoa flavanols. In the high- and moderate-flavanol compared to the low-flavanol groups time required to complete different Trail Making Tests was significantly lower and also the verbal fluency score was significantly better. The high- and moderate-flavanol groups also exhibited decreased insulin resistance, blood pressure, and lipid peroxidation.
Formal Description
Interaction-ID: 50755

drug/chemical compound

Cocoa flavanol

decreases_activity of

phenotype

blood pressure

in elderly individuals with mild cognitive impairment;
Comment 90 elderly individuals with mild cognitive impairment (mean age, 71 years; 43 males) consumed once daily for eight weeks a drink containing either 990 mg (high), 520 mg (moderate), or 45 mg (low-flavanol) of cocoa flavanols. In the high- and moderate-flavanol compared to the low-flavanol groups time required to complete different Trail Making Tests was significantly lower and also the verbal fluency score was significantly better. The high- and moderate-flavanol groups also exhibited decreased insulin resistance, blood pressure, and lipid peroxidation.
Formal Description
Interaction-ID: 50756

drug/chemical compound

Cocoa flavanol

decreases_activity of

process

lipid peroxidation

in elderly individuals with mild cognitive impairment;
Comment Mice treated with one of the major chocolate flavanols, epicatechin, showed pronounced angiogenesis in the hippocampus. Epicatechin treatment combined with exercise (running a wheel) improved retention of spatial memory and increased dendritic spine density in the dentate gyrus of the hippocampus. Moreover, epicatechin treatment facilitated gene expression associated with learning in the hippocampus but did not affect hippocampal adult neurogenesis.
Formal Description
Interaction-ID: 50757

cellular component

Epicatechin

increases_activity of

process

angiogenesis

in the hippocampus; of mice
Comment Mice treated with one of the major chocolate flavanols, epicatechin, showed pronounced angiogenesis in the hippocampus. Epicatechin treatment combined with exercise (running a wheel) improved retention of spatial memory and increased dendritic spine density in the dentate gyrus of the hippocampus. Moreover, epicatechin treatment facilitated gene expression associated with learning in the hippocampus but did not affect hippocampal adult neurogenesis.
Formal Description
Interaction-ID: 50758

cellular component

Epicatechin

increases_activity of

process

spatial memory

in the hippocampus; of mice, if epicatechin treatment is combined with exercise (running a wheel);
Comment Mice treated with one of the major chocolate flavanols, epicatechin, showed pronounced angiogenesis in the hippocampus. Epicatechin treatment combined with exercise (running a wheel) improved retention of spatial memory and increased dendritic spine density in the dentate gyrus of the hippocampus. Moreover, epicatechin treatment facilitated gene expression associated with learning in the hippocampus but did not affect hippocampal adult neurogenesis.
Formal Description
Interaction-ID: 50759

cellular component

Epicatechin

increases_activity of

phenotype

increased hippocampal dendritic spine density

in the dentate gyrus; of mice, if epicatechin treatment is combined with exercise (running a wheel);
Comment Mice treated with one of the major chocolate flavanols, epicatechin, showed pronounced angiogenesis in the hippocampus. Epicatechin treatment combined with exercise (running a wheel) improved retention of spatial memory and increased dendritic spine density in the dentate gyrus of the hippocampus. Moreover, epicatechin treatment facilitated gene expression associated with learning in the hippocampus but did not affect hippocampal adult neurogenesis.
Formal Description
Interaction-ID: 50760

cellular component

Epicatechin

increases_activity of

process

gene expression

in mice, associated with learning in the hippocampus;
Comment Mice treated with one of the major chocolate flavanols, epicatechin, showed pronounced angiogenesis in the hippocampus. Epicatechin treatment combined with exercise (running a wheel) improved retention of spatial memory and increased dendritic spine density in the dentate gyrus of the hippocampus. Moreover, epicatechin treatment facilitated gene expression associated with learning in the hippocampus but did not affect hippocampal adult neurogenesis.
Formal Description
Interaction-ID: 50761

cellular component

Epicatechin

NOT affects_activity of

process

neurogenesis

in hippocampus; of adult mice
Comment The effects of short-term versus long-term (two-week) oral administration of cocoa mass in large amounts (100 mg/100 g body weight) were compared in the rat elevated T-maze test, an animal model of anxiety. Short-term administration significantly abolished avoidance behavior during immediate test performance, suggesting a reduced fear conditioning. Long-term administration enhanced brain concentration of emotion-related neurotransmitter serotonin and its turnover.
Formal Description
Interaction-ID: 50762

drug/chemical compound

Cocoa

increases_activity of

Short-term administration of cocoa mass significantly abolished avoidance behavior in rat;
Comment The effects of short-term versus long-term (two-week) oral administration of cocoa mass in large amounts (100 mg/100 g body weight) were compared in the rat elevated T-maze test, an animal model of anxiety. Short-term administration significantly abolished avoidance behavior during immediate test performance, suggesting a reduced fear conditioning. Long-term administration enhanced brain concentration of emotion-related neurotransmitter serotonin and its turnover. long-term intake of cocoa mass affects brain monoamine metabolism.
Formal Description
Interaction-ID: 50763

drug/chemical compound

Cocoa

increases_quantity of

drug/chemical compound

Serotonin

in brain; of rats
Comment In human studies one of them reported an immediate improvement of cognitive function and another an immediate improvement of visual function following high-flavanol cocoa consumption in healthy young adults.
Formal Description
Interaction-ID: 50764

environment

high-flavanol cocoa supplementation

increases_activity of

phenotype

increased cognitive function

in healthy young adults
Comment In human studies one of them reported an immediate improvement of cognitive function and another an immediate improvement of visual function following high-flavanol cocoa consumption in healthy young adults.
Formal Description
Interaction-ID: 50765

environment

high-flavanol cocoa supplementation

increases_activity of

phenotype

increased visual function

in healthy young adults