$$\rightleftharpoonup{xx}$$
$$\longleftharp{xx}$$,
$$\longrightharp{xx}$$,
AD represents the most common type of dementia that generates serious and escalating challenges worldwide1,2. AD arises from a combination of genetic and environmental factors. Multiple pathogenic hypotheses have been proposed to explain AD, including cholinergic, amyloid, tau, inflammatory, oxidative stress, metal ion, excitotoxicity, microbiota-gut-brain axis, and autophagy-related mechanisms3. AD is a multifactorial disorder involving β-amyloid deposition, tau pathology, neuroinflammation, and genetic risk factors such as ApoE4 and TREM24,5. Due to the multifactorial nature of AD, multiple target-directed ligands (MTDLs) have emerged as promising therapeutic strategies based on polypharmacological interactions with Aβ, tau, ApoE4, TREM2-mediated microglial function, and complement-driven neuroinflammation3,6,7. β-amyloid aggregation is a key pathological hallmark of AD that disrupts neuronal function and is modulated by ApoE4 isoforms and immune responses8,9.
Hyperphosphorylation and other post-translational modifications of tau, including truncation, acetylation, ubiquitination, and glycosylation, contribute significantly to the formation of neurofibrillary tangles (NFTs), one of the major pathological hallmarks of AD. These modifications reduce the affinity of tau for microtubules, leading to microtubule destabilization, impaired axonal transport, synaptic dysfunction, mitochondrial abnormalities, and progressive neuronal degeneration. In addition, abnormal tau aggregation has been strongly associated with cognitive decline and disease severity in AD, often correlating more closely with neurodegeneration than amyloid burden itself. Furthermore, increasing evidence suggests that tau pathology interacts closely with neuroinflammatory signaling pathways, where activated microglia and inflammatory mediators may further exacerbate tau propagation and neuronal damage10,11,12.
TREM2-mediated microglial activation has been associated with neuroinflammatory responses during AD progression13. Complement proteins such as C1q and C3 have been implicated in synaptic loss, complement-mediated neuroinflammation, and inflammatory signaling associated with AD pathology14,15. Notch signaling, oxidative stress, inflammatory pathways, and ApoE4 further accelerate AD progression9,16.
Olive leaf extract (OLE) is a bioactive phytocomplex rich in secoiridoids, flavonoids, triterpenes, and phenolic acids, as summarized in Table 1. These constituents have been associated with antioxidant and anti-inflammatory biological activities in previous studies17. Oleuropein is the principal secoiridoid identified in olive leaves, as it constitutes the primary phenolic component in these leaves. This renders oleuropein the most abundant phenolic secoiridoid identified in olive leaves, and its chemical structure is illustrated in Figure 1.
Previous studies have reported biological activities of oleuropein associated with amyloid aggregation, tau-related pathology, oxidative stress, and inflammatory signaling pathways18,19. Additional studies have also suggested potential interactions of oleuropein with pathways related to ApoE4, TREM2-mediated microglial activation, and complement-associated neuroinflammation20,21.
Despite the growing interest in oleuropein, its interactions with multiple AD-related protein targets have not been comprehensively evaluated within a unified computational framework. Most previous studies have primarily focused on its antioxidant properties or its potential effects on individual pathological pathways, particularly amyloid aggregation and tau-related toxicity. Therefore, the present study employed molecular docking and molecular dynamics simulations to computationally assess the predicted interactions and dynamic behavior of oleuropein against five AD-related protein targets, including β-amyloid, tau, ApoE4, TREM2, and C1q. These targets were selected because they represent distinct yet interconnected pathological mechanisms involved in AD progression. β-amyloid plays a central role in extracellular plaque formation, synaptic dysfunction, oxidative stress, and neuronal toxicity, whereas tau pathology is closely associated with neurofibrillary tangle formation, cytoskeletal disruption, and progressive cognitive decline22. ApoE4 represents the strongest genetic risk factor for sporadic AD and contributes to impaired amyloid clearance, enhanced neurotoxicity, lipid dysregulation, and increased neuroinflammatory responses23. TREM2 is a key regulator of microglial activation and neuroimmune signaling and has been implicated in amyloid clearance, inflammatory regulation, and disease-associated microglial responses during AD progression24. In addition, complement protein C1q plays a critical role in complement-mediated neuroinflammation, aberrant synaptic pruning, and microglia-associated synaptic degeneration in AD25.
The overall in silico workflow used to evaluate oleuropein against the selected Alzheimer’s disease-related protein targets is summarized in Figure 2.