# Targeting the Cardiovascular-Alzheimer’s Disease Axis: The Promise of Marine Bioactive Peptides

**Authors:** Chathuri Kaushalya Marasinghe, Kumju Youn, Chi-Tang Ho, Mira Jun

PMC · DOI: 10.3390/md24020056 · 2026-01-29

## TL;DR

This review explores how marine bioactive peptides can help prevent both cardiovascular and Alzheimer’s diseases by targeting shared mechanisms.

## Contribution

The paper introduces marine bioactive peptides as a novel, sustainable approach for integrated prevention of CVD and AD.

## Key findings

- Marine bioactive peptides show antioxidant, anti-inflammatory, and neuroprotective properties relevant to the CVD-AD axis.
- Enzymatic hydrolysis and separation techniques are key for producing and characterizing these peptides.
- Challenges include scalable production and regulatory approval, though progress is being made.

## Abstract

Cardiovascular diseases (CVDs) and Alzheimer’s disease (AD) are among the most prevalent chronic conditions, contributing significantly to global morbidity and healthcare burdens. These diseases are increasingly recognized as interconnected through shared mechanisms such as vascular dysfunction, oxidative stress, hypertension, and systemic inflammation, collectively referred to as the CVD-AD axis. Although therapeutic strategies exist for each condition, integrated approaches targeting these common pathways remain limited. This review highlights marine-derived bioactive peptides (BAPs) as multifunctional, sustainable agents for the simultaneous prevention of CVD and AD. It summarizes recent advances in their production, purification, and characterization, with emphasis on enzymatic hydrolysis and separation techniques. Marine BAPs exhibit diverse bioactivities, antioxidant, anti-inflammatory, lipid-lowering, antihypertensive, and neuroprotective, addressing key pathological mechanisms of the CVD-AD axis. Their small size, stability, and favorable safety profile support absorption and initial bioavailability, while sustainable sourcing from underutilized marine biomass enables eco-friendly production. Despite their potential, barriers to scalable production, product standardization, and regulatory approval remain; however, incremental advances are being made toward overcoming these issues. Together with these advances, marine BAPs remain promising candidates for functional foods and nutraceuticals, providing integrated preventive strategies for age-related diseases and supporting long-term cardiovascular and cognitive health.

## Linked entities

- **Diseases:** Alzheimer’s disease (MONDO:0004975)

## Full-text entities

- **Genes:** NOS2 (nitric oxide synthase 2) [NCBI Gene 4843] {aka HEP-NOS, INOS, NOS, NOS2A}, REN (renin) [NCBI Gene 5972] {aka ADTKD4, HNFJ2, RTD}, CCN2 (cellular communication network factor 2) [NCBI Gene 1490] {aka CTGF, HCS24, IBP-8, IGFBP8, KMD, NOV2}, MAPT (microtubule associated protein tau) [NCBI Gene 4137] {aka DDPAC, FTD1, FTDP-17, MAPTL, MSTD, MTBT1}, SEC62 (SEC62 preprotein translocation factor) [NCBI Gene 7095] {aka Dtrp1, HTP1, TLOC1, TP-1}, BACE1 (beta-secretase 1) [NCBI Gene 23621] {aka ASP2, BACE, HSPC104}, EDN1 (endothelin 1) [NCBI Gene 1906] {aka ARCND3, ET1, HDLCQ7, PPET1, QME}, BDNF (brain derived neurotrophic factor) [NCBI Gene 627] {aka ANON2, BULN2}, PRKCD (protein kinase C delta) [NCBI Gene 5580] {aka ALPS3, CVID9, MAY1, PKCD, nPKC-delta}, CYCS (cytochrome c, somatic) [NCBI Gene 54205] {aka CYC, HCS, THC4}, ICAM1 (intercellular adhesion molecule 1) [NCBI Gene 3383] {aka BB2, CD54, P3.58}, CXCL8 (C-X-C motif chemokine ligand 8) [NCBI Gene 3576] {aka GCP-1, GCP1, IL8, LECT, LUCT, LYNAP}, ACE (angiotensin I converting enzyme) [NCBI Gene 1636] {aka ACE1, CD143, DCP, DCP1}, NFKB1 (nuclear factor kappa B subunit 1) [NCBI Gene 4790] {aka CVID12, EBP-1, KBF1, NF-kB, NF-kB1, NF-kappa-B1}, CASP9 (caspase 9) [NCBI Gene 842] {aka APAF-3, APAF3, ICE-LAP6, MCH6, PPP1R56}, IL1B (interleukin 1 beta) [NCBI Gene 3553] {aka IL-1, IL1-BETA, IL1F2, IL1beta}, C1QA (complement C1q A chain) [NCBI Gene 712] {aka C1QD1}, NGF (nerve growth factor) [NCBI Gene 4803] {aka Beta-NGF, HSAN5, NGFB}, ATP5PF (ATP synthase peripheral stalk subunit F6) [NCBI Gene 522] {aka ATP5, ATP5A, ATP5J, ATPM, CF6, F6}, CCL2 (C-C motif chemokine ligand 2) [NCBI Gene 6347] {aka GDCF-2, HC11, HSMCR30, MCAF, MCP-1, MCP1}, EGR1 (early growth response 1) [NCBI Gene 1958] {aka AT225, G0S30, KROX-24, NGFI-A, TIS8, ZIF-268}, COX2 (cytochrome c oxidase subunit II) [NCBI Gene 4513] {aka COII, MTCO2}, IGHE (immunoglobulin heavy constant epsilon) [NCBI Gene 3497] {aka IgE}, TNF (tumor necrosis factor) [NCBI Gene 7124] {aka DIF, IMD127, TNF-alpha, TNFA, TNFSF2, TNLG1F}, APP (amyloid beta precursor protein) [NCBI Gene 351] {aka AAA, ABETA, ABPP, AD1, APPI, CTFgamma}, IL10 (interleukin 10) [NCBI Gene 3586] {aka CSIF, GVHDS, IL-10, IL10A, TGIF}, NOX4 (NADPH oxidase 4) [NCBI Gene 50507] {aka KOX, KOX-1, RENOX}, TLR4 (toll like receptor 4) [NCBI Gene 7099] {aka ARMD10, CD284, TLR-4, TOLL}, AKT1 (AKT serine/threonine kinase 1) [NCBI Gene 207] {aka AKT, PKB, PKB-ALPHA, PRKBA, RAC, RAC-ALPHA}, CYBB (cytochrome b-245 beta chain) [NCBI Gene 1536] {aka AMCBX2, CGD, CGDX, GP91-1, GP91-PHOX, GP91PHOX}, NOS3 (nitric oxide synthase 3) [NCBI Gene 4846] {aka EC-NOS, ECNOS, MYMY8, NOSIII, cNOS, eNOS}, TREM2 (triggering receptor expressed on myeloid cells 2) [NCBI Gene 54209] {aka AD17, PLOSL2, TREM-2, Trem2a, Trem2b, Trem2c}, ACHE (acetylcholinesterase (Yt blood group)) [NCBI Gene 43] {aka ACEE, ARACHE, N-ACHE, YT}, CDH5 (cadherin 5) [NCBI Gene 1003] {aka 7B4, CD144}, AP2B1 (adaptor related protein complex 2 subunit beta 1) [NCBI Gene 163] {aka ADTB2, AP105B, AP2-BETA, CLAPB1}, GPX4 (glutathione peroxidase 4) [NCBI Gene 2879] {aka GPx-4, GSHPx-4, MCSP, PHGPx, SMDS, snGPx}, PPARG (peroxisome proliferator activated receptor gamma) [NCBI Gene 5468] {aka CIMT1, FPLD3, GLM1, NR1C3, PPARG1, PPARG2}, SELE (selectin E) [NCBI Gene 6401] {aka CD62E, ELAM, ELAM1, ESEL, LECAM2, selectin-e}, PIK3CB (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit beta) [NCBI Gene 5291] {aka P110BETA, PI3K, PI3KBETA, PIK3C1}, HMOX1 (heme oxygenase 1) [NCBI Gene 3162] {aka HMOX1D, HO-1, HSP32, bK286B10}, ELN (elastin) [NCBI Gene 2006] {aka ADCL1, SVAS, WBS, WS}, NFE2L2 (NFE2 like bZIP transcription factor 2) [NCBI Gene 4780] {aka IMDDHH, NRF2, Nrf-2}, SOD1 (superoxide dismutase 1) [NCBI Gene 6647] {aka ALS, ALS1, HEL-S-44, IPOA, SOD, STAHP}, AGTR1 (angiotensin II receptor type 1) [NCBI Gene 185] {aka AG2S, AGTR1B, AT1, AT1AR, AT1B, AT1BR}, VCAM1 (vascular cell adhesion molecule 1) [NCBI Gene 7412] {aka CD106, INCAM-100}, AGT (angiotensinogen) [NCBI Gene 183] {aka ANHU, SERPINA8, hFLT1}, DPP4 (dipeptidyl peptidase 4) [NCBI Gene 1803] {aka ADABP, ADCP2, CD26, DPPIV, TP103}, TGFB1 (transforming growth factor beta 1) [NCBI Gene 7040] {aka CAEND1, CED, DPD1, IBDIMDE, LAP, TGF-beta1}, CAT (catalase) [NCBI Gene 847], PHB2 (prohibitin 2) [NCBI Gene 11331] {aka BAP, BCAP37, Bap37, PNAS-141, REA, hBAP}, BCL2 (BCL2 apoptosis regulator) [NCBI Gene 596] {aka Bcl-2, PPP1R50}, GLB1 (galactosidase beta 1) [NCBI Gene 2720] {aka EBP, ELNR1, MPS4B}, IL6 (interleukin 6) [NCBI Gene 3569] {aka BSF-2, BSF2, CDF, HGF, HSF, IFN-beta-2}
- **Diseases:** cholinergic (MESH:C535672), neurofibrillary tangles (MESH:D055956), hypoxia (MESH:D000860), ischemia (MESH:D007511), hypotension (MESH:D007022), stroke (MESH:D020521), tau abnormalities (MESH:C536599), hemorrhagic (MESH:D006470), BBB dysfunction (MESH:C536830), Neuroinflammation (MESH:D000090862), AD (MESH:D000544), brain atrophy (MESH:C566985), neurotoxic (MESH:D020258), diabetes (MESH:D003920), endothelial dysfunction (MESH:D014652), ischemic (MESH:D002545), endothelial impairment (MESH:D020141), dyslipidemia (MESH:D050171), mitochondrial damage (MESH:D028361), injury to (MESH:D014947), neurodegeneration (MESH:D019636), Inflammatory (MESH:D007249), fibrosis (MESH:D005355), cerebral hypoperfusion (MESH:D002547), hyperglycemia (MESH:D006943), cognitive decline (MESH:D003072), Endothelial (MESH:D005642), memory and attentional impairments (MESH:D008569), synaptic dysfunction (MESH:C536122), immune dysregulation (OMIM:614878), necrotic (MESH:D009336), hepatic and renal toxicity (MESH:D056486), coronary artery disease (MESH:D003324), systemic (MESH:D015619), amyloid (MESH:C000718787), dementia (MESH:D003704), neuronal (MESH:D009410), heart failure (MESH:D006333), infarct (MESH:D007238), depression (MESH:D003866), Vascular (MESH:D057772), vascular dysfunction (MESH:D002561), toxicity (MESH:D064420), age-related diseases (MESH:D010024), myocardial infarction (MESH:D009203), CVD (MESH:D002318), neurovascular dysfunction (MESH:D013901), gastrointestinal disturbances (MESH:D005767), hypertrophy (MESH:D006984), fatalities (MESH:C565541), Hypertension (MESH:D006973), deaths (MESH:D003643), inflammatory compounds (MESH:D005597), Atherosclerosis (MESH:D050197), gliosis (MESH:D005911), microvascular damage (MESH:D017566), thrombotic (MESH:D013927), reperfusion injury (MESH:D015427)
- **Chemicals:** cholesterol (MESH:D002784), NO (MESH:D009569), Asn (MESH:D001216), hydroxyl radicals (MESH:D017665), essential amino acids (MESH:D000601), vitamin C. (MESH:D001205), ACN (MESH:C084683), Glutamate (MESH:D018698), peptides (MESH:D010455), iron (MESH:D007501), ACh (MESH:D000109), Leu (MESH:D007930), H2O (MESH:D014867), Tyr (MESH:D014443), Val (MESH:D014633), aldosterone (MESH:D000450), Ala (MESH:D000409), polysaccharides (MESH:D011134), diketopiperazine (MESH:D054659), His (MESH:D006639), nitrogen (MESH:D009584), Ile- (MESH:D007532), acid (MESH:D000143), oxygen (MESH:D010100), metal (MESH:D008670), Met (MESH:D008715), histamine (MESH:D006632), -Pro (MESH:D011392), glucose (MESH:D005947), calcium (MESH:D002118), peroxyl radicals (MESH:C049375), ROS (MESH:D017382), -Lys (MESH:D008239), Trp (MESH:D014364), simvastatin (MESH:D019821), hydrogen (MESH:D006859), LPS (MESH:D008070), Lipid (MESH:D008055), Cys (MESH:D003545), polyphenols (MESH:D059808), GSH (MESH:D005978), Ser- (MESH:D012694), Phe (MESH:D010649), pravastatin (MESH:D017035), Arg (MESH:D001120), MDA (MESH:D008315), Ser-Pro (MESH:C465983), scopolamine (MESH:D012601), Captopril (MESH:D002216), amino acid (MESH:D000596), Indomethacin (MESH:D007213), Sephadex G-15 (MESH:C025614), PUFAs (MESH:D005231), rosiglitazone (MESH:D000077154), Ala-Gly-Phe-Ala-Gly-Asp-Asp-Ala-Pro-Arg (-), H2O2 (MESH:D006861), sulfur (MESH:D013455)
- **Species:** Styela clava (species) [taxon 7725], Hippocampus abdominalis (big-belly seahorse, species) [taxon 109274], Fungi (kingdom) [taxon 4751], Pinctada fucata (species) [taxon 50426], Isochrysis zhanjiangensis (species) [taxon 354139], Mytilus edulis (blue mussel, species) [taxon 6550], Marphysa sanguinea (species) [taxon 167828], Otolithes ruber (species) [taxon 334907], Palmaria palmata (dulse, species) [taxon 2822], Mus musculus (house mouse, species) [taxon 10090], Actinopyga lecanora (species) [taxon 571811], Katsuwonus pelamis (bonito, species) [taxon 8226], Oncorhynchus keta (chum salmon, species) [taxon 8018], Pyropia tenera (asakusa nori, species) [taxon 2785], Apostichopus japonicus (Japanese sea cucumber, species) [taxon 307972], Magallana gigas (Pacific oyster, species) [taxon 29159], Mytilus coruscus (species) [taxon 42192], Hippocampus trimaculatus (longnose seahorse, species) [taxon 109291], Ulva prolifera (species) [taxon 3117], Ulva pertusa (species) [taxon 3120], Rhodophyta (red algae, phylum) [taxon 2763], PX clade (clade) [taxon 569578], Ruditapes philippinarum (Japanese littleneck, species) [taxon 129788], Limnospira maxima (species) [taxon 129910], Azumapecten farreri (Farrer's scallop, species) [taxon 106299], Aspergillus violaceofuscus (species) [taxon 657443], Piaractus brachypomus (pirapitinga, species) [taxon 42529], Chlorophyta (green algae, phylum) [taxon 3041], Gadus morhua (Atlantic cod, species) [taxon 8049], Homo sapiens (human, species) [taxon 9606], Gracilariopsis chorda (species) [taxon 448386], Rattus norvegicus (brown rat, species) [taxon 10116], Phaeophyceae (brown algae, class) [taxon 2870], Takifugu flavidus (sansaifugu, species) [taxon 433684], Auxenochlorella pyrenoidosa (species) [taxon 3078], Oreochromis niloticus (Nile tilapia, species) [taxon 8128], Laminaria digitata (species) [taxon 80365]
- **Cell lines:** RAW264.7 — Mus musculus (Mouse), Mouse leukemia, Cancer cell line (CVCL_0493), BV-2 — Mus musculus (Mouse), Transformed cell line (CVCL_0182), hASMCs — Homo sapiens (Human), Finite cell line (CVCL_4009), SH-SY5Y — Homo sapiens (Human), Neuroblastoma, Cancer cell line (CVCL_0019), EA.hy926 — Homo sapiens (Human), Hybrid cell line (CVCL_3901), muscle — Rattus norvegicus (Rat), Finite cell line (CVCL_XB60), THP-1 — Homo sapiens (Human), Childhood acute monocytic leukemia, Cancer cell line (CVCL_0006)

## Figures

50 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12942317/full.md

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Source: https://tomesphere.com/paper/PMC12942317