Recent
advancements in lactoferrin research have uncovered
that
lactoferrin does function not only as an antimicrobial protein but
also as an immunomodulatory, anticancer, and neuroprotective agent.
Focusing on neuroprotection, this literature review delineates how
lactoferrin interacts in the brain, specifically its neuroprotective
effects and mechanisms against Alzheimer’s and Parkinson’s
diseases (AD and PD), the two most common neurodegenerative diseases.
The neuroprotective pathways involving surface receptors (heparan
sulfate proteoglycan (HSPG) and lactoferrin receptor (LfR)), signaling
pathways (extracellular regulated protein kinase-cAMP response element-binding
protein (ERK-CREB) and phosphoinositide 3-kinase/Akt (PI3K/Akt)),
and effector proteins (A disintegrin and metalloprotease10 (ADAM10)
and hypoxia-inducible factor 1α (HIF-1α)) in cortical/hippocampal
and dopaminergic neurons are described. These cellular effects of
lactoferrin are likely responsible for attenuating cognitive and motor
deficits, amyloid-β and α-synuclein accumulation, and
neurodegeneration in animal and cellular models of AD and PD. This
review also discusses the inconsistent findings related to the neuroprotective
effects of lactoferrin against AD. Overall, this review contributes
to the existing literature by clarifying the potential neuroprotective
effects and mechanisms of lactoferrin in the context of AD and PD
neuropathology.