Review/Commentary

From Mitochondrial Function to Neuroprotection – An Emerging Role for Methylene Blue - PMC

/PMC/2026

Why It Matters

This caught my attention because mitochondrial dysfunction is implicated in everything from aging to neurodegenerative diseases. If a dirt-cheap compound can actually improve brain cell energy metabolism, that's worth understanding. However, most evidence comes from cell cultures and animal models — human data is extremely limited.

Key Findings

  • Methylene blue acts as an alternative electron carrier in mitochondria, bypassing complexes I and III where dysfunction often occurs in aging and disease
  • In cell culture and animal models, low-dose methylene blue (0.5-4 mg/kg) improves memory and protects against neurotoxins
  • The compound shows a hormetic dose-response: beneficial at low doses but potentially harmful at high doses, with the therapeutic window appearing narrow
  • Animal studies show improved cerebral blood flow and oxygen consumption, suggesting it may enhance brain energy metabolism beyond just mitochondrial effects
  • Despite promising preclinical data, well-controlled human trials are scarce — most existing human data comes from small studies in specific conditions like bipolar disorder