Curcumin and Neurocognitive Health: Mechanistic Insights and Translational Clinical Evidence
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https://doi.org/10.14419/06fd2p85
Received date: February 19, 2026
Accepted date: April 8, 2026
Published date: April 15, 2026
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Curcumin; Neurocognition; Neuroinflammation; Polyphenols -
Abstract
Neurocognitive decline represents a growing public health concern, with limited disease-modifying therapeutic options currently available. Curcumin, a polyphenolic compound derived from Curcuma longa, has attracted interest due to its proposed neuroprotective properties, however, translating experimental findings into consistent clinical benefits remains uncertain. This narrative review synthesises mechanistic, preclinical, and clinical evidence examining the role of curcumin in neurocognitive health and highlights key translational challenges. Experimental studies demonstrate modulation of oxidative stress, neuroinflammatory signalling, amyloid aggregation, and neurotrophic pathways, supporting biological plausibility. Preclinical models frequently report improvements in learning and memory, though effects often occur at exposure levels not readily achievable in humans. Clinical evidence remains heterogeneous and influenced by formulation, bioavailability, dosage, intervention duration, and cognitive assessment methods. Conventional curcumin preparations generally show limited cognitive benefit, whereas selected trials using enhanced-bioavailability formulations report modest improvements, primarily in non-demented older adults. Curcumin supplementation is generally well tolerated, although long-term safety data remain limited. Overall, despite compelling mechanistic rationale, current clinical evidence is insufficient to support routine use of curcumin for neurocognitive enhancement or treatment of neurodegenerative disease, underscoring the need for rigorously designed trials using standardised formulations and robust cognitive and biomarker-based outcomes.
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References
- Prince M, Wimo A, Guerchet M, Ali GC, Wu YT, Prina M. The Global Impact of Dementia. London: Alzheimer’s Disease International; 2015.
- Livingston G, Huntley J, Sommerlad A, Ames D, Ballard C, Banerjee S, et al. Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. Lancet. 2020;396(10248):413–46. https://doi.org/10.1016/S0140-6736(20)30367-6.
- Cummings J, Lee G, Nahed P, Kambar MEZN, Zhong K, Fonseca J, Taghva K. Alzheimer’s disease drug development pipeline: 2022. Alzheimers Dement (N Y). 2022;8(1): e12295. https://doi.org/10.1002/trc2.12295.
- Heneka MT, Carson MJ, El Khoury J, et al. Neuroinflammation in Alzheimer’s disease. Lancet Neurol. 2015;14(4):388–405. https://doi.org/10.1016/S1474-4422(15)70016-5.
- Butterfield DA, Halliwell B. Oxidative stress, dysfunctional glucose metabolism and Alzheimer's disease. Nat Rev Neurosci. 2019;20(3):148–160. https://doi.org/10.1038/s41583-019-0132-6.
- Vauzour D, Rodriguez-Mateos A, Corona G, Oruna-Concha MJ, Spencer JPE. Polyphenols and human health: prevention of disease and mechanisms of action. Nutrients. 2010;2(11):1106–1131. https://doi.org/10.3390/nu2111106.
- Aggarwal BB, Harikumar KB. Potential therapeutic effects of curcumin, the anti-inflammatory agent, against neurodegenerative, cardiovascular, pul-monary, metabolic, autoimmune, and neoplastic diseases. Int J Biochem Cell Biol. 2009;41(1):40–59. https://doi.org/10.1016/j.biocel.2008.06.010.
- Cole GM, Teter B, Frautschy SA. Neuroprotective effects of curcumin. Adv Exp Med Biol. 2007; 595: 197–212. https://doi.org/10.1007/978-0-387-46401-5_8.
- Hewlings SJ, Kalman DS. Curcumin: a review of its effects on human health. Foods. 2017;6(10):92. https://doi.org/10.3390/foods6100092.
- Small GW, Siddarth P, Li Z, Miller KJ, Ercoli L, Emerson ND, et al. Memory and brain amyloid and tau effects of a bioavailable form of curcumin in non-demented adults: a double-blind, placebo-controlled 18-month trial. Am J Geriatr Psychiatry. 2018;26(3):266–277. https://doi.org/10.1016/j.jagp.2017.10.010.
- Rainey-Smith SR, Brown BM, Sohrabi HR, Shah T, Goozee KG, Gupta VB, Martins RN. Curcumin and cognition: a randomised, placebo-controlled, double-blind study of community-dwelling older adults. Br J Nutr. 2016 Jun;115(12):2106-13. https://doi.org/10.1017/S0007114516001203.
- Ng TP, Chiam PC, Lee T, Chua HC, Lim L, Kua EH. Curry consumption and cognitive function in the elderly. Am J Epidemiol. 2006;164(9):898–906. https://doi.org/10.1093/aje/kwj267.
- Nelson KM, Dahlin JL, Bisson J, Graham J, Pauli GF, Walters MA. The essential medicinal chemistry of curcumin. J Med Chem. 2017;60(5):1620–1637. https://doi.org/10.1021/acs.jmedchem.6b00975.
- Ioannidis JPA. Why most clinical research is not useful. PLoS Med. 2016;13(6): e1002049. https://doi.org/10.1371/journal.pmed.1002049.
- Ferrari R. Writing narrative style literature reviews. Med Writ. 2015;24(4):230–235. https://doi.org/10.1179/2047480615Z.000000000329.
- Ma Q. Role of Nrf2 in oxidative stress and toxicity. Annu Rev Pharmacol Toxicol. 2013; 53:401–426. https://doi.org/10.1146/annurev-pharmtox-011112-140320.
- Shishodia S, Amin HM, Lai R, Aggarwal BB. Curcumin (diferuloylmethane) inhibits constitutive NF-kappaB activation, induces G1/S arrest, sup-presses proliferation, and induces apoptosis in mantle cell lymphoma. Biochem Pharmacol. 2005 Sep 1;70(5):700-13. https://doi.org/10.1016/j.bcp.2005.04.043.
- Ringman JM, Frautschy SA, Cole GM, Masterman DL, Cummings JL. A potential role of the curry spice curcumin in Alzheimer's disease. Curr Alz-heimer Res. 2005 Apr;2(2):131-6. https://doi.org/10.2174/1567205053585882.
- Xu Y, Ku B, Cui L, Li X, Barish PA, Foster TC, Ogle WO. Curcumin reverses impaired hippocampal neurogenesis and increases serotonin receptor 1A mRNA and brain-derived neurotrophic factor expression in chronically stressed rats. Brain Res. 2007; 1162: 9-18. https://doi.org/10.1016/j.brainres.2007.05.071.
- Reuter S, Gupta SC, Park B, Goel A, Aggarwal BB. Epigenetic changes induced by curcumin and other natural compounds. Genes Nutr. 2011;6(2):93-108. https://doi.org/10.1007/s12263-011-0222-1.
- Cox KH, Pipingas A, Scholey AB. Investigation of the effects of solid lipid curcumin on cognition and mood in a healthy older population. J Psycho-pharmacol. 2015 May;29(5):642-51. https://doi.org/10.1177/0269881114552744.
- Wang W, Zhao R, Liu B, Li K. The effect of curcumin supplementation on cognitive function: an updated systematic review and meta-analysis. Front Nutr. 2025 Apr 16; 12: 1549509. https://doi.org/10.3389/fnut.2025.1549509.
- Anand P, Kunnumakkara AB, Newman RA, Aggarwal BB. Bioavailability of curcumin: problems and promises. Mol Pharm. 2007;4(6):807–818. https://doi.org/10.1021/mp700113r.
- Begum AN, Jones MR, Lim GP, Morihara T, Kim P, Heath DD, et al. Curcumin structure–function, bioavailability, and efficacy in models of neuroin-flammation and Alzheimer’s disease. J Pharmacol Exp Ther. 2008;326(1):196–208. https://doi.org/10.1124/jpet.108.137455.
- Cuomo J, Appendino G, Dern AS, Schneider E, McKinnon TP, Brown MJ, et al. Comparative absorption of a standardized curcuminoid mixture and its lecithin formulation. J Nat Prod. 2011;74(4):664–669. https://doi.org/10.1021/np1007262.
- Prasad S, Tyagi AK, Aggarwal BB. Recent developments in delivery, bioavailability, absorption and metabolism of curcumin: the golden pigment from golden spice. Cancer Res Treat. 2014;46(1):2-18. https://doi.org/10.4143/crt.2014.46.1.2.
- Lopresti AL. The problem of curcumin and its bioavailability: could its gastrointestinal influence contribute to its overall health-enhancing effects? Adv Nutr. 2018;9(1):41–50. https://doi.org/10.1093/advances/nmx011.
- Di Meo F, Margarucci S, Galderisi U, Crispi S, Peluso G. Curcumin, gut microbiota, and neuroprotection. Nutrients. 2019;11(10):2426. https://doi.org/10.3390/nu11102426.
- Francis AJ, Sreenivasan C, Parikh A, AlQassab O, Kanthajan T, Pandey M, Nwosu M. Curcumin and Cognitive Function: A Systematic Review of the Effects of Curcumin on Adults with and Without Neurocognitive Disorders. Cureus. 2024 Aug 25;16(8):e67706. https://doi.org/10.7759/cureus.67706.
- Lao CD, Ruffin MT IV, Normolle D, Heath DD, Murray SI, Bailey JM, et al. Dose escalation of a curcuminoid formulation. BMC Complement Al-tern Med. 2006; 6:10. https://doi.org/10.1186/1472-6882-6-10.
- Cheng AL, Hsu CH, Lin JK, Hsu MM, Ho YF, Shen TS, et al. Phase I clinical trial of curcumin, a chemopreventive agent, in patients with high-risk or pre-malignant lesions. Anticancer Res. 2001;21(4B):2895–2900.
- Chainani-Wu N. Safety and anti-inflammatory activity of curcumin: a component of turmeric (Curcuma longa). J Altern Complement Med. 2003;9(1):161–168. https://doi.org/10.1089/107555303321223035.
- Gupta SC, Patchva S, Aggarwal BB. Therapeutic roles of curcumin: lessons learned from clinical trials. AAPS J. 2013;15(1):195–218. https://doi.org/10.1208/s12248-012-9432-8.
- Hatcher H, Planalp R, Cho J, Torti FM, Torti SV. Curcumin: from ancient medicine to current clinical trials. Cell Mol Life Sci. 2008;65(11):1631–1652. https://doi.org/10.1007/s00018-008-7452-4.
- Soleimani V, Sahebkar A, Hosseinzadeh H. Turmeric (Curcuma longa) and its major constituent curcumin as nontoxic and safe substances: a review. Phytother Res. 2018;32(6):985–995. https://doi.org/10.1002/ptr.6054.
- Kunnumakkara AB, Bordoloi D, Padmavathi G, Monisha J, Roy NK, Prasad S, Aggarwal BB. Curcumin, the golden nutraceutical: multitargeting for multiple chronic diseases. Br J Pharmacol. 2017;174(11):1325–48. https://doi.org/10.1111/bph.13621.
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How to Cite
S, S., R, P., & P, V. R. (2026). Curcumin and Neurocognitive Health: Mechanistic Insights and Translational Clinical Evidence. International Journal of Biological Research, 13(1), 1-7. https://doi.org/10.14419/06fd2p85
