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Overall the analysis of hippocampus, inferior parietal lobule (IPL), and frontal cortex regions led to the identification of a similar set of oxidatively modified proteins (by PC, 3-NT, or HNE) in AD, EAD (a transitional stage between MCI and late-stage AD), and MCI subjects, proteins that play important roles in regulating energy metabolism (e.g., Eno 1, pyruvate kinase, ATP synthase), antioxidant and detoxification systems (e.g., peroxiredoxin, MnSOD), proteasomal activity (e.g., UCH-L1), cytoskeletal integrity (e.g., DRP-2, β-tubulin), protein folding (e.g., HSP70), and cellular communication and signaling (e.g., neuropolypeptide h3) (18, 19, 28, 124, 199, 304–309) (TABLE 4)

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Most of the product licences, or marketing authorities as they are called in the UK, for hydroxocobalamin date from the 1990s when the requirement for evidence was different than it is now