Alzheimer's disease (AD) is a progressive degenerative disorder of the central nervous system, characterized by
neuroinflammation,
neurotransmitter deficits, and neurodegeneration, which finally leads to neuronal death. Emerging evidence highlighted that
hyperglycemia and brain
insulin resistance represent risk factors for AD development, thus suggesting the existence of an additional AD form, associated with
glucose metabolism impairment, named type 3 diabetes. Owing to the limited pharmacological options, novel strategies, especially dietary approaches based on the consumption of
polyphenols, have been addressed to prevent or, at least, slow down AD progression. Among
polyphenols,
ferulic acid is a
hydroxycinnamic acid derivative, widely distributed in nature, especially in cereal bran and fruits, and known to be endowed with many bioactivities, especially
antioxidant, anti-inflammatory and
antidiabetic, thus suggesting it could be exploited as a possible novel neuroprotective strategy. Considering the importance of
ferulic acid as a bioactive molecule and its widespread distribution in foods and medicinal plants, the aim of the present narrative review is to provide an overview on the existing preclinical and clinical evidence about the neuroprotective properties and mechanisms of action of
ferulic acid, also focusing on its ability to modulate
glucose homeostasis, in order to support a further therapeutic interest for AD and type 3 diabetes.