Brain Advance Access originally published online on April 7, 2005
Brain 2005 128(6):1442-1453; doi:10.1093/brain/awh452
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Acute treatment with the PPAR
agonist pioglitazone and ibuprofen reduces glial inflammation and Aß142 levels in APPV717I transgenic mice
1 Department of Neurology, University of Bonn, Bonn, Germany, 2 Experimental Genetics Group, Department of Human Genetics, K.U. Leuven, Leuven, Belgium, 3 Department of Neurobiology and Anatomy, University of Rochester Medical Center, Rochester, NY and 4 Department of Neurosciences, Alzheimer Research Laboratory, Case Western Reserve University, Cleveland, OH, USA
Correspondence to: Michael T. Heneka, Department of Neurology, University of Münster, Albert-Schweitzer-Str. 33, Münster, Germany E-mail: heneka{at}uni-muenster.de
Neuritic plaques in the brain of Alzheimer's disease patients are characterized by ß-amyloid deposits associated with a glia-mediated inflammatory response. Non-steroidal anti-inflammatory drug (NSAID) therapy reduces Alzheimer's disease risk and ameliorates microglial reactivity in Alzheimer's disease brains; however, the molecular mechanisms subserving this effect are not yet clear. Since several NSAIDs bind to and activate the nuclear receptor peroxisome proliferator-activated receptor-
(PPAR
) which acts to inhibit the expression of proinflammatory genes, this receptor appears a good candidate to mediate the observed anti-inflammatory effects. Recent data in vitro suggested that NSAIDs negatively regulate microglial activation and immunostimulated amyloid precursor protein processing via PPAR
activation. We report that an acute 7 day oral treatment of 10-month-old APPV717I mice with the PPAR
agonist pioglitazone or the NSAID ibuprofen resulted in a reduction in the number of activated microglia and reactive astrocytes in the hippocampus and cortex. Drug treatment reduced the expression of the proinflammatory enzymes cyclooxygenase 2 (COX2) and inducible nitric oxide synthase (iNOS). In parallel to the suppression of inflammatory markers, pioglitazone and ibuprofen treatment decreased ß-secretase-1 (BACE1) mRNA and protein levels. Importantly, we observed a significant reduction of the total area and staining intensity of Aß142-positive amyloid deposits in the hippocampus and cortex. Additionally, animals treated with pioglitazone revealed a 27% reduction in the levels of soluble Aß142 peptide. These findings demonstrate that anti-inflammatory drugs can act rapidly to inhibit inflammatory responses in the brain and negatively modulate amyloidogenesis.
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