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Publication : Cromolyn Reduces Levels of the Alzheimer's Disease-Associated Amyloid β-Protein by Promoting Microglial Phagocytosis.

First Author  Zhang C Year  2018
Journal  Sci Rep Volume  8
Issue  1 Pages  1144
PubMed ID  29348604 Mgi Jnum  J:260232
Mgi Id  MGI:6148472 Doi  10.1038/s41598-018-19641-2
Citation  Zhang C, et al. (2018) Cromolyn Reduces Levels of the Alzheimer's Disease-Associated Amyloid beta-Protein by Promoting Microglial Phagocytosis. Sci Rep 8(1):1144
abstractText  Amyloid-beta protein (Abeta) deposition is a pathological hallmark of Alzheimer''s disease (AD). Abeta deposition triggers both pro-neuroinflammatory microglial activation and neurofibrillary tangle formation. Cromolyn sodium is an asthma therapeutic agent previously shown to reduce Abeta levels in transgenic AD mouse brains after one-week of treatment. Here, we further explored these effects as well as the mechanism of action of cromolyn, alone, and in combination with ibuprofen in APP(Swedish)-expressing Tg2576 mice. Mice were treated for 3 months starting at 5 months of age, when the earliest stages of beta-amyloid deposition begin. Cromolyn, alone, or in combination with ibuprofen, almost completely abolished longer insoluble Abeta species, i.e. Abeta40 and Abeta42, but increased insoluble Abeta38 levels. In addition to its anti-aggregation effects on Abeta, cromolyn, alone, or plus ibuprofen, but not ibuprofen alone, increased microglial recruitment to, and phagocytosis of beta-amyloid deposits in AD mice. Cromolyn also promoted Abeta42 uptake in microglial cell-based assays. Collectively, our data reveal robust effects of cromolyn, alone, or in combination with ibuprofen, in reducing aggregation-prone Abeta levels and inducing a neuroprotective microglial activation state favoring Abeta phagocytosis versus a pro-neuroinflammatory state. These findings support the use of cromolyn, alone, or with ibuprofen, as a potential AD therapeutic.
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