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Publication : Long-term treatment of thalidomide ameliorates amyloid-like pathology through inhibition of β-secretase in a mouse model of Alzheimer's disease.

First Author  He P Year  2013
Journal  PLoS One Volume  8
Issue  2 Pages  e55091
PubMed ID  23405115 Mgi Jnum  J:197210
Mgi Id  MGI:5491119 Doi  10.1371/journal.pone.0055091
Citation  He P, et al. (2013) Long-term treatment of thalidomide ameliorates amyloid-like pathology through inhibition of beta-secretase in a mouse model of Alzheimer's disease. PLoS One 8(2):e55091
abstractText  Thalidomide is a tumor necrosis factor alpha (TNFalpha) inhibitor which has been found to have abilities against tumor growth, angiogenesis and inflammation. Recently, it has been applied in clinic for the treatment of multiple myeloma as well as some inflammatory diseases. However, whether thalidomide has any therapeutic effects on neurodegenerative disorders, i.e. Alzheimer's disease (AD) is not clear. AD is characterized by excessive amount of amyloid beta peptides (Abeta), which results in a significant release of inflammatory factors, including TNFalpha in the brain. Studies have shown that inhibition of TNFalpha reduces amyloid-associated pathology, prevents neuron loss and improves cognition. Our recent report showed that genetic inhibition of TNFalpha/TNF receptor signal transduction down-regulates beta amyloid cleavage enzyme 1 (BACE1) activity, reduces Abeta generation and improves learning and memory deficits. However, the mechanism of thalidomide involving in the mitigation of AD neuropathological features remains unclear. Here, we chronically administrated thalidomide on human APPswedish mutation transgenic (APP23) mice from 9 months old (an onset of Abeta deposits and early stage of AD-like changes) to 12 months old. We found that, in addition of dramatic decrease in the activation of both astrocytes and microglia, thalidomide significantly reduces Abeta load and plaque formation. Furthermore, we found a significant decrease in BACE1 level and activity with long-term thalidomide application. Interestingly, these findings cannot be observed in the brains of 12-month-old APP23 mice with short-term treatment of thalidomide (3 days). These results suggest that chronic thalidomide administration is an alternative approach for AD prevention and therapeutics.
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