Department of Anatomy and Neurobiology, School of Medicine, Virginia Commonwealth University, Richmond, VA, USA.
Department of Medicinal Chemistry, School of Pharmacy, Virginia Commonwealth University, Richmond, VA, USA.
J Alzheimers Dis. 2021;82(4):1769-1783. doi: 10.3233/JAD-210400.
Alzheimer's disease (AD) is a progressive neurodegenerative disorder, and the most common type of dementia. A growing body of evidence has implicated neuroinflammation as an essential player in the etiology of AD. Inflammasomes are intracellular multiprotein complexes and essential components of innate immunity in response to pathogen- and danger-associated molecular patterns. Among the known inflammasomes, the NOD-like receptor family pyrin domain containing 3 (NLRP3) inflammasome plays a critical role in the pathogenesis of AD.
We recently developed a novel class of small molecule inhibitors that selectively target the NLRP3 inflammasome. One of the lead compounds, JC124, has shown therapeutic efficacy in a transgenic animal model of AD. In this study we tested the preventative efficacy of JC124 in another strain of transgenic AD mice.
In this study, 5-month-old female APP/PS1 and matched wild type mice were treated orally with JC124 for 3 months. After completion of treatment, cognitive functions and AD pathologies, as well as protein expression levels of synaptic proteins, were assessed.
We found that inhibition of NLRP3 inflammasome with JC124 significantly decreased multiple AD pathologies in APP/PS1 mice, including amyloid-β (Aβ) load, neuroinflammation, and neuronal cell cycle re-entry, accompanied by preserved synaptic plasticity with higher expression of pre- and post-synaptic proteins, increased hippocampal neurogenesis, and improved cognitive functions.
Our study demonstrates the importance of the NLRP3 inflammasome in AD pathological development, and pharmacological inhibition of NLRP3 inflammasome with small molecule inhibitors represents a potential therapy for AD.
阿尔茨海默病(AD)是一种进行性神经退行性疾病,也是最常见的痴呆类型。越来越多的证据表明神经炎症是 AD 发病机制中的一个重要因素。炎症小体是细胞内多蛋白复合物,是固有免疫对病原体和危险相关分子模式的重要组成部分。在已知的炎症小体中,NOD 样受体家族含 pyrin 结构域蛋白 3(NLRP3)炎症小体在 AD 的发病机制中起关键作用。
我们最近开发了一类新型小分子抑制剂,可选择性靶向 NLRP3 炎症小体。其中一种先导化合物 JC124 在 AD 的转基因动物模型中显示出治疗效果。在这项研究中,我们测试了 JC124 在另一种 AD 转基因小鼠品系中的预防效果。
在这项研究中,5 月龄雌性 APP/PS1 和匹配的野生型小鼠用 JC124 口服治疗 3 个月。治疗完成后,评估认知功能和 AD 病理,以及突触蛋白的蛋白表达水平。
我们发现,用 JC124 抑制 NLRP3 炎症小体可显著降低 APP/PS1 小鼠的多种 AD 病理,包括淀粉样蛋白-β(Aβ)负荷、神经炎症和神经元细胞周期再进入,同时伴有突触可塑性的保留,表现为前突触和后突触蛋白表达增加、海马神经发生增加和认知功能改善。
我们的研究表明 NLRP3 炎症小体在 AD 病理发展中的重要性,用小分子抑制剂抑制 NLRP3 炎症小体可能是 AD 的一种潜在治疗方法。