Department of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.
Center for Therapeutic Innovation, University of Miami Miller School of Medicine, Miami, FL, USA.
J Alzheimers Dis. 2022;86(1):173-190. doi: 10.3233/JAD-215370.
Alzheimer's disease (AD) has minimally effective treatments currently. High concentrations of resveratrol, a polyphenol antioxidant found in plants, have been reported to affect several AD-related and neuroprotective genes. To address the low bioavailability of resveratrol, we investigated a novel oral formulation of resveratrol, JOTROL™, that has shown increased pharmacokinetic properties compared to non-formulated resveratrol in animals and in humans.
We hypothesized that equivalent doses of JOTROL, compared to non-formulated resveratrol, would result in greater brain exposure to resveratrol, and more efficacious responses on AD biomarkers.
For sub-chronic reversal studies, 15-month-old male triple transgenic (APPSW/PS1M146V/TauP301L; 3xTg-AD) AD mice were treated orally with vehicle or 50 mg/kg JOTROL for 36 days. For prophylactic studies, male and female 3xTg-AD mice were similarly administered vehicle, 50 mg/kg JOTROL, or 50 mg/kg resveratrol for 9 months starting at 4 months of age. A behavioral battery was run, and mRNA and protein from brain and blood were analyzed for changes in AD-related gene and protein expression.
JOTROL displays significantly increased bioavailability over non-formulated resveratrol. Treatment with JOTROL resulted in AD-related gene expression changes (Adam10, Bace1, Bdnf, Psen1) some of which were brain region-dependent and sex-specific, as well as changes in inflammatory gene and cytokine levels.
JOTROL may be effective as a prophylaxis and/or treatment for AD through increased expression and/or activation of neuroprotective genes, suppression of pro-inflammatory genes, and regulation of central and peripheral cytokine levels.
目前,阿尔茨海默病(AD)的治疗方法效果甚微。研究发现,植物中存在的一种多酚抗氧化剂白藜芦醇,其浓度较高时会影响几种与 AD 相关的和神经保护基因。为了解决白藜芦醇生物利用度低的问题,我们研究了一种新型口服白藜芦醇制剂 JOTROL,与非配方白藜芦醇相比,该制剂在动物和人类中表现出更高的药代动力学特性。
我们假设与非配方白藜芦醇相比,JOTROL 的等效剂量会导致大脑对白藜芦醇的暴露增加,并对 AD 生物标志物产生更有效的反应。
对于亚慢性逆转研究,15 月龄雄性三转基因(APPSW/PS1M146V/TauP301L;3xTg-AD)AD 小鼠用载体或 50mg/kg JOTROL 口服处理 36 天。对于预防性研究,雄性和雌性 3xTg-AD 小鼠同样在 4 月龄时开始接受载体、50mg/kg JOTROL 或 50mg/kg 白藜芦醇 9 个月的治疗。进行行为学测试,并分析大脑和血液中的 mRNA 和蛋白质,以研究 AD 相关基因和蛋白质表达的变化。
JOTROL 的生物利用度明显高于非配方白藜芦醇。JOTROL 治疗导致 AD 相关基因表达的变化(Adam10、Bace1、Bdnf、Psen1),其中一些变化与大脑区域和性别有关,以及炎症基因和细胞因子水平的变化。
JOTROL 可能通过增加神经保护基因的表达和/或激活、抑制促炎基因、以及调节中枢和外周细胞因子水平,对 AD 起到预防和/或治疗作用。