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富马酸二甲酯药物重新定位在TDP-43相关额颞叶痴呆小鼠模型中的有益作用

Beneficial Effect of Dimethyl Fumarate Drug Repositioning in a Mouse Model of TDP-43-Dependent Frontotemporal Dementia.

作者信息

Silva-Llanes Ignacio, Martín-Baquero Raquel, Berrojo-Armisen Alicia, Rodríguez-Cueto Carmen, Fernández-Ruiz Javier, De Lago Eva, Lastres-Becker Isabel

机构信息

Instituto de Investigaciones Biomédicas "Alberto Sols" UAM-CSIC, Arturo Duperier, 4, 28029 Madrid, Spain.

Instituto de Investigación Sanitaria La Paz (IdiPaz), 28029 Madrid, Spain.

出版信息

Antioxidants (Basel). 2024 Sep 2;13(9):1072. doi: 10.3390/antiox13091072.

Abstract

Frontotemporal dementia (FTD) causes progressive neurodegeneration in the frontal and temporal lobes, leading to behavioral, cognitive, and language impairments. With no effective treatment available, exploring new therapeutic approaches is critical. Recent research highlights the transcription factor Nuclear Factor erythroid-derived 2-like 2 (NRF2) as vital in limiting neurodegeneration, with its activation shown to mitigate FTD-related processes like inflammation. Dimethyl fumarate (DMF), an NRF2 activator, has demonstrated neuroprotective effects in a TAU-dependent FTD mouse model, reducing neurodegeneration and inflammation. This suggests DMF repositioning potential for FTD treatment. Until now, no trial had been conducted to analyze the effect of DMF on TDP-43-dependent FTD. In this study, we aimed to determine the potential therapeutic efficacy of DMF in a TDP-43-related FTD mouse model that exhibits early cognitive impairment. Mice received oral DMF treatment every other day from presymptomatic to symptomatic stages. By post-natal day (PND) 60, an improvement in cognitive function is already evident, becoming even more pronounced by PND90. This cognitive enhancement correlates with the neuroprotection observed in the dentate gyrus and a reduction in astrogliosis in the stratum lacunosum-moleculare zone. At the prefrontal cortex (PFC) level, a neuroprotective effect of DMF is also observed, accompanied by a reduction in astrogliosis. Collectively, our results suggest a potential therapeutic application of DMF for patients with TDP-43-dependent FTD.

摘要

额颞叶痴呆(FTD)会导致额叶和颞叶进行性神经退行性变,进而引发行为、认知和语言障碍。由于目前尚无有效的治疗方法,探索新的治疗途径至关重要。最近的研究强调转录因子核因子红细胞衍生2样2(NRF2)在限制神经退行性变方面至关重要,其激活已被证明可减轻FTD相关的炎症等过程。富马酸二甲酯(DMF)作为一种NRF2激活剂,在tau蛋白相关的FTD小鼠模型中已显示出神经保护作用,可减少神经退行性变和炎症。这表明DMF在FTD治疗方面具有重新定位的潜力。到目前为止,尚未进行试验来分析DMF对TDP - 43相关FTD的影响。在本研究中,我们旨在确定DMF在表现出早期认知障碍的TDP - 43相关FTD小鼠模型中的潜在治疗效果。小鼠从症状前阶段到症状阶段每隔一天接受口服DMF治疗。到出生后第60天(PND60),认知功能的改善已经很明显,到PND90时变得更加显著。这种认知增强与在齿状回中观察到的神经保护作用以及腔隙 - 分子层区域星形胶质细胞增生的减少相关。在额叶前皮质(PFC)水平,也观察到DMF的神经保护作用,同时伴有星形胶质细胞增生的减少。总体而言,我们的结果表明DMF对TDP - 43相关FTD患者具有潜在的治疗应用价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa70/11428793/e7599fbc864b/antioxidants-13-01072-g001.jpg

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