Microglia as a cellular target of diclofenac therapy in Alzheimer’s disease

Alzheimer’s disease (AD) is an untreatable cause of dementia, and new therapeutic approaches are urgently needed. AD pathology is defined by extracellular amyloid plaques and intracellular neurofibrillary tangles. Research of the past decades has suggested that neuroinflammation plays a critical rol...

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Main Authors: Barbara E. Stopschinski, Rick A. Weideman, Danni McMahan, David A. Jacob, Bertis B. Little, Hsueh-Sheng Chiang, Nil Saez Calveras, Olaf Stuve
Format: Article
Language:English
Published: SAGE Publishing 2023-02-01
Series:Therapeutic Advances in Neurological Disorders
Online Access:https://doi.org/10.1177/17562864231156674
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author Barbara E. Stopschinski
Rick A. Weideman
Danni McMahan
David A. Jacob
Bertis B. Little
Hsueh-Sheng Chiang
Nil Saez Calveras
Olaf Stuve
author_facet Barbara E. Stopschinski
Rick A. Weideman
Danni McMahan
David A. Jacob
Bertis B. Little
Hsueh-Sheng Chiang
Nil Saez Calveras
Olaf Stuve
author_sort Barbara E. Stopschinski
collection DOAJ
description Alzheimer’s disease (AD) is an untreatable cause of dementia, and new therapeutic approaches are urgently needed. AD pathology is defined by extracellular amyloid plaques and intracellular neurofibrillary tangles. Research of the past decades has suggested that neuroinflammation plays a critical role in the pathophysiology of AD. This has led to the idea that anti-inflammatory treatments might be beneficial. Early studies investigated non-steroidal anti-inflammatory drugs (NSAIDS) such as indomethacin, celecoxib, ibuprofen, and naproxen, which had no benefit. More recently, protective effects of diclofenac and NSAIDs in the fenamate group have been reported. Diclofenac decreased the frequency of AD significantly compared to other NSAIDs in a large retrospective cohort study. Diclofenac and fenamates share similar chemical structures, and evidence from cell and mouse models suggests that they inhibit the release of pro-inflammatory mediators from microglia with leads to the reduction of AD pathology. Here, we review the potential role of diclofenac and NSAIDs in the fenamate group for targeting AD pathology with a focus on its potential effects on microglia.
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spelling doaj.art-ed394128eb9149f986db48d5414412882023-02-28T08:03:52ZengSAGE PublishingTherapeutic Advances in Neurological Disorders1756-28642023-02-011610.1177/17562864231156674Microglia as a cellular target of diclofenac therapy in Alzheimer’s diseaseBarbara E. StopschinskiRick A. WeidemanDanni McMahanDavid A. JacobBertis B. LittleHsueh-Sheng ChiangNil Saez CalverasOlaf StuveAlzheimer’s disease (AD) is an untreatable cause of dementia, and new therapeutic approaches are urgently needed. AD pathology is defined by extracellular amyloid plaques and intracellular neurofibrillary tangles. Research of the past decades has suggested that neuroinflammation plays a critical role in the pathophysiology of AD. This has led to the idea that anti-inflammatory treatments might be beneficial. Early studies investigated non-steroidal anti-inflammatory drugs (NSAIDS) such as indomethacin, celecoxib, ibuprofen, and naproxen, which had no benefit. More recently, protective effects of diclofenac and NSAIDs in the fenamate group have been reported. Diclofenac decreased the frequency of AD significantly compared to other NSAIDs in a large retrospective cohort study. Diclofenac and fenamates share similar chemical structures, and evidence from cell and mouse models suggests that they inhibit the release of pro-inflammatory mediators from microglia with leads to the reduction of AD pathology. Here, we review the potential role of diclofenac and NSAIDs in the fenamate group for targeting AD pathology with a focus on its potential effects on microglia.https://doi.org/10.1177/17562864231156674
spellingShingle Barbara E. Stopschinski
Rick A. Weideman
Danni McMahan
David A. Jacob
Bertis B. Little
Hsueh-Sheng Chiang
Nil Saez Calveras
Olaf Stuve
Microglia as a cellular target of diclofenac therapy in Alzheimer’s disease
Therapeutic Advances in Neurological Disorders
title Microglia as a cellular target of diclofenac therapy in Alzheimer’s disease
title_full Microglia as a cellular target of diclofenac therapy in Alzheimer’s disease
title_fullStr Microglia as a cellular target of diclofenac therapy in Alzheimer’s disease
title_full_unstemmed Microglia as a cellular target of diclofenac therapy in Alzheimer’s disease
title_short Microglia as a cellular target of diclofenac therapy in Alzheimer’s disease
title_sort microglia as a cellular target of diclofenac therapy in alzheimer s disease
url https://doi.org/10.1177/17562864231156674
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