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The Journal of Neuroscience, October 29, 2003, 23(30):9796-9804

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Cellular/Molecular
Nonsteroidal Anti-Inflammatory Drugs and Peroxisome Proliferator-Activated Receptor-{gamma} Agonists Modulate Immunostimulated Processing of Amyloid Precursor Protein through Regulation of {beta}-Secretase

Magdalena Sastre,1 Ilse Dewachter,2 Gary E. Landreth,3 Timothy M. Willson,4 Thomas Klockgether,1 Fred van Leuven,2 and Michael T. Heneka1

1Department of Neurology, University of Bonn, 53127 Bonn, Germany, 2Department of Human Genetics, Experimental Genetics Group, B-3000 Leuven, Belgium, 3Alzheimer Laboratory, Case Western Reserve University, Cleveland, Ohio 44106-4928, and 4GlaxoSmithKline, Discovery Research, Research Triangle Park, North Carolina 27709

Long-term treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) reduces the risk for Alzheimer's disease (AD). To determine the mechanisms by which inflammation affects AD and how NSAIDs protect against it, we stimulated neuroblastoma cells stably transfected with amyloid precursor protein (APP) with proinflammatory cytokines, which increased the secretion of amyloid-{beta} and APP ectodomain. Addition of ibuprofen, indomethacin, peroxisome proliferator-activated receptor-{gamma} (PPAR{gamma}) agonists, or cotransfection with PPAR{gamma} cDNA reversed this effect. The inhibitory action of ibuprofen and indomethacin was suppressed by PPAR{gamma} antagonists. Finally, we observed that the mRNA levels, expression, and enzymatic activity of {beta}-secretase were increased by immunostimulation and normalized by NSAIDs. In conclusion, proinflammatory cytokines activate {beta}-secretase, and NSAIDs inhibit this effect through PPAR{gamma}.

Key words: cytokine; amyloid precursor protein (APP); amyloid-{beta}; NSAIDs; ibuprofen; PPAR-{gamma}; BACE1


Received May 21, 2003; revised August 26, 2003; accepted August 28, 2003.




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