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EPSA Students' Science Publication<br />

Studies regarding the protective<br />

effects exerted by some anti-Alzheimer<br />

molecules on endothelial cells<br />

Alexandra Cătălina Bogzeanu coordinated by PhD. Denisa Margină,<br />

Biochemistry Department, Faculty of Pharmacy, University of Medicine and Pharmacy,<br />

Bucharest, Romania<br />

Alzheimer’s disease (AD) is one of the most frequent neurodegenerative<br />

disorders. Cholinesterase inhibitors (AChE) such as rivastigmin and donepezil<br />

and the partial NMDA receptor antagonist (memantine) are currently used as<br />

treatment for AD. In the synaptic gap between the affected neurons there is<br />

a constant hypersecretion of glutamate which leads to an excessive calcium<br />

uptake in the existing channels of NMDARs. The postsynaptic membrane is<br />

always depolarized and has an impaired function.<br />

Recent studies suggest that effects of AChE inhibitors are not limited to<br />

their cholinergic activity; other mechanisms including inhibition of glutamate<br />

excitotoxicity, thereby reducing inflammatory processes, have been proposed<br />

as ways of action. Prolonged and sustained inflammation may have cytotoxic<br />

effects. MCPs (produced during inflammation) are associated to neuronal<br />

death.<br />

The aim of this study was to reveal the effect induced by donepezil, rivastigmine<br />

and memantine on the LDH activity (indicating the membrane damage), on<br />

the susceptibility of membrane cells to lipid peroxidation and on the MCP-1<br />

synthesis, using EaHy96 endothelial cells as study model.<br />

Cells were treated with rivastigmine, memantine and donepezil using 10 µM,<br />

20 µM and 50 µM concentrations. The LDH assay was performed based on<br />

the kinetic UV evaluation of NADH transformation (in the process of oxidizing<br />

lactate to pyruvate).<br />

For the assessment of the lipid susceptibility to peroxidation DPPP was used, a<br />

probe that lacks fluorescence but has high affinity for lipids. DPPP labelled cells<br />

were treated with CuOOH to induce DPPP-oxide formation (highly fluorescent<br />

compound). The process was assayed by performing a fluorescence emission<br />

spectrum. The ELISA method was used for detecting the MCP-1 synthesis.<br />

Results: The three substances do not significantly reduce the LDH activity,<br />

having a protective effect on the mitochondrial metabolism. The three tested<br />

substances do not influence the susceptibility to lipid peroxidation which<br />

means the three substances do not modify the redox equilibrium and thereby<br />

do not act as antioxidants. Also, the study demonstrated that they have the<br />

ability to reduce MCP-1 synthesis, memantine being the one with the most<br />

powerful effect and reduction was seen with all tested concentrations.<br />

Conclusion: The three tested drugs have a protective effect and do not induce<br />

cellular death. This effect can be interpreted in correlation with the cardiovascular<br />

disease, which appears especially at elderly.<br />

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