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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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