Cited by 26Alzheimer's disease research and treatmentsNeuroinflammation and Neurodegeneration MechanismsDementia and Cognitive Impairment Research

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

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Stopschinski, Barbara E., Weideman, Rick A., McMahan, Danni, Jacob, David A., Little, Bertis B., Chiang, Hsueh-Sheng, Saez Calveras, Nil, Stuve, Olaf·2023·Therapeutic Advances in Neurological Disorders

Abstract

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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  • Unlike other pain-relievers, diclofenac represses the release of the inflammatory cytokine interleukin-1β and reduces activation of microglia.

    “Unlike the other pain-relievers, diclofenac represses the release of the inflammatory cytokine interleukin-1β and reduces activation of microglia (Stopschinski et al. 2023).”

    From Perineuronal net deglycosylation associates with tauopathy‐induced gliosis and neurodegeneration (2024) · cites this paper as Stopschinski et al. 2023

    In “Mechanisms of action beyond COX inhibition” (page not provided), the review reports that diclofenac had a modest effect on IL-1β release. It attributes reduced microglial activation to mefenamic acid, not diclofenac, and the reported comparison with other NSAIDs concerns fenamates rather than diclofenac. (LLM, conf=0.89)

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Authors
Stopschinski, B. E., Weideman, R. A., McMahan, D., Jacob, D. A., Little, B. B., Chiang, H.-S., Saez Calveras, N., & Stuve, O.
Affiliations
  • The University of Texas Southwestern Medical Center (US)
  • Dallas VA Medical Center (US)
  • VA Heart of Texas Health Care Network (US)
  • University of Louisville (US)
  • Department of Neurology, University of Texas Southwestern Medical Center, Dallas, TX, USA
Venue
Therapeutic Advances in Neurological Disorders
Published
2023-01
Volume
16
Pages
17562864231156674-17562864231156674
ISSN
  • 1756-2856 (ISSN-L)
  • 1756-2864
OpenAlex
W4323286837
Cited by
26
References
27
Citations by year
2026: 3 · 2025: 10 · 2024: 11 · 2023: 2
FWCI
0.93
Type
journal article
Language
en
Open access
Locations
  • Therapeutic Advances in Neurological Disorders (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Keywords
diclofenac, Alzheimer's disease, microglia, nonsteroidal anti-inflammatory drugs, fenamates, neuroinflammation, amyloid plaques, neurofibrillary tangles, anti-inflammatory therapy

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