Selective Antihypertensive Dihydropyridines Lower Aβ Accumulation by Targeting both the Production and the Clearance of Aβ across the Blood-Brain Barrier
Open accessAbstract
Several large population-based or clinical trial studies have suggested that certain dihydropyridine (DHP) L-type calcium channel blockers (CCBs) used for the treatment of hypertension may confer protection against the development of Alzheimer disease (AD). However, other studies with drugs of the same class have shown no beneficial clinical effects. To determine whether certain DHPs are able to impact underlying disease processes in AD (specifically the accumulation of the Alzheimer Aβ peptide), we investigated the effect of several antihypertensive DHPs and non-DHP CCBs on Aβ production. Among the antihypertensive DHPs tested, a few, including nilvadipine, nitrendipine and amlodipine inhibited Aβ production in vitro, whereas others had no effect or raised Aβ levels. In vivo, nilvadipine and nitrendipine acutely reduced brain Aβ levels in a transgenic mouse model of AD (Tg PS1/APPsw) and improved Aβ clearance across the blood-brain barrier (BBB), whereas amlodipine and nifedipine were ineffective showing that the Aβ-lowering activity of the DHPs is independent of their antihypertensive activity. Chronic oral treatment with nilvadipine decreased Aβ burden in the brains of Tg APPsw (Tg2576) and Tg PS1/APPsw mice, and also improved learning abilities and spatial memory. Our data suggest that the clinical benefit conferred by certain antihypertensive DHPs against AD is unrelated to their antihypertensive activity, but rely on their ability to lower brain Aβ accumulation by affecting both Aβ production and Aβ clearance across the BBB.
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China National Medical Product Administration conditionally approved GV-971 for the treatment of mild to moderate Alzheimer disease.
“On November 2, 2019, Shanghai Green Valley Pharmaceuticals announced that China National Medical Product Administration (NMPA) had conditionally approved GV-971 for the treatment of mild to moderate AD [54].”
From Clinical trials of new drugs for Alzheimer disease (2020) · cites this paper as [54]
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- Authors
- Paris, D., Bachmeier, C., Patel, N., Quadros, A., Volmar, C.-H., Laporte, V., Ganey, J., Beaulieu-Abdelahad, D., Ait-Ghezala, G., Crawford, F., & Mullan, M. J.
- Affiliations
- Roskamp Institute (US)
- Corresponding author
- Paris, Daniel
- ORCID
- Venue
- Molecular Medicine
- Published
- 2010-12-18
- Volume
- 17
- Issue
- 3-4
- Pages
- 149-162
- ISSN
- 1076-1551 (ISSN-L)
- 1528-3658
- PMC
- PMC3060987
- OpenAlex
- W2211218327
- Cited by
- 114
- References
- 57
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 7 · 2023: 4 · 2022: 7 · 2021: 6 · 2020: 10 · 2019: 10 · 2018: 10 · 2017: 5 · 2016: 8 · 2015: 6 · 2014: 9 · 2013: 16 · 2012: 7
- FWCI
- 5.85
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Molecular Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Astellas Pharma
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
- Keywords
- dihydropyridines, L-type calcium channel blockers, Alzheimer's disease, amyloid-beta deposition, amyloid-beta production, amyloid-beta clearance, blood-brain barrier, nilvadipine, nitrendipine, amlodipine, nifedipine, antihypertensive drugs, transgenic mouse model, spatial memory, learning
- MeSH terms
- Alzheimer Disease, Animals, Antihypertensive Agents, Blood-Brain Barrier, Brain, Calcium Channel Blockers, Cell Line, Cricetulus, Dihydropyridines, Dose-Response Relationship, Drug, Cricetinae, Humans, Memory, Mice, Inbred Strains, Mice, Transgenic, Nifedipine, Nitrendipine, Blotting, Western, Amyloid beta-Peptides, CHO Cells, Amyloid beta-Protein Precursor, Amlodipine, Maze Learning, Cell Line, Tumor, Mice
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