Simvastatin strongly reduces levels of Alzheimer's disease β-amyloid peptides Aβ42 and Aβ40 in vitro and in vivo

Klaus Faßbender1, Mikael Simons1, Christine Bergmann1, Mark Stroick1, Dieter Lütjohann1,2, Patrick Keller3,1, Heiko Runz1, Sandra Kühl1,2, Thomas Bertsch1, Klaus von Bergmann1, M.G. Hennerici1, Konrad Beyreuther1, Tobias Hartmann1
1Departments of Neurology and Clinical Chemistry, Clinic Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, D-68167 Mannheim, Germany; Department of Neurology, University of Tübingen, Hoppe-Seyler Strasse 3, D-72076 Tübingen, Germany; Center for Molecular Biology Heidelberg (ZMBH), University of Heidelberg, Im Neuenheimer Feld 282, D-69120 Heidelberg, Germany; Department of Clinical Pharmacology, University of Bonn, Sigmund-Freud-Strasse 25, 53105 Bonn, Germany; and Cell Biology...
2Max Planck Institute for Medical Research, Heidelberg, Germany
3Cell Biology Program, European Molecular Biology Laboratory (EMBL), Meyerhofstrasse 1, D-69012 Heidelberg, Germany

Tóm tắt

Recent epidemiological studies show a strong reduction in the incidence of Alzheimer's disease in patients treated with cholesterol-lowering statins. Moreover, elevated Aβ42 levels and the ɛ4 allele of the lipid-carrier apolipoprotein E are regarded as risk factors for sporadic and familial Alzheimer's disease. Here we demonstrate that the widely used cholesterol-lowering drugs simvastatin and lovastatin reduce intracellular and extracellular levels of Aβ42 and Aβ40 peptides in primary cultures of hippocampal neurons and mixed cortical neurons. Likewise, guinea pigs treated with high doses of simvastatin showed a strong and reversible reduction of cerebral Aβ42 and Aβ40 levels in the cerebrospinal fluid and brain homogenate. These results suggest that lipids are playing an important role in the development of Alzheimer's disease. Lowered levels of Aβ42 may provide the mechanism for the observed reduced incidence of dementia in statin-treated patients and may open up avenues for therapeutic interventions.

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