PMID- 23197723 OWN - NLM STAT- MEDLINE DCOM- 20130219 LR - 20220408 IS - 1529-2401 (Electronic) IS - 0270-6474 (Print) IS - 0270-6474 (Linking) VI - 32 IP - 48 DP - 2012 Nov 28 TI - PPARgamma/RXRalpha-induced and CD36-mediated microglial amyloid-beta phagocytosis results in cognitive improvement in amyloid precursor protein/presenilin 1 mice. PG - 17321-31 LID - 10.1523/JNEUROSCI.1569-12.2012 [doi] AB - Alzheimer's disease (AD) is characterized by the extracellular deposition of amyloid-beta (Abeta), neurofibrillary tangle formation, and a microglial-driven inflammatory response. Chronic inflammatory activation compromises microglial clearance functions. Because peroxisome proliferator-activated receptor gamma (PPARgamma) agonists suppress inflammatory gene expression, we tested whether activation of PPARgamma would also result in improved microglial Abeta phagocytosis. The PPARgamma agonist pioglitazone and a novel selective PPARalpha/gamma modulator, DSP-8658, currently in clinical development for the treatment of type 2 diabetes, enhanced the microglial uptake of Abeta in a PPARgamma-dependent manner. This PPARgamma-stimulated increase of Abeta phagocytosis was mediated by the upregulation of scavenger receptor CD36 expression. In addition, combined treatment with agonists for the heterodimeric binding partners of PPARgamma, the retinoid X receptors (RXRs), showed additive enhancement of the Abeta uptake that was mediated by RXRalpha activation. Evaluation of DSP-8658 in the amyloid precursor protein/presenilin 1 mouse model confirmed an increased microglial Abeta phagocytosis in vivo, which subsequently resulted in a reduction of cortical and hippocampal Abeta levels. Furthermore, DSP-8658-treated mice showed improved spatial memory performance. Therefore, stimulation of microglial clearance by simultaneous activation of the PPARgamma/RXRalpha heterodimer may prove beneficial in prevention of AD. FAU - Yamanaka, Mitsugu AU - Yamanaka M AD - Clinical Neuroscience Unit, Department of Neurology, University of Bonn Medical Center, 53127 Bonn, Germany. FAU - Ishikawa, Taizo AU - Ishikawa T FAU - Griep, Angelika AU - Griep A FAU - Axt, Daisy AU - Axt D FAU - Kummer, Markus P AU - Kummer MP FAU - Heneka, Michael T AU - Heneka MT LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Neurosci JT - The Journal of neuroscience : the official journal of the Society for Neuroscience JID - 8102140 RN - 0 (Amyloid beta-Protein Precursor) RN - 0 (Hypoglycemic Agents) RN - 0 (PPAR gamma) RN - 0 (Presenilin-1) RN - 0 (Thiazolidinediones) RN - X4OV71U42S (Pioglitazone) SB - IM CIN - J Neurosci. 2013 Mar 20;33(12):5083-4. PMID: 23516274 MH - Alzheimer Disease/*drug therapy/metabolism/psychology MH - Amyloid beta-Protein Precursor/genetics/metabolism MH - Animals MH - Behavior, Animal/drug effects/physiology MH - Brain/*drug effects/metabolism MH - Cognition/drug effects/physiology MH - Disease Models, Animal MH - Hypoglycemic Agents/pharmacology/therapeutic use MH - Maze Learning/*drug effects/physiology MH - Mice MH - Microglia/*drug effects/metabolism MH - PPAR gamma/*agonists MH - Phagocytosis/*drug effects/physiology MH - Pioglitazone MH - Presenilin-1/genetics/metabolism MH - Thiazolidinediones/pharmacology/therapeutic use PMC - PMC6621845 EDAT- 2012/12/01 06:00 MHDA- 2013/02/21 06:00 PMCR- 2013/05/28 CRDT- 2012/12/01 06:00 PHST- 2012/12/01 06:00 [entrez] PHST- 2012/12/01 06:00 [pubmed] PHST- 2013/02/21 06:00 [medline] PHST- 2013/05/28 00:00 [pmc-release] AID - 32/48/17321 [pii] AID - 3810504 [pii] AID - 10.1523/JNEUROSCI.1569-12.2012 [doi] PST - ppublish SO - J Neurosci. 2012 Nov 28;32(48):17321-31. doi: 10.1523/JNEUROSCI.1569-12.2012.