PMID- 30759264 OWN - NLM STAT- MEDLINE DCOM- 20200430 LR - 20200430 IS - 1432-1912 (Electronic) IS - 0028-1298 (Linking) VI - 392 IP - 6 DP - 2019 Jun TI - Combined vildagliptin and memantine treatment downregulates expression of amyloid precursor protein, and total and phosphorylated tau in a rat model of combined Alzheimer's disease and type 2 diabetes. PG - 685-695 LID - 10.1007/s00210-019-01616-3 [doi] AB - There is increasing evidence of a link between type 2 diabetes mellitus (T2DM) and cognitive decline. T2DM has been recognized as a risk factor for Alzheimer's disease (AD). The aim of this research was to investigate the biochemical and physiological effects of vildagliptin treatment alone, and in combination with memantine, in a rat model of combined T2DM and AD. The experimental study was carried out on 75 male Wistar rats weighing 180-200 g. The rats were divided into five groups (n = 15): normal group, Alzheimer diabetic control, treated with vildagliptin (10 mg/kg/day), treated with memantine (30 mg/kg/day), and treated with combination of drugs. Serum glucose, lipid profile, acetylcholinesterase (AChE), homocysteine (Hcy), and amyloid beta peptide (Abeta) were determined. Lipid peroxidation was measured in brain tissue. Expression of amyloid precursor protein (APP) in the brain was assessed by q-PCR, and expression of total and phosphorylated tau was determined by Western Blotting. Vildagliptin alone and in combination with memantine caused a decrease in blood glucose, HOMA-IR, lipid profile, Hcy, malanodialdhyde, and acetylcholinesterase, and an increase in apolipoprotein E. Expression of APP and phosphorylated tau protein was decreased with combined vildagliptin and memantine treatment. In conclusion, vildagliptin treatment, either alone or in combination with memantine, modulates AD-associated biochemical changes and downregulates amyloid precursor protein and phosphorylated tau expression in diabetic rats. FAU - Khalaf, Samar S AU - Khalaf SS AD - Department of Biochemistry, Faculty of Pharmacy, Suez Canal University, Ismailia, 41522, Egypt. samarsamir483@yahoo.com. FAU - Hafez, Mohamed M AU - Hafez MM AD - Department of Biochemistry, Faculty of Pharmacy, Ahram Canadian University, 6th of October, Egypt. FAU - Mehanna, Eman T AU - Mehanna ET AD - Department of Biochemistry, Faculty of Pharmacy, Suez Canal University, Ismailia, 41522, Egypt. FAU - Mesbah, Noha M AU - Mesbah NM AD - Department of Biochemistry, Faculty of Pharmacy, Suez Canal University, Ismailia, 41522, Egypt. FAU - Abo-Elmatty, Dina M AU - Abo-Elmatty DM AD - Department of Biochemistry, Faculty of Pharmacy, Suez Canal University, Ismailia, 41522, Egypt. LA - eng PT - Journal Article DEP - 20190213 PL - Germany TA - Naunyn Schmiedebergs Arch Pharmacol JT - Naunyn-Schmiedeberg's archives of pharmacology JID - 0326264 RN - 0 (Amyloid beta-Protein Precursor) RN - 0 (Lipids) RN - 0 (tau Proteins) RN - 5W494URQ81 (Streptozocin) RN - I6B4B2U96P (Vildagliptin) RN - W8O17SJF3T (Memantine) SB - IM MH - Alzheimer Disease/*drug therapy/metabolism MH - Amyloid beta-Protein Precursor/*genetics MH - Animals MH - Diabetes Mellitus, Experimental/*drug therapy/metabolism MH - Diabetes Mellitus, Type 2/*drug therapy/metabolism MH - Down-Regulation MH - Lipids/blood MH - Male MH - Memantine/*administration & dosage MH - Phosphorylation MH - Rats MH - Rats, Wistar MH - Streptozocin MH - Vildagliptin/*administration & dosage MH - tau Proteins/*metabolism OTO - NOTNLM OT - Alzheimer's disease OT - Amyloid beta peptide OT - Diabetes mellitus OT - Memantine OT - Tau protein OT - Vildagliptin EDAT- 2019/02/14 06:00 MHDA- 2020/05/01 06:00 CRDT- 2019/02/14 06:00 PHST- 2018/08/29 00:00 [received] PHST- 2019/01/15 00:00 [accepted] PHST- 2019/02/14 06:00 [pubmed] PHST- 2020/05/01 06:00 [medline] PHST- 2019/02/14 06:00 [entrez] AID - 10.1007/s00210-019-01616-3 [pii] AID - 10.1007/s00210-019-01616-3 [doi] PST - ppublish SO - Naunyn Schmiedebergs Arch Pharmacol. 2019 Jun;392(6):685-695. doi: 10.1007/s00210-019-01616-3. Epub 2019 Feb 13.