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KMID : 0613820110210050647
Journal of Life Science
2011 Volume.21 No. 5 p.647 ~ p.655
Phosphodiesterase ¥² Inhibitor Cilostazol Protects Amyloid ¥â-Induced Neuronal Cell Injury via Peroxisome Proliferator-Activated Receptor-¥ã Activation
Park Sun-Haeng

Kim Ji-Hyun
Bae Sun-Sik
Hong Ki-Whan
Choi Byung-Tae
Abstract
The neurotoxicity of aggregated amyloid ¥â (A¥â) has been implicated as a critical cause in the pathogenesis of Alzheimer¡¯s disease (AD). It can cause neurotoxicity in AD by evoking a cascade of apoptosis to neuron. Here, we investigated the neuroprotective effects of cilostazol, which acts as a phosphodiesterase ¥² inhibitor, on A¥â25-35-induced cytotoxicity in mouse neuronal cells and cognitive decline in the C57BL/6J AD mouse model via peroxisome proliferator-activated receptor (PPAR)-¥ã activation. A¥â25-35 significantly reduced cell viability and increased the number of apoptotic-like cells. Cilostazol treatment recovered cells from A¥â-induced cell death as well as rosiglitazone, a PPAR-¥ã activator. These effects were suppressed by GW9662, an antagonist of PPAR-¥ã activity, indicative of a PPAR-¥ã -mediated signaling. In addition, cilostazol and rosiglitazone also restored PPAR-¥ã activity levels that had been altered as a result of A¥â25-35 treatment, which were antagonized by GW9662. Furthermore, cilostazol also markedly decreased the number of apoptotic-like cells and decreased the Bax/Bcl-2 ratio. Intracerebroventricular injection of A¥â25-35 in C57BL/6J mice resulted in impaired cognitive function. Oral administration of cilostazol (20 §·/§¸) for 2 weeks before A¥â25-35 injection and once a day for 4 weeks post-surgery almost completely prevented the A¥â25-35-induced cognitive deficits, as did rosiglitazone. Taken together, our findings suggest that cilostazol could attenuate A¥â25-35-induced neuronal cell injury and apoptosis as well as promote the survival of neuronal cells, subsequently improving cognitive decline in AD, partly because of PPAR-¥ã activation. The phosphodiesterase ¥² inhibitor cilostazol may be the basis of a novel strategy for the therapy of AD.
KEYWORD
Alzheimer¡¯s disease, amyloid ¥â, apoptosis, cell injury
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