Abstract

Purpose: Memantine is an approved drug for the treatment of Alzheimer’s disease (AD). Autophagy, lysosome dysfunction, and sigma receptors have possible roles in the pathophysiology of AD. Therefore, we aimed to investigate the contribution of sigma receptors and lysosome inhibition to the neuroprotective effects of memantine against amyloid-beta (Aβ)-induced neurotoxicity in SH-SY5Y cells. Methods: We determined the neuroprotective effects of memantine (2.5 µM), dizocilpine (MK801, as a selective N-methyl-D-aspartate (NMDA) receptor antagonist) (5 μM) against Aβ25– 35 (2 μg/μL)-induced neurotoxicity. We used chloroquine (10, 20, and 40 μM) as a lysosome inhibitor and BD-1063 (1, 10, and 30 μM) as a selective sigma receptor antagonist. The MTT assay was used to measure the neurotoxicity in the SH-SY5Y cells. Data were analyzed using the one-way ANOVA. Results: Memantine (2.5 µM), dizocilpine (5 µM), chloroquine (10 and 20 µM) and BD-1063 (1, 10 and 30 µM) decreased the neurotoxic effects of Aβ on the SH-SY5Y cells. However, chloroquine (40 µM) increased the neurotoxic effects of Aβ. Cell viability in the cells treated with memantine + Aβ + chloroquine (10, 20, and 40 μM) was significantly lower than the memantine + Aβ-treated group. Moreover, cell viability in the memantine + Aβ group was higher than the memantine + Aβ + BD-1063 (10 and 30 μM) groups. Conclusion: The lysosomal and sigma receptors may contribute to the neuroprotective mechanism of memantine and other NMDA receptor antagonists. Moreover, the restoration of lysosomes function and the modulation of sigma receptors are potential targets in the treatment of AD.

Highlights

  • Neurodegeneration in several brain regions including neocortex and hippocampus may cause of the cognitive deficits in patients with Alzheimer’s disease (AD)

  • The lysosomal and sigma receptors may contribute to the neuroprotective mechanism of memantine and other NMDA receptor antagonists

  • We aimed to explore the contribution of sigma receptors and lysosome inhibition to the neuroprotective effects of memantine against Aβ-induced neurotoxicity in the SHSY5Y cells

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Summary

Introduction

Neurodegeneration in several brain regions including neocortex and hippocampus may cause of the cognitive deficits in patients with Alzheimer’s disease (AD). Amyloid-beta (Aβ)-induced impairments in the activity of glutamate and autophagy systems may contribute to the neurodegeneration in the central nervous system (CNS).[1,2] the restoration of homeostasis in the glutamate and autophagy systems may help block the Aβ-induced neurotoxicity. Memantine is a non-competitive antagonist of the N-methyl-D-aspartate (NMDA) receptors of glutamate approved for the treatment of AD.[3] Some human studies and animal models have shown its neuroprotective and cognitive-enhancing effects in the AD.[4,5] Other systems alongside with the NMDA receptors may have a role in the therapeutic effects of memantine.[6] By considering the possible roles of autophagy and sigma receptors in the pathophysiology of the AD,[7,8] these systems may be involved in the mechanism of action of memantine

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