Targretin Improves Cognitive and Biological Markers in a Patient with Alzheimer's Disease
JOURNAL OF ALZHEIMERS DISEASE
Authors: Pierrot, Nathalie; Lhommel, Renaud; Quenon, Lisa; Hanseeuw, Bernard; Dricot, Laurence; Sindic, Christian; Maloteaux, Jean-Marie; Octave, Jean-Noel; Ivanoiu, Adrian
Abstract
We present the effects of Targretin (R) (bexarotene) on cognition and biomarkers in a patient with mild Alzheimer's disease (AD). Targretin (R) is a Retinoic X Receptor (RXR) agonist shown to improve synaptic and cognitive functions in animal models of AD by increasing neuronal cholesterol efflux. After 6 months of treatment with Targretin (R) 300 mg/day, memory improved by about 40% and the tau protein in the cerebrospinal fluid decreased by about 20%. No significant side effects were noticed. This observation in a single patient indicates that Targretin r may improve memory performance and biological markers at an early stage of AD.
Crucial role of the terminal complement complex in chondrocyte death and hypertrophy after cartilage trauma
OSTEOARTHRITIS AND CARTILAGE
Authors: Riegger, J.; Huber-Lang, M.; Brenner, R. E.
Abstract
Objective: Innate immune response and particularly terminal complement complex (TCC) deposition are thought to be involved in the pathogenesis of posttraumatic osteoarthritis. However, the possible role of TCC in regulated cell death as well as chondrocyte hypertrophy and senescence has not been unraveled so far and was first addressed using an ex vivo human cartilage trauma-model. Design: Cartilage explants were subjected to blunt impact (0.59 J) and exposed to human serum (HS) and cartilage homogenate (HG) with or without different potential therapeutics: RIPK1-inhibitor Necrostatin-1 (Nec), caspase-inhibitor zVAD, antioxidant N-acetyl cysteine (NAC) and TCC-inhibitors aurin-tricarboxylic acid (ATA) and clusterin (CLU). Cell death and hypertrophy/senescence-associated markers were evaluated on mRNA and protein level. Results: Addition of HS resulted in significantly enhanced TCC deposition on chondrocytes and decrease of cell viability after trauma. This effect was potentiated by HG and was associated with expression of RIPK3, MLKL and CASP8. Cytotoxicity of HS could be prevented by heat-inactivation or specific inhibitors, whereby combination of Nec and zVAD as well as ATA exhibited highest cell protection. Moreover, HS+HG exposition enhanced the gene expression of CXCL1, IL-8, RUNX2 and VEGFA as well as secretion of IL-6 after cartilage trauma. Conclusions: Our findings imply crucial involvement of the complement system and primarily TCC in regulated cell death and phenotypic changes of chondrocytes after cartilage trauma. Inhibition of TCC formation or downstream signaling largely modified serum-induced pathophysiologic effects and might therefore represent a therapeutic target to maintain the survival and chondrogenic character of cartilage cells. (C) 2020 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.