Study shows that intranasal Rx halts memory decay in experimental Alzheimer’s model

Neuroinflammation is a hallmark of neurodegenerative disorders, including Alzheimer's Disease. Specialized pro-resolving lipid mediators are bioactive compounds composed of fatty acids like omega-3 or their derivatives that resolve inflammation. Neuroprotectin D1 (NPD1), discovered by Nicolas Bazan, MD, PhD, Boyd Professor and Director of the LSU Health New Orleans Neuroscience Center of Excellence, and colleagues is one. Previous studies by the Bazan lab demonstrated that NPD1 is protective in experimental stroke as well as retinal damage and that it is in short supply in the memory area of the brains from AD donors.

Resolving inflammation is a complex process involving mediators, cell subtypes and communication pathways. Response includes cell communications that order the activation of protective, pro-survival mechanisms and silence pro-inflammatory signaling pathways. Specialized pro-resolving lipid mediators such as NPD1 are the key signaling molecules in the process.

The paper discloses solid data on microglial activation, pro-inflammatory signaling, chronic inflammation and neuronal damage in Alzheimer's disease. The study uses the App^{NL-G-F/NL-G-F} mouse model for AD. The paper extensively studied amyloid load, cognition, neuronal network oscillations, glial activation, receptors and inflammatory factors.

The authors conclude that the noninvasive administration route, intranasal delivery, of biologically active lipid messengers opens avenues for therapeutic exploration for AD and other neurodegenerative diseases.

"AD lacks prevention or cure and exerts a horrendous toll on patients and their families due to crippling progression and devastating adverse events," notes Dr. Bazan, who led the research at LSU Health. "Millions of Americans currently suffer from AD, and the number is expected to escalate rapidly in the coming years."

Bazan has been collaborating with Marianne Schultzberg, Senior Professor of Clinical Neuroscience at the Department of Neurobiology, Care Sciences and Society at the Karolinska Institutet (KI). Projects include looking at the novel signals that protect the brain in the cerebral spinal fluid (CSF) of the early stages of Alzheimer's disease.

"This productive collaboration is uncovering important aspects of early stages of Alzheimer's Disease, and the novel evolving mechanisms are promising paths for innovative therapies like the one disclosed in the current paper," says Professor Schultzberg.

According to the National Institute on Aging, Alzheimer's disease is currently ranked as the seventh leading cause of death in the United States and is the most common cause of dementia among older adults.

Other members of the LSU Health New Orleans research team include Drs. Khanh V. Do, Bokkyoo Jun and Megan L. Cothern. Ceren Emre, who recently completed her PhD at the Karolinska Institutet, was co-supervised by Dr. Bazan and worked at LSU Health New Orleans Neuroscience Center of Excellence for eight months just before the pandemic.