Antiepileptics topiramate and levetiracetam alleviate behavioral deficits and reduce neuropathology in APPswe/PS1dE9 transgenic mice

CNS Neurosci Ther. 2013 Nov;19(11):871-81. doi: 10.1111/cns.12144. Epub 2013 Jul 27.

Abstract

Background: The close relationship between epileptic seizure and Alzheimer's disease (AD) has been demonstrated in the past decade. Valproic acid, a traditional first-line antiepileptic drug, exerted protective effects in transgenic models of AD. It remains uncertain whether new antiepileptic drugs could reverse neuropathology and behavioral deficits in AD transgenic mice.

Aims: APPswe/PS1dE9 transgenic mice were used in this study, which over express the Swedish mutation of amyloid precursor protein together with presenilin 1 deleted in exon 9. 7-month-old APPswe/PS1dE9 transgenic mice were treated daily with 20 mg/kg topiramate (TPM) and 50 mg/kg levetiracetam (LEV) for 30 days by intraperitoneal injection to explore the effects of TPM and LEV on the neuropathology and behavioral deficits.

Results: The results indicated that TPM and LEV alleviated behavioral deficits and reduced amyloid plaques in APPswe/PS1dE9 transgenic mice. TPM and LEV increased Aβ clearance and up-regulated Aβ transport and autophagic degradation. TPM and LEV inhibited Aβ generation and suppressed γ-secretase activity. TPM and LEV inhibited GSK-3β activation and increased the activation of AMPK/Akt activation. Further, TPM and LEV inhibited histone deacetylase activity in vivo.

Conclusions: Therefore, TPM and LEV might have the potential to treat AD effectively in patient care.

Keywords: Alzheimer's disease; Behavior; Histone deacetylase inhibition; Levetiracetam; Neuropathology; Topiramate.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alzheimer Disease / genetics
  • Alzheimer Disease / pathology*
  • Alzheimer Disease / prevention & control*
  • Amyloid beta-Protein Precursor* / genetics
  • Animals
  • Anticonvulsants / pharmacology
  • Anticonvulsants / therapeutic use*
  • Brain / drug effects
  • Brain / pathology
  • Cell Line, Tumor
  • Fructose / analogs & derivatives*
  • Fructose / pharmacology
  • Fructose / therapeutic use
  • Humans
  • Levetiracetam
  • Maze Learning / drug effects
  • Maze Learning / physiology
  • Mice
  • Mice, Transgenic
  • Neuroprotective Agents / pharmacology
  • Neuroprotective Agents / therapeutic use
  • Piracetam / analogs & derivatives*
  • Piracetam / pharmacology
  • Piracetam / therapeutic use
  • Presenilin-1* / genetics
  • Topiramate

Substances

  • Amyloid beta-Protein Precursor
  • Anticonvulsants
  • Neuroprotective Agents
  • Presenilin-1
  • Topiramate
  • Fructose
  • Levetiracetam
  • Piracetam