Abstract
Alzheimer's disease (AD) is the most common form of senile dementia which is characterized by abnormal amyloid beta (Aβ) accumulation and deposition in brain parenchyma and cerebral capillaries, and leads to blood-brain barrier (BBB) disruption. Despite great progress in understanding the etiology of AD, the underlying pathogenic mechanism of BBB damage is still unclear, and no effective treatment has been devised. The standard Ginkgo biloba extract EGb761 has been widely used as a potential cognitive enhancer for the treatment of AD. However, the cellular mechanism underlying the effect remain to be clarified. In this study, we employed an immortalized endothelial cell line (bEnd.3) and incubation of Aβ(1-42) oligomer, to mimic a monolayer BBB model under conditions found in the AD brain. We investigated the effect of EGb761 on BBB and found that Aβ1-42 oligomer-induced cell injury, apoptosis, and generation of intracellular reactive oxygen species (ROS), were attenuated by treatment with EGb761. Moreover, treatment of the cells with EGb761 decreased BBB permeability and increased tight junction scaffold protein levels including ZO-1, Claudin-5 and Occludin. We also found that the Aβ(1-42) oligomer-induced upregulation of the receptor for advanced glycation end-products (RAGE), which mediates Aβ cytotoxicity and plays an essential role in AD progression, was significantly decreased by treatment with EGb761. To our knowledge, we provide the first direct in vitro evidence of an effect of EGb761 on the brain endothelium exposed to Aβ(1-42) oligomer, and on the expression of tight junction (TJ) scaffold proteins and RAGE. Our results provide a new insight into a possible mechanism of action of EGb761. This study provides a rational basis for the therapeutic application of EGb761 in the treatment of AD.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Amyloid beta-Peptides / antagonists & inhibitors*
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Amyloid beta-Peptides / pharmacology
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Apoptosis / drug effects
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Blood-Brain Barrier / cytology
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Blood-Brain Barrier / drug effects
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Cell Line, Transformed
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Claudin-5 / genetics
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Claudin-5 / metabolism
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Endothelial Cells / cytology
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Endothelial Cells / metabolism*
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Gene Expression / drug effects
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Ginkgo biloba
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Humans
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Models, Biological
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Nootropic Agents / pharmacology*
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Occludin / genetics
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Occludin / metabolism
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Peptide Fragments / antagonists & inhibitors*
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Peptide Fragments / pharmacology
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Plant Extracts / pharmacology*
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Reactive Oxygen Species / agonists
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Reactive Oxygen Species / antagonists & inhibitors*
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Reactive Oxygen Species / metabolism
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Receptor for Advanced Glycation End Products
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Receptors, Immunologic / genetics
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Receptors, Immunologic / metabolism
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Tight Junctions / drug effects
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Zonula Occludens-1 Protein / genetics
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Zonula Occludens-1 Protein / metabolism
Substances
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Amyloid beta-Peptides
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CLDN5 protein, human
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Claudin-5
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Nootropic Agents
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OCLN protein, human
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Occludin
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Peptide Fragments
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Plant Extracts
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Reactive Oxygen Species
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Receptor for Advanced Glycation End Products
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Receptors, Immunologic
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TJP1 protein, human
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Zonula Occludens-1 Protein
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amyloid beta-protein (1-42)
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Ginkgo biloba extract
Grants and funding
The authors gratefully acknowledge the financial support of this study by National Natural Science Foundation of China (Grant No. 81473739), and Shanghai Committee of Science and Technology, China (Grant No. 12401904500), YML received the funding, (
http://www.nsfc.gov.cn/) and (
http://www.stcsm.gov.cn/), respectively; by National Natural Science Foundation of China (Grant No. 31171129, Grant No. 81460748), SJX received the funding, (
http://www.nsfc.gov.cn/). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.