Table 1.
Drug | Class | Brain-Permeant | Mouse Model | Main Study Findings | Proposed Mechanisms | REFS |
---|---|---|---|---|---|---|
Perindopril | ACE Inhibitor | Yes | Aβ-injected mice; PS2APP mice | - Prevention of cognitive impairments - Reversion of cognitive deficits (working and recognition memory) |
- Inhibition of brain ACE activities but not peripheral. - Reduction of microglia/astrocyte activation and oxidative stress |
[55,56] |
Captopril | ACE Inhibitor | Yes | Tg2576 mice; 5XFAD mice (and BV2 microglial cells) | - Chronic captopril slowed down the development of neurodegeneration signs | - Reduction of hippocampal ACE activity and ROS production - Reduction of IL-10 release by microglia - Decreased Aβ burden |
[57,58] |
Enalapril | Ace Inhibitor | No | Aβ-injected mice | - No effect on cognition - Very low inhibition of brain ACE activity |
- | [55,56] |
Imidapril | ACE Inhibitor | No | Aβ-injected mice | - No effect on cognition - Very low inhibition of brain ACE activity |
- | [55,56] |
Losartan | AT1R blocker | Yes | A/T mice; J20 APP mice | - losartan failed to restore spatial learning and memory in adult A/T mice but improved cerebrovascular activity - losartan ameliorated cognitive deficits in adult and aged J20 APP mice |
- Attenuation of astrogliosis and normalization of AT1 and AT4 receptor levels (APP mice) | [59,60] |
Valsartan | AT1R blocker | Yes | Tg2576 mice | - preventive valsartan administration attenuated cognitive dysfunction (improved spatial learning) | - Reduction of soluble extracellular oligomeric Aβ peptides in the brain | [61] |
Telmisartan | AT1R blocker | Yes | Aβ-injected ddY mice; 5XFAD mice | - pretreatment with telmisartan prevented cognitive decline | - PPAR-γ activation and reduced Aβ deposition - Reduced activation of microglia and release of pro-inflammatory mediators and ROS |
[62,63] |
Olmesartan | AT1R blocker | No | APP23 mice; Aβ-Injected mice | - Attenuation of cerebrovascular dysfunction in APP23 mice; no reduction of brain Aβ levels - Improvement of cognitive functions in Aβ-Injected mice |
- Decreased oxidative stress and neuroinflammation in the brain | [64] |