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. 2021 Sep 20;22(18):10139. doi: 10.3390/ijms221810139

Table 1.

RAS medications in mouse models studies.

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]