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Updated: May 4, 2026

Author Spotlight: Decoding Mitochondrial Aging
Published on: June 30, 2023
Mildronate and its neuroregulatory mechanisms: targeting the mitochondria, neuroinflammation, and protein expression
Vija Klusa1, Ulrika Beitnere, Jolanta Pupure
1Department of Pharmacology, Faculty of Medicine, University of Latvia, Raina blv. 19, 1586 Riga, Latvia. vijaklus@latnet.lv, vija.klusa@lu.lv.
Abstract:
This review for the first time summarizes the data obtained in the neuropharmacological studies of mildronate, a drug previously known as a cardioprotective agent. In different animal models of neurotoxicity and neurodegenerative diseases, we demonstrated its neuroprotecting activity. By the use of immunohistochemical methods and Western blot analysis, as well as some selected behavioral tests, the new mechanisms of mildronate have been demonstrated: a regulatory effect on mitochondrial processes and on the expression of nerve cell proteins, which are involved in cell survival, functioning, and inflammation processes. Particular attention is paid to the capability of mildronate to stimulate learning and memory and to the expression of neuronal proteins involved in synaptic plasticity and adult neurogenesis. These properties can be useful in neurological practice to protect and treat neurological disorders, particularly those associated with neurodegeneration and a decline in cognitive functions.
Insights
Mildronate, a cardioprotective drug, shows significant neuroprotective effects in animal models. It regulates mitochondrial function and protein expression, enhancing learning, memory, and neurogenesis for neurological disorder treatment.
Area of Science:
- Neuropharmacology
- Neurobiology
Background:
- Mildronate is primarily known as a cardioprotective agent.
- Emerging evidence suggests potential neuroprotective roles for mildronate.
Purpose of the Study:
- To review and summarize neuropharmacological studies on mildronate.
- To elucidate the neuroprotective mechanisms and therapeutic potential of mildronate in neurological disorders.
Main Methods:
- Review of existing neuropharmacological studies.
- Inclusion of data from animal models of neurotoxicity and neurodegenerative diseases.
- Analysis of immunohistochemical methods, Western blot, and behavioral tests.
Main Results:
- Mildronate demonstrated neuroprotective activity across various animal models.
- Identified mechanisms include regulation of mitochondrial processes and nerve cell protein expression involved in survival and inflammation.
- Mildronate was shown to stimulate learning and memory, and affect proteins related to synaptic plasticity and neurogenesis.
Conclusions:
- Mildronate exhibits significant neuroprotective and cognitive-enhancing properties.
- Its mechanisms involve mitochondrial regulation and modulation of key neuronal proteins.
- Mildronate holds promise for protecting and treating neurological disorders, especially those involving neurodegeneration and cognitive decline.
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