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Resveratrol differentially affects MMP-9 release from neurons and glia; implications for therapeutic efficacy
Matthew Amontree1,2, Matthew Nelson1,2, Lara Stefansson1,2
1Department of Neuroscience, Georgetown University Medical Center, Washington, District of Columbia, USA.
Journal of Neurochemistry
|January 1, 2024
Summary
Resveratrol may benefit Alzheimer's patients by reducing harmful matrix metalloproteinase (MMP) and tissue inhibitor of metalloproteinases-1 (TIMP-1) release from glia, while sparing beneficial MMP release from neurons.
Area of Science:
- Neuroscience
- Biochemistry
- Pharmacology
Background:
- Resveratrol, a polyphenol activating sirtuin 1 (SIRT1), modulates matrix metalloproteinase-9 (MMP-9) levels in Alzheimer's dementia (AD) patients' cerebrospinal fluid (CSF).
- MMP-9's function is context-dependent; microglial/pericyte release can damage the blood-brain barrier, while neuronal release promotes synaptic plasticity.
- APOE4 allele is linked to increased glial inflammation in AD.
Purpose of the Study:
- To investigate if resveratrol reduces overall MMP-9 levels in CSF of APOE4 AD patients.
- To determine if resveratrol inhibits inflammation-associated MMP release from glia but spares neuronal MMP release.
Main Methods:
- Analysis of MMP-2, MMP-9, and tissue inhibitor of metalloproteinases-1 (TIMP-1) in CSF from AD patients.
- In vitro studies using cultured microglia, astrocytes, and cortical neurons treated with resveratrol.
- Assessment of basal and lipopolysaccharide (LPS)-stimulated release of MMPs and TIMP-1.
Main Results:
- Resveratrol decreased overall MMP-2 and MMP-9 levels in AD patient CSF.
- Resveratrol reduced CSF TIMP-1 levels in individuals homozygous for APOE4.
- In vitro, resveratrol reduced basal and LPS-stimulated MMP and TIMP-1 release from microglia and astrocytes, but not MMP-9 release from cortical neurons.
- Resveratrol reduced neurocan and brevican release from both neurons and glia.
Conclusions:
- Resveratrol appears to reduce detrimental MMP and TIMP-1 release from activated glia in AD.
- Neuroplasticity-promoting MMP release from neurons is not inhibited by resveratrol.
- Resveratrol's differential effects on glial vs. neuronal MMP release suggest potential therapeutic applications for AD, particularly concerning blood-brain barrier integrity.

