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Lovastatin in combination with metformin provides neuroprotection in experimental animal model of multiple sclerosis (P5195)

Inderjit Singh, Sarumathi Mohan, Ajaib Singh Paintlia

The Journal of Immunology, 2013

Abstract

Abstract Studies from our laboratory have previously reported that modulation of AMPK by metformin and isoprenylation of RhoA GTPase by statins attenuate inflammatory and autoimmune responses. Here, we evaluated the therapeutic efficacy of these drugs in combination to protect CNS in EAE, animal model of MS. Metformin and lovastatin are neuroprotective per se. Combination therapy using the suboptimal dose of the drugs following EAE induction provided synergistic effects in neuroprotection. Mechanistically, the neuroprotection offered was primarily through decreased infiltration of the immune cell (CD4, CD8 and CD68) and decreased axonal degeneration. Combination therapy also inhibited the EAE induced demyelination (LFB and MBP staining). The shattered homeostasis of phosphorylated form of neurofilament binding protein (SMI-31) during the EAE pathology was reverted back with the drug treatment. Further, CNPase, the marker of myelinating oligodendrotyes was increased by the metformin and lovastatin treatment. Combination treatment with lovastatin and metformin biased the class of elicited myelin basic protein antibody from IgG2a to IgG1 and IgG2b, suggesting a shift from Th1 to Th2 response. In summary, metformin and lovastatin treatment individually as well as in combination combats EAE disease. Since, metformin and lovastatin are FDA approved drugs; the present study suggests for a possible therapeutic application of their combination treatment for MS.

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