Cardiac glycosides target barrier inflammation of the vasculature, meninges and choroid plexus

Commun Biol. 2021 Feb 26;4(1):260. doi: 10.1038/s42003-021-01787-x.

Abstract

Neuroinflammation is a key component of virtually all neurodegenerative diseases, preceding neuronal loss and associating directly with cognitive impairment. Neuroinflammatory signals can originate and be amplified at barrier tissues such as brain vasculature, surrounding meninges and the choroid plexus. We designed a high content screening system to target inflammation in human brain-derived cells of the blood-brain barrier (pericytes and endothelial cells) to identify inflammatory modifiers. Screening an FDA-approved drug library we identify digoxin and lanatoside C, members of the cardiac glycoside family, as inflammatory-modulating drugs that work in blood-brain barrier cells. An ex vivo assay of leptomeningeal and choroid plexus explants confirm that these drugs maintain their function in 3D cultures of brain border tissues. These results suggest that cardiac glycosides may be useful in targeting inflammation at border regions of the brain and offer new options for drug discovery approaches for neuroinflammatory driven degeneration.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Inflammatory Agents / pharmacology*
  • Blood-Brain Barrier / drug effects*
  • Blood-Brain Barrier / metabolism
  • Blood-Brain Barrier / pathology
  • Cells, Cultured
  • Choroid Plexus / drug effects*
  • Choroid Plexus / metabolism
  • Choroid Plexus / pathology
  • Digoxin / pharmacology*
  • Drug Evaluation, Preclinical
  • Endothelial Cells / drug effects*
  • Endothelial Cells / metabolism
  • Endothelial Cells / pathology
  • High-Throughput Screening Assays
  • Humans
  • Inflammation / drug therapy*
  • Inflammation / metabolism
  • Inflammation / pathology
  • Inflammation Mediators / metabolism
  • Lanatosides / pharmacology*
  • Meninges / drug effects*
  • Meninges / metabolism
  • Meninges / pathology
  • Pericytes / drug effects*
  • Pericytes / metabolism
  • Pericytes / pathology
  • Tissue Culture Techniques

Substances

  • Anti-Inflammatory Agents
  • Inflammation Mediators
  • Lanatosides
  • lanatoside C
  • Digoxin