The ACAT inhibitor CP-113,818 markedly reduces amyloid pathology in a mouse model of Alzheimer's disease

Neuron. 2004 Oct 14;44(2):227-38. doi: 10.1016/j.neuron.2004.08.043.


Amyloid beta-peptide (Abeta) accumulation in specific brain regions is a pathological hallmark of Alzheimer's disease (AD). We have previously reported that a well-characterized acyl-coenzyme A: cholesterol acyltransferase (ACAT) inhibitor, CP-113,818, inhibits Abeta production in cell-based experiments. Here, we assessed the efficacy of CP-113,818 in reducing AD-like pathology in the brains of transgenic mice expressing human APP(751) containing the London (V717I) and Swedish (K670M/N671L) mutations. Two months of treatment with CP-113,818 reduced the accumulation of amyloid plaques by 88%-99% and membrane/insoluble Abeta levels by 83%-96%, while also decreasing brain cholesteryl-esters by 86%. Additionally, soluble Abeta(42) was reduced by 34% in brain homogenates. Spatial learning was slightly improved and correlated with decreased Abeta levels. In nontransgenic littermates, CP-113,818 also reduced ectodomain shedding of endogenous APP in the brain. Our results suggest that ACAT inhibition may be effective in the prevention and treatment of AD by inhibiting generation of the Abeta peptide.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adrenal Glands / drug effects
  • Alzheimer Disease / drug therapy
  • Alzheimer Disease / prevention & control
  • Amyloid beta-Peptides / drug effects*
  • Amyloid beta-Peptides / metabolism
  • Animals
  • Blotting, Western
  • Brain / drug effects
  • Brain / pathology*
  • Cholesterol Esters / analysis
  • Cholesterol Esters / metabolism
  • Disease Models, Animal
  • Enzyme Inhibitors / adverse effects
  • Enzyme Inhibitors / therapeutic use*
  • Female
  • Humans
  • Learning / drug effects
  • Male
  • Mice
  • Mice, Transgenic
  • Plaque, Amyloid / metabolism
  • Pyridines / adverse effects
  • Pyridines / therapeutic use*
  • Sex Factors
  • Sterol O-Acyltransferase / drug effects*
  • Sterol O-Acyltransferase / metabolism


  • Amyloid beta-Peptides
  • Cholesterol Esters
  • Enzyme Inhibitors
  • Pyridines
  • CP 113818
  • Sterol O-Acyltransferase