Background: The low-molecular weight thiol pantethine, known as a hypolipidemic and hypocholesterolemic agent, is the major precursor of co-enzyme A. We have previously shown that pantethine treatment reduces amyloid- (A)-induced IL-1 release and alleviates pathological metabolic changes in primary astrocyte cultures. These properties of pantethine prompted us to investigate its potential benefits in vivo in the 5XFAD (Tg) mouse model of Alzheimer's disease (AD). Methods: 1.5-month-old Tg and wild type (WT) male mice were submitted to intraperitoneal administration of pantethine or saline control solution for 5.5 months. The effects of such treatments were investigated by performing behavioral tests and evaluating astrogliosis, microgliosis, deposition and whole genome expression arrays, using RNAs extracted from the mice hippocampi. Results: We observed that long-term pantethine treatment significantly reduced glial reactivity and deposition, and abrogated behavioral alteration in Tg mice. Moreover, the transcriptomic profiles revealed that after pantethine treatment, the expression of genes differentially expressed in Tg mice, and in particular those known to be related to AD, were significantly alleviated. Most of the genes overexpressed in Tg compared to WT were involved in inflammation, complement activation and phagocytosis, were found repressed upon pantethine treatment. In contrast, pantethine restored the expression of a significant number of genes involved in the regulation of processing and synaptic activities, which were down-regulated in Tg mice. Conclusions: Altogether, our data support a beneficial role for long-term pantethine treatment in preserving CNS crucial functions altered by A pathogenesis in Tg mice, and highlight the potential efficiency of pantethine to alleviate AD pathology.