Synergistic modulation of multifaceted
toxicity is the key to tackle
multifactorial Alzheimer’s disease (AD). The etiology of AD
includes amyloid β (Aβ) amyloidosis, metal ion dyshomeostasis,
reactive oxygen species (ROS), oxidative stress, mitochondrial damage,
and neuroinflammation. We rationally designed multifunctional modulators
by integrating pharmacophores for metal chelation, antioxidant and
anti-inflammatory properties, and modulation of Aβ42 aggregation
on the naphthalene monoimide (NMI) scaffold. The in vitro and cellular
studies of NMIs revealed that M3 synergistically modulates metal-independent
and -dependent amyloid toxicity, scavenges ROS, alleviates oxidative
stress, and emulates Nrf2-mediated stress response in neuronal cells.
M3 effectively reduced structural and functional damage of mitochondria,
reduced Cyt c levels, and rescued cells from apoptosis.
The biological atomic force microscopy and Western blot analysis revealed
the ability of M3 to suppress microglial activation and neuroinflammation
through inhibition of the NF-κβ pathway. The synergistic
action of M3 is in agreement with our design strategy to develop a
multifunctional therapeutic candidate by integrating multiple pharmacophores
with distinct structural and functional elements to ameliorate the
multifaceted toxicity of AD.