Review Article

Sterile Neuroinflammation and Strategies for Therapeutic Intervention

Table 2

A list of drugs that ameliorate DAMPs-induced neuroinflammation.

ModeDrugRemarksReferences

Inhibition of DAMPs releaseVIP, urocortin, PACAP, acetyl cholineEndogenous, inhibiting nucleus-to-cytoplasm transport of HMGB1[160162]
EPInhibiting nucleus-to-cytoplasm transport of HMGB1[173, 174]
MK-801Blocking glutamate/NMDA receptor, reducing HMGB1 release[163]
EPAPPARγ agonist, attenuating HMGB1 release[164]
GLConstituting licorice root, inhibiting HMGB1 release[161, 165, 166]
CBXSynthetic GL, reducing HMGB1 secretion[167]
TanshinonesConstituting herb “Danshen”, inhibiting HMGB1 release[168]
Atorvastatin, simvastatinAttenuating the extracellular release of HMGB1[169]
NM, GM, sivelestatSynthetic, inhibiting HMGB1 secretion[170172]

Neutralization of DAMPsHMGB1 A boxHMGB1 lacking proinflammatory activity, competitively inhibits HMGB1[161, 175177]
Anti-HMGB1 antibodyReduction in proinflammatory role[179]
Aβ vaccineGeneration of anti-Aβ antibodies[180]

Blockade of DAMPs-specific receptorsVIPERPeptide, blocking TLR4[204]
Anti-TLR2 antibodyReduction in proinflammatory role[182]
Anti-TLR4 antibodyReduction in proinflammatory role[182]
RAGE vaccineRAGE/Aβ complex has greater immunogenic response than RAGE or Aβ alone[180]
S100P-derived peptideCompetitive inhibitor of RAGE[161, 183]
FPS-ZM1RAGE specific antagonist[184]
MCC950Potent, selective inhibitor of NLRP3[186]
IL-1RABlocking IL-1R[187]

Inhibition of signaling pathways downstream of receptorsResveratrolNatural polyphenol[189]
Exogenous PACAPInhibiting the upregulation of TLR4, MyD88, P-IκB, and NF-κB[190]
MTXHMGB1 binding property, reducing HMGB1/RAGE interaction[191]
SimvastatinAttenuating TLR4 and NF-κB expression[192]
LuteolinFruit and vegetable constituent, downregulating TLR4 and NF-κB[194]
Tan IIAReducing the expression of HMGB1, TLR4, RAGE, and NF-κB[193]
MLN519Protease inhibitor, modulating NF-κB activity[195]

Activation of DAMPs clearanceMTCInhibiting tau aggregation[202]

VIP, vasoactive intestinal peptide; PACAP, pituitary adenylate cyclase-activating polypeptide; EP, ethyl pyruvate; EPA, eicosapentaenoic acid; PPARγ, peroxisome proliferator-activated receptor gamma; GL, glycyrrhizin; CBX, carbenoxolone; NM, nafamostat mesilate; GM, gabexate mesilate; VIPER, viral inhibitory peptide; FPS-ZM1, n-benzyl-4-chloro-N-cyclohexylbenzamide; IL-1RA, IL-1 receptor antagonist; MTX, methotrexate; Tan IIA, tanshinone II A; MTC, methylthioninium chloride.