Alzheimer's disease (AD) is a form of
dementia associated with abnormal
glucose metabolism resulting from
amyloid-beta (Aβ) plaques and intracellular neurofibrillary
tau protein tangles. In a previous study, we confirmed that carboxy-dehydroevodiamine∙HCl (cx-
DHED), a derivative of
DHED, was effective at improving
cognitive impairment and reducing phosphorylated tau levels and synaptic loss in an AD mouse model. However, the specific mechanism of action of cx-
DHED is unclear. In this study, we investigated how the cx-
DHED attenuates AD pathologies in the 5xFAD mouse model, focusing particularly on abnormal
glucose metabolism. We analyzed behavioral changes and AD pathologies in mice after
intraperitoneal injection of cx-
DHED for 2 months. As expected, cx-
DHED reversed memory impairment and reduced Aβ plaques and astrocyte overexpression in the brains of 5xFAD mice. Interestingly, cx-
DHED reversed the abnormal expression of
glucose transporters in the brains of 5xFAD mice. In addition, otherwise low O-GlcNac levels increased, and the overactivity of phosphorylated GSK-3β decreased in the brains of cx-
DHED-treated 5xFAD mice. Finally, the reduction in synaptic
proteins was found to also improve by treatment with cx-
DHED. Therefore, we specifically demonstrated the protective effects of cx-
DHED against AD pathologies and suggest that cx-
DHED may be a potential therapeutic
drug for AD.