Crisdesalazine (AAD-2004) is a microsomal prostaglandin E 2 synthase-1 ( mPGES-1 ) inhibitor. Crisdesalazine acts as a potent free radical scavenger that directly neutralizes reactive oxygen species ( ROS ) including hydrogen peroxide, exerting neuroprotective effects against apoptosis and axonal damage. Crisdesalazine inhibits PGE 2 production, mediates inflammatory responses, and promotes the conversion of macrophages from the pro-inflammatory M1 phenotype to the anti-inflammatory M2 phenotype. Crisdesalazine is applicable to neuroprotection research in multiple sclerosis and spinal cord injury.
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