Sildenafil

  • 3 independent labs in 4 countries
  • Funder: Norges Forskningsråd
  • Humans1
  • Animals1

Outcomes

3

Amyloid plaques

downin mice1

1 study
  1. Sildenafil decreases amyloid plaques in mice.

    “Immunostaining revealed significantly decreased amyloid plagues in the isocortex and interbrain of the sildenafil‐treated mice”

    Animalsbrain15 mg/kg3 months

    Sildenafil is a candidate drug for Alzheimer’s disease: Mechanism‐of‐action observation in patient iPSC‐derived brain organoids and a 5xFAD mouse model

    AAIC 2025 abstract26 Dec 2025

More on Amyloid plaques

Cognitive function

upin mice1

1 study
  1. Sildenafil improves cognitive function in mice.

    “Sildenafil treatment in mice significantly improved novel object recognition and performance on the Morris water maze and contextual fear conditioning test.”

    Animals15 mg/kg3 months

    Sildenafil is a candidate drug for Alzheimer’s disease: Mechanism‐of‐action observation in patient iPSC‐derived brain organoids and a 5xFAD mouse model

    AAIC 2025 abstract26 Dec 2025

Fenestration frequency

upin mouse cells1

1 study
  1. Sildenafil increases fenestration frequency in mouse cells (3-fold lower concentration).

    “Sildenafil PACA reversed age-related changes LSEC fenestration frequency and porosity at 3-fold lower sildenafil concentrations than sildenafil alone.”

    Cellsliver

    PACA nanoparticles target and deliver sildenafil to rejuvenate aged mouse liver sinusoidal endothelial cells

    Nanotheranostics14 May 2025

Associations

1

Alzheimer's disease

downin humans2HR 0.47

2 studies
  1. Sildenafil lowers the risk of Alzheimer's disease in humans.

    “Compared to spironolactone, sildenafil was linked with a 46% and 30% reduced prevalence of AD in MarketScan (HR = 54%, 95% CI 0.32‐0.66, p ‐value = 3.33x10‐5)”

    Humanscompared to spironolactone

    Sildenafil is a candidate drug for Alzheimer’s disease: Mechanism‐of‐action observation in patient iPSC‐derived brain organoids and a 5xFAD mouse model

    AAIC 2025 abstract26 Dec 2025

  2. Sildenafil lowers the risk of Alzheimer's disease in humans (HR 0.47, 95% CI 0.27-0.82, p<0.001).

    “Sildenafil use was associated with a reduced risk of developing AD by two-fold compared to non-use (HR: 0.47, 95% CI: 0.27-0.82, p<0.001).”

    Review

    Sildenafil and risk of Alzheimer disease: a systematic review and meta-analysis

    Aging17 Mar 2025

More on Alzheimer's disease

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