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PreprintCC BY-NC-NDmedRxiv

Laromestrocel preserves brain volume and cognitive function in Alzheimers disease by inhibiting neuroinflammation

  1. 1Longeveron, INC

Abstract

Neuroinflammation is a principal driver of brain atrophy and cognitive decline in Alzheimers disease (AD). Here we show that laromestrocel, a mesenchymal stem cell therapy, inhibits progressive brain inflammation in subjects (n=49) with mild AD, with the strongest effect seen in core AD brain regions: the left hippocampus (25 million cells (M)x4 monthly dose group; p<0.001, N=11, and 100Mx4 group; p<0.001; N=10), the left temporal cortex (25Mx4 group; p=0.007; N=11) and left parietal cortex (25Mx4, week 26; p=0.042; N=10), and the medulla (25Mx4 group and 100Mx4; p=0.007; N=11 and N=10) after 39 weeks compared with placebo (N=9). Reduced neuroinflammation correlated with reduced brain atrophy (hippocampus: R=-0.326; p=0.040; N=40) and improvements in clinical scores, particularly cognitive function (hippocampus x MoCA: R=-0.401; p=0.011; N=40). Treated subjects also exhibited reduced neurogranin (25Mx4 group; p=0.023; N=11) in blood plasma, consistent with reduced synaptic loss. Finally, blood biomarker analysis supported a convergent multimodal mechanism of action implicating peripheral immune engagement. Together these results show that long-lasting anti-neuroinflammatory effects of laromestrocel mitigate AD brain inflammation and are associated with markedly reduced brain tissue destruction and improved clinical function.

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BibTeX
@misc{rash2026laromestrocel,
  title = {{Laromestrocel preserves brain volume and cognitive function in Alzheimers disease by inhibiting neuroinflammation}},
  author = {B. G. Rash and S. Levitina and J. Botbyl and C. Conklin and M. Ingalhalikar and J. M. Hare},
  howpublished = {medRxiv},
  year = {2026},
  month = sep,
  doi = {10.64898/2026.09.16.26363132},
  url = {https://www.medrxiv.org/content/10.64898/2026.09.16.26363132v1},
  note = {CC BY-NC-ND},
}
RIS
TY  - UNPB
TI  - Laromestrocel preserves brain volume and cognitive function in Alzheimers disease by inhibiting neuroinflammation
AU  - B. G. Rash
AU  - S. Levitina
AU  - J. Botbyl
AU  - C. Conklin
AU  - M. Ingalhalikar
AU  - J. M. Hare
PY  - 2026
DA  - 2026/09/16
PB  - medRxiv
DO  - 10.64898/2026.09.16.26363132
UR  - https://www.medrxiv.org/content/10.64898/2026.09.16.26363132v1
AB  - Neuroinflammation is a principal driver of brain atrophy and cognitive decline in Alzheimers disease (AD). Here we show that laromestrocel, a mesenchymal stem cell therapy, inhibits progressive brain inflammation in subjects (n=49) with mild AD, with the strongest effect seen in core AD brain regions: the left hippocampus (25 million cells (M)x4 monthly dose group; p<0.001, N=11, and 100Mx4 group; p<0.001; N=10), the left temporal cortex (25Mx4 group; p=0.007; N=11) and left parietal cortex (25Mx4, week 26; p=0.042; N=10), and the medulla (25Mx4 group and 100Mx4; p=0.007; N=11 and N=10) after 39 weeks compared with placebo (N=9). Reduced neuroinflammation correlated with reduced brain atrophy (hippocampus: R=-0.326; p=0.040; N=40) and improvements in clinical scores, particularly cognitive function (hippocampus x MoCA: R=-0.401; p=0.011; N=40). Treated subjects also exhibited reduced neurogranin (25Mx4 group; p=0.023; N=11) in blood plasma, consistent with reduced synaptic loss. Finally, blood biomarker analysis supported a convergent multimodal mechanism of action implicating peripheral immune engagement. Together these results show that long-lasting anti-neuroinflammatory effects of laromestrocel mitigate AD brain inflammation and are associated with markedly reduced brain tissue destruction and improved clinical function.
ER  -