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A combination Alzheimer's therapy targeting BACE1 and neprilysin in 5XFAD transgenic mice

Devi, Latha; Ohno, Masuo
BACKGROUND: Accumulating evidence indicates that partial inhibition of beta-site APP-cleaving enzyme 1 (BACE1), which initiates amyloid-beta (Abeta) production, mitigates Alzheimer's disease (AD)-like pathologies and memory deficits in a battery of transgenic mouse models. However, our previous investigations suggest that therapeutic BACE1 suppression may be beneficial only if targeted on earlier stages of AD and encounter dramatic reductions in efficacy during disease progression. This study was designed to test the possibility that a combination approach, aimed at inhibiting BACE1 and boosting neprilysin (a major Abeta-degrading enzyme) activities, may be able to mechanistically overcome the limited efficacy of anti-Abeta therapy in advanced AD. RESULTS: After crossbreeding between BACE1 heterozygous knockout (BACE1(+/-)), neprilysin transgenic (NEP) and 5XFAD mice, we analyzed the resultant mice at 12 months of age when 5XFAD controls showed robust amyloid-beta (Abeta) accumulation and elevation of BACE1 expression (~2 folds). Although haploinsufficiency lowered BACE1 expression by ~50% in concordance with reduction in gene copy number, profound beta-amyloidosis, memory deficits and cholinergic neuron death were no longer rescued in BACE1(+/-) . 5XFAD mice concomitant with their persistently upregulated BACE1 (i.e., equivalent to wild-type control levels). Notably, neprilysin overexpression not only prevented Abeta accumulation but also suppressed the translation initiation factor eIF2alpha-associated elevation of BACE1 and lowered levels of the beta-secretase-cleaved C-terminal fragment of APP (C99) in NEP . 5XFAD mice. Interestingly, these markers for beta-amyloidogenesis in BACE1(+/-) . NEP . 5XFAD mice were further reduced to the levels reflecting a combination of single BACE1 allele ablation and the abolishment of translational BACE1 upregulation. However, since neprilysin overexpression was striking (~8-fold relative to wild-type controls), memory impairments, cholinergic neuronal loss and beta-amyloidosis were similarly prevented in NEP . 5XFAD and BACE1(+/-) . NEP . 5XFAD mice. CONCLUSIONS: Our findings indicate that robust overexpression of neprilysin is sufficient to ameliorate AD-like phenotypes in aged 5XFAD mice. We also found that Abeta-degrading effects of overexpressed neprilysin can block deleterious BACE1-elevating mechanisms that accelerate Abeta production, warranting further study to test whether interventions moderately activating neprilysin may be useful for boosting the limited efficacy of therapeutic BACE1 inhibition in treating AD with established Abeta pathology.
PMCID:4397831
PMID: 25884928
ISSN: 1756-6606
CID: 1533322

Neuroscience. Metabolic control of epilepsy [Comment]

Scharfman, Helen E
PMID: 25792315
ISSN: 0036-8075
CID: 1506442

Reduction of beta-amyloid and gamma-secretase by calorie restriction in female Tg2576 mice

Schafer, Marissa J; Alldred, Melissa J; Lee, Sang Han; Calhoun, Michael E; Petkova, Eva; Mathews, Paul M; Ginsberg, Stephen D
Research indicates that female risk of developing Alzheimer's disease (AD) is greater than that of males. Moderate reduction of calorie intake, known as calorie restriction (CR), reduces pathology in AD mouse models and is a potentially translatable prevention measure for individuals at-risk for AD, as well as an important tool for understanding how the brain endogenously attenuates age-related pathology. Whether sex influences the response to CR remains unknown. In this study, we assessed the effect of CR on beta-amyloid peptide (Abeta) pathology and hippocampal CA1 neuron specific gene expression in the Tg2576 mouse model of cerebral amyloidosis. Relative to ad libitum (AL) feeding, CR feeding significantly reduced hippocampal Abeta burden in 15-month-old female, but not age-matched male, Tg2576 mice. Sustained CR also significantly reduced expression of presenilin enhancer 2 (Psenen) and presenilin 1, components of the gamma-secretase complex, in Tg2576 females. These results indicate that long-term CR significantly reduces age-dependent female Tg2576 Abeta pathology, which is likely to involve CR-mediated reductions in gamma-secretase-dependent amyloid precursor protein (APP) metabolism.
PMCID:4346433
PMID: 25556162
ISSN: 0197-4580
CID: 1420202

Decreased hippocampal neprilysin in a type 1 diabetes primate model leads to an increase in Abeta levels [Meeting Abstract]

Morales-Corraliza, J; Wong, H; Mazzella, M; Che, S; Wagner, J; Hemby, S; Ginsberg, S; Mathews, P
Objectives: Given that epidemiologic studies have shown that diabetes mellitus increases the risk of Alzheimer's disease (AD), our objective was to examine the mechanistic links between the two diseases in a non-human primate. Methods: Tissue from multiple brain regions of a vervet monkey model of streptozotocin-induced type 1 diabetes (n=10 control; n=7 diabetic) was examined by Western blot analysis, sandwich ELISA, and qPCR for biochemical changes in tau protein and Abeta peptide, as well as changes in key enzymes that contribute to their processing and posttranslational modification. Results: Regional brain analyses showed a global increase in tau phosphorylation in areas vulnerable to AD pathology as well as in spared structures such as the cerebellum. An examination of tau phosphatases and kinases showed a brain-wide increase in active ERK1/2. A diabetes-induced increase in Abeta levels, however, was specific to brain regions affected during the early stages of AD pathogenesis, with the greatest increase observed in the hippocampus. Examination of the amyloid precursor protein, its metabolites, and proteins involved in the clearance and degradation of brain Abeta indicated that a hippocampal-specific decrease in the Abeta-degrading enzyme neprilysin is a major contributor to this localized Abeta increase. Conclusions: Our study suggests protein changes in the brain that link diabetes to AD risk: decreased neprilysin expression leads to an increase in Abeta in the temporal lobe structures that are at the earliest risk in AD while increased ERK1/2 activity appears to contribute to a brain-wide increase in tau phosphorylation
EMBASE:71853016
ISSN: 1660-2854
CID: 1560432

Calpain inhibition mediates autophagy-dependent protection against polyglutamine toxicity

Menzies, F M; Garcia-Arencibia, M; Imarisio, S; O'Sullivan, N C; Ricketts, T; Kent, B A; Rao, M V; Lam, W; Green-Thompson, Z W; Nixon, R A; Saksida, L M; Bussey, T J; O'Kane, C J; Rubinsztein, D C
Over recent years, accumulated evidence suggests that autophagy induction is protective in animal models of a number of neurodegenerative diseases. Intense research in the field has elucidated different pathways through which autophagy can be upregulated and it is important to establish how modulation of these pathways impacts upon disease progression in vivo and therefore which, if any, may have further therapeutic relevance. In addition, it is important to understand how alterations in these target pathways may affect normal physiology when constitutively modulated over a long time period, as would be required for treatment of neurodegenerative diseases. Here we evaluate the potential protective effect of downregulation of calpains. We demonstrate, in Drosophila, that calpain knockdown protects against the aggregation and toxicity of proteins, like mutant huntingtin, in an autophagy-dependent fashion. Furthermore, we demonstrate that, overexpression of the calpain inhibitor, calpastatin, increases autophagosome levels and is protective in a mouse model of Huntington's disease, improving motor signs and delaying the onset of tremors. Importantly, long-term inhibition of calpains did not result in any overt deleterious phenotypes in mice. Thus, calpain inhibition, or activation of autophagy pathways downstream of calpains, may be suitable therapeutic targets for diseases like Huntington's disease.
PMCID:4326573
PMID: 25257175
ISSN: 1350-9047
CID: 1462922

Early hyperactivity in lateral entorhinal cortex is associated with elevated levels of AbetaPP metabolites in the Tg2576 mouse model of Alzheimer's disease

Xu, Wenjin; Fitzgerald, Shane; Nixon, Ralph A; Levy, Efrat; Wilson, Donald A
Alzheimer's disease (AD) is a neurodegenerative disorder which is the most common cause of dementia in the elderly today. One of the earliest symptoms of AD is olfactory dysfunction. The present study investigated the effects of amyloid beta precursor protein (AbetaPP) metabolites, including amyloid-beta (Abeta) and AbetaPP C-terminal fragments (CTF), on olfactory processing in the lateral entorhinal cortex (LEC) using the Tg2576 mouse model of human AbetaPP over-expression. The entorhinal cortex is an early target of AD related neuropathology, and the LEC plays an important role in fine odor discrimination and memory. Cohorts of transgenic and age-matched wild-type (WT) mice at 3, 6, and 16months of age (MO) were anesthetized and acute, single-unit electrophysiology was performed in the LEC. Results showed that Tg2576 exhibited early LEC hyperactivity at 3 and 6MO compared to WT mice in both local field potential and single-unit spontaneous activity. However, LEC single-unit odor responses and odor receptive fields showed no detectable difference compared to WT at any age. Finally, the very early emergence of olfactory system hyper-excitability corresponded not to detectable Abeta deposition in the olfactory system, but rather to high levels of intracellular AbetaPP-CTF and soluble Abeta in the anterior piriform cortex (aPCX), a major afferent input to the LEC, by 3MO. The present results add to the growing evidence of AbetaPP-related hyper-excitability, and further implicate both soluble Abeta and non-Abeta AbetaPP metabolites in its early emergence.
PMCID:4324092
PMID: 25500142
ISSN: 0014-4886
CID: 1453232

Suppression of Adult Neurogenesis Increases the Acute Effects of Kainic Acid

Iyengar, Sloka S; LaFrancois, John J; Friedman, Daniel; Drew, Liam J; Denny, Christine A; Burghardt, Nesha S; Wu, Melody V; Hsieh, Jenny; Hen, Rene; Scharfman, Helen E
Adult neurogenesis, the generation of new neurons in the adult brain, occurs in the hippocampal dentate gyrus (DG) and the olfactory bulb (OB) of all mammals, but the functions of these new neurons are not entirely clear. Originally, adult-born neurons were considered to have excitatory effects on the DG network, but recent studies suggest a net inhibitory effect. Therefore, we hypothesized that selective removal of newborn neurons would lead to increased susceptibility to the effects of a convulsant. This hypothesis was tested by evaluating the response to the chemoconvulsant kainic acid (KA) in mice with reduced adult neurogenesis, produced either by focal X-irradiation of the DG, or by pharmacogenetic deletion of dividing radial glial precursors. In the first 4 hrs after KA administration, when mice have the most robust seizures, mice with reduced adult neurogenesis had more severe convulsive seizures, exhibited either as a decreased latency to the first convulsive seizure, greater number of convulsive seizures, or longer convulsive seizures. Nonconvulsive seizures did not appear to change or they decreased. Four-21 hrs after KA injection, mice with reduced adult neurogenesis showed more interictal spikes (IIS) and delayed seizures than controls. Effects were greater when the anticonvulsant ethosuximide was injected 30 min prior to KA administration; ethosuximide allows forebrain seizure activity to be more easily examined in mice by suppressing seizures dominated by the brainstem. These data support the hypothesis that reduction of adult-born neurons increases the susceptibility of the brain to effects of KA.
PMCID:4800819
PMID: 25476494
ISSN: 0014-4886
CID: 1371222

Withdrawal of BDNF from hippocampal cultures leads to changes in genes involved in synaptic function

Mariga, Abigail; Zavadil, Jiri; Ginsberg, Stephen D; Chao, Moses V
Neurotrophins play a crucial role in mediating neuronal survival and synaptic plasticity. A lack of trophic factor support in the peripheral nervous system (PNS) is associated with a transcription-dependent programmed cell death process in developing sympathetic neurons. While most of the attention has been upon events culminating in cell death in the PNS, the earliest events that occur after trophic factor withdrawal in the central nervous system (CNS) have not been investigated. In the CNS, brain-derived neurotrophic factor (BDNF) is widely expressed and is released in an activity-dependent manner to shape the structure and function of neuronal populations. Reduced neurotrophic factor support has been proposed as a mechanism to account for changes in synaptic plasticity during neurodevelopment to aging and neurodegenerative disorders. To this end, we performed transcriptional profiling in cultured rat hippocampal neurons. We used a TrkB ligand scavenger (TrkB-FC ) to sequester endogenous neurotrophic factor activity from hippocampal neurons in culture. Using a high-density microarray platform, we identified a significant decrease in genes that are associated with vesicular trafficking and synaptic function, as well as selective increases in MAP kinase phosphatases. A comparison of these changes with recent studies of Alzheimer's disease and cognitive impairment in post mortem brain tissue revealed striking similarities in gene expression changes for genes involved in synaptic function. These changes are relevant to a wide number of conditions in which levels of BDNF are compromised. (c) 2014 Wiley Periodicals, Inc. Develop Neurobiol, 2014.
PMCID:4329925
PMID: 25059794
ISSN: 1932-8451
CID: 1089502

Opioid receptor-dependent sex differences in synaptic plasticity in the hippocampal mossy fiber pathway of the adult rat

Harte-Hargrove, Lauren C; Varga-Wesson, Ada; Duffy, Aine M; Milner, Teresa A; Scharfman, Helen E
The mossy fiber (MF) pathway is critical to hippocampal function and influenced by gonadal hormones. Physiological data are limited, so we asked whether basal transmission and long-term potentiation (LTP) differed in slices of adult male and female rats. The results showed small sex differences in basal transmission but striking sex differences in opioid receptor sensitivity and LTP. When slices were made from females on proestrous morning, when serum levels of 17beta-estradiol peak, the nonspecific opioid receptor antagonist naloxone (1 mum) enhanced MF transmission but there was no effect in males, suggesting preferential opioid receptor-dependent inhibition in females when 17beta-estradiol levels are elevated. The mu-opioid receptor (MOR) antagonist Cys2,Tyr3,Orn5,Pen7-amide (CTOP; 300 nm) had a similar effect but the delta-opioid receptor (DOR) antagonist naltrindole (NTI; 1 mum) did not, implicating MORs in female MF transmission. The GABAB receptor antagonist saclofen (200 mum) occluded effects of CTOP but the GABAA receptor antagonist bicuculline (10 mum) did not. For LTP, a low-frequency (LF) protocol was used because higher frequencies elicited hyperexcitability in females. Proestrous females exhibited LF-LTP but males did not, suggesting a lower threshold for synaptic plasticity when 17beta-estradiol is elevated. NTI blocked LF-LTP in proestrous females, but CTOP did not. Electron microscopy revealed more DOR-labeled spines of pyramidal cells in proestrous females than males. Therefore, we suggest that increased postsynaptic DORs mediate LF-LTP in proestrous females. The results show strong MOR regulation of MF transmission only in females and identify a novel DOR-dependent form of MF LTP specific to proestrus.
PMCID:4308610
PMID: 25632146
ISSN: 0270-6474
CID: 1447912

Expression profile analysis of vulnerable CA1 pyramidal neurons in young-middle aged Ts65Dn mice

Alldred, Melissa J; Lee, Sang Han; Petkova, Eva; Ginsberg, Stephen D
Down syndrome (DS) is the most prevalent cause of intellectual disability (ID). Individuals with DS show a variety of cognitive deficits, most notably in hippocampal learning and memory, and display pathological hallmarks of Alzheimer's disease (AD), with neurodegeneration of cholinergic basal forebrain (CBF) neurons. Elucidation of the molecular and cellular underpinnings of neuropathology has been assessed via gene expression analysis in a relevant animal model, termed the Ts65Dn mouse. The Ts65Dn mouse is a segmental trisomy model of DS which mimics DS/AD pathology, notably age-related cognitive dysfunction and degeneration of basal forebrain cholinergic neurons (BFCNs). To determine expression level changes, molecular fingerprinting of Cornu Ammonis 1 (CA1) pyramidal neurons was performed in adult (4-9 month old) Ts65Dn mice, at the initiation of BFCN degeneration. To quantitate transcriptomic changes during this early time period, laser capture microdissection (LCM), terminal continuation (TC) RNA amplification, custom-designed microarray analysis, and subsequent validation of individual transcripts by qPCR and protein analysis via immunoblotting was performed. Results indicate significant alterations within CA1 pyramidal neurons of Ts65Dn mice compared to normal disomic (2N) littermates, notably in the downregulation of neurotrophins and their cognate neurotrophin receptors among other classes of transcripts relevant to neurodegeneration. These results of this single population gene expression analysis at the time of septohippocampal deficits in a trisomic mouse model shed light on a vulnerable circuit that may cause the AD-like pathology invariably seen in DS that could help to identify mechanisms of degeneration, and provide novel gene targets for therapeutic interventions. J. Comp. Neurol., 2014. (c) 2014 Wiley Periodicals, Inc.
PMCID:4232465
PMID: 25131634
ISSN: 0021-9967
CID: 1142212