Etcheberrigaray René, Tan Mathew, Dewachter Ilse, Kuipéri Cuno, Van der Auwera Ingrid, Wera Stefaan, Qiao Lixin, Bank Barry, Nelson Thomas J, Kozikowski Alan P, Van Leuven Fred, Alkon Daniel L
NeuroLogic, Inc., Rockville, MD 20850, USA.
Proc Natl Acad Sci U S A. 2004 Jul 27;101(30):11141-6. doi: 10.1073/pnas.0403921101. Epub 2004 Jul 19.
Alzheimer's disease (AD) characteristically presents with early memory loss. Regulation of K(+) channels, calcium homeostasis, and protein kinase C (PKC) activation are molecular events that have been implicated during associative memory which are also altered or defective in AD. PKC is also involved in the processing of the amyloid precursor protein (APP), a central element in AD pathophysiology. In previous studies, we demonstrated that benzolactam (BL), a novel PKC activator, reversed K(+) channels defects and enhanced secretion of APP alpha in AD cells. In this study we present data showing that another PKC activator, bryostatin 1, at subnanomolar concentrations dramatically enhances the secretion of the alpha-secretase product sAPP alpha in fibroblasts from AD patients. We also show that BL significantly increased the amount of sAPP alpha and reduced A beta 40 in the brains of APP[V717I] transgenic mice. In a more recently developed AD double-transgenic mouse, bryostatin was effective in reducing both brain A beta 40 and A beta 42. In addition, bryostatin ameliorated the rate of premature death and improved behavioral outcomes. Collectively, these data corroborate PKC and its activation as a potentially important means of ameliorating AD pathophysiology and perhaps cognitive impairment, thus offering a promising target for drug development. Because bryostatin 1 is devoid of tumor-promoting activity and is undergoing numerous clinical studies for cancer treatment in humans, it might be readily tested in patients as a potential therapeutic agent for Alzheimer's disease.
阿尔茨海默病(AD)的典型表现是早期记忆丧失。钾离子通道调节、钙稳态以及蛋白激酶C(PKC)激活是在联想记忆过程中涉及的分子事件,在AD中这些事件也发生了改变或存在缺陷。PKC还参与淀粉样前体蛋白(APP)的加工过程,APP是AD病理生理学的核心要素。在先前的研究中,我们证明了新型PKC激活剂苯并内酰胺(BL)可逆转AD细胞中的钾离子通道缺陷,并增强APPα的分泌。在本研究中,我们提供的数据表明,另一种PKC激活剂苔藓抑素1在亚纳摩尔浓度下可显著增强AD患者成纤维细胞中α-分泌酶产物sAPPα的分泌。我们还表明,BL可显著增加APP[V717I]转基因小鼠大脑中sAPPα的量并减少Aβ40。在最近开发的AD双转基因小鼠中,苔藓抑素可有效降低大脑中的Aβ40和Aβ42。此外,苔藓抑素改善了过早死亡的发生率并改善了行为结果。总体而言,这些数据证实了PKC及其激活是改善AD病理生理学以及可能改善认知障碍的潜在重要手段,从而为药物开发提供了一个有前景的靶点。由于苔藓抑素1没有促肿瘤活性,并且正在进行多项针对人类癌症治疗的临床研究,因此它可能很容易作为阿尔茨海默病的潜在治疗药物在患者中进行测试。