Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Ann Neurol. 2011 Feb;69(2):248-56. doi: 10.1002/ana.22319.
Intracellular amyloid β-protein (Aβ) contributes to neurodegeneration in Alzheimer disease (AD). Apomorphine (APO) is a dopamine receptor agonist for Parkinson disease and also protects against oxidative stress. Efficacy of APO for an AD mouse model and effects of APO on cell cultures are studied.
The triple transgenic AD mouse model (3xTg-AD) has 2 familial AD-related gene mutations (APP(KM670/671NL) /PS1(M146V)) and a tau gene mutation (Tau(P301L)). Six-month-old 3xTg-AD mice were treated with subcutaneous injections of APO once a week for 1 month. Memory function was evaluated by Morris water maze before and after the treatment. Brain tissues were examined by immunohistochemical staining and Western blotting. Effects of APO on intracellular Aβ degradation, activity of Aβ-degrading enzymes, and protection against oxidative stress were studied in cultured SH-SY5Y cells.
After APO treatment, short-term memory function was dramatically improved. Significant decreases in the levels of intraneuronal Aβ, hyper-phosphorylated tau (p-tau), p53, and heme oxygenase-1 proteins were observed. Moreover, APO promoted degradation of intracellular Aβ, increased activity of proteasome and insulin-degrading enzyme, protected against H(2) O(2) toxicity, and decreased p53 protein levels in the cultured cells.
3xTg-AD mice show intraneuronal Aβ accumulation and memory disturbances before extracellular Aβ deposition. Our data demonstrating improvement of memory function of 3xTg-AD mice with decreases in intraneuronal Aβ and p-tau levels by APO treatment strongly suggest that intraneuronal Aβ is an important therapeutic target and APO will be a novel drug for AD.
细胞内淀粉样β蛋白(Aβ)导致阿尔茨海默病(AD)的神经退行性变。阿朴吗啡(APO)是一种用于治疗帕金森病的多巴胺受体激动剂,也能抵抗氧化应激。本研究旨在探讨 APO 对 AD 小鼠模型的疗效及其对细胞培养的影响。
三转基因 AD 小鼠模型(3xTg-AD)携带 2 个家族性 AD 相关基因突变(APP(KM670/671NL)/PS1(M146V))和一个 tau 基因突变(Tau(P301L))。6 月龄 3xTg-AD 小鼠每周接受一次皮下注射 APO,持续 1 个月。治疗前后通过 Morris 水迷宫评估记忆功能。通过免疫组织化学染色和 Western blot 检测脑组织。在体外培养的 SH-SY5Y 细胞中,研究 APO 对细胞内 Aβ降解、Aβ 降解酶活性和抵抗氧化应激的影响。
APO 治疗后,短期记忆功能显著改善。细胞内 Aβ、过度磷酸化的 tau(p-tau)、p53 和血红素加氧酶-1 蛋白水平显著降低。此外,APO 促进细胞内 Aβ 降解,增加蛋白酶体和胰岛素降解酶活性,抵抗 H2O2 毒性,并降低细胞内 p53 蛋白水平。
在细胞外 Aβ 沉积之前,3xTg-AD 小鼠即出现细胞内 Aβ 积聚和记忆障碍。我们的数据表明,APO 治疗可改善 3xTg-AD 小鼠的记忆功能,降低细胞内 Aβ 和 p-tau 水平,这强烈表明细胞内 Aβ 是一个重要的治疗靶点,APO 将成为治疗 AD 的一种新型药物。