Laboratory of Neurochemistry, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland 20892, USA.
FASEB J. 2013 Jan;27(1):174-86. doi: 10.1096/fj.12-217497. Epub 2012 Oct 4.
Alzheimer's disease (AD), one of the leading neurodegenerative disorders of older adults, which causes major socioeconomic burdens globally, lacks effective therapeutics without significant side effects. Besides the hallmark pathology of amyloid plaques and neurofibrillary tangles (NFTs), it has been reported that cyclin-dependent kinase 5 (Cdk5), a critical neuronal kinase, is hyperactivated in AD brains and is, in part, responsible for the above pathology. Here we show that a modified truncated 24-aa peptide (TFP5), derived from the Cdk5 activator p35, penetrates the blood-brain barrier after intraperitoneal injections, inhibits abnormal Cdk5 hyperactivity, and significantly rescues AD pathology (up to 70-80%) in 5XFAD AD model mice. The mutant mice, injected with TFP5 exhibit behavioral rescue, whereas no rescue was observed in mutant mice injected with either saline or scrambled peptide. However, TFP5 does not inhibit cell cycle Cdks or normal Cdk5/p35 activity, and thereby has no toxic side effects (even at 200 mg/kg), a common problem in most current therapeutics for AD. In addition, treated mice displayed decreased inflammation, amyloid plaques, NFTs, cell death, and an extended life by 2 mo. These results suggest TFP5 as a potential therapeutic, toxicity-free candidate for AD.
阿尔茨海默病(AD)是老年人中主要的神经退行性疾病之一,它在全球范围内造成了重大的社会经济负担,但缺乏无明显副作用的有效治疗方法。除了淀粉样斑块和神经原纤维缠结(NFTs)的标志性病理学特征外,据报道,细胞周期蛋白依赖性激酶 5(Cdk5)是一种关键的神经元激酶,在 AD 大脑中过度活跃,部分导致了上述病理学特征。在这里,我们表明,一种改良的截短 24 个氨基酸肽(TFP5),来源于 Cdk5 激活剂 p35,在腹腔注射后能穿透血脑屏障,抑制异常的 Cdk5 过度活跃,并显著挽救 5XFAD AD 模型小鼠的 AD 病理学(高达 70-80%)。用 TFP5 注射的突变小鼠表现出行为上的挽救,而用生理盐水或乱序肽注射的突变小鼠则没有观察到挽救。然而,TFP5 不会抑制细胞周期 Cdks 或正常的 Cdk5/p35 活性,因此没有毒性副作用(即使在 200mg/kg 时),这是大多数当前 AD 治疗方法的一个常见问题。此外,治疗后的小鼠表现出炎症、淀粉样斑块、NFTs、细胞死亡减少,寿命延长了 2 个月。这些结果表明 TFP5 是一种有潜力的、无毒副作用的 AD 治疗候选药物。