Department of Neuroscience, Genentech Inc., 1 DNA Way, South San Francisco, CA 94080, USA.
Department of Pathology, Genentech Inc., 1 DNA Way, South San Francisco, CA 94080, USA.
Sci Transl Med. 2017 Aug 16;9(403). doi: 10.1126/scitranslmed.aag0394.
Hallmarks of chronic neurodegenerative disease include progressive synaptic loss and neuronal cell death, yet the cellular pathways that underlie these processes remain largely undefined. We provide evidence that dual leucine zipper kinase (DLK) is an essential regulator of the progressive neurodegeneration that occurs in amyotrophic lateral sclerosis and Alzheimer's disease. We demonstrate that DLK/c-Jun N-terminal kinase signaling was increased in mouse models and human patients with these disorders and that genetic deletion of DLK protected against axon degeneration, neuronal loss, and functional decline in vivo. Furthermore, pharmacological inhibition of DLK activity was sufficient to attenuate the neuronal stress response and to provide functional benefit even in the presence of ongoing disease. These findings demonstrate that pathological activation of DLK is a conserved mechanism that regulates neurodegeneration and suggest that DLK inhibition may be a potential approach to treat multiple neurodegenerative diseases.
慢性神经退行性疾病的特征包括进行性突触丧失和神经元细胞死亡,但这些过程背后的细胞途径在很大程度上仍未确定。我们提供的证据表明,双亮氨酸拉链激酶(DLK)是肌萎缩侧索硬化症和阿尔茨海默病中发生的进行性神经退行性变的重要调节剂。我们证明,在这些疾病的小鼠模型和人类患者中,DLK/c-Jun N 末端激酶信号增加,并且 DLK 的基因缺失可防止体内轴突退化、神经元丧失和功能下降。此外,DLK 活性的药理学抑制足以减弱神经元应激反应,并提供功能益处,即使在疾病持续存在的情况下也是如此。这些发现表明,DLK 的病理性激活是调节神经退行性变的保守机制,并表明 DLK 抑制可能是治疗多种神经退行性疾病的潜在方法。