1 Department of Anesthesiology and Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic College of Medicine, Rochester, MN, USA.
2 Department of Neurology, First Hospital and Clinical College of Harbin Medical University, Harbin, Heilongjiang Province, China.
J Cereb Blood Flow Metab. 2019 Jun;39(6):1085-1098. doi: 10.1177/0271678X17746981. Epub 2017 Dec 18.
The mechanisms underlying dysfunction of cerebral microvasculature induced by type 1 diabetes (T1D) are not fully understood. We hypothesized that in cerebral microvascular endothelium, α-processing of amyloid precursor protein (APP) is impaired by T1D. In cerebral microvessels derived from streptozotocin (STZ)-induced T1D mice protein levels of APP and its α-processing enzyme, a disintegrin and metalloprotease 10 (ADAM10) were significantly decreased, along with down-regulation of adenylate cyclase 3 (AC3) and enhanced production of thromboxane A (TXA). In vitro studies in human brain microvascular endothelial cells (BMECs) revealed that knockdown of AC3 significantly suppressed ADAM10 protein levels, and that activation of TXA receptor decreased APP expression. Furthermore, levels of soluble APPα (sAPPα, a product of α-processing of APP) were significantly reduced in hippocampus of T1D mice. In contrast, amyloidogenic processing of APP was not affected by T1D in both cerebral microvessels and hippocampus. Most notably, studies in endothelial specific APP knockout mice established that genetic inactivation of APP in endothelium was sufficient to significantly reduce sAPPα levels in the hippocampus. In aggregate, our findings suggest that T1D impairs non-amyloidogenic processing of APP in cerebral microvessels. This may exert detrimental effect on local concentration of neuroprotective molecule, sAPPα, in the hippocampus.
1 型糖尿病(T1D)引起的脑微血管功能障碍的机制尚不完全清楚。我们假设,在脑微血管内皮细胞中,T1D 会损害淀粉样前体蛋白(APP)的α加工。在链脲佐菌素(STZ)诱导的 T1D 小鼠的脑微血管中,APP 及其 α加工酶(解整合素金属蛋白酶 10,ADAM10)的蛋白水平显著降低,同时腺苷酸环化酶 3(AC3)下调和血栓素 A(TXA)的产生增强。在人脑血管内皮细胞(BMEC)的体外研究中发现,AC3 的敲低显著抑制 ADAM10 蛋白水平,而 TXA 受体的激活降低了 APP 的表达。此外,T1D 小鼠海马中可溶性 APPα(sAPPα,APPα加工的产物)的水平显著降低。相比之下,T1D 对脑微血管和海马中 APP 的淀粉样生成加工没有影响。值得注意的是,内皮细胞特异性 APP 敲除小鼠的研究表明,内皮细胞中 APP 的基因失活足以显著降低海马中的 sAPPα 水平。总的来说,我们的研究结果表明,T1D 损害了脑微血管中 APP 的非淀粉样生成加工。这可能对海马中神经保护分子 sAPPα 的局部浓度产生有害影响。