Department of Neurology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
Department of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
Sci Transl Med. 2018 Sep 19;10(459). doi: 10.1126/scitranslmed.aao5620.
β-Site APP (amyloid precursor protein) cleaving enzyme 1 (BACE1) is the β-secretase enzyme that initiates production of the toxic amyloid-β peptide that accumulates in the brains of patients with Alzheimer's disease (AD). Hence, BACE1 is a prime therapeutic target, and several BACE1 inhibitor drugs are currently being tested in clinical trials for AD. However, the safety of BACE1 inhibition is unclear. Germline BACE1 knockout mice have multiple neurological phenotypes, although these could arise from BACE1 deficiency during development. To address this question, we report that tamoxifen-inducible conditional BACE1 knockout mice in which the gene was ablated in the adult largely lacked the phenotypes observed in germline BACE1 knockout mice. However, one BACE1-null phenotype was induced after gene deletion in the adult mouse brain. This phenotype showed reduced length and disorganization of the hippocampal mossy fiber infrapyramidal bundle, the axonal pathway of dentate gyrus granule cells that is maintained by neurogenesis in the mouse brain. This defect in axonal organization correlated with reduced BACE1-mediated cleavage of the neural cell adhesion protein close homolog of L1 (CHL1), which has previously been associated with axon guidance. Although our results indicate that BACE1 inhibition in the adult mouse brain may avoid phenotypes associated with BACE1 deficiency during embryonic and postnatal development, they also suggest that BACE1 inhibitor drugs developed for treating AD may disrupt the organization of an axonal pathway in the hippocampus, an important structure for learning and memory.
β- 位淀粉样前体蛋白切割酶 1(BACE1)是 β- 分泌酶,可启动毒性淀粉样 β 肽的产生,该肽在阿尔茨海默病(AD)患者的大脑中积累。因此,BACE1 是一个主要的治疗靶点,目前有几种 BACE1 抑制剂药物正在临床试验中用于 AD 的治疗。然而,BACE1 抑制的安全性尚不清楚。BACE1 基因敲除的种系小鼠具有多种神经表型,尽管这些表型可能是由于发育过程中 BACE1 缺乏引起的。为了解决这个问题,我们报告说,在成年小鼠中使用他莫昔芬诱导的条件性 BACE1 基因敲除小鼠,其中 基因在成年期被敲除,在很大程度上缺乏种系 BACE1 基因敲除小鼠中观察到的表型。然而,在成年小鼠大脑中 基因缺失后,诱导了一种 BACE1 基因敲除表型。这种表型显示出海马苔藓纤维下锥体束的长度缩短和排列紊乱,该束是小鼠大脑中神经发生维持的齿状回颗粒细胞的轴突通路。这种轴突组织缺陷与 BACE1 介导的神经细胞黏附蛋白同源物 L1(CHL1)的切割减少相关,CHL1 此前与轴突导向有关。尽管我们的结果表明,在成年小鼠大脑中抑制 BACE1 可能避免与胚胎和出生后发育期间 BACE1 缺乏相关的表型,但它们也表明,为治疗 AD 而开发的 BACE1 抑制剂药物可能会破坏海马体中轴突通路的组织,海马体是学习和记忆的重要结构。