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3K3A 激活的蛋白 C 阻断淀粉样前体蛋白 BACE1 途径并改善小鼠的功能预后。

3K3A-activated protein C blocks amyloidogenic BACE1 pathway and improves functional outcome in mice.

机构信息

Zilkha Neurogenetic Institute, Keck School of Medicine, University of Southern California, Los Angeles, CA.

Department of Physiology and Neuroscience, Keck School of Medicine, University of Southern California, Los Angeles, CA.

出版信息

J Exp Med. 2019 Feb 4;216(2):279-293. doi: 10.1084/jem.20181035. Epub 2019 Jan 15.

Abstract

3K3A-activated protein C (APC), a cell-signaling analogue of endogenous blood serine protease APC, exerts vasculoprotective, neuroprotective, and anti-inflammatory activities in rodent models of stroke, brain injury, and neurodegenerative disorders. 3K3A-APC is currently in development as a neuroprotectant in patients with ischemic stroke. Here, we report that 3K3A-APC inhibits BACE1 amyloidogenic pathway in a mouse model of Alzheimer's disease (AD). We show that a 4-mo daily treatment of 3-mo-old 5XFAD mice with murine recombinant 3K3A-APC (100 µg/kg/d i.p.) prevents development of parenchymal and cerebrovascular amyloid-β (Aβ) deposits by 40-50%, which is mediated through NFκB-dependent transcriptional inhibition of BACE1, resulting in blockade of Aβ generation in neurons overexpressing human Aβ-precursor protein. Consistent with reduced Aβ deposition, 3K3A-APC normalized hippocampus-dependent behavioral deficits and cerebral blood flow responses, improved cerebrovascular integrity, and diminished neuroinflammatory responses. Our data suggest that 3K3A-APC holds potential as an effective anti-Aβ prevention therapy for early-stage AD.

摘要

3K3A 活化蛋白 C(APC)是内源性血液丝氨酸蛋白酶 APC 的细胞信号模拟物,在中风、脑损伤和神经退行性疾病的啮齿动物模型中发挥血管保护、神经保护和抗炎作用。3K3A-APC 目前正在开发作为缺血性中风患者的神经保护剂。在这里,我们报告 3K3A-APC 可抑制阿尔茨海默病(AD)小鼠模型中的 BACE1 淀粉样蛋白形成途径。我们表明,用鼠重组 3K3A-APC(100µg/kg/d,腹腔内注射)对 3 个月大的 5XFAD 小鼠进行为期 4 个月的每日治疗可预防 40-50%的实质和脑血管淀粉样β(Aβ)沉积,这是通过 NFκB 依赖性转录抑制 BACE1 介导的,导致过度表达人 Aβ 前体蛋白的神经元中 Aβ 生成受阻。与 Aβ 沉积减少一致,3K3A-APC 使海马依赖的行为缺陷和大脑血流反应正常化,改善脑血管完整性,并减少神经炎症反应。我们的数据表明,3K3A-APC 有潜力成为早期 AD 的有效抗 Aβ预防治疗方法。

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