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