p110δ PI3-Kinase 抑制作用扰乱 APP 和 TNFα 转运,减少斑块负担,抑制神经炎症,预防阿尔茨海默病小鼠模型的认知能力下降。

p110δ PI3-Kinase Inhibition Perturbs APP and TNFα Trafficking, Reduces Plaque Burden, Dampens Neuroinflammation, and Prevents Cognitive Decline in an Alzheimer's Disease Mouse Model.

机构信息

Clem Jones Centre for Ageing Dementia Research, Queensland Brain Institute, The University of Queensland, Brisbane 4072, Australia.

School of Biomedical Sciences, Faculty of Medicine, The University of Queensland, Brisbane 4072, Australia, and.

出版信息

J Neurosci. 2019 Oct 2;39(40):7976-7991. doi: 10.1523/JNEUROSCI.0674-19.2019. Epub 2019 Jul 30.

Abstract

Alzheimer's disease (AD) is associated with the cleavage of the amyloid precursor protein (APP) to produce the toxic amyloid-β (Aβ) peptide. Accumulation of Aβ, together with the concomitant inflammatory response, ultimately leads to neuronal death and cognitive decline. Despite AD progression being underpinned by both neuronal and immunological components, therapeutic strategies based on dual targeting of these systems remains unexplored. Here, we report that inactivation of the p110δ isoform of phosphoinositide 3-kinase (PI3K) reduces anterograde axonal trafficking of APP in hippocampal neurons and dampens secretion of the inflammatory cytokine tumor necrosis factor-alpha by microglial cells in the familial AD APP/PS1 (APP/PS1) mouse model. Moreover, APP/PS1 mice with kinase-inactive PI3Kδ (δ) had reduced Aβ peptides levels and plaques in the brain and an abrogated inflammatory response compared with APP/PS1 littermates. Mechanistic investigations reveal that PI3Kδ inhibition decreases the axonal transport of APP by eliciting the formation of highly elongated tubular-shaped APP-containing carriers, reducing the levels of secreted Aβ peptide. Importantly, APP/PS1/δ mice exhibited no spatial learning or memory deficits. Our data highlight inhibition of PI3Kδ as a new approach to protect against AD pathology due to its dual action of dampening microglial-dependent neuroinflammation and reducing plaque burden by inhibition of neuronal APP trafficking and processing. During Alzheimer's disease (AD), the accumulation of the toxic amyloid-β (Aβ) peptide in plaques is associated with a chronic excessive inflammatory response. Uncovering new drug targets that simultaneously reduce both Aβ plaque load and neuroinflammation holds therapeutic promise. Using a combination of genetic and pharmacological approaches, we found that the p110δ isoform of phosphoinositide 3-kinase (PI3K) is involved in anterograde trafficking of the amyloid precursor protein in neurons and in the secretion of tumor necrosis factor-alpha from microglial cells. Genetic inactivation of PI3Kδ reduces Aβ plaque deposition and abrogates the inflammatory response, resulting in a complete rescue of the life span and spatial memory performance. We conclude that inhibiting PI3Kδ represents a novel therapeutic approach to ameliorate AD pathology by dampening plaque accumulation and microglial-dependent neuroinflammation.

摘要

阿尔茨海默病(AD)与淀粉样前体蛋白(APP)的裂解有关,产生毒性淀粉样β(Aβ)肽。Aβ的积累,加上伴随的炎症反应,最终导致神经元死亡和认知能力下降。尽管 AD 的进展是由神经元和免疫成分共同支撑的,但基于这些系统的双重靶向的治疗策略仍未得到探索。在这里,我们报告磷酸肌醇 3-激酶(PI3K)的 p110δ 同工型失活可减少海马神经元中 APP 的顺行轴突运输,并减弱家族性 AD APP/PS1(APP/PS1)小鼠模型中小胶质细胞中炎症细胞因子肿瘤坏死因子-α的分泌。此外,与 APP/PS1 同窝仔相比,激酶失活的 PI3Kδ(δ)的 APP/PS1 小鼠大脑中的 Aβ 肽水平和斑块减少,炎症反应减弱。机制研究表明,PI3Kδ 抑制通过引发含有 APP 的高度拉长管状载体的形成来减少 APP 的轴突运输,从而降低分泌的 Aβ 肽水平。重要的是,APP/PS1/δ 小鼠没有表现出空间学习或记忆缺陷。我们的数据强调了 PI3Kδ 的抑制作为一种新的方法来预防 AD 病理学,因为它通过抑制神经元 APP 运输和处理来减轻小胶质细胞依赖性神经炎症和减少斑块负担的双重作用。在阿尔茨海默病(AD)中,斑块中有毒的淀粉样-β(Aβ)肽的积累与慢性过度炎症反应有关。发现同时减少 Aβ 斑块负荷和神经炎症的新药物靶点具有治疗潜力。我们使用遗传和药理学方法的组合发现,磷酸肌醇 3-激酶(PI3K)的 p110δ 同工型参与神经元中淀粉样前体蛋白的顺行运输和小胶质细胞中肿瘤坏死因子-α的分泌。PI3Kδ 的遗传失活可减少 Aβ 斑块沉积并阻断炎症反应,从而完全挽救寿命和空间记忆表现。我们得出结论,抑制 PI3Kδ 通过抑制斑块积累和小胶质细胞依赖性神经炎症来改善 AD 病理学,代表了一种新的治疗方法。

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