Department of Pharmaceutical Sciences, Northeast Ohio Medical University, Rootstown, OH, USA.
Kent State University, Kent, OH, USA.
Neuropathol Appl Neurobiol. 2021 Dec;47(7):967-978. doi: 10.1111/nan.12711. Epub 2021 May 5.
Irisin is a hormone cleaved from fibronectin type-III domain-containing protein 5 in response to exercise and may be therapeutic in Alzheimer's disease (AD). Irisin is shown to repair damage caused by midlife cardiometabolic risk factors for AD (i.e., diabetes mellitus; hypertension), prevent neural amyloid beta aggregation and reduce neuroinflammation. However, there are no investigations of irisin's effect on AD-associated tauopathy in the brain. This study begins to address this gap in knowledge.
Transgenic htau mice that selectively develop age-related tauopathy were treated with recombinant irisin (100 µg/kg weekly i.p.) beginning at a pre-symptomatic age (4 months) to determine if irisin could prevent emergence of early neuropathology. One month later, mice were sacrificed to collect brain tissue and serum. Protein levels of ptau (serine 202), inflammatory cytokine tumour necrosis factor alpha (TNFα) and FNDC5 were quantified using capillary-based western blotting (Wes).
Our data show that irisin treatment significantly reduced ptau and TNFα in the hippocampus and serum of female htau mice compared to vehicle-treated controls. Irisin treatment did not alter ptau levels in male htau hippocampus and appeared to enhance both neural and systemic TNFα levels.
This study provides the first evidence that enhancing the endogenous hormone irisin may be therapeutic against emerging neuropathology in a tauopathy-selective AD model. This is important because there are currently no disease-modifying therapeutics available for AD, and few agents in development address the multiple disease targets irisin appears to-making irisin an intriguing therapeutic candidate for further investigation.
鸢尾素是一种在运动刺激下从纤维连接蛋白 III 型结构域蛋白 5 中切割出来的激素,在阿尔茨海默病(AD)中可能具有治疗作用。研究表明,鸢尾素可以修复 AD 中年发生的心血管代谢危险因素(即糖尿病、高血压)引起的损伤,防止神经淀粉样β聚集,减少神经炎症。然而,目前还没有研究鸢尾素对 AD 相关的tau 病在大脑中的影响。本研究开始填补这一知识空白。
本研究使用选择性发展年龄相关性 tau 病的 htau 转基因小鼠,从发病前(4 个月)开始用重组鸢尾素(100µg/kg 每周腹腔注射)进行治疗,以确定鸢尾素是否可以预防早期神经病理学的发生。一个月后,处死小鼠收集脑组织和血清。使用毛细管基 Western 印迹(Wes)定量检测 tau 蛋白磷酸化(丝氨酸 202 位)、炎症细胞因子肿瘤坏死因子-α(TNFα)和 FNDC5 的蛋白水平。
我们的数据表明,与对照组相比,鸢尾素治疗显著降低了雌性 htau 小鼠海马体和血清中的 tau 蛋白磷酸化和 TNFα 水平。鸢尾素治疗并未改变雄性 htau 小鼠海马体中的 tau 蛋白磷酸化水平,似乎增加了神经和系统 TNFα 水平。
本研究首次提供了证据表明,增强内源性激素鸢尾素可能对 tau 病选择性 AD 模型中出现的神经病理学具有治疗作用。这一点很重要,因为目前尚无针对 AD 的疾病修饰治疗方法,而开发中的少数药物针对的是多个疾病靶点,而鸢尾素似乎具有这些作用,这使其成为进一步研究的一个有趣的治疗候选物。