School of Psychology, Shenzhen University, Shenzhen 518060, China; Research Center for Brain Health, Pazhou Lab, Guangzhou 510330, China.
Research Center for Brain Health, Pazhou Lab, Guangzhou 510330, China.
Neuron. 2023 Sep 20;111(18):2847-2862.e10. doi: 10.1016/j.neuron.2023.06.002. Epub 2023 Jul 3.
Alzheimer's disease (AD) is caused by a complex interaction between genetic and environmental factors. However, how the role of peripheral organ changes in response to environmental stimuli during aging in AD pathogenesis remains unknown. Hepatic soluble epoxide hydrolase (sEH) activity increases with age. Hepatic sEH manipulation bidirectionally attenuates brain amyloid-β (Aβ) burden, tauopathy, and cognitive deficits in AD mouse models. Moreover, hepatic sEH manipulation bidirectionally regulates the plasma level of 14,15-epoxyeicosatrienoic acid (-EET), which rapidly crosses the blood-brain barrier and modulates brain Aβ metabolism through multiple pathways. A balance between the brain levels of 14,15-EET and Aβ is essential for preventing Aβ deposition. In AD models, 14,15-EET infusion mimicked the neuroprotective effects of hepatic sEH ablation at biological and behavioral levels. These results highlight the liver's key role in AD pathology, and targeting the liver-brain axis in response to environmental stimuli may constitute a promising therapeutic approach for AD prevention.
阿尔茨海默病(AD)是由遗传和环境因素复杂相互作用引起的。然而,AD 发病机制中,外周器官如何随着年龄的增长对环境刺激做出反应,其角色变化尚不清楚。肝可溶性环氧化物水解酶(sEH)活性随年龄增长而增加。肝 sEH 的双向调控可减轻 AD 小鼠模型中的脑淀粉样蛋白-β(Aβ)负担、tau 病变和认知缺陷。此外,肝 sEH 的双向调控可调节血浆 14,15-环氧二十碳三烯酸(14,15-EET)水平,该物质可迅速穿过血脑屏障,并通过多种途径调节脑 Aβ代谢。脑内 14,15-EET 和 Aβ 水平之间的平衡对于预防 Aβ 沉积至关重要。在 AD 模型中,14,15-EET 输注在生物学和行为水平上模拟了肝 sEH 消融的神经保护作用。这些结果强调了肝脏在 AD 病理学中的关键作用,针对肝脑轴对环境刺激做出反应可能成为预防 AD 的一种有前途的治疗方法。
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