Dementia Research Centre, Macquarie Medical School, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia.
School of Biomedical Sciences and Pharmacy, University of Newcastle, Callaghan, New South Wales, Australia.
Neuropathol Appl Neurobiol. 2023 Aug;49(4):e12931. doi: 10.1111/nan.12931.
Reduced folate status and elevated levels of circulating homocysteine are modifiable risk factors for cognitive decline and dementia. Disturbances in one-carbon metabolism are associated with the pathological accumulation of phosphorylated tau, a hallmark feature of prevalent dementia, including Alzheimer's disease and subgroups of frontotemporal dementia.
Here, using transgenic TAU58/2 mouse models of human tauopathy, we tested whether dietary supplementation with L-methylfolate (the active folate form), choline and betaine can reduce tau phosphorylation and associated behavioural phenotypes.
TAU58/2 mice fed with the methyl donor-enriched diet showed reduced phosphorylation of tau at the pathological S202 (CP13) and S396/S404 (PHF-1) epitopes and alleviation of associated motor and learning deficits. Compared with mice on the control diet, the decrease in cortical phosphorylated tau levels in mice fed with the methyl donor-enriched diet was associated with enhanced methylation of protein phosphatase 2A, the major brain tau Ser/Thr phosphatase. It also correlated with a reduction in protein levels of Fyn, a tau tyrosine kinase that plays a central role in mediating pathological tau-induced neurodegeneration. Conversely, Fyn expression levels were increased in mice with deficiencies in folate metabolism.
Our findings provide the first experimental evidence that boosting one-carbon metabolism with L-methylfolate, choline and betaine can mitigate key pathological, learning and motor deficits in a tauopathy mouse model. They give support to using a combination of methyl donors as a preventive or disease-modifying strategy for tauopathies.
叶酸水平降低和同型半胱氨酸水平升高是认知能力下降和痴呆的可改变风险因素。一碳代谢紊乱与磷酸化 tau 的病理性积累有关,磷酸化 tau 是包括阿尔茨海默病和额颞叶痴呆亚组在内的常见痴呆症的标志性特征。
在这里,我们使用转 TAU58/2 基因的人类 tau 病小鼠模型,测试膳食补充 L-甲基叶酸(活性叶酸形式)、胆碱和甜菜碱是否可以减少 tau 磷酸化和相关的行为表型。
用富含甲基供体的饮食喂养的 TAU58/2 小鼠显示 tau 在病理 S202(CP13)和 S396/S404(PHF-1)表位的磷酸化减少,并且相关的运动和学习缺陷得到缓解。与对照饮食的小鼠相比,富含甲基供体的饮食喂养的小鼠皮质中磷酸化 tau 水平的降低与蛋白磷酸酶 2A 的甲基化增强有关,蛋白磷酸酶 2A 是大脑 tau Ser/Thr 磷酸酶的主要成分。它还与 tau 酪氨酸激酶 Fyn 的蛋白水平降低相关,Fyn 在介导病理性 tau 诱导的神经退行性变中起着核心作用。相反,在叶酸代谢缺陷的小鼠中,Fyn 的表达水平增加。
我们的研究结果提供了第一个实验证据,即通过 L-甲基叶酸、胆碱和甜菜碱增强一碳代谢可以减轻 tau 病小鼠模型中的关键病理、学习和运动缺陷。它们支持使用甲基供体组合作为 tau 病的预防或疾病修饰策略。