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间歇 theta 爆发刺激通过 ISCA1 介导的 APP/PS1 小鼠线粒体调节减轻认知障碍和阿尔茨海默病型病理

Intermittent Theta Burst Stimulation Attenuates Cognitive Deficits and Alzheimer's Disease-Type Pathologies via ISCA1-Mediated Mitochondrial Modulation in APP/PS1 Mice.

机构信息

Department of Rehabilitation Medicine, Daping Hospital, Army Medical University, Chongqing, 400042, China.

Department of Special Medicine, Daping Hospital, Army Medical University, Chongqing, 400042, China.

出版信息

Neurosci Bull. 2024 Feb;40(2):182-200. doi: 10.1007/s12264-023-01098-7. Epub 2023 Aug 14.

Abstract

Intermittent theta burst stimulation (iTBS), a time-saving and cost-effective repetitive transcranial magnetic stimulation regime, has been shown to improve cognition in patients with Alzheimer's disease (AD). However, the specific mechanism underlying iTBS-induced cognitive enhancement remains unknown. Previous studies suggested that mitochondrial functions are modulated by magnetic stimulation. Here, we showed that iTBS upregulates the expression of iron-sulfur cluster assembly 1 (ISCA1, an essential regulatory factor for mitochondrial respiration) in the brain of APP/PS1 mice. In vivo and in vitro studies revealed that iTBS modulates mitochondrial iron-sulfur cluster assembly to facilitate mitochondrial respiration and function, which is required for ISCA1. Moreover, iTBS rescues cognitive decline and attenuates AD-type pathologies in APP/PS1 mice. The present study uncovers a novel mechanism by which iTBS modulates mitochondrial respiration and function via ISCA1-mediated iron-sulfur cluster assembly to alleviate cognitive impairments and pathologies in AD. We provide the mechanistic target of iTBS that warrants its therapeutic potential for AD patients.

摘要

间歇性 theta 爆发刺激(iTBS)是一种省时、经济有效的重复经颅磁刺激方案,已被证明可改善阿尔茨海默病(AD)患者的认知功能。然而,iTBS 诱导认知增强的确切机制尚不清楚。先前的研究表明,磁刺激调节线粒体功能。在这里,我们表明 iTBS 可上调 APP/PS1 小鼠大脑中铁硫簇组装 1(ISCA1,线粒体呼吸的必需调节因子)的表达。体内和体外研究表明,iTBS 调节线粒体铁硫簇组装以促进线粒体呼吸和功能,这是 ISCA1 所必需的。此外,iTBS 可挽救 APP/PS1 小鼠的认知下降并减轻 AD 型病理。本研究揭示了 iTBS 通过 ISCA1 介导的铁硫簇组装调节线粒体呼吸和功能的新机制,从而减轻 AD 中的认知障碍和病理。我们为 iTBS 提供了治疗 AD 患者的潜在机制靶点。

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