Lu Qun-Shan, Ma Lin, Jiang Wen-Jing, Wang Xing-Bang, Lu Mei
Department of Geriatric Medicine, Qilu Hospital of Shandong University, Jinan 250012, Shandong Province, China.
Key Laboratory of Cardiovascular Proteomics of Shandong Province, Qilu Hospital of Shandong University, Jinan 250012, Shandong Province, China.
World J Psychiatry. 2024 Mar 19;14(3):445-455. doi: 10.5498/wjp.v14.i3.445.
Epidemiological studies have revealed a correlation between Alzheimer's disease (AD) and type 2 diabetes mellitus (T2D). Insulin resistance in the brain is a common feature in patients with T2D and AD. KAT7 is a histone acetyltransferase that participates in the modulation of various genes.
To determine the effects of KAT7 on insulin patients with AD.
APPswe/PS1-dE9 double-transgenic and mice were used to mimic AD and diabetes, respectively. An model of AD was established by Aβ stimulation. Insulin resistance was induced by chronic stimulation with high insulin levels. The expression of microtubule-associated protein 2 (MAP2) was assessed using immunofluorescence. The protein levels of MAP2, Aβ, dual-specificity tyrosine phosphorylation-regulated kinase-1A (DYRK1A), IRS-1, p-AKT, total AKT, p-GSK3β, total GSK3β, DYRK1A, and KAT7 were measured western blotting. Accumulation of reactive oxygen species (ROS), malondialdehyde (MDA), and SOD activity was measured to determine cellular oxidative stress. Flow cytometry and CCK-8 assay were performed to evaluate neuronal cell death and proliferation, respectively. Relative RNA levels of KAT7 and DYRK1A were examined using quantitative PCR. A chromatin immunoprecipitation assay was conducted to detect H3K14ac in DYRK1A.
KAT7 expression was suppressed in the AD mice. Overexpression of KAT7 decreased Aβ accumulation and MAP2 expression in AD brains. KAT7 overexpression decreased ROS and MDA levels, elevated SOD activity in brain tissues and neurons, and simultaneously suppressed neuronal apoptosis. KAT7 upregulated levels of p-AKT and p-GSK3β to alleviate insulin resistance, along with elevated expression of DYRK1A. KAT7 depletion suppressed DYRK1A expression and impaired H3K14ac of DYRK1A. HMGN1 overexpression recovered DYRK1A levels and reversed insulin resistance caused by KAT7 depletion.
We determined that KAT7 overexpression recovered insulin sensitivity in AD by recruiting HMGN1 to enhance DYRK1A acetylation. Our findings suggest that KAT7 is a novel and promising therapeutic target for the resistance in AD.
流行病学研究揭示了阿尔茨海默病(AD)与2型糖尿病(T2D)之间的关联。脑内胰岛素抵抗是T2D和AD患者的共同特征。KAT7是一种组蛋白乙酰转移酶,参与多种基因的调控。
确定KAT7对AD患者胰岛素的影响。
分别使用APPswe/PS1-dE9双转基因小鼠和 小鼠模拟AD和糖尿病。通过Aβ刺激建立AD模型。用高胰岛素水平慢性刺激诱导胰岛素抵抗。采用免疫荧光法评估微管相关蛋白2(MAP2)的表达。用蛋白质印迹法检测MAP2、Aβ、双特异性酪氨酸磷酸化调节激酶-1A(DYRK1A)、胰岛素受体底物-1(IRS-1)、磷酸化AKT(p-AKT)、总AKT、磷酸化糖原合成酶激酶-3β(p-GSK3β)、总糖原合成酶激酶-3β、DYRK1A和KAT7的蛋白水平。检测活性氧(ROS)、丙二醛(MDA)的积累和超氧化物歧化酶(SOD)活性,以确定细胞氧化应激。分别进行流式细胞术和CCK-8检测,以评估神经元细胞死亡和增殖情况。用定量PCR检测KAT7和DYRK1A的相对RNA水平。进行染色质免疫沉淀试验以检测DYRK1A中的组蛋白H3赖氨酸14乙酰化(H3K14ac)。
AD小鼠中KAT7表达受到抑制。KAT7过表达可减少AD脑内Aβ积累和MAP2表达。KAT7过表达可降低脑组织和神经元中的ROS和MDA水平,提高SOD活性,同时抑制神经元凋亡。KAT7上调p-AKT和p-GSK3β水平以减轻胰岛素抵抗,同时增加DYRK1A的表达。KAT7缺失抑制DYRK1A表达并损害DYRK1A的H3K14ac。高迁移率族蛋白N1(HMGN1)过表达恢复了DYRK1A水平并逆转了由KAT7缺失引起的胰岛素抵抗。
我们确定KAT7过表达通过招募HMGN1增强DYRK1A乙酰化来恢复AD中的胰岛素敏感性。我们的研究结果表明,KAT7是AD中胰岛素抵抗的一个新的且有前景的治疗靶点。