Lunenfeld-Tanenbaum Research Institute, Mount Sinai Health System, Toronto, Ontario M5G 1X5, Canada.
Tanz Centre for Research in Neurodegenerative Diseases, Department of Physiology, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario M5S 1A8, Canada.
Philos Trans R Soc Lond B Biol Sci. 2024 Jul 29;379(1906):20230221. doi: 10.1098/rstb.2023.0221. Epub 2024 Jun 10.
Fragile X syndrome (FXS) is the most common inherited cause of intellectual disability and is the leading known single-gene cause of autism spectrum disorder. Patients with FXS display varied behavioural deficits that include mild to severe cognitive impairments in addition to mood disorders. Currently, there is no cure for this condition; however, there is an emerging focus on therapies that inhibit mechanistic target of rapamycin (mTOR)-dependent protein synthesis owing to the clinical effectiveness of metformin for alleviating some behavioural symptoms in FXS. Adiponectin (APN) is a neurohormone that is released by adipocytes and provides an alternative means to inhibit mTOR activation in the brain. In these studies, we show that knockout mice, like patients with FXS, show reduced levels of circulating APN and that both long-term potentiation (LTP) and long-term depression (LTD) in the dentate gyrus (DG) are impaired. Brief (20 min) incubation of hippocampal slices in APN (50 nM) was able to rescue both LTP and LTD in the DG and increased both the surface expression and phosphorylation of GluA1 receptors. These results provide evidence for reduced APN levels in FXS playing a role in decreasing bidirectional synaptic plasticity and show that therapies which enhance APN levels may have therapeutic potential for this and related conditions.This article is part of a discussion meeting issue 'Long-term potentiation: 50 years on'.
脆性 X 综合征 (FXS) 是最常见的遗传性智力障碍病因,也是已知的导致自闭症谱系障碍的主要单基因病因。FXS 患者表现出多种行为缺陷,除了情绪障碍外,还包括轻度至重度认知障碍。目前,这种疾病还无法治愈;然而,由于二甲双胍在缓解 FXS 中的一些行为症状方面具有临床效果,因此目前的研究重点逐渐转向抑制雷帕霉素靶蛋白 (mTOR) 依赖性蛋白合成的治疗方法。脂联素 (APN) 是一种由脂肪细胞释放的神经激素,为抑制大脑中 mTOR 的激活提供了一种替代方法。在这些研究中,我们表明,像 FXS 患者一样,APN 敲除小鼠的循环 APN 水平降低,而齿状回 (DG) 中的长时程增强 (LTP) 和长时程抑制 (LTD) 均受损。短暂(20 分钟)孵育海马切片中的 APN(50 nM)能够挽救 DG 中的 LTP 和 LTD,并增加 GluA1 受体的表面表达和磷酸化。这些结果为 FXS 中降低的 APN 水平在降低双向突触可塑性中起作用提供了证据,并表明增强 APN 水平的治疗方法可能对此类相关疾病具有治疗潜力。本文是“长时程增强:50 年”讨论专题的一部分。