DSCR1 upregulation enhances dural meningeal lymphatic drainage to attenuate amyloid pathology of Alzheimer's disease

Highly developed meningeal lymphatics remove waste products from the brain. Disruption of meningeal lymphatic vessels in a mouse model of amyloid pathology (5XFAD) accelerates the accumulation of amyloid plaques in the meninges and brain, and causes learning and memory deficits, suggesting that clea...

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Veröffentlicht in:The Journal of pathology 2021-11, Vol.255 (3), p.296-310
Hauptverfasser: Choi, Chiyeol, Park, Jiwon, Kim, Hyerin, Chang, Karen T, Park, Jiyoung, Min, Kyung‐Tai
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container_issue 3
container_start_page 296
container_title The Journal of pathology
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creator Choi, Chiyeol
Park, Jiwon
Kim, Hyerin
Chang, Karen T
Park, Jiyoung
Min, Kyung‐Tai
description Highly developed meningeal lymphatics remove waste products from the brain. Disruption of meningeal lymphatic vessels in a mouse model of amyloid pathology (5XFAD) accelerates the accumulation of amyloid plaques in the meninges and brain, and causes learning and memory deficits, suggesting that clearance of toxic wastes by lymphatic vessels plays a key role in neurodegenerative diseases. Here, we discovered that DSCR1 (Down syndrome critical region 1, known also as RCAN1, regulator of calcineurin 1) facilitates the drainage of waste products by increasing the coverage of dorsal meningeal lymphatic vessels. Furthermore, upregulation of DSCR1 in 5XFAD mice diminishes Aβ pathology in the brain and improves memory defects. Surgical ligation of cervical lymphatic vessels afferent to dcLN blocks the beneficial effects of DSCR1 on Aβ accumulation and cognitive function. Interestingly, intracerebroventricular delivery of AAV1‐DSCR1 to 5XFAD mice is sufficient to rebuild the meningeal lymphatic system and re‐establish cognitive performance. Collectively, our data indicate that DSCR1 facilitates the growth of dorsal meningeal lymphatics to improve drainage efficiency and protect against Alzheimer's disease (AD) pathologies, further highlighting that improving meningeal lymphatic function is a feasible treatment strategy for AD. © 2021 The Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd.
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Disruption of meningeal lymphatic vessels in a mouse model of amyloid pathology (5XFAD) accelerates the accumulation of amyloid plaques in the meninges and brain, and causes learning and memory deficits, suggesting that clearance of toxic wastes by lymphatic vessels plays a key role in neurodegenerative diseases. Here, we discovered that DSCR1 (Down syndrome critical region 1, known also as RCAN1, regulator of calcineurin 1) facilitates the drainage of waste products by increasing the coverage of dorsal meningeal lymphatic vessels. Furthermore, upregulation of DSCR1 in 5XFAD mice diminishes Aβ pathology in the brain and improves memory defects. Surgical ligation of cervical lymphatic vessels afferent to dcLN blocks the beneficial effects of DSCR1 on Aβ accumulation and cognitive function. Interestingly, intracerebroventricular delivery of AAV1‐DSCR1 to 5XFAD mice is sufficient to rebuild the meningeal lymphatic system and re‐establish cognitive performance. Collectively, our data indicate that DSCR1 facilitates the growth of dorsal meningeal lymphatics to improve drainage efficiency and protect against Alzheimer's disease (AD) pathologies, further highlighting that improving meningeal lymphatic function is a feasible treatment strategy for AD. © 2021 The Pathological Society of Great Britain and Ireland. Published by John Wiley &amp; Sons, Ltd.</description><identifier>ISSN: 0022-3417</identifier><identifier>EISSN: 1096-9896</identifier><identifier>DOI: 10.1002/path.5767</identifier><identifier>PMID: 34312845</identifier><language>eng</language><publisher>Chichester, UK: John Wiley &amp; Sons, Ltd</publisher><subject>Alzheimer Disease - pathology ; Alzheimer's disease ; Amyloid ; amyloid pathology ; Animals ; Calcineurin ; Calcium-Binding Proteins - metabolism ; Cognitive ability ; Down's syndrome ; DSCR1 ; Dura Mater - metabolism ; dural meningeal lymphatics ; Glymphatic System - metabolism ; Lymphatic drainage ; Lymphatic system ; Lymphatic Vessels ; Memory ; Meninges ; Mice ; Mice, Transgenic ; Muscle Proteins - metabolism ; Neurodegenerative diseases ; Pathology ; Plaque, Amyloid - pathology ; Senile plaques ; Sensory neurons ; Surgical drains ; Up-Regulation</subject><ispartof>The Journal of pathology, 2021-11, Vol.255 (3), p.296-310</ispartof><rights>2021 The Pathological Society of Great Britain and Ireland. 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subjects Alzheimer Disease - pathology
Alzheimer's disease
Amyloid
amyloid pathology
Animals
Calcineurin
Calcium-Binding Proteins - metabolism
Cognitive ability
Down's syndrome
DSCR1
Dura Mater - metabolism
dural meningeal lymphatics
Glymphatic System - metabolism
Lymphatic drainage
Lymphatic system
Lymphatic Vessels
Memory
Meninges
Mice
Mice, Transgenic
Muscle Proteins - metabolism
Neurodegenerative diseases
Pathology
Plaque, Amyloid - pathology
Senile plaques
Sensory neurons
Surgical drains
Up-Regulation
title DSCR1 upregulation enhances dural meningeal lymphatic drainage to attenuate amyloid pathology of Alzheimer's disease
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