Inhibition of asparagine endopeptidase (AEP) effectively treats sporadic Alzheimer's disease in mice

Alzheimer's disease (AD) is a progressive neurodegenerative disease with cognitive dysfunction as its major clinical symptom. However, there is no disease-modifying small molecular medicine to effectively slow down progression of the disease. Here, we show an optimized asparagine endopeptidase...

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Veröffentlicht in:Neuropsychopharmacology (New York, N.Y.) N.Y.), 2024-02, Vol.49 (3), p.620-630
Hauptverfasser: Qian, Zhengjiang, Li, Bowei, Meng, Xin, Liao, Jianming, Wang, Guangxing, Li, Yanjiao, Luo, Qian, Ye, Keqiang
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container_title Neuropsychopharmacology (New York, N.Y.)
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creator Qian, Zhengjiang
Li, Bowei
Meng, Xin
Liao, Jianming
Wang, Guangxing
Li, Yanjiao
Luo, Qian
Ye, Keqiang
description Alzheimer's disease (AD) is a progressive neurodegenerative disease with cognitive dysfunction as its major clinical symptom. However, there is no disease-modifying small molecular medicine to effectively slow down progression of the disease. Here, we show an optimized asparagine endopeptidase (AEP, also known as δ-secretase) inhibitor, #11 A, that displays an orderly in vivo pharmacokinetics/pharmacodynamics (PK/PD) relationship and robustly attenuates AD pathologies in a sporadic AD mouse model. #11 A is brain permeable with great oral bioavailability. It blocks AEP cleavage of APP and Tau dose-dependently, and significantly decreases Aβ40 and Aβ42 and p-Tau levels in APP/PS1 and Tau P301S mice after oral administration. Notably, #11 A strongly inhibits AEP and prevents mouse APP and Tau fragmentation by AEP, leading to reduction of mouse Aβ42 (mAβ42), mAβ40 and mouse p-Tau181 levels in Thy1-ApoE4/C/EBPβ transgenic mice in a dose-dependent manner. Repeated oral administration of #11 A substantially decreases mAβ aggregation as validated by Aβ PET assay, Tau pathology, neurodegeneration and brain volume reduction, resulting in alleviation of cognitive impairment. Therefore, our results support that #11 A is a disease-modifying preclinical candidate for pharmacologically treating AD.
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subjects Alzheimer Disease - pathology
Alzheimer's disease
Amyloid beta-Peptides
Animals
Asparagine
Bioavailability
Cognitive ability
Cysteine Endopeptidases
Disease Models, Animal
Legumain
Mice
Mice, Transgenic
Movement disorders
Neurodegenerative Diseases
Oral administration
Pharmacodynamics
Pharmacokinetics
Presenilin 1
Secretase
Tau protein
tau Proteins
Transgenic mice
β-Amyloid
title Inhibition of asparagine endopeptidase (AEP) effectively treats sporadic Alzheimer's disease in mice
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