Abstract

Altered glucose metabolism has been implicated in the pathogenesis of Alzheimer’s disease (AD). Aerobic glycolysis from astrocytes is a critical metabolic pathway for brain energy metabolism. Disturbances of circadian rhythm have been associated with AD. While the role of circadian locomotor output cycles kaput (CLOCK) and brain muscle ARNT-like1 (BMAL1), the major components in the regulation of circadian rhythm, has been identified in the brain, the mechanism by which CLOCK and BMAL1 regulates the dysfunction of astrocytes in AD remains unclear. Here, we show that the protein levels of CLOCK and BMAL1 are significantly elevated in impaired astrocytes of cerebral cortex from patients with AD. We demonstrate that the over-expression of CLOCK and BMAL1 significantly suppresses aerobic glycolysis and lactate production by the reduction in hexokinase 1 (HK1) and lactate dehydrogenase A (LDHA) protein levels in human astrocytes. Moreover, the elevation of CLOCK and BMAL1 induces functional impairment by the suppression of glial fibrillary acidic protein (GFAP)-positive filaments in human astrocytes. Furthermore, the elevation of CLOCK and BMAL1 promotes cytotoxicity by the activation of caspase-3-dependent apoptosis in human astrocytes. These results suggest that the elevation of CLOCK and BMAL1 contributes to the impairment of astrocytes by inhibition of aerobic glycolysis in AD.

Highlights

  • Alzheimer’s disease (AD) is a progressive neurodegenerative disease characterized by impairment of memory and cognitive function [1]

  • To investigate the role of circadian locomotor output cycles kaput (CLOCK) and BMAL1 in the dysfunction of astrocytes in patients with AD, we analyzed whether the protein levels of CLOCK and BMAL1 were elevated in the astrocytes surrounding the blood–brain barrier (BBB) of brains from patients with AD (Table S1)

  • Immunofluorescence staining revealed that the intensity of CLOCK-positive staining in glial fibrillary acidic protein (GFAP)-positive astrocytes surrounding the BBB were increased in the molecular layer (ML) on the cortex region of patients with AD (AD) relative to non-AD donor (Figure 1A and Figure S1)

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Summary

Introduction

Alzheimer’s disease (AD) is a progressive neurodegenerative disease characterized by impairment of memory and cognitive function [1]. The reduction in cerebral glucose metabolism is linked to AD progression and cognitive dysfunction [7,8,9]. Recent studies showed that the alteration of aerobic glycolysis is linked to the pathogenesis of AD [10,11]. The interaction of astrocytes with neuron and endothelial cells of the blood–brain barrier (BBB) plays a critical role in metabolic support to neurons through neurometabolic coupling including aerobic glycolysis, glutamate and Na–K-ATPase activation, and lactate release [19,20,21,22,23]. As a hub for neurometabolic and neurovascular coupling, astrocytes provide the function as gatekeepers of neuronal energy supply [24,25,26,27,28,29]

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