Abstract

A hallmark of Alzheimer’s disease (AD) is the accumulation of oligomeric amyloid-β (Aβ) peptide, which may be primarily responsible for neuronal dysfunction. Insulin signaling provides a defense mechanism against oligomer-induced neuronal loss. We previously described the neuroprotective role of matrix metalloproteinase 9 (MMP-9) in decreasing the formation of Aβ oligomers. In the present study, we examined the role of MMP-9 on the insulin survival pathway in primary hippocampal cultures and hippocampal cell extracts from 3 month-old wild type, AD (5XFAD), MMP-9-overexpressing (TgMMP-9), and double transgenic mice (5XFAD/TgMMP-9). The data demonstrate that the insulin pathway was compromised in samples from 5XFAD mice, when compared to the wild type and TgMMP-9. This was due to enhanced phosphorylation of IRS1 at Serine 636 (pIRS1-Ser636), which renders IRS1 inactive and prevents insulin-mediated signaling. In 5XFAD/TgMMP-9 samples, the insulin survival pathway was rescued through enhanced activation by phosphorylation of IRS1 at Tyrosine 465 (pIRS1-Tyr465), downstream increased phosphorylation of Akt and GSK-3β, and decreased phosphorylation of JNK kinase. Oligomeric Aβ levels decreased and BDNF levels increased in 5XFAD/TgMMP-9 mice, compared to 5XFAD mice. Our findings indicate that overexpression of MMP-9 rescued insulin survival signaling in vitro and in early stages in the 5XFAD model of AD.

Highlights

  • Alzheimer’s disease (AD) is the most common neurodegenerative disease and is nowadays turning to slow pandemic, due to its high prevalence of occurrence in the elderly population worldwide[1]

  • When IRS1 is phosphorylated at Tyrosine residues the insulin pathway is activated, whereas when it is phosphorylated at Serine residues its activation is inhibited, inhibiting the insulin receptors (IRs)-mediated survival signaling

  • Insulin survival pathway impairment caused by Aβ oligomers is considered a key event in the pathogenesis of AD during the early stages of the disease[17]

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Summary

Introduction

Alzheimer’s disease (AD) is the most common neurodegenerative disease and is nowadays turning to slow pandemic, due to its high prevalence of occurrence in the elderly population worldwide[1]. Oligomer-mediated insulin resistance occurs due to Aβ binding to the neuronal membrane surface, which results in the removal of the insulin receptors (IRs)[5, 12, 13] at the synaptic area and eventually to synapse loss. Insulin binds to its receptor and activates insulin substrate-1 (IRS1) via phosphorylation at Tyrosine residue 465 (pIRS1-Tyr[465]) This phosphorylation promotes the neurotrophic effects of insulin by activating cell survival Akt/PKB kinase (Akt). In early stages of AD, Aβ were reported to accumulate in post-synaptic areas leading to stimulation of pro-apoptotic pathways due to activation of the c-Jun N-terminal kinase (JNK) pathway; this results in phosphorylation of IRS1 at Serine residue 636 (pIRS1-Ser636), which renders IRS1 inactive and suppresses the stimulatory effect of insulin[17]. Stimulation of the insulin signaling pathway is a plausible mechanism of protection against Aβ oligomer-induced synapse loss

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