Targeting specific enzyme could combat Alzheimer’s disease on two fronts

A potential drug target for Alzheimer’s disease has been discovered, affecting both neurons and brain immune cells.

UQ researchers have discovered a potential drug target for Alzheimer’s disease - an enzyme which has effects on both the immune and nervous systems.

Dr Ramón Martínez-Mármol and Professor Frédéric A. Meunier from the Queensland Brain Institute Clem Jones Centre for Ageing Dementia Research found that targeting one enzyme could combat the disease on two fronts.

“In nerve cells, the enzyme dPI3K produces a toxic peptide which accumulates into plaques in the brain of Alzheimer’s disease patients, causing havoc,” Dr Martínez-Mármol said.

“Our study shows that the enzyme is also involved in the secretion of one of the most important signalling proteins involved in inflammation.

“Most treatments focus on only one aspect of the disease; we want to change this point of view and focus on developing therapies that touch different aspects of the disease, like the combined approaches used to treat cancer.

“Alzheimer's is a complex disease that involves more than nerve cells, so let's try to develop drugs that will work on both the brain and the immune system.”

To confirm they had identified a potential drug target, Dr Martínez-Mármol knocked out the enzyme in mice with Alzheimer's disease and found the levels of plaques in the brain and the inflammatory response were all back to normal.

“We were surprised to find that having none of the enzyme in their system, the offspring of this cross didn’t have Alzheimer's disease at all - the mice were completely normal with intact memory,” Dr Martínez-Mármol said.

“These offspring still produced toxic peptides but for some reason they did not accumulate into plaques; we found no plaques in the brains of these animals and no inflammatory response at all.”

After confirming dPI3K as a potential target for Alzheimer’s disease, Dr Martínez-Mármol tested drugs that affect it.

“We found a drug targeting this enzyme had already been used to treat leukaemia - we used it to treat cells taken from mice with the disease and found that the movement of the toxic peptide inside the cells reduced,” he said.

“The challenge of treating Alzheimer's disease in mice or people rather than isolated cells is that any treatment has to cross the blood-brain barrier.

“We are now keen to collaborate with other researchers to work out how to solve the issue of transporting the drug across the blood-brain barrier.”

The study was published in Journal of Neuroscience and supported by organisations including Australia’s National Health and Medical Research Council Boosting Dementia Research Initiative and the Clem Jones Foundation.

Journal reference:

p110δ PI 3-kinase inhibition perturbs APP and TNFα trafficking, reduces plaque burden, dampens neuroinflammation and prevents cognitive decline in an Alzheimer's disease mouse model Ramón Martínez-Mármol, Nika Mohannak, Lei Qian, Tong Wang, Rachel S. Gormal, Marc J. Ruitenberg, Bart Vanhaesebroeck, Elizabeth J. Coulson, Frédéric A. Meunier Journal of Neuroscience 30 July 2019, 0674-19; DOI: 10.1523/JNEUROSCI.0674-19.2019, https://www.jneurosci.org/content/early/2019/07/29/JNEUROSCI.0674-19.2019