PMID- 24810045 OWN - NLM STAT- MEDLINE DCOM- 20141021 LR - 20211203 IS - 2041-4889 (Electronic) VI - 5 IP - 5 DP - 2014 May 8 TI - Metformin lowers Ser-129 phosphorylated alpha-synuclein levels via mTOR-dependent protein phosphatase 2A activation. PG - e1209 LID - 10.1038/cddis.2014.175 [doi] AB - Phospho-Ser129 alpha-synuclein is the modified form of alpha-synuclein that occurs most frequently within Parkinson's disease pathological inclusions. Here we demonstrate that the antidiabetic drug metformin significantly reduces levels of phospho-Ser129 alpha-synuclein and the ratio of phospho-Ser129 alpha-synuclein to total alpha-synuclein. This effect was documented in vitro in SH-SY5Y and HeLa cells as well as in primary cultures of hippocampal neurons. In vitro work also elucidated the mechanisms underlying metformin's action. Following metformin exposure, decreased phospho-Ser129 alpha-synuclein was not strictly dependent on induction of AMP-activated protein kinase, a primary target of the drug. On the other hand, metformin-induced phospho-Ser129 alpha-synuclein reduction was consistently associated with inhibition of mammalian target of rapamycin (mTOR) and activation of protein phosphatase 2A (PP2A). Evidence supporting a key role of mTOR/PP2A signaling included the finding that, similar to metformin, the canonical mTOR inhibitor rapamycin was capable of lowering the ratio of phospho-Ser129 alpha-synuclein to total alpha-synuclein. Furthermore, no decrease in phosphorylated alpha-synuclein occurred with either metformin or rapamycin when phosphatase activity was inhibited, supporting a direct relationship between mTOR inhibition, PP2A activation and protein dephosphorylation. A final set of experiments confirmed the effectiveness of metformin in vivo in wild-type C57BL/6 mice. Addition of the drug to food or drinking water lowered levels of phospho-Ser129 alpha-synuclein in the brain of treated animals. These data reveal a new mechanism leading to alpha-synuclein dephosphorylation that could be targeted for therapeutic intervention by drugs like metformin and rapamycin. FAU - Perez-Revuelta, B I AU - Perez-Revuelta BI AD - German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany. FAU - Hettich, M M AU - Hettich MM AD - German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany. FAU - Ciociaro, A AU - Ciociaro A AD - German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany. FAU - Rotermund, C AU - Rotermund C AD - German Center for Neurodegenerative Diseases (DZNE), Tubingen, Germany. FAU - Kahle, P J AU - Kahle PJ AD - German Center for Neurodegenerative Diseases (DZNE), Tubingen, Germany. FAU - Krauss, S AU - Krauss S AD - German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany. FAU - Di Monte, D A AU - Di Monte DA AD - German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140508 PL - England TA - Cell Death Dis JT - Cell death & disease JID - 101524092 RN - 0 (Hypoglycemic Agents) RN - 0 (Protein Kinase Inhibitors) RN - 0 (alpha-Synuclein) RN - 452VLY9402 (Serine) RN - 9100L32L2N (Metformin) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.1.1 (mTOR protein, mouse) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - EC 3.1.3.16 (Protein Phosphatase 2) SB - IM MH - AMP-Activated Protein Kinases/metabolism MH - Animals MH - Dose-Response Relationship, Drug MH - Down-Regulation MH - Enzyme Activation MH - Gestational Age MH - HeLa Cells MH - Hippocampus/*drug effects/embryology/enzymology/pathology MH - Humans MH - Hypoglycemic Agents/pharmacology MH - Metformin/*pharmacology MH - Mice MH - Mice, Inbred C57BL MH - Neurons/*drug effects/enzymology/pathology MH - Phosphorylation MH - Primary Cell Culture MH - Protein Kinase Inhibitors/*pharmacology MH - Protein Phosphatase 2/*metabolism MH - Serine MH - Signal Transduction/drug effects MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors/metabolism MH - Time Factors MH - Transfection MH - alpha-Synuclein/genetics/*metabolism PMC - PMC4047877 EDAT- 2014/05/09 06:00 MHDA- 2014/10/22 06:00 PMCR- 2014/05/01 CRDT- 2014/05/10 06:00 PHST- 2013/12/02 00:00 [received] PHST- 2014/03/10 00:00 [revised] PHST- 2014/03/17 00:00 [accepted] PHST- 2014/05/10 06:00 [entrez] PHST- 2014/05/09 06:00 [pubmed] PHST- 2014/10/22 06:00 [medline] PHST- 2014/05/01 00:00 [pmc-release] AID - cddis2014175 [pii] AID - 10.1038/cddis.2014.175 [doi] PST - epublish SO - Cell Death Dis. 2014 May 8;5(5):e1209. doi: 10.1038/cddis.2014.175.