PMID- 26818518 OWN - NLM STAT- MEDLINE DCOM- 20160601 LR - 20220309 IS - 1529-2401 (Electronic) IS - 0270-6474 (Print) IS - 0270-6474 (Linking) VI - 36 IP - 4 DP - 2016 Jan 27 TI - Rho Kinase Inhibition as a Therapeutic for Progressive Supranuclear Palsy and Corticobasal Degeneration. PG - 1316-23 LID - 10.1523/JNEUROSCI.2336-15.2016 [doi] AB - Progressive supranuclear palsy (PSP) and corticobasal degeneration (CBD) are neurodegenerative four-repeat tauopathies with no cure. Mitigating pathogenic tau levels is a rational strategy for tauopathy treatment, but therapeutic targets with clinically available drugs are lacking. Here, we report that protein levels of the Rho-associated protein kinases (ROCK1 and ROCK2), p70 S6 kinase (S6K), and mammalian target of rapamycin (mTOR) were increased in PSP and CBD brains. RNAi depletion of ROCK1 or ROCK2 reduced tau mRNA and protein level in human neuroblastoma cells. However, additional phenotypes were observed under ROCK2 knockdown, including decreased S6K and phosphorylated mTOR levels. Pharmacologic inhibition of Rho kinases in neurons diminished detergent-soluble and -insoluble tau through a combination of autophagy enhancement and tau mRNA reduction. Fasudil, a clinically approved ROCK inhibitor, suppressed rough eye phenotype and mitigated pathogenic tau levels by inducing autophagic pathways in a Drosophila model of tauopathy. Collectively, these findings highlight the Rho kinases as rational therapeutic targets to combat tau accumulation in PSP and CBD. SIGNIFICANCE STATEMENT: Studies of progressive supranuclear palsy (PSP) and corticobasal degeneration (CBD) suggest that mitigating pathogenic tau levels is a rational strategy for tauopathy treatment. In this report, the Rho-associated protein kinases (ROCK1 and ROCK2) are identified as novel drug targets for PSP and CBD. We show that elevated insoluble tau levels are associated with increased ROCK1 and ROCK2 in PSP and CBD brains, whereas experiments in cellular and animal models identify pharmacologic inhibition of ROCKs as a mechanism-based approach to reduce tau levels. Our study correlates bona fide changes in PSP and CBD brains with cellular models, identifies drug targets, and tests the therapeutic in vivo. CI - Copyright (c) 2016 the authors 0270-6474/16/361316-08$15.00/0. FAU - Gentry, Erik G AU - Gentry EG AD - Center for Neurodegeneration and Experimental Therapeutics and Departments of Neurology. FAU - Henderson, Benjamin W AU - Henderson BW AD - Center for Neurodegeneration and Experimental Therapeutics and Departments of Neurology. FAU - Arrant, Andrew E AU - Arrant AE AD - Center for Neurodegeneration and Experimental Therapeutics and Departments of Neurology. FAU - Gearing, Marla AU - Gearing M AUID- ORCID: 0000-0002-1959-7412 AD - Departments of Pathology and Laboratory Medicine, and Neurology, Emory University School of Medicine, Atlanta, Georgia 30322, and. FAU - Feng, Yangbo AU - Feng Y AD - Medicinal Chemistry, Translational Research Institute, Scripps Research Institute, Jupiter, Florida 33458. FAU - Riddle, Nicole C AU - Riddle NC AUID- ORCID: 0000-0003-1827-9145 AD - Biology, University of Alabama at Birmingham, Birmingham, Alabama 35294. FAU - Herskowitz, Jeremy H AU - Herskowitz JH AD - Center for Neurodegeneration and Experimental Therapeutics and Departments of Neurology, Neurobiology, and jhersko@uab.edu. LA - eng GR - NS055077/NS/NINDS NIH HHS/United States GR - T32 NS061788/NS/NINDS NIH HHS/United States GR - AG025688/AG/NIA NIH HHS/United States GR - P50 AG025688/AG/NIA NIH HHS/United States GR - R00 AG043552/AG/NIA NIH HHS/United States GR - 5R00AG043552-04/AG/NIA NIH HHS/United States GR - P30 NS055077/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - J Neurosci JT - The Journal of neuroscience : the official journal of the Society for Neuroscience JID - 8102140 RN - 0 (Enzyme Inhibitors) RN - 0 (tau Proteins) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (ROCK1 protein, human) RN - EC 2.7.11.1 (ROCK2 protein, human) RN - EC 2.7.11.1 (Ribosomal Protein S6 Kinases, 70-kDa) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.1 (rho-Associated Kinases) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Animals MH - Animals, Genetically Modified MH - Basal Ganglia Diseases/*pathology MH - Brain/*metabolism MH - Cell Line, Tumor MH - Drosophila MH - Enzyme Inhibitors/pharmacology MH - Female MH - Gene Expression Regulation, Enzymologic/drug effects/genetics MH - Humans MH - Male MH - Middle Aged MH - Mutation/genetics MH - Nerve Degeneration/pathology MH - Neuroblastoma/pathology MH - Ribosomal Protein S6 Kinases, 70-kDa/metabolism MH - Supranuclear Palsy, Progressive/*pathology MH - TOR Serine-Threonine Kinases/metabolism MH - rho-Associated Kinases/*metabolism MH - tau Proteins/genetics/metabolism PMC - PMC4728727 OTO - NOTNLM OT - Drosophila OT - ROCK OT - Rho kinase OT - autophagy OT - tau OT - tauopathy EDAT- 2016/01/29 06:00 MHDA- 2016/06/02 06:00 PMCR- 2016/07/27 CRDT- 2016/01/29 06:00 PHST- 2016/01/29 06:00 [entrez] PHST- 2016/01/29 06:00 [pubmed] PHST- 2016/06/02 06:00 [medline] PHST- 2016/07/27 00:00 [pmc-release] AID - 36/4/1316 [pii] AID - 2336-15 [pii] AID - 10.1523/JNEUROSCI.2336-15.2016 [doi] PST - ppublish SO - J Neurosci. 2016 Jan 27;36(4):1316-23. doi: 10.1523/JNEUROSCI.2336-15.2016.