PMID- 26967226 OWN - NLM STAT- MEDLINE DCOM- 20161229 LR - 20170113 IS - 1875-8908 (Electronic) IS - 1387-2877 (Linking) VI - 51 IP - 4 DP - 2016 TI - Metformin Facilitates Amyloid-beta Generation by beta- and gamma-Secretases via Autophagy Activation. PG - 1197-208 LID - 10.3233/JAD-151200 [doi] AB - The evidence of strong pathological associations between type 2 diabetes and Alzheimer's disease (AD) has increased in recent years. Contrary to suggestions that anti-diabetes drugs may have potential for treating AD, we demonstrate here that the insulin sensitizing anti-diabetes drug metformin (Glucophage(R)) increased the generation of amyloid-beta (Abeta), one of the major pathological hallmarks of AD, by promoting beta- and gamma-secretase-mediated cleavage of amyloid-beta protein precursor (AbetaPP) in SH-SY5Y cells. In addition, we show that metformin caused autophagosome accumulation in Tg6799 AD model mice. Extremely high gamma-secretase activity was also detected in autophagic vacuoles, apparently a novel site of Abeta peptide generation. Together, these data suggest that metformin-induced accumulation of autophagosomes resulted in increased gamma-secretase activity and Abeta generation. Additional experiments indicated that metformin increased phosphorylation of AMP-activated protein kinase, which activates autophagy by suppressing mammalian target of rapamycin (mTOR). The suppression of mTOR then induces the abnormal accumulation of autophagosomes. We conclude that metformin, an anti-diabetes drug, may exacerbate AD pathogenesis by promoting amyloidogenic AbetaPP processing in autophagosomes. FAU - Son, Sung Min AU - Son SM AD - Department of Biochemistry & Biomedical Sciences, Seoul National University College of Medicine, Seoul, Korea. AD - Neuroscience Research Institute, Seoul National University College of Medicine, Seoul, Korea. FAU - Shin, Hong-Joon AU - Shin HJ AD - Department of Biochemistry & Biomedical Sciences, Seoul National University College of Medicine, Seoul, Korea. FAU - Byun, Jayoung AU - Byun J AD - Department of Biochemistry & Biomedical Sciences, Seoul National University College of Medicine, Seoul, Korea. FAU - Kook, Sun Young AU - Kook SY AD - Department of Biochemistry & Biomedical Sciences, Seoul National University College of Medicine, Seoul, Korea. FAU - Moon, Minho AU - Moon M AD - Department of Biochemistry & Biomedical Sciences, Seoul National University College of Medicine, Seoul, Korea. FAU - Chang, Yu Jin AU - Chang YJ AD - Department of Biochemistry & Biomedical Sciences, Seoul National University College of Medicine, Seoul, Korea. FAU - Mook-Jung, Inhee AU - Mook-Jung I AD - Department of Biochemistry & Biomedical Sciences, Seoul National University College of Medicine, Seoul, Korea. AD - Neuroscience Research Institute, Seoul National University College of Medicine, Seoul, Korea. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - J Alzheimers Dis JT - Journal of Alzheimer's disease : JAD JID - 9814863 RN - 0 (Amyloid beta-Peptides) RN - 0 (Amyloid beta-Protein Precursor) RN - 0 (Hypoglycemic Agents) RN - 9100L32L2N (Metformin) RN - EC 3.4.- (Amyloid Precursor Protein Secretases) SB - IM MH - Alzheimer Disease/drug therapy/*metabolism MH - Amyloid Precursor Protein Secretases/*metabolism MH - Amyloid beta-Peptides/*metabolism MH - Amyloid beta-Protein Precursor/genetics MH - Animals MH - Autophagy/*drug effects MH - Cell Line, Tumor MH - Disease Models, Animal MH - Female MH - Humans MH - Hypoglycemic Agents/*pharmacology/therapeutic use MH - Lysosomes/drug effects/metabolism/ultrastructure MH - Metformin/pharmacology/*therapeutic use MH - Mice MH - Mice, Inbred C57BL MH - Mice, Transgenic MH - Microscopy, Electron MH - Mutation/genetics MH - Neuroblastoma/pathology MH - Signal Transduction/drug effects OTO - NOTNLM OT - Alzheimer's disease OT - amyloid-beta peptides OT - amyloid-beta protein precursor OT - autophagy OT - metformin EDAT- 2016/03/12 06:00 MHDA- 2016/12/31 06:00 CRDT- 2016/03/12 06:00 PHST- 2016/03/12 06:00 [entrez] PHST- 2016/03/12 06:00 [pubmed] PHST- 2016/12/31 06:00 [medline] AID - JAD151200 [pii] AID - 10.3233/JAD-151200 [doi] PST - ppublish SO - J Alzheimers Dis. 2016;51(4):1197-208. doi: 10.3233/JAD-151200.