PMID- 29092095 OWN - NLM STAT- MEDLINE DCOM- 20180720 LR - 20211204 IS - 1755-5949 (Electronic) IS - 1755-5930 (Print) IS - 1755-5930 (Linking) VI - 24 IP - 1 DP - 2018 Jan TI - Abeta exacerbates alpha-synuclein-induced neurotoxicity through impaired insulin signaling in alpha-synuclein-overexpressed human SK-N-MC neuronal cells. PG - 47-57 LID - 10.1111/cns.12772 [doi] AB - AIM: alpha-Synuclein (alphaSyn) is known as a small soluble protein abundantly expressed in neuronal cells. Although its physiological role is still unclear, the aggregation of alphaSyn has been recognized as responsible for some neurodegenerative disorders such as dementia with Lewy bodies (DLB). In most cases, intracellular abnormal aggregates are caused by protein-coding mutations that alter primary structure and therefore increase propensity toward aggregation. However, no pathogenic alterations or polymorphisms in alphaSyn are found in DLB patients so far, suggesting genetic mutations may not play a major role in DLB pathogenesis. In contrast, emerging evidence reveals that amyloid beta (Abeta) may contribute to aggregate formation and exacerbate neurotoxicity of alphaSyn. However, the underlying mechanism of action has remained unclear. METHODS: To investigate molecular pathways involved in Abeta-mediated alphaSyn pathology, we established an in vitro model for inducible alphaSyn overexpression in SK-N-MC human neuronal cells. RESULTS: Our results demonstrated that Abeta treatment in alphaSyn-overexpressed neuronal cells significantly increases alphaSyn intracellular aggregation and cytotoxicity. Moreover, Abeta also caused AMP-activated protein kinase (AMPK) inhibition and impaired insulin sensitivity, which leads to significant downregulation of nuclear factor erythroid 2-related factor 2 (NRF2)/heme oxygenase 1 (HO-1) antioxidant signaling to elicit alphaSyn aggregation. CONCLUSIONS: This raised the possibility that insulin resistance could be one of the causative factors of alphaSyn toxicity, and the strategies for insulin sensitization may have therapeutic potential for synucleinopathies including DLB. CI - (c) 2017 John Wiley & Sons Ltd. FAU - Chang, Ching-Chi AU - Chang CC AD - Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan. AD - Department of Psychiatry, Chung Shan Medical University Hospital, Taichung, Taiwan. FAU - Li, Hsin-Hua AU - Li HH AD - Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan. FAU - Chang, Yen-Ting AU - Chang YT AD - Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan. FAU - Ho, Ying-Jui AU - Ho YJ AD - Department of Psychology, Chung Shan Medical University, Taichung, Taiwan. FAU - Hsieh, Ling-Jia AU - Hsieh LJ AD - Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan. FAU - Chiu, Pai-Yi AU - Chiu PY AD - Department of Neurology, Show Chwan Memorial Hospital, Changhua, Taiwan. FAU - Cheng, Yu-Shih AU - Cheng YS AD - Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan. FAU - Lin, Chih-Li AU - Lin CL AD - Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan. AD - Department of Medical Research, Chung Shan Medical University Hospital, Taichung, Taiwan. FAU - Lai, Te-Jen AU - Lai TJ AUID- ORCID: 0000-0003-4302-6182 AD - Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan. AD - Department of Psychiatry, Chung Shan Medical University Hospital, Taichung, Taiwan. LA - eng PT - Journal Article DEP - 20171101 PL - England TA - CNS Neurosci Ther JT - CNS neuroscience & therapeutics JID - 101473265 RN - 0 (Amyloid beta-Peptides) RN - 0 (Hormone Antagonists) RN - 0 (Insulin) RN - 0 (Peptide Fragments) RN - 0 (alpha-Synuclein) RN - 0 (amyloid beta-protein (1-42)) RN - 320T6RNW1F (Mifepristone) RN - EC 2.7.- (Protein Kinases) RN - EC 2.7.1.1 (mTOR protein, rat) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.3 (AMP-Activated Protein Kinase Kinases) SB - IM MH - AMP-Activated Protein Kinase Kinases MH - Amyloid beta-Peptides/*toxicity MH - Cell Line, Transformed MH - Gene Expression Regulation/drug effects/genetics MH - Hormone Antagonists/pharmacology MH - Humans MH - Insulin/*metabolism/pharmacology MH - Membrane Potential, Mitochondrial/drug effects MH - Mifepristone/pharmacology MH - Mutation/genetics MH - Neurons/*drug effects MH - Oxidative Stress/drug effects MH - Peptide Fragments/*toxicity MH - Protein Kinases/metabolism MH - Signal Transduction/*drug effects MH - TOR Serine-Threonine Kinases/metabolism MH - Time Factors MH - Transfection MH - alpha-Synuclein/*genetics/*metabolism PMC - PMC6489723 OTO - NOTNLM OT - AMP-activated protein kinase OT - amyloid beta OT - dementia with Lewy bodies OT - insulin resistance OT - alpha-synuclein COIS- The authors declare no conflict of interest. EDAT- 2017/11/02 06:00 MHDA- 2018/07/22 06:00 PMCR- 2017/11/01 CRDT- 2017/11/02 06:00 PHST- 2017/06/20 00:00 [received] PHST- 2017/10/10 00:00 [revised] PHST- 2017/10/11 00:00 [accepted] PHST- 2017/11/02 06:00 [pubmed] PHST- 2018/07/22 06:00 [medline] PHST- 2017/11/02 06:00 [entrez] PHST- 2017/11/01 00:00 [pmc-release] AID - CNS12772 [pii] AID - 10.1111/cns.12772 [doi] PST - ppublish SO - CNS Neurosci Ther. 2018 Jan;24(1):47-57. doi: 10.1111/cns.12772. Epub 2017 Nov 1.