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Advanced Neurology                                                          EPAC2 null leads to tauopathy



            A  single-nucleotide polymorphism in the EPAC2 gene,   an important role of CDK5 in tau pathology (Figure 7).
            rs17746510, which is adjacent to the catalytic domain   Notably, CDK5 is a pro-apoptotic factor, especially in the
            sequence, is associated with cognitive decline, apathy, and   contexts of neurotoxicity, oxidative stress, and Aβ oligomer
            mood disturbance in Chinese AD patients . Consistent   stimulation . Moreover, activation of CDK5 leads to the
                                               [7]
                                                                        [38]
            with this finding, EPAC2  mice exhibit emotional   inactivation of peroxiredoxins I and II, two important
                                   −/−
            perturbations, including anxiety, and depression , as seen   reactive oxygen species (ROS) scavengers, resulting in the
                                                  [7]
                                          [24]
            in the early stages of AD in humans . The reduction in   accumulation of ROS in neurons and mitochondrial damage.
            EPAC2 is particularly notable in the frontal cortex and   In line with this, hyperphosphorylated tau also induced
            hippocampus, the two most severely affected brain areas in   mitochondrial  dysfunction both  in vitro  and  in  vivo.  In
            AD, but not in resistant regions such as the cerebellum .   addition, CDK5 can directly phosphorylate APP at Thr668
                                                        [8]
            In our previous study, we found that EPAC2 was decreased   to  increase  Aβ  secretion ,  and indirectly  facilitate Aβ
                                                                                   [39]
            in rats with scopolamine-induced short-term amnesia,   production by promoting Golgi fragmentation . Finally,
                                                                                                     [40]
            an  animal model of dementia .  Loss  of EPAC2  results   CDK5 activation can cause disruption to the dendritic
                                     [25]
            in the over-stabilization of excitatory synapses and an   spines and dendritic morphology by impacting numerous
            increase in inhibitory input onto neurons, leading to an   downstream substrates. Therefore, targeting CDK5 might
            imbalance in excitatory/inhibitory synapses , which is an   be a promising therapeutic approach for AD.
                                              [26]
            important synaptic phenotype in AD . Moreover, a rare                                           −/−
                                          [27]
            missense mutation in EPAC2, V646F-EPAC2, mimics the   We noticed that for the activation of CDK5 in EPAC2
            effect  of  EPAC2  knockdown,  with  reduced  GEF  activity   mice, calpain activity was crucial. As reported, an
            and perturbed dendritic  spines , which is  one  of the   upregulation of calpain activity is found in both AD animal
                                      [28]
                                                                                               [41,42]
            most important post-synaptic compartments severely   models and human postmortem brains  . In addition,
            affected in AD . In this study, we identified aberrant tau   calpain activation plays a very important role in neuronal
                        [29]
            hyperphosphorylation at multiple sites. It is known that   loss (necrosis and apoptosis) in AD, as shown by many
                                                                                   [43]
            tau hyperphosphorylation is one of the key pathological   in vitro and in vivo studies . Moreover, calpain is activated
            hallmarks of  AD .  Hyperphosphorylated  tau is  highly   by Aβ exposure, resulting in the dysregulation of brain-
                          [2]
            correlated with the synaptic disorder in AD. For example,   derived neurotrophic factor signaling, which might lead
                                                                                        [44]
            hyperphosphorylation of tau reduces its binding affinity   to the synaptic disorder in AD . Furthermore, in an AD
            for  microtubules,  causing  it  to  detach  and  mislocalize   mouse model, calpain activation is suggested to promote
                                                                                                      [45]
            to the dendritic compartment [11,30] . Furthermore,   Aβ generation, which may form a vicious cycle . Here,
                                                                                                       −/−
            hyperphosphorylated  tau can  immobilize  synaptic   blocking the activation of calpain in the EPAC2  mice
            vesicles by preventing their release from F-actin . In   robustly reduced tau hyperphosphorylation and CDK5
                                                     [31]
            many tau mutant and transgenic models, dysregulation   activation. In some previous reports, the upregulation of
            of the synaptic proteome, impaired synaptic plasticity,   calpain activity was found to generate a toxic tau fragment
                                                                                  [46]
            and  a reduction  in synapses  and  dendritic  spines  are   in hippocampal neurons . Together, the lines of evidence
            found . Thus, it is possible that the EPAC2 loss-induced   strongly suggest a critical role of calpain in tau pathology
                 [32]
            tau hyperphosphorylation plays an important role in the   in AD. However, further study is needed to elucidate
            synaptic dysfunction in AD.                        whether calpain activation plays a direct or indirect role in
                                                               tau hyperphosphorylation in EPAC2  mice.
                                                                                            −/−
              We also found here that CDK5 activation is the
            principal event involved in tau hyperphosphorylation in   5. Conclusion
            EPAC2  mice. It is known that CDK5 activation induces
                  −/−
            the phosphorylation of tau at Thr181, Ser199, Ser202,   The current findings collectively provide strong evidence
            Thr205, Thr212, Ser214, Thr217, Thr231, Ser235, Ser396,   for a critical role of EPAC2 in tau pathology and provide
            and Ser404, which are sites that are critical in the formation   insight into the underlying signaling pathways.
            of NFTs in AD [1,33] . CDK5 is upregulated in neurons   Acknowledgments
            containing  NFTs . Numerous studies  have  revealed a
                          [34]
            positive correlation between CDK5 activation and NFTs   This study was partially supported by the National Natural
            in AD brains [33,35] . Directly blocking CDK5 activity or   Science  Foundation  of  China  (82030032,  81961128005,
            the cleavage of p35 to p25 in cultured neurons effectively   81901103, 81829002, 81871108, and 31721002), the
            suppresses tau hyperphosphorylation [36,37] . In our present   National Key Research and Development Program of
            study, administration of roscovitine, a specific inhibitor of   China (Grant No.  2019YFE0121200), and Top-Notch
            CDK5, not only attenuated the tau hyperphosphorylation   Young Talents Program  of China of 2014  to Dr.  Ling-
            but also reduced tau aggregation. These findings suggest   Qiang Zhu.

            Volume 1 Issue 1 (2022)                         9                         https://doi.org/10.36922/an.v1i1.8
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