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Advanced Neurologyurology
            Advanced Ne                                                  Early inhibition of PDK1 prevents AD-like pathology


              3-phosphoinositide-dependent protein kinase 1    Cre  mice [31-34] . In this study,  Emx1-Cre mice were bred
            (PDK1) is a well-known member in the phosphoinositide   with 5×FAD (APP/PS1) [30,35,36]  and floxed  Pdk1 f/f[28,37-39]
            3 kinase (PI3K) pathway. The PI3K signaling pathway has   to generate  Pdk1 ;Emx1-Cre;APP/PS1 mice, termed as
                                                                             f/f
            important physiological roles, including cell proliferation,   Pdk1 cKO/5×FAD hereafter. Amyloid plaques were hardly
            cell metabolism, angiogenesis, and so on [13-21] . Evidence   detected in Pdk1 cKO/5×FAD cortices, and the population
            has  suggested  that  PDK1  may  be  involved  in  AD.  First,   of ionized calcium-binding adaptor molecule 1 (Iba1)+
            it has been shown that AD patients exhibit enhanced   cells decreased significantly. Furthermore, there was a
            PDK1 activity in the brain compared with control subjects   significant decrease in APP levels in  Pdk1 cKO/5×FAD
            without AD [22,23] . Second, a recent transcriptomic study   mice compared with their 5×FAD littermates. The above
            demonstrated a significant increase in  PDK1 mRNA   findings support the notion that early inhibition of PDK1
            levels in excitatory neurons in the prefrontal cortex of AD   may effectively prevent AD-like pathology.
                                             [24]
            patients compared with control subjects . Third, it has
            been found that PDK1 activity is enhanced in several lines   2. Materials and methods
            of amyloid precursor protein (APP) transgenic (Tg) mice,   2.1. Mice
            including Tg2576, APP/presenilin-1 (PS1), and 3×Tg-AD
            mice [22,25,26] . Moreover, previous evidence has shown that   The mouse work was performed in accordance with the
            BX912, a potent PDK1 inhibitor, significantly diminishes   Guide for the Care and Use of Laboratory Animals of
                                                               Nanjing University. The background strain for male and
            amyloid plaques and improves spatial memory in mouse   female mice was C57BL/6. All mouse lines, including
            models of AD , raising a possibility that PDK1 may serve   f/f
                       [22]
            as a therapeutic target for AD.                    Pdk1 , Emx1-Cre, and 5×FAD mice, are described in our
                                                               previous studies [15,28,33,35,37] . The mice were maintained in
              Pietri  et al. explored the mechanisms underlying   an animal facility at the Model Animal Research Center
            BX912-induced beneficial  effects  in  mouse models of   of Nanjing University. They were group-housed in a room
            AD. They found that BX912 increases the activity of   without  specific  pathogens. The room temperature  was
            α-secretase through tumor necrosis factor-α-converting   maintained  at  25  ±  1°C,  and  the  mice  had  unrestricted
            enzyme (TACE), promotes the trans-localization of   access to food and water. The animal protocol (AP) for this
            TACE into the plasma membrane, restores  α-secretase-  study was approved by the Institutional Animal Care and
            dependent cleavage of APP, and attenuates Aβ-induced   Use Committee (IACUC) of Nanjing University.
            neurotoxicity . The study suggests that the inhibition of   The following primers were used for genotyping: Primers
                      [22]
            PDK1 may be effective in halting AD. However, serious   for  floxed  Pdk1  were  TGTGCTTGGTGGATATTGAT
            side effects have been reported from the inhibition of   (forward)  and  AAGGAGGAGAGGAGGAATGT
            PDK1 pharmacologically or genetically. First, long-term   (reverse);  primers  for  human  APP   were
            treatment with BX912 results in the death of adult APP Tg   AGGACTGACCACTCGACCAG  (forward)   and
                [22]
            mice . Second, a straight knockout (KO) of PDK1 causes   CGGGGGTCTAGTTCTGCAT (reverse); primers for
            embryonic lethality in mice . Third, neural progenitor cell   human PS1  were  AATAGA GAACGGCAGGAGCA
                                 [27]
            (NPC)-specific inactivation of PDK1 results in apoptosis   (forward)  and  GCCATGAGGGCACTAATCAT
            of cortical neurons and impairs spatial learning in mice .   (reverse);  and  primers  for  Cre  were
                                                        [28]
            Fourth, interneuron- or oligodendrocyte-specific deletion   GCCTGCATTACCGGTCGATGCAACGA (forward) and
            of PDK1 or its substrate Akt leads to postnatal death in   GTGGCAGATGGCGCGGCAACACCATT (reverse).
            mice before the age of day 21 (P21) [15,16,29] .
              In response to the findings of Pietri et al., we propose   2.2. Tissue preparation for biochemical and
            that early inhibition of PDK1 function may prevent   morphological studies
            AD-like pathology in APP Tg mice. To test this hypothesis,   The mice were perfused with cold phosphate-buffered
            we employed a genetic strategy to inactivate PDK1 in the   solution (PBS) . The brain was cut sagittally into
                                                                           [40]
            developing cortices of 5×FAD mice. The latter, which have   two  hemispheres,  in  which  the  cortex  was  dissected
            been widely used in the field of AD, are known to express   from one hemisphere to prepare protein samples. The
            five mutations on human  APP and  PS1 genes . It has   other  hemisphere  was  fixed  in 4%  paraformaldehyde
                                                  [30]
            been reported that plaque pathology begins to become   (PFA)  (Aladdin  Biochemical  Technology,  C104188)  at
            apparent in the cortex and the subiculum in 5×FAD mice   4°C overnight and then dehydrated using a series of
            at 2  months . On the other hand, Cre is known to be   ethanol solutions (Nanjing Reagent, C0691510225). The
                      [30]
            expressed mainly in NPCs in the developing cortex and   dehydrated brain hemispheres were embedded in a paraffin
            in excitatory neurons in the postnatal forebrain of Emx1-  machine (Leica Biosystems, 39601095) for the preparation


            Volume 1 Issue 3 (2022)                         2                       https://doi.org/10.36922/an.v1i3.153
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