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Advanced Neurology                                           Early inhibition of PDK1 prevents AD-like pathology




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            Figure 5. Reduced mTOR activity in Pdk1 cKO/5×FAD mice. (A and B) Western blotting for pS6 Ser235/236  and p4E-BP1 Ser65 . (A) Cortical samples from
            5×FAD and Pdk1 cKO/5×FAD mice were used. (B) There were significant differences in the relative levels of pS6 Ser235/236  and p4E-BP1 Ser65  between 5×FAD
            and Pdk1 cKO/5×FAD mice at 4 months (n = 3–4 mice per group; *P < 0.05, **P < 0.01). (C) Fluorescence IHC for pS6 Ser235/236 . Brain sections at 4 months
            were used. The immunoreactivity of pS6 Ser235/236  was qualitatively different between 5×FAD and Pdk1 cKO/5×FAD mice. The scale bar is 50 μm.

            (Figure 6D and 6E). These findings are consistent with   in mice . In contrast, Emx1-Cre-mediated PDK1 deletion
                                                                     [27]
            those for total APP (Figure  6A). Moreover, we found   does not cause any lethal effect in mice. We did not observe
            that the ratio of sAPPα to total APP was similar between   any abnormal deaths in Pdk1 cKO/5×FAD mice or in Pdk1
            5×FAD and  Pdk1  cKO/5×FAD mice (Figure  6F). Since   cKO mice. Nevertheless, the pharmacological method
                                                                                                           [22]
            α- and β-secretases are responsible for Aβ generation ,   and genetic approach  used  in the  present  study may
                                                        [53]
            we performed Western blotting for a disintegrin and   efficiently inhibit PDK1 function. However, it is known that
            metalloproteinase  10  (ADAM10)  and  beta-site  APP   Emx1-Cre-mediated PDK1 deletion disrupts the formation
            cleaving enzyme 1 (BACE1). However, the levels of these   of cortex in mice . Therefore, we cannot exclude the
                                                                              [28]
            two proteins did not significantly differ in 5×FAD  and   possibility that a reduced cortex size may play a role in
            Pdk1 cKO/5×FAD mice (Figure 6G and H).             improving AD-like pathology in Pdk1 cKO/5×FAD mice.
            4. Discussion                                        Genetic approaches have been widely used in
                                                               neurodegenerative diseases . First, a gene therapy-
                                                                                      [54]
            The recent study by Petri et al. suggests that pharmacological   based clinical trial has revealed high treatment efficacy
            inhibition on PDK1 may be beneficial to AD. The aim of   in spinal muscular atrophy (SMA) type  1 . Second,
                                                                                                    [55]
            this study was to test whether early inhibition of PDK1 may   genetic approaches have been tested in animal models for
            prevent AD-like pathology in APP Tg mice. In this study,   amyotrophic lateral sclerosis  and Huntington’s disease .
                                                                                                           [57]
                                                                                     [56]
            Emx1-Cre-mediated  Pdk1 cKO/5×FAD mice were used.   Third, the CRISPR-Cas9 technology was employed in a
            We demonstrated that PDK1 deletion prevents plaque   study to inactivate the mutant human APP gene in 5×FAD
            deposition  and  attenuates  gliosis  in  the  5×FAD  cortex.   mice, resulting in a significant alleviation of AD-like
            In addition, PDK1 deletion inhibits the mTOR signaling   pathology . Based on our finding that early inhibition
                                                                       [58]
            pathway and downregulates APP expression in 5×FAD   of PDK1 prevents AD-like pathology in 5×FAD mice, we
            mice. Overall, these findings are consistent with the notion   propose the development of a genetic approach that targets
            that PDK1 could be a promising therapeutic target for AD.  neuronal PDK1 as a potential treatment strategy for AD.
              As  previously  reported,  long-term  treatment  with   To identify the underlying molecular mechanisms in
            BX912 results in the death of Tg2576 mice . In line with   Pdk1 cKO/5×FAD mice, we examined the expression of
                                              [22]
            this, straight KO of Pdk1 leads to early embryonic lethality   APP and APP processing enzymes, including α-secretase

            Volume 1 Issue 3 (2022)                         8                       https://doi.org/10.36922/an.v1i3.153
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