BBR have been reported to play a neuroprotective role in the pathogenesis of AD, inhibiting Aβ production and promoting Aβ clearance. This study has demonstrated that BBR improves spatial learning and memory of APP/PS1 mice. BBR promotes autophagy by inhibiting the activation of mTOR/p70S6K signaling pathway, reduces the activity of BACE1 and γ-secretase induced by D-ribose, and enhances Aβ-degrading enzymes, Neprilysin. Thus, BBR regulates autophagy through mTOR signaling pathway, and inhibits ribosylation-induced Aβ production and promotes Aβ clearance (Fig. 5).
Amyloid plaques resulting from the deposition of Aβ peptide are the typical hallmark of AD pathology. In the amyloidogenic pathway, transmembrane protein APP is cleaved by α-secretase, β-secretase (BACE1) and γ-secretase which mainly contains four subunits: presenilin (PS1, PS2), nicastrin, APH-1 and PEN-2 (27). α-Secretase cleaves APP producing a soluble α-fragment (sAPPα) and a 83 residue C-terminal fragment bound to membrane (C83), which will be cleaved by γ-secretase to a peptide fragment called P3 and a APP intracellular domain (AICD). This process is called nonamyloidogenic pathway. On the contrary, in the amyloidogenic pathway, BACE1 cleaves APP, releasing a soluble β-fragment (sAPPβ) and a C-terminal fragment (C99), which will be processed by γ-secretase and lead to the formation of Aβ and AICD (28, 29).
BBR is a natural isoquinoline alkaloid isolated from Rhizoma coptidis and other herbs, whose working mechanism still needs to be further explored. Studies have shown that BBR has the therapeutic potential for central nervous system (CNS) diseases, such as AD, cerebral ischemia, mental depression, schizophrenia and anxiety (30). A series of in-depth studies have been carried out on animal models of AD or in vitro experiments. In HEK293/tau cells, BBR attenuates calyculin A induced cytotoxicity and tau hyperphosphorylation (31). Durairajan et al demonstrated that BBR ameliorates Aβ pathology, gliosis, and cognitive impairment in AD transgenic mouse model (32). Moreover, BBR against the altered intrinsic properties of the CA1 neurons induced by Aβ neurotoxicity in Aβ treatment rats (33). Panahi et al reported that BBR treatment could restore Al maltol-induced behavioral derangements by regulating the physiological abilities, histological changes and BACE1 activity in the rabbit model of AD (34). In addition, as an autophagy regulator, BBR might be able to regulate autophagy in response to the pathological mechanisms of various diseases (35). Our previous research found that BBR inhibits the activity of β/γ-secretases, enhances α-secretases, lowers the Aβ level and improves cognitive impairment of AD mice (26). In this report, we demonstrated that BBR decreases the expression of β-secretase, BACE1 and γ-secretase, PS1 and PS2, enhances Aβ-degrading enzymes Neprilysin in N2a cells and AD mice.
Autophagy plays an important role in the pathogenesis of AD. A large number of studies have found that the autophagic lysosomal pathway obstacle not only leads to the production of toxic Aβ, but also is an important reason for the failure of the clearance of Aβ, finally leading to the accumulation and deposition of Aβ in the brain (36). Furthermore, autophagy is considered to be another degradation pathway of Aβ, which is similar to the Aβ degradation kinase (37). Autophagy is controlled by a highly regulated process. mTOR is a highly conserved serine/threonine kinase that controls cell growth and proliferation mainly by regulating the metabolism of amino acids, glucose, nucleotides, fatty acids and lipids, and by suppressing autophagy (38). mTOR activates its downstream serine/threonine kinase p70 ribosomal S6 kinase (p70S6K) in response to intracellular state change (39). Studies have found that mTOR pathway is not only involved in regulating autophagy termination and lysosomal recombination in NRK cells (40), but also considerd as an essential homeostatic protein for interneuron development in the brain (41). Beclin1 is another key regulator of autophagy, which regulates the synthesis and maturation of autophagosome (42). During the formation of autophagosome, microtubule-associated proteins light chain 3A (LC3A) is actived by autophagy related protein 7 (ATG7), transferred to ATG3, then conjugated with phosphatidyl ethanolamine to form LC3B. SQSTM1/p62 is a key factor in the formation of autophagosome and is selectively degraded in autolysosome system (43). Our recent study has found that autophagy disorder enhanced the production of Aβ by enhancing the activity of the γ-secretase complex. Autophagy inhibitor could significantly activate the expression of PS1, Nicastrin and pen-2 in the γ-secretase and promote the production of Aβ (44). In this study, we first examined whether BBR promoted autophagy by regulating the mTOR signaling pathway, thereby reducing the expression of Aβ and its related kinases of APP/PS1 mice and N2a cells. Our results indicate that BBR reduced the activation of mTOR/p70S6K, promoted autophagic lysosomal pathway and followed by reducing Aβ generation in APP/PS1 mice and N2a cells.
AGEs has been evidenced as a major source of neurotoxicity in AD via promoting Aβ aggregation and tau hyperphosphorylation. AGEs interacting with RAGE is associated with AD pathology and regulates APP processing through increasing the expression of cathepsin B and asparagine endopeptidase (AEP), or conjunction with the reactive oxygen species (ROS), which increased Aβ formation (45, 46). In this study, D-ribose caused the overexpression of AGEs, promoted the intensity of mTOR signaling pathway, and inhibited autophagy. Then we detected whether BBR regulates the expression of AGEs and thus influences the mTOR signaling pathway and autophagy. After adding BBR, the express of AGEs and mTOR/p70S6K signaling were inhibited, autophagy was enhanced. In addition, BBR also counteracted the increase of BACE1, γ-secretase and the decrease of Neprilysin induced by D-ribose. Furthermore, we intuitively detected the effect of BBR on expression of Aβ in the hippocampus of D-ribose treated mice. The results showed that BBR significantly inhibited the signal intensity of Aβ. Moreover, MWM experiment showed that BBR improved cognitive impairment of AD mice. However, the presence of other transcription factors underlying AGEs and autophagy interacting to induce the downregulation of Aβ remains unknown, and the factors through which BBR exerts its effect should be further investigated.
Ribosylation-induced Aβ pathology has been well-accepted across all animal species, and it is therefore expected that seeking a selective inhibitor limiting ribosylation-induced Aβ pathology will be an important defense against internal Aβ pathological injury. The discovery provides a powerful pathway to help to meet these needs, which BBR ameliorates ribosylation-induced Aβ pathology via inhibiting mTOR/p70S6K signaling.