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Inhibition of cyclooxygenase as potential novel therapeutic strategy in N141I presenilin-2 familial Alzheimer's disease

Abstract

The present study was designed to further explore the potential cause/effect relationship between the expression of both the N141I presenilin (PS)2 mutant familial Alzheimer's disease (FAD) gene and cyclooxgenase (COX) in respect to the mechanism associated with programmed cell death in Alzheimer's disease (AD). We found that expression of mutant N141I PS2 resulting in apoptotic cell death in H4 neuronal cells coincided with >4-fold induction in the expression of the inducible form of COX-2, but not the constitutive COX-1. Moreover, we found that the expression of the N141I PS2 FAD gene strongly promoted (>2-fold) glycogen synthase kinase (GSK)-3β activity coincidental with a reduction in the level of β-catenin translocated from the cytoplasmic to the nuclear compartment. Most interestingly, we found that inhibition of COX-2-mediated generation of prostaglandin (PG)-E2 in H4 neuronal cells with the preferential COX-2 inhibitor nimesulide protects against N141I PS2-mediated apoptotic cell death coincidental with an inhibition of GSK-3β activity and subsequent normalization of β-catenin cellular distribution. The clinical relevance of this finding was confirmed by the evidence that COX-2 protein and PG-E2 concentrations were selectively increased >2-fold in the cerebral cortex of subjects harboring the N141I PS2 FAD mutation relative to wild-type PS2 AD cases. This study demonstrates for the first time that COX-2 may be a downstream effector of mutant N141I PS2-mediated apoptotic cell death and that inhibition of COX-2 may neuroprotect in AD through modulation of a GSK-3ββ-catenin-mediated response. The study provides support for the potential pharmacogenomic identification of N141I PS2 FAD cases that might preferentially benefit from inhibition of COX-2 during the progression of clinical dementia.

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Abbreviations

AD:

Alzheimer's disease

Aβ:

beta-amyloid peptide

βAPP:

β-amyloid precursor protein

COX:

cyclooxygenase

FACS:

fluorescence-activated cell sorter

FAD:

familial AD

FITC:

fluorescein isothiocyanate

HRP:

horseradish peroxidase

GSK-3β:

glycogen synthase kinase-3β

MTT:

3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide

PBS:

phosphate buffered saline

PS:

presenilin

PI:

propidium iodide

PG:

prostaglandin

Tcf/Lef1:

T-cell factor/lymphoid-enhancing factor-1

TBS:

Tris-buffered saline

WT:

wild type

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Acknowledgements

This study is supported by NIA AG13799 and the Dana Foundation for Brain Research Initiative to GMP. We thank the University of Washington's Alzheimer's Disease Research Center (ADRC, reference grant#P50 AG05136) for providing AD brain tissues.

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Correspondence to G M Pasinetti.

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Qin, W., Peng, Y., Ksiezak-Reding, H. et al. Inhibition of cyclooxygenase as potential novel therapeutic strategy in N141I presenilin-2 familial Alzheimer's disease. Mol Psychiatry 11, 172–181 (2006). https://doi.org/10.1038/sj.mp.4001773

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