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Updated: Mar 11, 2026

Author Spotlight: Decoding Mitochondrial Aging
Published on: June 30, 2023
Human mitochondrial transcriptional factor A breaks the mitochondria-mediated vicious cycle in Alzheimer's disease
Sugako Oka1, Julio Leon1, Kunihiko Sakumi1
1Division of Neurofunctional Genomics, Department of Immunobiology and Neuroscience, Medical Institute of Bioregulation, Kyushu University, 3-1-1 Maidashi, Higashi-Ku, Fukuoka 812-8582, Japan.
Abstract:
In the mitochondria-mediated vicious cycle of Alzheimer's disease (AD), intracellular amyloid β (Aβ) induces mitochondrial dysfunction and reactive oxygen species, which further accelerate Aβ accumulation. This vicious cycle is thought to play a pivotal role in the development of AD, although the molecular mechanism remains unclear. Here, we examined the effects of human mitochondrial transcriptional factor A (hTFAM) on the pathology of a mouse model of AD (3xTg-AD), because TFAM is known to protect mitochondria from oxidative stress through maintenance of mitochondrial DNA (mtDNA). Expression of hTFAM significantly improved cognitive function, reducing accumulation of both 8-oxoguanine, an oxidized form of guanine, in mtDNA and intracellular Aβ in 3xTg-AD mice and increasing expression of transthyretin, known to inhibit Aβ aggregation. Next, we found that AD model neurons derived from human induced pluripotent stem cells carrying a mutant PSEN1(P117L) gene, exhibited mitochondrial dysfunction, accumulation of 8-oxoguanine and single-strand breaks in mtDNA, and impaired neuritogenesis with a decreased expression of transthyretin, which is known to be downregulated by oxidative stress. Extracellular treatment with recombinant hTFAM effectively suppressed these deleterious outcomes. Moreover, the treatment increased expression of transthyretin, accompanied by reduction of intracellular Aβ. These results provide new insights into potential novel therapeutic targets.
Insights
Human mitochondrial transcriptional factor A (hTFAM) can reverse Alzheimer's disease (AD) pathology by protecting mitochondria. This study shows hTFAM reduces amyloid-beta accumulation and improves cognitive function in AD models.
Area of Science:
- Neuroscience
- Mitochondrial Biology
- Genetics
Background:
- Alzheimer's disease (AD) involves a vicious cycle where amyloid-beta (Aβ) causes mitochondrial dysfunction and oxidative stress, accelerating Aβ buildup.
- The precise molecular mechanisms driving this cycle and potential therapeutic interventions remain unclear.
Purpose of the Study:
- To investigate the therapeutic potential of human mitochondrial transcriptional factor A (hTFAM) in mitigating AD pathology.
- To explore hTFAM's role in protecting mitochondria from oxidative stress and its impact on Aβ accumulation and cognitive function.
Main Methods:
- Utilized a 3xTg-AD mouse model and human induced pluripotent stem cell (iPSC)-derived neurons with a PSEN1 mutation.
- Assessed the effects of hTFAM expression and recombinant hTFAM treatment on mitochondrial DNA (mtDNA) integrity, Aβ levels, oxidative stress markers (8-oxoguanine), and transthyretin expression.
- Evaluated cognitive function in the AD mouse model.
Main Results:
- hTFAM expression significantly improved cognitive function in 3xTg-AD mice.
- hTFAM reduced 8-oxoguanine in mtDNA and intracellular Aβ accumulation, while increasing transthyretin expression.
- In AD model neurons, extracellular hTFAM treatment reversed mitochondrial dysfunction, mtDNA damage, and impaired neuritogenesis, decreasing Aβ and increasing transthyretin.
Conclusions:
- hTFAM demonstrates significant neuroprotective effects against AD pathology by maintaining mitochondrial integrity and reducing oxidative stress.
- hTFAM represents a promising therapeutic target for Alzheimer's disease, potentially by restoring mitochondrial function and inhibiting Aβ aggregation.
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