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Non-canonical function of DPP4 promotes cognitive impairment through ERp29-associated mitochondrial calcium overload
Jiaxiu Li1,2,3, Ya Hui1,2, Zhiqiang Xu1,2
1Department of Endocrinology and Metabolism, The Second Affiliated Hospital of Guilin Medical University, Guilin, Guangxi 541199, P. R. China.
Abstract:
DPP4 has been shown to induce diabetes-associated mitochondrial dysfunction and cognitive impairment through its non-canonical function. Here, we report that enhanced DPP4 expression in diabetes contributes to IP3R2-mediated mitochondria-associated ER membrane (MAM) formation, mitochondria calcium overload, and cognitive impairment, and its knockdown showed opposite effects. Mechanistically, DPP4 binds to PAR2 in hippocampal neurons and activates ERK1/2/CEBPB signaling, which upregulates ERp29 expression and promotes its binding to IP3R2, thereby inhibiting IP3R2 degradation and promoting MAM formation, mitochondria calcium overload, and cognitive impairment. Meanwhile, targeting DPP4-mediated PAR2/ERK1/2/CEBPB/ERp29 signaling achieved satisfactory therapeutic effects on MAM formation, mitochondria calcium overload, and cognitive impairment. Notably, DPP4 activates this pathway in an enzymatic activity-independent manner, suggesting the non-canonical role of DPP4 in the pathogenesis of mitochondria calcium overload and cognitive impairment in diabetes. Together, these results identify DPP4-mediated PAR2/ERK1/2/CEBPB/ERp29 signaling as a promising therapeutic target for the treatment of cognitive impairment in type 2 diabetes.
Insights
Dipeptidyl peptidase-4 (DPP4) exacerbates cognitive impairment in diabetes by promoting mitochondrial dysfunction via ERp29 and IP3R2 interactions. Targeting this DPP4-PAR2 pathway offers a novel therapeutic strategy for diabetic cognitive deficits.
Area of Science:
- Biochemistry
- Neuroscience
- Endocrinology
Background:
- Dipeptidyl peptidase-4 (DPP4) is implicated in diabetes-associated mitochondrial dysfunction and cognitive impairment.
- Its non-canonical functions, beyond glucose metabolism, are increasingly recognized in disease pathogenesis.
Purpose of the Study:
- To elucidate the mechanism by which enhanced DPP4 expression contributes to cognitive impairment in diabetes.
- To investigate the role of DPP4 in mitochondria-associated ER membrane (MAM) formation and mitochondrial calcium overload.
- To evaluate the therapeutic potential of targeting the DPP4 signaling pathway.
Main Methods:
- Investigated DPP4 expression and its effects on IP3R2-mediated MAM formation and mitochondrial calcium levels in a diabetic model.
- Utilized molecular biology techniques to identify signaling pathways involved in DPP4-induced cognitive impairment, including PAR2, ERK1/2, CEBPB, and ERp29.
- Assessed the therapeutic efficacy of targeting the DPP4-mediated signaling cascade.
Main Results:
- Enhanced DPP4 expression in diabetes promotes MAM formation, mitochondrial calcium overload, and cognitive impairment.
- DPP4 binds to PAR2 in hippocampal neurons, activating ERK1/2/CEBPB signaling, upregulating ERp29, and inhibiting IP3R2 degradation.
- Targeting the DPP4-PAR2/ERK1/2/CEBPB/ERp29 pathway demonstrated significant therapeutic benefits.
- DPP4's action is independent of its enzymatic activity, highlighting a non-canonical role.
Conclusions:
- DPP4 plays a critical role in diabetes-associated cognitive impairment through a non-canonical mechanism involving ERp29 and IP3R2.
- The identified DPP4-mediated PAR2/ERK1/2/CEBPB/ERp29 signaling pathway is a key driver of MAM formation and mitochondrial calcium dysregulation.
- This pathway represents a promising therapeutic target for treating cognitive dysfunction in type 2 diabetes.
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