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Glucocorticoid-driven mitochondrial damage stimulates Tau pathology
Fang Du1, Qing Yu1, Russell H Swerdlow2
1Department of Pathology and Cell Biology, Taub Institute for Research on Alzheimer's Disease and Aging Brain, Columbia University Irving Medical Center, New York, NY 10032, USA.
Brain : a Journal of Neurology
|April 18, 2023
Summary
Glucocorticoids induce brain damage by opening mitochondrial pores, leading to dysfunction and Tau pathology. Inhibiting this pore opening protects against neurotoxicity and Alzheimer
Area of Science:
- Neuroscience
- Cell Biology
- Pharmacology
Background:
- Prolonged glucocorticoid exposure causes brain damage, increasing risks for depression and Alzheimer's disease.
- Mitochondrial dysfunction and Tau pathology are key contributors to glucocorticoid neurotoxicity, but their underlying mechanisms and relationship are unclear.
Purpose of the Study:
- To investigate the molecular mechanisms linking glucocorticoid exposure to mitochondrial damage and Tau pathology.
- To identify therapeutic targets for mitigating glucocorticoid-induced neurotoxicity and related brain conditions.
Main Methods:
- Utilized cultured murine hippocampal neurons and dexamethasone-treated mice.
- Investigated the role of cyclophilin D and the mitochondrial permeability transition pore (mPTP).
- Tested the efficacy of mito-apocynin and mifepristone in cellular and in vivo models.
Main Results:
- Glucocorticoids upregulate cyclophilin D, promoting mPTP opening and mitochondrial damage.
- Inhibiting cyclophilin D or mPTP opening with mito-apocynin protected against mitochondrial dysfunction and Tau pathology.
- Mito-apocynin and mifepristone rescued Tau pathology in an Alzheimer's disease ex vivo model.
Conclusions:
- Mitochondrial permeability transition pore opening is a critical factor in glucocorticoid-induced mitochondrial dysfunction and subsequent Tau pathogenesis.
- Targeting mPTP opening, particularly with mitochondrially-targeted compounds like mito-apocynin, offers a promising therapeutic strategy for stress-induced brain damage and Alzheimer's disease.
- Mitochondria represent a key therapeutic target for neuroprotection against glucocorticoid-related damage and Tau pathology.

