Midkine attenuates amyloid-β fibril assembly and plaque formation

Masihuz Zaman1,2, Shu Yang1,2,3, Ya Huang1,2

  • 1Department of Structural Biology, St. Jude Children's Research Hospital, Memphis, TN, USA.

Insights

Midkine (MDK) protein reduces amyloid-beta (Aβ) assembly and amyloid plaque formation in Alzheimer disease models. MDK deficiency worsens amyloid pathology and microglial activation, indicating a protective role for MDK.

Area of Science:

  • Neuroscience
  • Proteomics
  • Molecular Biology

Background:

  • Alzheimer disease (AD) brains show elevated levels of understudied proteins like midkine (MDK).
  • MDK is upregulated and correlates with amyloid-beta (Aβ) from early AD stages, but its function remains unclear.

Purpose of the Study:

  • To investigate the role of midkine (MDK) in amyloid-beta (Aβ) assembly and amyloid formation in Alzheimer disease (AD).
  • To determine the impact of MDK deficiency on amyloid pathology and neuroinflammation in a mouse model of AD.

Main Methods:

  • Biochemical assays including thioflavin T fluorescence, circular dichroism, and negative-stain electron microscopy to assess Aβ fibril formation.
  • Nuclear magnetic resonance (NMR) spectroscopy for structural analysis of MDK's interaction with Aβ peptides.
  • Proteomic analysis using mass spectrometry on whole proteome and detergent-insoluble fractions in 5xFAD Mdk knockout mice.

Main Results:

  • MDK protein significantly attenuated the fibril formation of both Aβ40 and Aβ42 peptides in vitro.
  • Mdk gene knockout in 5xFAD mice led to increased amyloid formation and heightened microglial activation in the brain.
  • Mass spectrometry revealed significant accumulation of Aβ, Aβ-correlated proteins, and microglial components in Mdk-deficient 5xFAD mice.

Conclusions:

  • Midkine (MDK) plays a protective role by counteracting amyloid pathology in Alzheimer disease (AD).
  • MDK directly inhibits amyloid-beta (Aβ) assembly and fibril formation.
  • MDK deficiency exacerbates AD-related amyloidosis and neuroinflammation, highlighting its therapeutic potential.