Targeting the miR-96-5p/Cathepsin B Pathway to Alleviate Neuron-Derived Neuroinflammation in Alzheimer's Disease

Kai Zheng1, He-Zhou Huang2, Dan Liu2

  • 1Department of Geriatrics Tongji Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China.

Medcomm
|September 8, 2025
PubMed

Insights

Alzheimer's disease involves elevated Cathepsin B (CTSB), regulated by miR-96-5p. This pathway shows diagnostic potential for cognitive impairment and offers a therapeutic target for Alzheimer's disease.

Area of Science:

  • Neuroscience
  • Biochemistry
  • Genetics

Background:

  • Alzheimer's disease (AD) is a leading cause of dementia with no effective treatments.
  • Cathepsin B (CTSB) plays a role in AD pathology, but its mechanisms and diagnostic/therapeutic relevance are unclear.
  • The miR-96-5p/CTSB signaling pathway's role in AD needs further investigation.

Purpose of the Study:

  • To investigate the role of the miR-96-5p/CTSB signaling pathway in Alzheimer's disease.
  • To evaluate the diagnostic potential of serum miR-96-5p and CTSB in cognitive impairment.
  • To explore the therapeutic potential of targeting the miR-96-5p/CTSB pathway in AD.

Main Methods:

  • Assessed CTSB expression in the hippocampus of 3×Tg mice.
  • Analyzed miR-96-5p and CTSB levels in serum from mild cognitive impairment and AD patients.
  • Investigated the extracellular release of neuronal CTSB and its effect on astrocytes.
  • Evaluated the therapeutic effect of restoring the miR-96-5p/CTSB pathway in AD models.

Main Results:

  • CTSB expression was elevated in the hippocampus of 3×Tg mice and regulated by miR-96-5p.
  • Serum miR-96-5p and CTSB abnormalities were detected in mild cognitive impairment and AD patients, showing diagnostic efficacy (AUC = 0.7536).
  • Neuronal CTSB can be released extracellularly, reactivating adjacent astrocytes and potentially contributing to memory impairment.
  • Restoring the miR-96-5p/CTSB pathway rescued astrocyte reactivity and memory deficits in AD models.

Conclusions:

  • The neuron-derived inflammatory mediator CTSB reactivates astrocytes and contributes to memory impairment in early AD.
  • Serum miR-96-5p and CTSB are potential biomarkers for diagnosing cognitive impairment.
  • Targeting the neuronal miR-96-5p/CTSB pathway presents a promising therapeutic strategy for Alzheimer's disease.