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Dual Targeting of Tau Kinases and Autophagy by Abemaciclib Independent of CDK4/6 Inhibition
Jihui Han1, June-Hyun Jeong1,2, Dongjoon Lee2
1Department of Biomedical Sciences, College of Medicine, Seoul National University, Seoul, Republic of Korea.
Abstract:
Alzheimer's disease (AD) is marked by progressive cognitive decline driven largely by tau pathology, yet disease-modifying therapies targeting tau remain limited. In this study, we re-evaluated abemaciclib, a clinically approved CDK4/6 inhibitor for breast cancer and uncovered its previously unrecognized therapeutic potential in AD via CDK4/6-independent mechanisms. Using the APPNL-F/MAPT double knock-in mouse model (dKI) and AD patient-derived brain organoids, we found that abemaciclib robustly ameliorates cognitive deficits and reduces neurodegeneration without altering amyloid burden or glial activation. Mechanistically, abemaciclib selectively inhibited key tau kinases, particularly Ca2⁺/calmodulin-dependent protein kinase II (CaMKII) and glycogen synthase kinase 3β (GSK3β), independent of CDK4/6 inhibition, as confirmed by lentiviral knockdown experiments. Furthermore, abemaciclib enhanced autophagic flux and lysosomal activity, promoting clearance of pathological tau proteins. This dual modulation-suppression of tau phosphorylation and facilitation of degradation-highlights abemaciclib as a promising repurposed therapeutic for AD. Our findings establish a novel pharmacological profile for abemaciclib beyond its canonical role in cell cycle control, offering immediate translational potential for tau-targeted AD therapy.
Insights
Abemaciclib, a breast cancer drug, shows promise for Alzheimer's disease (AD) by reducing tau pathology and cognitive decline through novel mechanisms, independent of its known targets.
Area of Science:
- Neuroscience
- Pharmacology
- Molecular Biology
Background:
- Alzheimer's disease (AD) is characterized by tau pathology, but effective tau-targeting therapies are scarce.
- Abemaciclib, a CDK4/6 inhibitor, is approved for breast cancer treatment.
Purpose of the Study:
- To investigate the potential of abemaciclib as a therapeutic agent for Alzheimer's disease.
- To explore the underlying mechanisms of abemaciclib's effects in AD models.
Main Methods:
- Utilized APPNL-F/MAPT double knock-in mouse models (dKI) and AD patient-derived brain organoids.
- Assessed cognitive function, neurodegeneration, amyloid burden, and glial activation.
- Investigated abemaciclib's effects on tau kinases (CaMKII, GSK3β) and autophagic pathways.
Main Results:
- Abemaciclib significantly improved cognitive deficits and reduced neurodegeneration in AD models.
- Therapeutic effects were observed independently of changes in amyloid levels or glial activation.
- Abemaciclib inhibited key tau kinases (CaMKII, GSK3β) and enhanced autophagic clearance of pathological tau.
Conclusions:
- Abemaciclib demonstrates therapeutic potential for Alzheimer's disease through novel CDK4/6-independent mechanisms.
- The drug's dual action of suppressing tau phosphorylation and promoting tau degradation offers a promising AD treatment strategy.
- Abemaciclib represents a potential repurposed drug for tau-targeted Alzheimer's therapy with immediate translational possibilities.
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