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.

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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