Enzyme Identified Stabilizes Tau and Prevents Neurodegenerative Disease

The candidate gene was then inhibited in a mouse model. This strategy was used to screen for genes that decreased the levels of tau, whose accumulation contributes to the pathology of both Alzheimer disease (AD) and progressive supranuclear palsy (PSP).

The investigators reported in the October 19, 2016, issue of the journal Neuron that tau levels were regulated by the enzyme Nuak1 (NUAK family SNF1-like kinase 1, also known as AMPK-related protein kinase 5), an AMPK (5' adenosine monophosphate-activated protein kinase)-related kinase. They found that Nuak1 stabilized tau by phosphorylation specifically of the number 356 serine residue. Inhibition of Nuak1 in fruit flies suppressed neurodegeneration in tau-expressing Drosophila, and Nuak1 insufficiency rescued the phenotypes of a mouse model of tau disease.

"We found one enzyme, Nuak1, whose inhibition consistently resulted in lower levels of tau in both human cells and fruit flies," said senior author Dr. Huda Zoghbi, professor of molecular and human genetics and of pediatrics - neurology and developmental neuroscience at Baylor College of Medicine. "Then we took this result to a mouse model of Alzheimer's disease and hoped that the results would hold, and they did. Inhibiting Nuak1 improved the behavior of the mice and prevented brain degeneration. Confirming in three independent systems - human cells, the fruit fly, and the mouse - that Nuak1 inhibition results in reduced levels of tau and prevents brain abnormalities induced by tau accumulation, has convinced us that Nuak1 is a reliable potential target for drugs to prevent diseases such as Alzheimer's. The next step is to develop drugs that will inhibit Nuak1 in hope that one day would be able to lower tau levels with low toxicity in individuals at risk for dementia due to tau accumulation."

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