Mitophagy inhibits amyloid-β and tau pathology and reverses cognitive deficits in models of Alzheimer's disease

Research output: Contribution to journalJournal articleResearchpeer-review

  • Evandro F Fang
  • Yujun Hou
  • Konstantinos Palikaras
  • Bryan A Adriaanse
  • Jesse S Kerr
  • Beimeng Yang
  • Sofie Lautrup
  • Md Mahdi Hasan-Olive
  • Domenica Caponio
  • Xiuli Dan
  • Paula Rocktäschel
  • Deborah L Croteau
  • Mansour Akbari
  • Nigel H Greig
  • Tormod Fladby
  • Hilde Nilsen
  • M Zameel Cader
  • Mark P Mattson
  • Nektarios Tavernarakis
  • Bohr, Vilhelm

Accumulation of damaged mitochondria is a hallmark of aging and age-related neurodegeneration, including Alzheimer's disease (AD). The molecular mechanisms of impaired mitochondrial homeostasis in AD are being investigated. Here we provide evidence that mitophagy is impaired in the hippocampus of AD patients, in induced pluripotent stem cell-derived human AD neurons, and in animal AD models. In both amyloid-β (Aβ) and tau Caenorhabditis elegans models of AD, mitophagy stimulation (through NAD+ supplementation, urolithin A, and actinonin) reverses memory impairment through PINK-1 (PTEN-induced kinase-1)-, PDR-1 (Parkinson's disease-related-1; parkin)-, or DCT-1 (DAF-16/FOXO-controlled germline-tumor affecting-1)-dependent pathways. Mitophagy diminishes insoluble Aβ1-42 and Aβ1-40 and prevents cognitive impairment in an APP/PS1 mouse model through microglial phagocytosis of extracellular Aβ plaques and suppression of neuroinflammation. Mitophagy enhancement abolishes AD-related tau hyperphosphorylation in human neuronal cells and reverses memory impairment in transgenic tau nematodes and mice. Our findings suggest that impaired removal of defective mitochondria is a pivotal event in AD pathogenesis and that mitophagy represents a potential therapeutic intervention.

Original languageEnglish
JournalNature Neuroscience
Pages (from-to)401-412
Publication statusPublished - 2019

ID: 213361371