ALS治療薬がアルツハイマー病にも効果―新たな動物実験(ALS drug effectively treats Alzheimer’s disease in new animal study)

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2025-04-08 ノースウェスタン大学

ノースウェスタン大学の研究チームは、ALS(筋萎縮性側索硬化症)の治療薬として開発された実験的薬剤NU-9が、アルツハイマー病の動物モデルにおいても神経細胞の健康を改善する効果があることを明らかにしました。NU-9は、疾患特有の症状ではなく、神経変性疾患に共通する基礎的なメカニズムに作用するため、パーキンソン病やハンチントン病など他の神経変性疾患への応用も期待されています。研究者たちは、NU-9が細胞内のミスフォールドしたタンパク質の蓄積を防ぎ、神経細胞の機能を回復させることを確認しました。この研究成果は、2025年4月8日に発表されました。

<関連情報>

NU-9によるアミロイドβオリゴマー蓄積抑制:神経変性疾患治療のための統一的メカニズム Inhibition of amyloid beta oligomer accumulation by NU-9: A unifying mechanism for the treatment of neurodegenerative diseases

Elizabeth A. Johnson, Raghad Nowar, Kirsten L. Viola, +6 , and Richard B. Silverman
Proceedings of the National Academy of Sciences  Published:March 3, 2025
DOI:https://doi.org/10.1073/pnas.2402117122

Significance

Protein aggregation is a hallmark of neurodegenerative diseases; aggregates of different proteins lead to different diseases, which connects all these neuronal pathologies by a common characteristic. Because similarities may exist in the mechanisms responsible for the buildup of various aggregates, therapeutics designed to treat one neurodegenerative disease may be beneficial to others. Previously, in mouse models of ALS, the compound NU-9 was shown to block pathologies produced by two mutant proteins, SOD-1 and TDP-43. Here, we report that NU-9 also prevents the accumulation of amyloid-beta oligomers, small aggregates that instigate Alzheimer’s disease neurodegeneration. This manuscript contributes additional understanding to the mechanisms of protein aggregation and indicates that multiple neurodegenerative diseases may be treatable by targeting a common protein aggregation mechanism.

Abstract

Protein aggregation is a hallmark of neurodegenerative diseases, which connects these neuropathologies by a common phenotype. Various proteins and peptides form aggregates that are poorly degraded, and their ensuing pathological accumulation underlies these neurodegenerative diseases. Similarities may exist in the mechanisms responsible for the buildup of these aggregates. Therefore, therapeutics designed to treat one neurodegenerative disease may be beneficial to others. In ALS models, the compound NU-9 was previously shown to block neurodegeneration produced by aggregation-inducing mutations of SOD-1 and TDP-43 [B. Genç et al., Clin. Transl. Med. 11, e336 (2021)]. Here, we report that NU-9 also prevents the accumulation of amyloid beta oligomers (AβOs), small peptide aggregates that are instigators of Alzheimer’s disease neurodegeneration [M. Tolar et al., Int. J. Mol. Sci. 22, 6355 (2021)]. AβO buildup was measured by immunofluorescence imaging of cultured hippocampal neurons exposed to exogenous monomeric Aβ. In this model, AβO buildup occurs via cathepsin L- and dynamin-dependent trafficking. This is prevented by NU-9 through a cellular mechanism that is cathepsin B- and lysosome-dependent, suggesting that NU-9 enhances the ability of endolysosomal trafficking to protect against AβO buildup. This possibility is strongly supported by a quantitative assay for autophagosomes that shows robust stimulation by NU-9. These results contribute additional understanding to the mechanisms of protein aggregation and suggest that multiple neurodegenerative diseases might be treatable by targeting common pathogenic mechanisms responsible for protein aggregation.

医療・健康
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