Prolonged tau clearance and stress vulnerability rescue by pharmacological activation of autophagy in tauopathy neurons

Nat Commun. 2020 Jun 26;11(1):3258. doi: 10.1038/s41467-020-16984-1.

Abstract

Tauopathies are neurodegenerative diseases associated with accumulation of abnormal tau protein in the brain. Patient iPSC-derived neuronal cell models replicate disease-relevant phenotypes ex vivo that can be pharmacologically targeted for drug discovery. Here, we explored autophagy as a mechanism to reduce tau burden in human neurons and, from a small-molecule screen, identify the mTOR inhibitors OSI-027, AZD2014 and AZD8055. These compounds are more potent than rapamycin, and robustly downregulate phosphorylated and insoluble tau, consequently reducing tau-mediated neuronal stress vulnerability. MTORC1 inhibition and autophagy activity are directly linked to tau clearance. Notably, single-dose treatment followed by washout leads to a prolonged reduction of tau levels and toxicity for 12 days, which is mirrored by a sustained effect on mTORC1 inhibition and autophagy. This new insight into the pharmacodynamics of mTOR inhibitors in regulation of neuronal autophagy may contribute to development of therapies for tauopathies.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Autophagy* / drug effects
  • Cell Line
  • Cell Survival / drug effects
  • Female
  • Humans
  • Lysosomes / drug effects
  • Lysosomes / metabolism
  • Male
  • Mechanistic Target of Rapamycin Complex 1 / metabolism
  • Middle Aged
  • Models, Biological
  • Neural Stem Cells / drug effects
  • Neural Stem Cells / metabolism
  • Neurons / drug effects
  • Neurons / metabolism*
  • Phagosomes / drug effects
  • Phagosomes / metabolism
  • Phenotype
  • Protein Kinase Inhibitors / pharmacology*
  • Rats, Wistar
  • Stress, Physiological* / drug effects
  • TOR Serine-Threonine Kinases / metabolism
  • Tauopathies / metabolism*
  • Tauopathies / pathology
  • Time Factors
  • tau Proteins / metabolism*

Substances

  • Protein Kinase Inhibitors
  • tau Proteins
  • Mechanistic Target of Rapamycin Complex 1
  • TOR Serine-Threonine Kinases