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[221007 Àú³Î¹ßÇ¥] Human antimicrobial peptide LL-37 contributes to Alzheimer¡¯s disease progression

È«¼®¹ü ¦¢ 2022-10-06

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  1. nature  
  2. molecular psychiatry  
  3. articles  
  4. article
Human antimicrobial peptide LL-37 contributes to Alzheimer¡¯s disease progression
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  • Published: 22 September 2022

Human antimicrobial peptide LL-37 contributes to Alzheimer¡¯s disease progression

  • Xue Chen, 
  • Suixin Deng, 
  • Wenchao Wang, 
  • Stefania Castiglione, 
  • Zilei Duan, 
  • Lei Luo, 
  • Francesca Cianci, 
  • Xiaoxue Zhang, 
  • Jianglei Xu, 
  • Hao Li, 
  • Jizong Zhao, 
  • Peter Muiruri Kamau, 
  • Zhiye Zhang, 
  • James Mwangi, 
  • Jiali Li, 
  • Yousheng Shu, 
  • Xintian Hu, 
  • Michele Mazzanti & 
  • Ren Lai 

Molecular Psychiatry (2022)Cite this article

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Abstract

As a prime mover in Alzheimer¡¯s disease (AD), microglial activation requires membrane translocation, integration, and activation of the metamorphic protein chloride intracellular channel 1 (CLIC1), which is primarily cytoplasmic under physiological conditions. However, the formation and activation mechanisms of functional CLIC1 are unknown. Here, we found that the human antimicrobial peptide (AMP) LL-37 promoted CLIC1 membrane translocation and integration. It also activates CLIC1 to cause microglial hyperactivation, neuroinflammation, and excitotoxicity. In mouse and monkey models, LL-37 caused significant pathological phenotypes linked to AD, including elevated amyloid-¥â, increased neurofibrillary tangles, enhanced neuronal death and brain atrophy, enlargement of lateral ventricles, and impairment of synaptic plasticity and cognition, while Clic1 knockout and blockade of LL-37-CLIC1 interactions inhibited these phenotypes. Given AD¡¯s association with infection and that overloading AMP may exacerbate AD, this study suggests that LL-37, which is up-regulated upon infection, may be a driving force behind AD by acting as an endogenous agonist of CLIC1.


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