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[210903 Àú³Î¹ßÇ¥] Anti–Na+/K+-ATPase immunotherapy ameliorates ¥á-synuclein pathology through activation of Na+/K+-ATPase ¥á1–dependent autophagy

Á¤ÁØÇö ¦¢ 2021-09-02

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Anti–Na+/K+-ATPase immunotherapy ameliorates ¥á-synuclein pathology through activation of Na+/K+-ATPase ¥á1–dependent autophagy

SCIENCE ADVANCES• 27 Jan 2021• Vol 7Issue 5• DOI: 10.1126/sciadv.abc5062

Abstract

Na+/K+-ATPase (NKA) plays important roles in maintaining cellular homeostasis. Conversely, reduced NKA activity has been reported in aging and neurodegenerative diseases. However, little is known about the function of NKA in the pathogenesis of Parkinson¡¯s disease (PD). Here, we report that reduction of NKA activity in NKA¥á1+/− mice aggravates ¥á-synuclein–induced pathology, including a reduction in tyrosine hydroxylase (TH) and deficits in behavioral tests for memory, learning, and motor function. To reverse this effect, we generated an NKA-stabilizing monoclonal antibody, DR5-12D, against the DR region (897DVEDSYGQQWTYEQR911) of the NKA¥á1 subunit. We demonstrate that DR5-12D can ameliorate ¥á-synuclein–induced TH loss and behavioral deficits by accelerating ¥á-synuclein degradation in neurons. The underlying mechanism for the beneficial effects of DR5-12D involves activation of NKA¥á1-dependent autophagy via increased AMPK/mTOR/ULK1 pathway signaling. Cumulatively, this work demonstrates that NKA activity is neuroprotective and that pharmacological activation of this pathway represents a new therapeutic strategy for PD.



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