Tau蛋白异常过度磷酸化修饰在阿尔茨海默病 (Alzheimer disease,AD) 发病机理中起非常重要的作用,而2型糖尿病是AD的风险因素之一. 采用蛋白质印迹研究2型糖尿病及单纯肥胖大鼠脑中海马回tau蛋白磷酸化程度,发现在这两种大鼠模型中海马tau蛋白在多个位点上都呈现过度磷酸化状态. 同时,胰岛素信号传导系统中的关键酶糖原合成激酶-3β(glycogen synthase kinase-3β,GSK-3β) 活性在这两种大鼠模型的海马回中明显增高,经脑立体定位法向大鼠海马回注射GSK-3β抑制剂氯化锂 (LiCl) ,可阻止2型糖尿病及肥胖大鼠模型中的GSK-3β激活,但仅阻止单纯肥胖大鼠海马回tau蛋白过度磷酸化. 另外,海马神经细胞膜上胰岛素受体β亚基水平在两种实验模型中显著下降. 研究结果表明,2型糖尿病及肥胖可能通过增高胰岛素抵抗,从而导致GSK-3β激活和tau蛋白的过度磷酸化来提高AD的发病风险. 2 型糖尿病脑中低下的葡萄糖代谢也可能在tau蛋白的过度磷酸化起一定作用.
Abnormally hyperphosphorylation of tau plays a critical role in the pathogenesis of Alzheimer disease (AD) and type 2 diabetes is a known risk factor of AD. Phosphorylation of tau in type 2 diabetic and obese rats was investigated by Western blots. Tau protein was found to be hyperphosphorylated at several AD-related phophorylation sites. The activity of glycogen synthase kinase 3β (GSK-3β), a key component of insulin signal transduction pathway and a known tau kinase, was also found to be increased in the brains of both diabetic and obese rats. Intrahippocampal injection of LiCl blocked activation of GSK-3β in both groups, but only blocked hyperphosphorylation of tau in the obese rats. In addition, the β-subunit of the hippocampal membrane insulin receptor was found to be reduced in the brains of obese and type 2 diabetic rats. These findings suggest that obese and type 2 diabetes increase the probability of AD by increased insulin resistance and consequent upregulation of GSK-3β, which leads to hyperphosphorylation of tau, and that impaired glucose metabolism may also contribute to tau hyperphosphorylation in type 2 diabetes.
杨 雁,胡蜀红,张建华,张木勋,龚成新.肥胖及2型糖尿病大鼠Alzheimer病样Tau蛋白过度磷酸化修饰及机制探讨[J].生物化学与生物物理进展,2006,33(5):458-464
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