The mechanisms responsible for oxidative damage,
pathological brain iron deposition and mitochondrial
insufficiency in Alzheimer disease (AD) remain enigmatic.
Heme oxygenase-1 (HO-1) is a 32 kDa stress protein that
catabolizes heme to biliverdin, free iron and carbon
monoxide.
The HO-1 gene is exquisitely sensitive to oxidative
stress and is induced in brain and other tissues in
various models of disease and trauma.
Our laboratory demonstrated that
1) HO-1 protein is significantly over-expressed in
AD-affected temporal cortex and hippocampus relative
to neurohistologically-normal control preparations,
2) in cultured astrocytes, HO-1 up-regulation by
transient transfection of the human ho-1 gene, or
stimulation of endogenous HO-1 expression by exposure
to beta-amyloid, TNFalpha or IL-1beta, promotes
intracellular oxidative stress, opening of the
mitochondrial permeability transition pore and
accumulation of non-transferrin iron in the
mitochondrial compartment, and
3) the glial iron sequestration renders co-cultured
neuron-like PC12 cells prone to oxidative injury.
Induction of the astroglial ho-1 gene may constitute
a 'common pathway' leading to pathological brain iron
deposition, intracellular oxidative damage and
bioenergetic failure in AD and other human CNS
disorders.
HYPOTHESIS:
Targeted suppression of glial HO-1 hyperactivity
may prove to be a rational and effective
neurotherapeutic intervention in AD and related
neurodegenerative disorders.
To begin testing this hypothesis, studies have been
initiated to determine whether systemic administration
of a novel, selective and brain-permeable inhibitor
of HO-1 activity ameliorates cognitive dysfunction
and neuropathology in a transgenic mouse model of AD.
PMID: 19874266
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