May 3, 2024

MIT’s A11 Drug: Reducing Inflammation and Enhancing Memory in Alzheimer’s Disease

” Inflammation is a major part of Alzheimers disease pathology that has been specifically tough to treat,” states research study senior author Li-Huei Tsai, Picower Professor of Neuroscience at MIT and director of The Picower Institute and MITs Aging Brain Initiative. “This preclinical research study demonstrates that A11 lowers swelling in human microglia-like cells, along with in numerous mouse models of Alzheimers illness, and considerably enhances cognition in the mice. We think A11 for that reason merits further development and testing.”
Tsai and Elizabeta Gjoneska of the National Institutes of Health are co-corresponding authors of the research study published recently in the Journal of Experimental Medicine.
Building on Previous Research
As a postdoc, Gjoneska co-led a 2015 study that implicated PU.1 as a regulator of errant microglia inflammation in a mouse model of Alzheimers disease. That research was a partnership in between Tsais lab which of MIT computer technology professor Manolis Kellis, co-led by former postdoc Andreas Pfenning, now a professor at Carnegie Mellon University. Since then, Tsai has been seeking a safe method to bring back PU.1 activity to healthier levels.
The work explained in the brand-new paper, led by Picower Institute research study researcher William Ralvenius, begins with experiments to additional validate that PU.1 would be a therapeutically significant target. To do that, the researchers compared gene expression in immune cells of postmortem brain samples from Alzheimers clients and mouse models and matching non-Alzheimers controls.
The comparisons demonstrated that Alzheimers effects major changes in microglial gene expression which an increase in PU.1 binding to inflammatory gene targets was a substantial element of that modification. They exposed that decreasing PU.1 activity in a mouse model of Alzheimers minimized swelling and neurodegeneration, the death of neurons.
Screening Process and Outcomes
Genetically tearing down PU.1 in the body is not a practical healing method given its importance in typical healthy function. The team for that reason screened more than 58,000 little particles from libraries of Novel chemicals and fda-approved drugs to see if any could safely and considerably reduce crucial inflammation and Alzheimers- related genes controlled by PU.1 in cell cultures. After several rounds of increasingly strict screening, they narrowed the field down to 6 chemicals. A11 was by far the most potent amongst them.
They tested the results of A11 dosages on the function of human microglia-like cells cultured from client stem cells. When they exposed the microglia-like cells to immune particles that typically set off inflammation, cells dosed with A11 displayed reduced expression and secretion of inflammatory cytokines and less of the cell body shape changes associated with microglia inflammatory actions.
2 more laboratory tests intended at understanding how A11 exerts its results exposed that it doesnt alter PU.1 levels. Instead, it combats PU.1 activity by hiring several proteins including MECP2, SIN3A, dmnt3a, and hdac1, known to quelch the expression of its targets. Basically, amidst Alzheimers illness, A11 tamps down what PU.1 amps up.
” A11 represents a first-in-class molecule that converts PU.1 from a transcriptional activator to a transcriptional repressor, resulting in a regulated state of microglial inflammation,” the authors write.
Mice in Mazes
Having developed that A11 decreased inflammatory activity in microglia and figured out how that happens, the researchers focused on whether it worked as a medicine in mouse models of Alzheimers illness.
Medicinal tests showed that A11 is easily cleared from tissues and can reaching brain cells. Furthermore, in healthy mice, the chemical effectively crossed the blood-brain barrier and remained in brain cells a lot longer than anywhere else.
Finally, the scientists tested the effects of the drugs on Alzheimers illness pathology and symptoms in three mouse strains that each design various aspects of Alzheimers disease: CK-p25 mice (serious neurodegeneration), Tau P301S transgenic mice (tauopathy), and 5XFAD mice (amyloid pathology).
Female and male CK-p25 mice dosed with A11 showed less inflammatory response amongst microglia and astrocyte cells and lost less neurons than unattended controls. TauP301S Tg mice reacted similarly, likewise showing a substantial decrease of phosphorylated tau protein in the hippocampus region of the brain, which is a vital location for memory. In 5XFAD mice, amyloid was significantly reduced.
The brains of Alzheimers design mice treated with A11 (right) showed more tubulin (yellow), a marker of neuronal health, than unattended controls (left). Credit: Image thanks to the Tsai Lab/Picower Institute
The research study team subjected the Tau P301S Tg and CK-p25 mice to labyrinths designed to check their short-term working memory and longer-term learning. In both models and on both tests, A11-treated mice carried out considerably much better than neglected controls. In the “Morris Water Maze,” where mice have to find out the area of an immersed platform that permits them to rest, dealt with CK-p25 mice discovered much faster than untreated ones.
Far more screening needs to be done before A11 might end up being an authorized medicine, Tsai states, however she keeps in mind that it could complement the new treatments that target amyloid.
” Given that A11 acts via an unique mechanism from existing advertisement [Alzheimers illness] therapeutics, A11 might be utilized alone or in mix with authorized therapeutics to offer better treatment options for neurodegenerative diseases,” the authors conclude.
Recommendation: “A novel molecular class that recruits HDAC/MECP2 complexes to PU.1 themes reduces neuroinflammation” by William T. Ralvenius, Alison E. Mungenast, Hannah Woolf, Margaret M. Huston, Tyler Z. Gillingham, Stephen K. Godin, Jay Penney, Hugh P. Cam, Fan Gao, Celia G. Fernandez, Barbara Czako, Yaima Lightfoot, William J. Ray, Adrian Beckmann, Alison M. Goate, Edoardo Marcora, Carmen Romero-Molina, Pinar Ayata, Anne Schaefer, Elizabeta Gjoneska and Li-Huei Tsai, 29 August 2023, Journal of Experimental Medicine.DOI: 10.1084/ jem.20222105.
In addition to Tsai, Gjoneska, and Ralvenius, the papers other authors are Alison E. Mungenast, Hannah Woolf, Margaret M. Huston, Tyler Z. Gillingham, Stephen K. Godin, Jay Penney, Hugh P. Cam, Fan Gao, Celia G. Fernandez, Barbara Czako, Yaima Lightfoot, William J. Ray, Adrian Beckmann, Alison M. Goate, Edoardo Marcora, Carmen Romero-Molina, Pinar Ayata, and Anne Schaefer.
The Robert A. and Renee E. Belfer Family Foundation and the National Institutes of Health moneyed the research. Extra support came from The JPB Foundation and The Picower Institute for Learning and Memory, The Halis Family Foundation, Lester A. Gimpelson and Jay L. and Caroll Miller.

By David Orenstein, The Picower Institute for Knowing and Memory
September 20, 2023

A11-treated Alzheimers design mice (right) showed much less tau protein (green staining), a hallmark of disease pathology, than without treatment controls (left). In a new study, researchers from The Picower Institute for Learning and Memory at MIT have introduced a candidate drug that minimizes swelling and enhances memory in human cell cultures and Alzheimers mouse models.
“This preclinical research study demonstrates that A11 reduces swelling in human microglia-like cells, as well as in several mouse designs of Alzheimers disease, and significantly enhances cognition in the mice. Female and male CK-p25 mice dosed with A11 revealed less inflammatory action among microglia and astrocyte cells and lost less nerve cells than unattended controls. In the “Morris Water Maze,” where mice have to find out the location of an immersed platform that permits them to rest, dealt with CK-p25 mice found out much faster than unattended ones.

Picower Institute scientists discovered that a molecule called A11 combats inflammation in the brain amid Alzheimers illness. A11-treated Alzheimers model mice (right) revealed much less tau protein (green staining), a hallmark of illness pathology, than untreated controls (left). Credit: Image courtesy of the Tsai Lab/Picower Institute
A prospective new Alzheimers drug represses the harmful inflammatory action of the brains immune cells, minimizing disease pathology, preserving neurons, and enhancing cognition in preclinical tests.
Scientists have made strides in dealing with Alzheimers disease by reducing amyloid-beta protein using specific medications. However, other problems of the illness, such as inflammation, stay. In a new research study, researchers from The Picower Institute for Learning and Memory at MIT have actually presented a candidate drug that decreases swelling and enhances memory in human cell cultures and Alzheimers mouse designs.
Targeting PU.1: A Way Forward
The target of the brand-new “A11” molecule is a hereditary transcription factor called PU.1. Earlier research has actually revealed that in the middle of Alzheimers disease, PU.1 becomes an overzealous director of inflammatory gene expression in the brains microglia immune cells. A11 suppresses this problematic PU.1 activity, the new research programs, by recruiting other proteins that repress the inflammatory genes PU.1 works to express. Since A11 concentrates primarily in the brain and does not lower PU.1 levels, it does not appear to disrupt PU.1s other task, which is to ensure the production of a large variety of blood cells.