Pharmacological modulation of septins restores calcium homeostasis and is neuroprotective in models of Alzheimer's disease

  • Science. 2024 May 31;384(6699):eadd6260. doi: 10.1126/science.add6260.
Katrien Princen  #  1 Tom Van Dooren  #  1 Marit van Gorsel  1 Nikolaos Louros  2  3 Xiaojuan Yang  4 Michael Dumbacher  1 Ilse Bastiaens  1 Kristel Coupet  1 Shana Dupont  1 Eva Cuveliers  1 Annick Lauwers  1 Mohamed Laghmouchi  1 Thomas Vanwelden  1 Sofie Carmans  1 Nele Van Damme  1 Hein Duhamel  1 Seppe Vansteenkiste  1 Jovan Prerad  1 Karolien Pipeleers  1 Olivier Rodiers  1 Liese De Ridder  1 Sofie Claes  1 Yoni Busschots  1 Lentel Pringels  1 Vanessa Verhelst  1 Eveline Debroux  1 Marinka Brouwer  5 Sam Lievens  6  7 Jan Tavernier  6  7 Melissa Farinelli  8 Sandrine Hughes-Asceri  8 Marieke Voets  1 Joris Winderickx  1  9 Stefaan Wera  1  10 Joris de Wit  5 Joost Schymkowitz  2  3 Frederic Rousseau  2  3 Henrik Zetterberg  11  12  13  14  15  16 Jeffrey L Cummings  17 Wim Annaert  4 Tom Cornelissen  1 Hans De Winter  18 Koen De Witte  1 Marc Fivaz  1 Gerard Griffioen  1
Affiliations
  • 1. reMYND NV, Bio-Incubator, 3001 Leuven-Heverlee, Belgium.
  • 2. Switch Laboratory, VIB Center for Brain and Disease Research, 3000 Leuven, Belgium.
  • 3. Switch Laboratory, Department of Cellular and Molecular Medicine, KU Leuven, 3000 Leuven, Belgium.
  • 4. Laboratory for Membrane Trafficking, VIB-Center for Brain and Disease Research and Department of Neurosciences, Leuven Brain Institute, 3000 Leuven, Belgium.
  • 5. Laboratory of Synapse Biology, VIB Center for Brain & Disease Research and KU Leuven Department of Neurosciences, Leuven Brain Institute, 3000 Leuven, Belgium.
  • 6. Cytokine Receptor Lab, VIB Center for Medical Biotechnology, 9052 Ghent, Belgium.
  • 7. Department of Biomolecular Medicine, Ghent University, 9000 Ghent, Belgium.
  • 8. E-PHY-SCIENCE, Bioparc Sophia-Antipolis, 06410 Biot, France.
  • 9. Functional Biology, Department of Biology, KU Leuven, 3001 Leuven-Heverlee, Belgium.
  • 10. ViroVet NV, 3001 Leuven-Heverlee, Belgium.
  • 11. Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, the Sahlgrenska Academy at the University of Gothenburg, S-431 80 Mölndal, Sweden.
  • 12. Clinical Neurochemistry Laboratory, Sahlgrenska University Hospital, S-431 80 Mölndal, Sweden.
  • 13. Department of Neurodegenerative Disease, UCL Queen Square Institute of Neurology, London WC1N 3BG, UK.
  • 14. UK Dementia Research Institute at UCL, London WC1E 6BT, UK.
  • 15. Hong Kong Center for Neurodegenerative Diseases, Clear Water Bay, Hong Kong, China.
  • 16. Wisconsin Alzheimer's Disease Research Center, University of Wisconsin School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI 53792, USA.
  • 17. Chambers-Grundy Center for Transformative Neuroscience, Department of Brain Health, School of Integrated Health Sciences, University of Nevada, Las Vegas, Las Vegas, NV 89154, USA.
  • 18. Laboratory of Medicinal Chemistry, Department of Pharmaceutical Sciences, University of Antwerp, 2610 Wilrijk, Belgium.
  • # Contributed equally.
Abstract

Abnormal calcium signaling is a central pathological component of Alzheimer's disease (AD). Here, we describe the identification of a class of compounds called ReS19-T, which are able to restore calcium homeostasis in cell-based models of tau pathology. Aberrant tau accumulation leads to uncontrolled activation of store-operated calcium channels (SOCCs) by remodeling septin filaments at the cell cortex. Binding of ReS19-T to septins restores filament assembly in the disease state and restrains calcium entry through SOCCs. In Amyloid-β and tau-driven mouse models of disease, ReS19-T agents restored synaptic plasticity, normalized brain network activity, and attenuated the development of both Amyloid-β and tau pathology. Our findings identify the septin Cytoskeleton as a potential therapeutic target for the development of disease-modifying AD treatments.

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