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. 2022 Oct;27(10):4264-4273.
doi: 10.1038/s41380-022-01676-7. Epub 2022 Jun 28.

Hypoxia Inducible Factor-1α binds and activates γ-secretase for Aβ production under hypoxia and cerebral hypoperfusion

Affiliations

Hypoxia Inducible Factor-1α binds and activates γ-secretase for Aβ production under hypoxia and cerebral hypoperfusion

Courtney Alexander et al. Mol Psychiatry. 2022 Oct.

Abstract

Hypoxic-ischemic injury has been linked with increased risk for developing Alzheimer's disease (AD). The underlying mechanism of this association is poorly understood. Here, we report distinct roles for hypoxia-inducible factor-1α (Hif-1α) in the regulation of BACE1 and γ-secretase activity, two proteases involved in the production of amyloid-beta (Aβ). We have demonstrated that Hif-1α upregulates both BACE1 and γ-secretase activity for Aβ production in brain hypoxia-induced either by cerebral hypoperfusion or breathing 10% O2. Hif-1α binds to γ-secretase, which elevates the amount of active γ-secretase complex without affecting the level of individual subunits in hypoxic-ischemic mouse brains. Additionally, the expression of full length Hif-1α increases BACE1 and γ-secretase activity in primary neuronal culture, whereas a transcriptionally incompetent Hif-1α variant only activates γ-secretase. These findings indicate that Hif-1α transcriptionally upregulates BACE1 and nontranscriptionally activates γ-secretase for Aβ production in hypoxic-ischemic conditions. Consequently, Hif-1α-mediated Aβ production may be an adaptive response to hypoxic-ischemic injury, subsequently leading to increased risk for AD. Preventing the interaction of Hif-1α with γ-secretase may therefore be a promising therapeutic strategy for AD treatment.

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Conflict of interest statement

CONFLICT OF INTEREST

LYM is a co-inventor of intellectual property (assay for gamma secretase activity and screening method for gamma secretase inhibitors) owned by MSKCC and licensed to Jiangsu Continental Medical Development. CI serves on the Scientific Advisory Board of Broadview Ventures.

Figures

Fig. 1
Fig. 1. Ischemic condition leads to an accumulation of Hif-1a in neurons in BCAS mice.
A Representative western blot for Hif-1α in brains of sham and BCAS (week 1, 2,and 4) post-surgery. B Localization of Hif-1α in sham and BCAS brains was assessed by triple immunofluorescence staining. Fluorescence microscopy of Hif-1α (purple) NeuN (green), and GFAP (red) of the hippocampus is shown. Scale bar = 200 μm. C Left, quantification of Hif-1α expression in the hippocampus of sham vs. BCAS animals. Right, Hif-1α/NeuN and Hif-1α/GFAP colocalization quantification in the hippocampus of Sham vs. BCAS animals. Data are mean ± s.d. p-values were determined by two-sided Student’s t-test.
Fig. 2
Fig. 2. γ-Secretase activity is upregulated in the ischemia mouse model.
A Sham vs. Bilateral Common Carotid Artery Stenosis (BCAS) animals were sacrificed week 1, 2,and 4 post-surgery. n = 4–6 mice per group. γ-Secretase activity was assessed using membrane fractions of the brain from 1, 2 and 4week post-surgery for Aβ40 and Aβ42. B γ-secretase for Notch1 cleavage at 2-weeks BCAS and sham brains. C Representative western blot for BACE1 and γ-secretase components NCT, Aph1, PS1-NTF, and PS1-CTF from Sham and BCAS mice 4 weeks post-surgery. D Quantification of western blots for BACE1. E Chemical structure of JC-8 photoprobe and western blot for PS1-NTF after γ-secretase active-site directed photolabeling using JC-8 on Sham and BCAS mice 4 weeks post-surgery. Quantification of photolabeling in Sham and BCAS, 4 weeks post-surgery. F Chemical structure of LZ26. Hif-1α expression in 4-week was confirmed in brain membrane that was used for LZ26 capture as input. Hif-1α is pulled down with LZ26 in 4-week BCAS animals and not sham control animals. Specificity of capture is demonstrated by addition of parent compound L685,458. Data are mean ± s.d. p-values were determined by two-sided Student’s t-test.
Fig. 3
Fig. 3. Ischemia hypoxia does change the expression and activity of ADAM-10 and ADAM-17.
A The expression of ADAM-10 and −17 in BCAS and sham mouse brains (2 week) mRNA expression was assessed by qPCR. Data are mean ± s.d. B Western blot analysis of expression of pre- and mature forms of ADAM-10 and −17 in BCAS and sham mouse brains (2 week). C Quantitative analysis of ADAM10 (C) and ADAM 17 (D) Data are mean ± s.d.
Fig. 4
Fig. 4. Hypoxia increases γ-secretase activity and BACE1 expression in mice.
A Western blot for Hif-1α in brains of wildtype 3-4 months old male C57BL/6 mice subjected to atmospheric hypoxia of 10% O2 for 24 h. B γ-secretase activity was assessed for Aβ40 and Aβ42 in mice housed in hypoxia (10% O2) for 24 h compared to normal (20% O2) oxygen conditions. n = 4 mice for each group. C γ-secretase components, NCT, Aph1, PS1-NTF, PS1-CTF, and Pen2 and BACE1 from pooled brain membrane from hypoxia and normal oxygen mice from 2 A were assessed by Western blot. D Quantification of BACE1 expression levels normalized to normoxia controls. Data are mean ± s.d. p-values were determined by two-sided Student’s t-test.
Fig. 5
Fig. 5. Non-transcriptional Hif-1α increases γ-secretase activity in primary neurons.
A Mouse primary cortical neurons were placed in hypoxia (5% O2) at DIV14 for 48 hours. Media was collected and Aβ40 and Aβ42 was measured. B γ-secretase activity was assessed for Aβ40 and Aβ42 in mouse primary cortical neurons in hypoxia (5% O2) and normal (20% O2) oxygen conditions. C Schematic of Hif-1α domains and constructs. D Western blot analysis for Hif-1α in primary neurons at DIV 14. E Mouse cortical neurons expressing Hif-1α variants were assessed for Aβ production in the media at DIV 14. Aβ40F Mouse cortical neurons expressing Hif-1α variants were assessed for γ-secretase activity at DIV 14. G Representative western blot analysis for BACE1 expression in mouse cortical neurons expressing Hif-1α variants. H Quantification of BACE1 expression normalized to EV control. I mRNA expression was assessed by qPCR for BACE1, EV vs. Hif-1α TM. Data are mean ± s.d. p-values were determined by one-way ANOVA followed by Tukey.
Fig. 6
Fig. 6. Dual roles of Hif-1α activate γ-secretase and increase BACE1 through distinct mechanisms.
Cerebrovascular or cardiovascular diseases cause hypoxia and an accumulation Hif-1α in neurons, enhancing BACE1 and γ-secretase through transcriptional and non-transcriptional mechanisms, respectively. Hif-1α-mediated Aβ production acts as an adaptive response to hypoxic-ischemic injury for neuronal protection and this potentially beneficial effect of Aβ may become detrimental in the setting of AD.

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