Branched-Chain Amino Acids Are Linked with Alzheimer’s Disease-Related Pathology and Cognitive Deficits

Alzheimer’s disease (AD) is an irreversible neurodegenerative disorder with a complex pathophysiology. Type 2 diabetes (T2D) is a strong risk factor for AD that shares similar abnormal features including metabolic dysregulation and brain pathology such as amyloid and/or Tau deposits. Emerging eviden...

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Main Authors: Md Abu Bakkar Siddik, Caitlyn A. Mullins, Alyssa Kramer, Harsh Shah, Ritchel B. Gannaban, Masoud Zabet-Moghaddam, Ryan M. Huebinger, Vijay K. Hegde, Sheba M. J. MohanKumar, Puliyur S. MohanKumar, Andrew C. Shin
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Cells
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Online Access:https://www.mdpi.com/2073-4409/11/21/3523
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author Md Abu Bakkar Siddik
Caitlyn A. Mullins
Alyssa Kramer
Harsh Shah
Ritchel B. Gannaban
Masoud Zabet-Moghaddam
Ryan M. Huebinger
Vijay K. Hegde
Sheba M. J. MohanKumar
Puliyur S. MohanKumar
Andrew C. Shin
author_facet Md Abu Bakkar Siddik
Caitlyn A. Mullins
Alyssa Kramer
Harsh Shah
Ritchel B. Gannaban
Masoud Zabet-Moghaddam
Ryan M. Huebinger
Vijay K. Hegde
Sheba M. J. MohanKumar
Puliyur S. MohanKumar
Andrew C. Shin
author_sort Md Abu Bakkar Siddik
collection DOAJ
description Alzheimer’s disease (AD) is an irreversible neurodegenerative disorder with a complex pathophysiology. Type 2 diabetes (T2D) is a strong risk factor for AD that shares similar abnormal features including metabolic dysregulation and brain pathology such as amyloid and/or Tau deposits. Emerging evidence suggests that circulating branched-chain amino acids (BCAAs) are associated with T2D. While excess BCAAs are shown to be harmful to neurons, its connection to AD is poorly understood. Here we show that individuals with AD have elevated circulating BCAAs and their metabolites compared to healthy individuals, and that a BCAA metabolite is correlated with the severity of dementia. APP<sub>Swe</sub> mouse model of AD also displayed higher plasma BCAAs compared to controls. In pursuit of understanding a potential causality, BCAA supplementation to HT-22 neurons was found to reduce genes critical for neuronal health while increasing phosphorylated Tau. Moreover, restricting BCAAs from diet delayed cognitive decline and lowered AD-related pathology in the cortex and hippocampus in APP/PS1 mice. BCAA restriction for two months was sufficient to correct glycemic control and increased/restored dopamine that were severely reduced in APP/PS1 controls. Treating 5xFAD mice that show early brain pathology with a BCAA-lowering compound recapitulated the beneficial effects of BCAA restriction on brain pathology and neurotransmitters including norepinephrine and serotonin. Collectively, this study reveals a positive association between circulating BCAAs and AD. Our findings suggest that BCAAs impair neuronal functions whereas BCAA-lowering alleviates AD-related pathology and cognitive decline, thus establishing a potential causal link between BCAAs and AD progression.
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spelling doaj.art-e239139448ad4a719c9e0f12d92acc932023-11-24T04:10:09ZengMDPI AGCells2073-44092022-11-011121352310.3390/cells11213523Branched-Chain Amino Acids Are Linked with Alzheimer’s Disease-Related Pathology and Cognitive DeficitsMd Abu Bakkar Siddik0Caitlyn A. Mullins1Alyssa Kramer2Harsh Shah3Ritchel B. Gannaban4Masoud Zabet-Moghaddam5Ryan M. Huebinger6Vijay K. Hegde7Sheba M. J. MohanKumar8Puliyur S. MohanKumar9Andrew C. Shin10Obesity and Metabolic Health Laboratory, Department of Nutritional Sciences, College of Human Sciences, Texas Tech University, Lubbock, TX 79409, USANeurobiology of Nutrition Laboratory, Department of Nutritional Sciences, College of Human Sciences, Texas Tech University, Lubbock, TX 79409, USANeurobiology of Nutrition Laboratory, Department of Nutritional Sciences, College of Human Sciences, Texas Tech University, Lubbock, TX 79409, USANeurobiology of Nutrition Laboratory, Department of Nutritional Sciences, College of Human Sciences, Texas Tech University, Lubbock, TX 79409, USANeurobiology of Nutrition Laboratory, Department of Nutritional Sciences, College of Human Sciences, Texas Tech University, Lubbock, TX 79409, USACenter for Biotechnology & Genomics, Texas Tech University, Lubbock, TX 79409, USADepartment of Surgery, UT Southwestern Medical Center, Dallas, TX 75390, USAObesity and Metabolic Health Laboratory, Department of Nutritional Sciences, College of Human Sciences, Texas Tech University, Lubbock, TX 79409, USADepartment of Veterinary BioSciences and Diagnostic Imaging, College of Veterinary Medicine, University of Georgia, Athens, GA 30602, USADepartment of Veterinary BioSciences and Diagnostic Imaging, College of Veterinary Medicine, University of Georgia, Athens, GA 30602, USANeurobiology of Nutrition Laboratory, Department of Nutritional Sciences, College of Human Sciences, Texas Tech University, Lubbock, TX 79409, USAAlzheimer’s disease (AD) is an irreversible neurodegenerative disorder with a complex pathophysiology. Type 2 diabetes (T2D) is a strong risk factor for AD that shares similar abnormal features including metabolic dysregulation and brain pathology such as amyloid and/or Tau deposits. Emerging evidence suggests that circulating branched-chain amino acids (BCAAs) are associated with T2D. While excess BCAAs are shown to be harmful to neurons, its connection to AD is poorly understood. Here we show that individuals with AD have elevated circulating BCAAs and their metabolites compared to healthy individuals, and that a BCAA metabolite is correlated with the severity of dementia. APP<sub>Swe</sub> mouse model of AD also displayed higher plasma BCAAs compared to controls. In pursuit of understanding a potential causality, BCAA supplementation to HT-22 neurons was found to reduce genes critical for neuronal health while increasing phosphorylated Tau. Moreover, restricting BCAAs from diet delayed cognitive decline and lowered AD-related pathology in the cortex and hippocampus in APP/PS1 mice. BCAA restriction for two months was sufficient to correct glycemic control and increased/restored dopamine that were severely reduced in APP/PS1 controls. Treating 5xFAD mice that show early brain pathology with a BCAA-lowering compound recapitulated the beneficial effects of BCAA restriction on brain pathology and neurotransmitters including norepinephrine and serotonin. Collectively, this study reveals a positive association between circulating BCAAs and AD. Our findings suggest that BCAAs impair neuronal functions whereas BCAA-lowering alleviates AD-related pathology and cognitive decline, thus establishing a potential causal link between BCAAs and AD progression.https://www.mdpi.com/2073-4409/11/21/3523glucose metabolismBCAAneurotransmittersAβ-42Tau5xFAD
spellingShingle Md Abu Bakkar Siddik
Caitlyn A. Mullins
Alyssa Kramer
Harsh Shah
Ritchel B. Gannaban
Masoud Zabet-Moghaddam
Ryan M. Huebinger
Vijay K. Hegde
Sheba M. J. MohanKumar
Puliyur S. MohanKumar
Andrew C. Shin
Branched-Chain Amino Acids Are Linked with Alzheimer’s Disease-Related Pathology and Cognitive Deficits
Cells
glucose metabolism
BCAA
neurotransmitters
Aβ-42
Tau
5xFAD
title Branched-Chain Amino Acids Are Linked with Alzheimer’s Disease-Related Pathology and Cognitive Deficits
title_full Branched-Chain Amino Acids Are Linked with Alzheimer’s Disease-Related Pathology and Cognitive Deficits
title_fullStr Branched-Chain Amino Acids Are Linked with Alzheimer’s Disease-Related Pathology and Cognitive Deficits
title_full_unstemmed Branched-Chain Amino Acids Are Linked with Alzheimer’s Disease-Related Pathology and Cognitive Deficits
title_short Branched-Chain Amino Acids Are Linked with Alzheimer’s Disease-Related Pathology and Cognitive Deficits
title_sort branched chain amino acids are linked with alzheimer s disease related pathology and cognitive deficits
topic glucose metabolism
BCAA
neurotransmitters
Aβ-42
Tau
5xFAD
url https://www.mdpi.com/2073-4409/11/21/3523
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