Hampered AMPK-ULK1 cascade in Alzheimer's disease (AD) instigates mitochondria dysfunctions and AD-related alterations which are alleviated by metformin.
[en] The adenosine monophosphate-activated protein kinase (AMPK) and its downstream effector Unc-51 like autophagy activating kinase 1 (ULK1) represent a key cellular signaling node, the alteration of which likely contribute to AD development. This study investigated the AMPK-ULK1 pathway activation state in AD and the impact of its modulation on mitochondria structure and function as well as on AD-related alterations. We show in human sporadic AD and 3xTgAD mice brains a defective activating phosphorylation of ULK1 despite the active phosphorylation of AMPK. In addition, we reported defective p-AMPK and p-ULK1 in cells expressing the amyloid precursor protein with the familial Swedish mutation. We then show that the antidiabetic metformin (Met) drug-mediated AMPK-ULK1 cascade activation alleviates structural and functional mitochondrial abnormalities in AD cells and mice brains. Furthermore, in the 3xTgAD brains, it reduces the early accumulation of APP C-terminal fragments (APP-CTFs) as well as amyloid beta (Aβ) burden, microgliosis and astrogliosis occurring at a later disease stage. AMPK-ULK1 activation increases the localization of APP-CTFs within cathepsin D-positive lysosomal compartments and the recruitment of Iba1+ cells to Aβ plaques in vivo and enhances cathepsin D activity and phagocytic activity of microglia in vitro. Additionally, AMPK-ULK1 activation normalizes dendritic spine morphology in organotypic hippocampal slice cultures modeling AD and alleviates learning deficit in symptomatic 3xTgAD mice. Our study demonstrates potential therapeutic benefits of targeting AMPK-ULK1 cascade to reverse both early and late AD-related alterations, deserving further investigation in fundamental research and in human clinical studies.
Disciplines :
Neurology
Author, co-author :
MARY, Arnaud ; University of Luxembourg > Luxembourg Centre for Systems Biomedicine (LCSB) > Neuroinflammation Group ; Institute of Molecular and Cellular Pharmacology, Laboratory of Excellence DistALZ, Université Côte d'Azur, INSERM, CNRS, Sophia-Antipolis, Valbonne, 06560, France
Barale, Samantha; Institute of Molecular and Cellular Pharmacology, Laboratory of Excellence DistALZ, Université Côte d'Azur, INSERM, CNRS, Sophia-Antipolis, Valbonne, 06560, France
Eysert, Fanny; Institute of Molecular and Cellular Pharmacology, Laboratory of Excellence DistALZ, Université Côte d'Azur, INSERM, CNRS, Sophia-Antipolis, Valbonne, 06560, France
Valverde, Audrey; Institute of Molecular and Cellular Pharmacology, Laboratory of Excellence DistALZ, Université Côte d'Azur, INSERM, CNRS, Sophia-Antipolis, Valbonne, 06560, France ; Fonds Clinatec, Centre de recherche biomédicale Edmond J. Safra, Grenoble, France
Lacas-Gervais, Sandra; Université Côte d'Azur, Centre Commun de Microscopie Appliquée (CCMA), Parc Valrose, Nice, 06108, France
Bauer, Charlotte; Institute of Molecular and Cellular Pharmacology, Laboratory of Excellence DistALZ, Université Côte d'Azur, INSERM, CNRS, Sophia-Antipolis, Valbonne, 06560, France
Eddarkaoui, Sabiha; Université Lille, Inserm, CHU-Lille , Lille Neuroscience and Cognition, Place de Verdun, Lille, 59045, France ; Inserm UMR-S 1172 , Laboratory of Excellence DistALZ, 'Alzheimer and Tauopathies', Bâtiment Biserte, rue Polonovski, Lille Cedex, 59045, France
Buée, Luc; Université Lille, Inserm, CHU-Lille , Lille Neuroscience and Cognition, Place de Verdun, Lille, 59045, France ; Inserm UMR-S 1172 , Laboratory of Excellence DistALZ, 'Alzheimer and Tauopathies', Bâtiment Biserte, rue Polonovski, Lille Cedex, 59045, France
Buée-Scherrer, Valérie; Université Lille, Inserm, CHU-Lille , Lille Neuroscience and Cognition, Place de Verdun, Lille, 59045, France ; Inserm UMR-S 1172 , Laboratory of Excellence DistALZ, 'Alzheimer and Tauopathies', Bâtiment Biserte, rue Polonovski, Lille Cedex, 59045, France
Checler, Frédéric; Institute of Molecular and Cellular Pharmacology, Laboratory of Excellence DistALZ, Université Côte d'Azur, INSERM, CNRS, Sophia-Antipolis, Valbonne, 06560, France
Chami, Mounia; Institute of Molecular and Cellular Pharmacology, Laboratory of Excellence DistALZ, Université Côte d'Azur, INSERM, CNRS, Sophia-Antipolis, Valbonne, 06560, France. mchami@ipmc.cnrs.fr
External co-authors :
yes
Language :
English
Title :
Hampered AMPK-ULK1 cascade in Alzheimer's disease (AD) instigates mitochondria dysfunctions and AD-related alterations which are alleviated by metformin.
Initiative d'Excellence d'Université Côte d'Azur bearing the reference ANR-15-IDEX-01 Région Sud and the Conseil Départemental 06 Université Côte d’Azur LABEX (excellence laboratory, program investment for the future) DISTALZ Fondation Vaincre Alzheimer Association France Alzheimer
M. Audrain J.V. Haure-Mirande J. Mleczko M. Wang J.K. Griffin P.H. St George-Hyslop P. Fraser B. Zhang S. Gandy M.E. Ehrlich Reactive or Transgenic increase in microglial TYROBP reveals a TREM2-independent TYROBP-APOE link in wild-type and Alzheimer’s-related mice Alzheimers Dement 17 149 63 1:CAS:528:DC%2BB3MXns1amtLs%3D 10.1002/alz.12256 33314529
B.M. Bettcher M.G. Tansey G. Dorothee M.T. Heneka Peripheral and central immune system crosstalk in alzheimer disease - a research prospectus Nat Rev Neurol: Doi 10.1038/s41582-021-00549-x
G.S. Bloom Amyloid-beta and Tau: the trigger and bullet in alzheimer disease pathogenesis JAMA Neurol 71 505 8 10.1001/jamaneurol.2013.5847 24493463
A. Bourgeois I. Lauritzen T. Lorivel C. Bauer F. Checler R. Pardossi-Piquard Intraneuronal accumulation of C99 contributes to synaptic alterations, apathy-like behavior, and Spatial learning deficits in 3xTgAD and 2xTgAD mice Neurobiol Aging 71 21 31 1:CAS:528:DC%2BC1cXhsVSrtL7L 10.1016/j.neurobiolaging.2018.06.038 30071370
H.R. Bridges J.N. Blaza Z. Yin I. Chung M.N. Pollak J. Hirst Structural basis of mammalian respiratory complex I Inhibition by medicinal Biguanides New York, N Y Science 351 7 379
R. Bussiere B. Oules A. Mary L. Vaillant-Beuchot C. Martin W. El Manaa D. Vallee E. Duplan P. Paterlini-Brechot Alves Da Costa Cet al 10.3390/cells8121539
J.L. Chen C. Luo D. Pu G.Q. Zhang Y.X. Zhao Y. Sun K.X. Zhao Z.Y. Liao A.K. Lv S.Y. Zhu Metformin attenuates diabetes-induced Tau hyperphosphorylation in vitro and in vivo by enhancing autophagic clearance Exp Neurol 311 44 56 1:CAS:528:DC%2BC1cXhvVShsrjL 10.1016/j.expneurol.2018.09.008 30219731
Y. Chen S. Zhao Z. Fan Z. Li Y. Zhu T. Shen K. Li Y. Yan J. Tian Z. Liu Metformin attenuates plaque-associated Tau pathology and reduces amyloid-β burden in APP/PS1 mice Alzheimers Res Ther 13 40 1:CAS:528:DC%2BB3MXhtVaku7%2FO 10.1186/s13195-020-00761-9 33563332 7871393
M.R. Du Q.Y. Gao C.L. Liu L.Y. Bai T. Li F.L. Wei Exploring the Pharmacological potential of Metformin for neurodegenerative diseases Front Aging Neurosci 14 838173 1:CAS:528:DC%2BB38XitVWrsb3F 10.3389/fnagi.2022.838173 35557834 9087341
E.F. Fang Y. Hou K. Palikaras B.A. Adriaanse J.S. Kerr B. Yang S. Lautrup M.M. Hasan-Olive D. Caponio Dan Xet al et al. Mitophagy inhibits amyloid-β and Tau pathology and reverses cognitive deficits in models of Alzheimer’s disease Nat Neurosci 22 401 12 1:CAS:528:DC%2BC1MXmsVymt7w%3D 10.1038/s41593-018-0332-9 30742114 6693625
M. Foretz B. Guigas L. Bertrand M. Pollak B. Viollet Metformin: from mechanisms of action to therapies Cell Metab 20 953 66 1:CAS:528:DC%2BC2cXhvVGks7fM 10.1016/j.cmet.2014.09.018 25456737
R. Fujikawa S. Jinno Identification of hyper-ramified microglia in the CA1 region of the mouse hippocampus potentially associated with stress resilience Eur J Neurosci 56 5137 53 1:CAS:528:DC%2BB38Xitlahu73O 10.1111/ejn.15812 36017697
Gomez-Murcia V, Launay A, Carvalho K, Burgard A, Meriaux C, Caillierez R, Eddarkaoui S, Kilinc D, Siedlecki-Wullich D. Besegher M. Neuronal A2A receptor exacerbates synapse loss and memory deficits in APP/PS1 mice. Brain. 2024;147: 2691–705.
Griciuc A, Patel S, Federico AN, Choi SH, Innes BJ, Oram MK, Cereghetti G, McGinty D, Anselmo A, Sadreyev RI, et al. TREM2 Acts Downstream of CD33 in Modulating Microglial Pathology in Alzheimer’s Disease. Neuron. 2019; 103: 820–835. e827 https://doi.org/10.1016/j.neuron.2019.06.010
A. Grubman X.Y. Choo G. Chew J.F. Ouyang G. Sun N.P. Croft F.J. Rossello R. Simmons S. Buckberry D.V. Landin Transcriptional signature in microglia associated with Abeta plaque phagocytosis Nat Commun 12 3015 10.1038/s41467-021-23111-1 34021136 8140091
J.V. Haure-Mirande M. Audrain M.E. Ehrlich S. Gandy Microglial TYROBP/DAP12 in Alzheimer’s disease: transduction of physiological and pathological signals across TREM2 Mol Neurodegener 17 55 1:CAS:528:DC%2BB38XitlCit7bN 10.1186/s13024-022-00552-w 36002854 9404585
C.C. Hsu M.L. Wahlqvist M.S. Lee H.N. Tsai Incidence of dementia is increased in type 2 diabetes and reduced by the use of sulfonylureas and Metformin J Alzheimers Dis 24 485 93 1:CAS:528:DC%2BC3MXmtFCmt74%3D 10.3233/JAD-2011-101524 21297276
P. Imfeld M. Bodmer S.S. Jick C.R. Meier Metformin, other antidiabetic drugs, and risk of Alzheimer’s disease: a population-based case-control study J Am Geriatr Soc 60 916 21 10.1111/j.1532-5415.2012.03916.x 22458300
T.R. Jay A.M. Hirsch M.L. Broihier C.M. Miller L.E. Neilson R.M. Ransohoff B.T. Lamb G.E. Landreth Disease Progression-Dependent effects of TREM2 deficiency in a mouse model of Alzheimer’s disease J Neurosci 37 637 47 1:CAS:528:DC%2BC2sXovVOrurk%3D 10.1523/JNEUROSCI.2110-16.2016 28100745 5242410
G. Kaur M. Pawlik S.E. Gandy M.E. Ehrlich J.F. Smiley E. Levy Lysosomal dysfunction in the brain of a mouse model with intraneuronal accumulation of carboxyl terminal fragments of the amyloid precursor protein Mol Psychiatry 22 981 9 1:CAS:528:DC%2BC28XhslKgtb3M 10.1038/mp.2016.189 27777419
B. Kim C. Figueroa-Romero C. Pacut C. Backus E.L. Feldman Insulin resistance prevents AMPK-induced Tau dephosphorylation through Akt-mediated increase in AMPKSer-485 phosphorylation J Biol Chem 290 19146 57 1:CAS:528:DC%2BC2MXht1KhsrzN 10.1074/jbc.M115.636852 26100639 4521037
J.W. Kinney S.M. Bemiller A.S. Murtishaw A.M. Leisgang A.M. Salazar B.T. Lamb Inflammation as a central mechanism in Alzheimer’s disease Alzheimers Dement (N Y) 4 575 90 10.1016/j.trci.2018.06.014 30406177
A.M. Koenig D. Mechanic-Hamilton S.X. Xie M.F. Combs A.R. Cappola L. Xie J.A. Detre D.A. Wolk S.E. Arnold Effects of the insulin sensitizer Metformin in alzheimer disease: pilot data from a randomized Placebo-controlled crossover study Alzheimer Dis Assoc Disord 31 107 13 1:CAS:528:DC%2BC2sXot1ylsL8%3D 10.1097/WAD.0000000000000202 28538088 5476214
Y.C. Kuan K.W. Huang C.L. Lin C.J. Hu C.H. Kao Effects of Metformin exposure on neurodegenerative diseases in elderly patients with type 2 diabetes mellitus Prog Neuropsychopharmacol Biol Psychiatry 79 77 83 1:CAS:528:DC%2BC2sXhtFantbnJ 10.1016/j.pnpbp.2017.06.002 28583443
D. Kwart A. Gregg C. Scheckel E.A. Murphy D. Paquet M. Duffield J. Fak O. Olsen R.B. Darnell M. Tessier-Lavigne A large panel of isogenic APP and PSEN1 mutant human iPSC neurons reveals shared endosomal abnormalities mediated by APP beta-CTFs, not Abeta Neuron 104 1022 1:CAS:528:DC%2BC1MXitlGiurjP 10.1016/j.neuron.2019.11.010 31805257
K. Labuzek D. Suchy B. Gabryel A. Bielecka S. Liber B. Okopien Quantification of Metformin by the HPLC method in brain regions, cerebrospinal fluid and plasma of rats treated with lipopolysaccharide Pharmacol Rep 62 956 65 1:CAS:528:DC%2BC3MXitlels74%3D 10.1016/S1734-1140(10)70357-1 21098880
Lacampagne A, Liu X, Reiken S, Bussiere R, Meli AC, Lauritzen I, Teich AF, Zalk R, Saint N, Arancio O et al. Post-translational remodeling of ryanodine receptor induces calcium leak leading to Alzheimer’s disease-like pathologies and cognitive deficits. Acta Neuropathol. 2017;134: 749–767 https://doi.org/10.1007/s00401-017-1733-7
Lauritzen I, Pardossi-Piquard R, Bauer C, Brigham E, Abraham JD, Ranaldi S, Fraser P, St-George-Hyslop P, Le Thuc O, Espin Vet et al. The beta-secretase-derived C-terminal fragment of betaAPP, C99, but not Abeta, is a key contributor to early intraneuronal lesions in triple-transgenic mouse hippocampus. J Neurosci. 2012;32: 16243-11655a https://doi.org/10.1523/JNEUROSCI.2775-12.2012
I. Lauritzen R. Pardossi-Piquard A. Bourgeois S. Pagnotta M.-G. Biferi M. Barkats P. Lacor W. Klein C. Bauer F. Checler Intraneuronal aggregation of the β-CTF fragment of APP (C99) induces Aβ-independent lysosomal-autophagic pathology Acta Neuropathol 132 257 76 1:CAS:528:DC%2BC28XnsF2qur0%3D 10.1007/s00401-016-1577-6 27138984 4947121
Lu XY, Huang S, Chen QB, Zhang D, Li W, Ao R, Leung FC, Zhang Z, Huang J, Tang Y, et al. Metformin Ameliorates Aβ Pathology by Insulin-Degrading Enzyme in a Transgenic Mouse Model of Alzheimer’s Disease. Oxid Med Cell Longev. 2020; 2315106 https://doi.org/10.1155/2020/2315106
T. Ma X. Tian B. Zhang M. Li Y. Wang C. Yang J. Wu X. Wei Q. Qu Y. Yu Low-dose Metformin targets the lysosomal AMPK pathway through PEN2 Nature 603 159 65 1:CAS:528:DC%2BB38Xkslyit7s%3D 10.1038/s41586-022-04431-8 35197629 8891018
N. Malik B.I. Ferreira P.E. Hollstein S.D. Curtis E. Trefts S. Weiser Novak J. Yu R. Gilson K. Hellberg Fang Let al et al. Induction of lysosomal and mitochondrial biogenesis by AMPK phosphorylation of FNIP1 Science 380 eabj5559 1:CAS:528:DC%2BB3sXot1Klurw%3D 10.1126/science.abj5559 37079666 10794112
S. Mondragon-Rodriguez N. Gu F. Manseau S. Williams Alzheimer’s Transgenic model is characterized by very early brain network alterations and beta-CTF fragment accumulation: reversal by beta-Secretase Inhibition Front Cell Neurosci 12 121 1:CAS:528:DC%2BC1MXhsFens7rM 10.3389/fncel.2018.00121 29867356 5952042
S. Oddo A. Caccamo J.D. Shepherd M.P. Murphy T.E. Golde R. Kayed R. Metherate M.P. Mattson Y. Akbari F.M. LaFerla Triple-transgenic model of Alzheimer’s disease with plaques and tangles: intracellular Abeta and synaptic dysfunction Neuron 39 409 21 1:CAS:528:DC%2BD3sXmsFOksro%3D 10.1016/S0896-6273(03)00434-3 12895417
Onyango IG, Jauregui GV, Carna M, Bennett JP Jr., Stokin GB. Neuroinflammation in Alzheimer’s Disease. Biomedicines. 2021;9. https://doi.org/10.3390/biomedicines9050524.
Z. Ou X. Kong X. Sun X. He L. Zhang Z. Gong J. Huang B. Xu D. Long J. Li Metformin treatment prevents amyloid plaque deposition and memory impairment in APP/PS1 mice Brain Behav Immun 69 351 63 1:CAS:528:DC%2BC2sXitVaksb3M 10.1016/j.bbi.2017.12.009 29253574
B. Oules D. Del Prete B. Greco X. Zhang I. Lauritzen J. Sevalle S. Moreno P. Paterlini-Brechot M. Trebak F. Checler Ryanodine receptor Blockade reduces amyloid-beta load and memory impairments in Tg2576 mouse model of alzheimer disease J Neurosci 32 11820 34 1:CAS:528:DC%2BC38Xht1OrtrzN 10.1523/JNEUROSCI.0875-12.2012 22915123 3458216 Doi 32/34/11820 [pii]
M. Paquette L. El-Houjeiri C. L CZ P. Puustinen P. Blanchette H. Jeong K. Dejgaard P.M. Siegel A. Pause AMPK-dependent phosphorylation is required for transcriptional activation of TFEB and TFE3 Autophagy 17 3957 75 1:CAS:528:DC%2BB3MXmsl2murk%3D 10.1080/15548627.2021.1898748 33734022 8726606
C.A. Peixoto W.H. Oliveira S. Araujo A.K.S. Nunes AMPK activation: role in the signaling pathways of neuroinflammation and neurodegeneration Exp Neurol 298 31 41 1:CAS:528:DC%2BC2sXhsVSltb3F 10.1016/j.expneurol.2017.08.013 28844606
P. Picone D. Nuzzo L. Caruana E. Messina A. Barera S. Vasto M. Di Carlo Metformin increases APP expression and processing via oxidative stress, mitochondrial dysfunction and NF-κB activation: use of insulin to attenuate Metformin’s effect Biochim Biophys Acta 1853 1046 59 1:CAS:528:DC%2BC2MXisVSrtL8%3D 10.1016/j.bbamcr.2015.01.017 25667085
V. Pilipenko K. Narbute J. Pupure I.K. Langrate R. Muceniece V. Kluša Neuroprotective potential of antihyperglycemic drug Metformin in streptozocin-induced rat model of sporadic Alzheimer’s disease Eur J Pharmacol 881 173290 1:CAS:528:DC%2BB3cXht1KisL7F 10.1016/j.ejphar.2020.173290 32580040
Pinto B, Morelli G, Rastogi M, Savardi A, Fumagalli A, Petretto A, Bartolucci M, Varea E, Catelani T, Contestabile Aet et al. Rescuing Over-activated Microglia Restores Cognitive Performance in Juvenile Animals of the Dp(16) Mouse Model of Down Syndrome. Neuron. 2020; 108: 887–904 e812 https://doi.org/10.1016/j.neuron.2020.09.010
M.V. Pulina M. Hopkins V. Haroutunian P. Greengard V. Bustos C99 selectively accumulates in vulnerable neurons in Alzheimer’s disease Alzheimers Dement 16 273 82 10.1016/j.jalz.2019.09.002 31677937
C. Rotermund G. Machetanz J.C. Fitzgerald The therapeutic potential of Metformin in neurodegenerative diseases Front Endocrinol (Lausanne) 9 400 10.3389/fendo.2018.00400 30072954
P.M. Saffari S. Alijanpour N. Takzaree M. Sahebgharani S. Etemad-Moghadam F. Noorbakhsh A. Partoazar Metformin loaded phosphatidylserine nanoliposomes improve memory deficit and reduce neuroinflammation in streptozotocin-induced Alzheimer’s disease model Life Sci 255 117861 1:CAS:528:DC%2BB3cXhtFWmurfP 10.1016/j.lfs.2020.117861 32473247
P. Schatzle L.C. Kapitein C.C. Hoogenraad Live imaging of microtubule dynamics in organotypic hippocampal slice cultures Methods Cell Biol 131 107 26 10.1016/bs.mcb.2015.06.006 26794510
P. Scheltens B. De Strooper M. Kivipelto H. Holstege G. Chetelat C.E. Teunissen J. Cummings W.M. van der Flier Alzheimer’s disease Lancet 397 1577 90 1:CAS:528:DC%2BB3MXhsVegsL7F 10.1016/S0140-6736(20)32205-4 33667416 8354300
J.E. Sepulveda-Diaz M.O. Ouidja S.B. Socias S. Hamadat S. Guerreiro R. Raisman-Vozari P.P. Michel A simplified approach for efficient isolation of functional microglial cells: application for modeling neuroinflammatory responses in vitro Glia 64 1912 24 10.1002/glia.23032 27452488
S.M. Son H.J. Shin J. Byun S.Y. Kook M. Moon Y.J. Chang I. Mook-Jung Metformin facilitates Amyloid-β generation by β- and γ-Secretases via autophagy activation J Alzheimers Dis 51 1197 208 1:CAS:528:DC%2BC28XmtF2murc%3D 10.3233/jad-151200 26967226
E. Trefts R.J. Shaw AMPK: restoring metabolic homeostasis over space and time Mol Cell 81 3677 90 1:CAS:528:DC%2BB3MXitVOgsbvF 10.1016/j.molcel.2021.08.015 34547233 8549486
L. Vaillant-Beuchot A. Mary R. Pardossi-Piquard A. Bourgeois I. Lauritzen F. Eysert P.F. Kinoshita J. Cazareth C. Badot Fragaki Ket al et al. Accumulation of amyloid precursor protein C-terminal fragments triggers mitochondrial structure, function, and mitophagy defects in Alzheimer’s disease models and human brains Acta Neuropathol 141 39 65 1:CAS:528:DC%2BB3cXitFyisLvO 10.1007/s00401-020-02234-7 33079262
A. Valverde J. Dunys T. Lorivel D. Debayle A.S. Gay S. Lacas-Gervais B.P. Roques M. Chami F. Checler Aminopeptidase A contributes to biochemical, anatomical and cognitive defects in Alzheimer’s disease (AD) mouse model and is increased at early stage in sporadic AD brain Acta Neuropathol: Doi 10.1007/s00401-021-02308-0
H. Wang T. Jiang W. Li N. Gao T. Zhang Resveratrol attenuates oxidative damage through activating mitophagy in an in vitro model of Alzheimer’s disease Toxicol Lett 282 100 8 1:CAS:528:DC%2BC2sXhslOisbnM 10.1016/j.toxlet.2017.10.021 29097221
Wang Y, An H, Liu T, Qin C, Sesaki H, Guo S, Radovick S, Hussain M, Maheshwari A, Wondisford FE, et al. Metformin improves mitochondrial respiratory activity through activation of AMPK. Cell Rep. 2019;29: 1511–1523 e1515 https://doi.org/10.1016/j.celrep.2019.09.070
L. Wang N. Li F.X. Shi W.Q. Xu Y. Cao Y. Lei J.Z. Wang Q. Tian X.W. Zhou Upregulation of AMPK ameliorates Alzheimer’s Disease-Like Tau pathology and memory impairment Mol Neurobiol 57 3349 61 1:CAS:528:DC%2BB3cXhtFahurrK 10.1007/s12035-020-01955-w 32519244
W. Wang F. Zhao X. Ma G. Perry X. Zhu Mitochondria dysfunction in the pathogenesis of Alzheimer’s disease: recent advances Mol Neurodegeneration 15 30 10.1186/s13024-020-00376-6
Zhang YW, Thompson R, Zhang H, Xu H. APP processing in Alzheimer’s disease. Mol Brain. 2011;4(3). https://doi.org/10.1186/1756-6606-4-3.
Y.L. Zhang H. Guo C.S. Zhang S.Y. Lin Z. Yin Y. Peng H. Luo Y. Shi G. Lian C. Zhang AMP as a low-energy charge signal autonomously initiates assembly of AXIN-AMPK-LKB1 complex for AMPK activation Cell Metab 18 546 55 1:CAS:528:DC%2BC3sXhsFGnsrrI 10.1016/j.cmet.2013.09.005 24093678
S. Zhao Z. Fan X. Zhang Z. Li T. Shen K. Li Y. Yan Y. Yuan J. Pu J. Tian Metformin attenuates Tau pathology in Tau-Seeded PS19 mice Neurotherapeutics 20 452 63 1:CAS:528:DC%2BB38XjtVKhsr7O 10.1007/s13311-022-01316-6 36422837
J.B. Zhou X. Tang M. Han J. Yang R. Simo Impact of antidiabetic agents on dementia risk: A bayesian network meta-analysis Metabolism 109 154265 1:CAS:528:DC%2BB3cXht1CqtLfI 10.1016/j.metabol.2020.154265 32446679