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Nat Med ; 25(1): 165-175, 2019 01.
Article in English | MEDLINE | ID: mdl-30617325

ABSTRACT

Defective brain hormonal signaling has been associated with Alzheimer's disease (AD), a disorder characterized by synapse and memory failure. Irisin is an exercise-induced myokine released on cleavage of the membrane-bound precursor protein fibronectin type III domain-containing protein 5 (FNDC5), also expressed in the hippocampus. Here we show that FNDC5/irisin levels are reduced in AD hippocampi and cerebrospinal fluid, and in experimental AD models. Knockdown of brain FNDC5/irisin impairs long-term potentiation and novel object recognition memory in mice. Conversely, boosting brain levels of FNDC5/irisin rescues synaptic plasticity and memory in AD mouse models. Peripheral overexpression of FNDC5/irisin rescues memory impairment, whereas blockade of either peripheral or brain FNDC5/irisin attenuates the neuroprotective actions of physical exercise on synaptic plasticity and memory in AD mice. By showing that FNDC5/irisin is an important mediator of the beneficial effects of exercise in AD models, our findings place FNDC5/irisin as a novel agent capable of opposing synapse failure and memory impairment in AD.


Subject(s)
Alzheimer Disease/metabolism , Alzheimer Disease/physiopathology , Fibronectins/metabolism , Memory Disorders/complications , Memory Disorders/physiopathology , Neuronal Plasticity , Physical Conditioning, Animal , Adolescent , Adult , Aged , Alzheimer Disease/cerebrospinal fluid , Alzheimer Disease/genetics , Animals , Brain/metabolism , Brain/pathology , Disease Models, Animal , Down-Regulation , Female , Fibronectins/cerebrospinal fluid , Fibronectins/genetics , Humans , Long-Term Potentiation , Male , Mice, Inbred C57BL , Middle Aged , Neuroprotective Agents/pharmacology , Neuroprotective Agents/therapeutic use , RNA, Messenger/genetics , RNA, Messenger/metabolism , Recombinant Proteins/pharmacology , Recombinant Proteins/therapeutic use , Signal Transduction
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