Abstract
Alzheimer’s disease (AD) is the leading progressive neurodegenerative disorder afflicting 35.6 million people worldwide. There is no therapeutic agent that can slow or stop the progression of AD. Human studies show that besides loss of cognition/learning ability, neuropsychological symptoms such as anxiety and seizures are seen as high as 70 and 17 % respectively in AD patients, suggesting dysfunction of GABAergic neurotransmission contributes to pathogenesis of AD. Dihydromyricetin (DHM) is a plant flavonoid and a positive allosteric modulator of GABAARs we developed recently (Shen et al. in J Neurosci 32(1):390–401, 2012 [1]). In this study, transgenic (TG2576) and Swedish transgenic (TG-SwDI) mice with AD-like pathology were treated with DHM (2 mg/kg) for 3 months. Behaviorally, DHM-treated mice show improved cognition, reduced anxiety level and seizure susceptibility. Pathologically, DHM has high efficacy to reduce amyloid-β (Aβ) peptides in TG-SwDI brain. Further, patch-clamp recordings from dentate gyrus neurons in hippocampal slices from TG-SwDI mice showed reduced frequency and amplitude of GABAAR-mediated miniature inhibitory postsynaptic currents, and decreased extrasynaptic tonic inhibitory current, while DHM restored these GABAAR-mediated currents in TG-SwDI. We found that gephyrin, a postsynaptic GABAAR anchor protein that regulates the formation and plasticity of GABAergic synapses, decreased in hippocampus and cortex in TG-SwDI. DHM treatment restored gephyrin levels. These results suggest that DHM treatment not only improves symptoms, but also reverses progressive neuropathology of mouse models of AD including reducing Aβ peptides, while restoring gephyrin levels, GABAergic transmission and functional synapses. Therefore DHM is a promising candidate medication for AD. We propose a novel target, gephyrin, for treatment of AD.
Similar content being viewed by others
References
Shen Y, Lindemeyer AK, Gonzalez C, Shao XM, Spigelman I, Olsen RW, Liang J (2012) Dihydromyricetin as a novel anti-alcohol intoxication medication. J Neurosci 32(1):390–401
James B, Leurgans S, Hebert L, Scherr P, Yaffe K, Bennett D (2014) Contribution of Alzheimer disease to mortality in the United States. Neurology 82:821–905
Areosa S, Sherriff F, McShane R (2005) Memantine for dementia. Cochrane Database Syst Rev (3):CD003154. http://www.ncbinlmnihgov/pubmed/16034889
Mount C, Downton C (2006) Alzheimer disease: progress or profit? Nat Med 12(7):780–784
Honig LS, Mayeux R (2001) Natural history of Alzheimer’s disease. Aging (Milano) 13(3):171–182
Selkoe D (2001) Alzheimer’s disease: genes, proteins, and therapy. Physiol Rev 81:741–766
Hashimoto M, Rockenstein E, Crews L, Masliah E (2003) Role of protein aggregation in mitochondrial dysfunction and neurodegeneration in Alzheimer’s and Parkinson’s diseases. NeuroMol Med 4:21–36
Parameshwaran K, Dhanasekaran M, Suppiramaniam V (2008) Amyloid-β peptides and glutamatergic synaptic dysregulation. Exp Neurol 210:7–13
Robinson S, Bishop G (2002) Ab as a bioflocculant: implications for the amyloid hypothesis of Alzheimer’s disease. Neurobiol Aging 23:1051–1072
Tiraboschi P, Hansen L, Thal L, Corey-Bloom J (2004) The importance of neuritic plaques and tangles to the development and evolution of AD. Neurology 62:1984–1989
Teich A, Arancio O (2012) Is the amyloid hypothesis of Alzheimer’s disease therapeutically relevant? Biochem J 446(2):165–177
Vellas B, Black R, Thal L, Fox N, Daniels M, McLennan G, Tompkins C, Leibman C, Pomfret M, Team. GMAQ–S (2009) Long-term follow-up of patients immunized with AN1792: reduced functional decline in antibody responders. Curr Alzheimer Res 6(2):144–151
Birks J, Grimley Evans J, Iakovidou V, Tsolaki M (2000) Rivastigmine for Alzheimer’s disease. Cochrane Database Syst Rev (4):CD001191. doi:10.1002/14651858.CD001191
NIH (2011) Effects of rivastigmine patch on activities of daily living and cognition in patients with severe dementia of the Alzheimer’s type. http://www.clinicaltrialsgov/show/NCT00948766
Rive B, Gauthier S, Costello S, Marre C, François C (2013) Synthesis and comparison of the meta-analyses evaluating the efficacy of memantine in moderate to severe stages of Alzheimer’s disease. CNS Drugs 27(7):573–582
McShane R, Areosa Sastre A, Minakaran N (2006) Memantine for dementia. Cochrane Database Syst Rev (2):CD003154. http://www.onlinelibrarywileycom/doi/101002/14651858CD003154pub5/pdf
Tricco A, Soobiah C, Berliner S, Ho J, Ng C, Ashoor H, Chen M, Hemmelgarn B, Straus S (2013) Efficacy and safety of cognitive enhancers for patients with mild cognitive impairment: a systematic review and meta-analysis. CMAJ 185(16):1393–1401
Schaeffer E, Figueiro M, GattazI W (2011) Insights into Alzheimer disease pathogenesis from studies in transgenic animal models. Clinics 66(S1):45–54
Teri L, Ferretti L, Gibbons L, Logsdon R, McCurry S, Kukull W, McCormick W, Bowen J, Larson E (1999) Anxiety of Alzheimer’s disease: prevalence, and comorbidity. J Gerontol A Biol Sci Med Sci 54(7):M348–M352
Chemerinski E, Petracca G, Manes F, Leiguarda R, Starkstein S (1998) Prevalence and correlates of anxiety in Alzheimer’s disease. Depress Anxiety 7(4):166–170
Mendez M, Catanzaro P, Doss R, Arguello R, Frey WH (1994) Seizures in Alzheimer’s disease: clinicopathologic study. J Geriatr Psychiatry Neurol 7(4):230–233
Palop J, Mucke L (2009) Epilepsy and cognitive impairments in Alzheimer disease. Arch Neurol 66(4):435–440
Lanctôt KL, Herrmann N, Mazzotta P, Khan LR, Ingber N (2004) GABAergic function in Alzheimer’s disease: evidence for dysfunction and potential as a therapeutic target for the treatment of behavioural and psychological symptoms of dementia. Can J Psychiatry 49:439–453
Rissman R, Mobley W (2011) Implications for treatment: GABAA receptors in aging, down syndrome and Alzheimer’s disease. J Neurochem 117:613–622
Palop J, Chin J, Roberson E, Wang J, Thwin M, Bien-Ly N, Yoo J, Ho KO, Yu GQ, Kreitzer A, Finkbeiner S, Noebels JL, Mucke L (2007) Aberrant excitatory neuronal activity and compensatory remodeling of inhibitory hippocampal circuits in mouse models of Alzheimer’s disease. Neuron 5:697–711
Paula-Lima A, Brito-Moreira J, Ferreira S (2013) Deregulation of excitatory neurotransmission underlying synapse failure in Alzheimer’s disease. J Neurochem 126(2):191–202
Glykys J, Mody I (2006) Hippocampal network hyperactivity after selective reduction of tonic inhibition in GABAA receptor α5 subunit-deficient mice. J Neurophysiol 95(5):2796–2807
Collingridge G, Isaac J, Wang Y (2004) Receptor trafficking and synaptic plasticity. Nat Rev Neurosci 5(12):952–962
Louzada P, Paula Lima A, Mendonca-Silva D, Noël F, De Mello F, Ferreira S (2004) Taurine prevents the neurotoxicity of β-amyloid and glutamate receptor agonists: activation of GABA receptors and possible implications for Alzheimer’s disease and other neurological disorders. FASEB J 18(3):511–518
Limon A, Reyes-Ruiz J, Miledi R (2012) Loss of functional GABAA receptors in the Alzheimer diseased brain. PNAS 109:10071–10076
Fatt P, Katz B (1952) Spontaneous subthreshold activity at motor nerve endings. J Physiol 117(1):109–128
Collingridge G, Gage P, Robertson B (1984) Inhibitory post-synaptic currents in rat hippocampal CA1 neurones. J Physiol 356:551–564
Ropert N, Miles R, Korn H (1990) Characteristics of miniature inhibitory postsynaptic currents in CA1 pyramidal neurones of rat hippocampus. J Physiol 428:707–722
Liang J, Cagetti E, Olsen RW, Spigelman I (2004) Altered pharmacology of synaptic and extrasynaptic GABAA receptors on CA1 hippocampal neurons is consistent with subunit changes in a model of alcohol withdrawal and dependence. J Pharmacol Exp Ther 310(3):1234–1245
Liang J, Spigelman I, Olsen R (2009) Tolerance to sedative/hypnotic actions of GABAergic drugs correlates with tolerance to potentiation of extrasynaptic tonic currents of alcohol-dependent rats. J Neurophysiol 102(1):224–233
Liang J, Suryanarayanan A, Abriam A, Snyder B, Olsen RW, Spigelman I (2007) Mechanisms of reversible GABAA receptor plasticity after ethanol intoxication. J Neurosci 27(45):12367–12377
Liang J, Suryanarayanan A, Chandra D, Homanics GE, Olsen RW, Spigelman I (2008) Functional consequences of GABAA receptor α4 subunit deletion on synaptic and extrasynaptic currents in mouse dentate granule cells. Alcohol Clin Exp Res 32(1):19–26
Heine M, Karpova A, Gundelfinger E (2013) Counting gephyrins, one at a time: a nanoscale view on the inhibitory postsynapse. Neuron 79(2):213–216
Tyagarajan S, Fritschy J (2014) Gephyrin: a master regulator of neuronal function? Nat Rev Neurosci 15(3):141–156
Tretter H, Mukherjee J, Maric H-M, Schindelin H, Sieghart W, Moss S (2012) Gephyrin, the enigmatic organizer at GABAergic synapses. Front Cell Neurosci 1:1–16
Herweg J, Schwarz G (2012) Splice-specific glycine receptor binding, folding, and phosphorylation of the scaffolding protein gephyrin. J Biol Chem 287(16):12645–12656
Kirsch J, Malosio M, Wolters I, Betz H (1993) Distribution of gephyrin transcripts in the adult and developing rat brain. Eur J Neurosci 5(9):1109–1117
Feng G, Tintrup H, Kirsch J, Nichol M, Kuhse J, Betz H, Sanes J (1998) Dual requirement for gephyrin in glycine receptor clustering and molybdoenzyme activity. Science 282(5392):1321–1324
Kneussel M, Brandstätter J, Laube B, Stahl S, Müller U, Betz H (1999) Loss of postsynaptic GABAA receptor clustering in gephyrin-deficient mice. J Neurosci 19(21):9289–9297
Hales C, Rees H, Seyfried N, Dammer EB, Duong DM, Gearing M, Montine TJ, Troncoso JC, Thambisetty M, Levey AI, Lah JJ, Wingo TS (2013) Abnormal gephyrin immunoreactivity associated with Alzheimer disease pathologic changes. J Neuropathol Exp Neurol 72(11):1009–1015
Duthey B (2013) Background paper 6.11 Alzheimer disease and other dementias. http://www.hoint/medicines/areas/priority_medicines/BP6_11Alzheimerpdf
Carrasco J, Adlard P, Cotman C, Quintana A, Penkowa M, Xu F, Van Nostrand W, Hidalgo J (2006) Metallothionein-I and -III expression in animal models of Alzheimer disease. Neuroscience 143(4):911–922
Chandra D, Werner D, Liang J, Suryanarayanan A, Harrison N, Spigelman I, Olsen R, Homanics G (2008) Normal acute behavioral responses to moderate/high dose ethanol in GABAA receptor α4 subunit knockout mice. Alcohol Clin Exp Res 32(1):10–18
Leger M, Quiedeville A, Bouet V, Haelewyn B, Boulouard M, Schumann-Bard P, Freret T (2013) Object recognition test in mice. Nat Protoc (12):2531–2537. doi:10.1038/nprot.2013.155
Davis J, Xu F, Deane R, Romanov G, Previti M, Zeigler K, Zlokovic B, Van Nostrand W (2004) Early-onset and robust cerebral microvascular accumulation of amyloid β-protein in transgenic mice expressing low levels of a vasculotropic Dutch/Iowa Mutant form of amyloid β-protein precursor. J Biol Chem 279(19):20296–20306
Rosenberg P, Lanctôt K, Drye L, Herrmann N, Scherer R, Bachman D, Mintzer J (2013) Safety and efficacy of methylphenidate for apathy in Alzheimer’s disease: a randomized, placebo-controlled trial. J Clin Psychiatry 74(8):810–816
Mintzer J, Faison W, Street J, Sutton V, Breier A (2001) Olanzapine in the treatment of anxiety symptoms due to Alzheimer’s disease: a post hoc analysis. Int J Geriatr Psychiatry 16(S1):S71–S77
Porter V, Buxton W, Fairbanks L, Strickland T, O’Connor SM, Rosenberg-Thompson S, Cummings JL (2001) Frequency and characteristics of anxiety among patients with Alzheimer’s disease and related dementias. J Neuropsychiatry Clin Neurosci 15:180–186
Francis P, Palmer A, Snape M, Wilcock G (1999) The cholinergic hypothesis of Alzheimer’s disease: a review of progress. J Neurol Neurosurg Psychiatry 66:137–147
Demuro A, Smith M, Parker I (2011) Single-channel Ca2+ imaging implicates Aβ1-42 amyloid pores in Alzheimer’s disease pathology. J Cell Biol 195:515–524
Anekonda T, Quinn J (2011) Calcium channel blocking as a therapeutic strategy for Alzheimer’s disease: the case for isradipine. Biochim Biophys Acta 12:1584–1590
Kim S, Rhim H (2011) Effects of amyloid-β peptides on voltage-gated L-type Ca(V)1.2 and Ca(V)1.3 Ca(2+) channels. Mol Cells 32:289–294
Sun B, Halabisky B, Zhou Y, Palop J, Yu G, Mucke L, Gan L (2009) Imbalance between GABAergic and glutamatergic transmission impairs adult neurogenesis in an animal model of Alzheimer’s disease. Cell Stem Cell 5(6):624–633
Luchetti S, Huitinga I, Swaab D (2011) Neurosteroid and GABAA receptor alterations in Alzheimer’s disease, Parkinson’s disease and multiple sclerosis. Neuroscience 191:6–21
Mizukami K, Ikonomovic M, Grayson DR, Sheffield R, Armstrong DM (1998) Immunohistochemical study of GABAA receptor α1 subunit in the hippocampal formation of aged brains with Alzheimer-related neuropathologic changes. Brain Res 799(1):148–155
Mizukami K, Ikonomovic M, Grayson D, Rubin R, Warde D, Sheffield R, Hamilton R, Davies P, Armstrong D (1997) Immunohistochemical study of GABAA receptor β2/3 subunits in the hippocampal formation of aged brains with Alzheimer-related neuropathologic changes. Exp Neurol 147(2):333–345
Mizukami K, Grayson D, Ikonomovic M, Sheffield R, Armstrong D (1998) GABAA receptor β2 and β3 subunits mRNA in the hippocampal formation of aged human brain with Alzheimer-related neuropathology. Brain Res Mol Brain Res 56:268–272
Agarwal A, Tannenberg R, Dodd P (2008) Reduced expression of the inhibitory synapse scaffolding protein gephyrin in Alzheimer’s disease. J Alzheimers Dis 14(3):313–321
Tretter V, Jacob T, Mukherjee J, Fritschy J, Pangalos M, Moss S (2008) The clustering of GABAA receptor subtypes at inhibitory synapses is facilitated via the direct binding of receptor α2 subunits to gephyrin. J Neurosci 6:1356–1365
Ahmed F, Ghalib R, Sasikala P, Ahmed K (2013) Cholinesterase inhibitors from botanicals. Pharmacogn Rev 7(14):121–130
Wang Z, Wan H, Li J, Zhang H, Tian M (2013) Molecular imaging in traditional Chinese medicine therapy for neurological diseases. Biomed Res Int 608430. doi:10.1155/2013/608430
Jia J, Zhao Q, Liu Y, Gui Y, Liu G, Zhu D, Yu C, Hong Z (2013) Phase I study on the pharmacokinetics and tolerance of ZT-1, a prodrug of huperzine A, for the treatment of Alzheimer’s disease. Acta Pharmacol Sin 34(7):976–982. doi:10.1038/aps.2013.7
Möhler H (2011) The rise of a new GABA pharmacology. Neuropharmacology 60(7–8):1042–1049
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Liang, J., Kerstin Lindemeyer, A., Shen, Y. et al. Dihydromyricetin Ameliorates Behavioral Deficits and Reverses Neuropathology of Transgenic Mouse Models of Alzheimer’s Disease . Neurochem Res 39, 1171–1181 (2014). https://doi.org/10.1007/s11064-014-1304-4
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11064-014-1304-4