1. Reversal of tau-dependent cognitive decay by blocking adenosine A1 receptors in mouse models of tauopathy
- Author
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Marta Anglada-Huguet, Heike Endepols, Astrid Sydow, Ronja Hilgers, Bernd Neumaier, Alexander Drzezga, Senthilvelrajan Kaniyappan, Eckhard Mandelkow, and Eva-Maria Mandelkow
- Abstract
Background: Accumulation of tau is a characteristic hallmark of several neurodegenerative diseases and is associated with neuronal hypoactivity and presynaptic dysfunction. Oral administration of the adenosine A1 receptor antagonist rolofylline (KW-3902) has been shown previously to reverse spatial memory deficits and to normalize the basic synaptic transmission in a mouse line expressing full-length proaggregant tau (TauΔK). Methods: Using a combination of behavioral assays, imaging by PET with several PET-tracers, and analysis of brain tissue, we studied the curative reversal of tau pathology by blocking adenosine A1 receptors in transgenic mice expressing different types of tau and tau mutants. Results: We show by positron emission tomography using the tracer [18F]CPFPX (a selective A1 receptor ligand) that intravenous injection of rolofylline effectively blocks A1 receptors in the brain. Moreover, when administered to TauΔK mice, rolofylline can reverse tau pathology and synaptic decay. The beneficial effects are not restricted to the full-length TauΔK mouse line as they were also observed in a line with more aggressive tau pathology, expressing the amyloidogenic repeat domain of tau (TauRDΔK) with higher aggregation propensity. Both transgenic models develop a progressive tau pathology with missorting, phosphorylation, local accumulation of tau, loss of synapses and cognitive decline. TauRDΔK causes pronounced neurofibrillary tangle assembly concomitant with neuronal death, whereas TauΔK accumulates only to tau pretangles without overt neuronal loss. A third model tested, the rTg4510 line has a high expression of mutant TauP301L and hence a very aggressive phenotype starting at ~3 months of age. This line failed to reverse pathology upon rolofylline treatment, consistent with higher accumulation of tau-specific PET tracers and inflammation. Conclusions: Blocking adenosine A1 receptors by rolofylline can reverse pathology if the pathological potential of tau remains below a threshold value that depends on concentration and aggregation propensity. Thus, reversal is possible even in presence of potent pro-aggregant mutants near physiological tau levels but is overwhelmed by high levels of mutant tau, accompanied by intense neuroinflammation.
- Published
- 2022