1. Prodromal Intestinal Events in Alzheimer's Disease (AD): Colonic Dysmotility and Inflammation Are Associated with Enteric AD-Related Protein Deposition.
- Author
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Pellegrini C, Daniele S, Antonioli L, Benvenuti L, D'Antongiovanni V, Piccarducci R, Pietrobono D, Citi V, Piragine E, Flori L, Ippolito C, Segnani C, Palazon-Riquelme P, Lopez-Castejon G, Martelli A, Colucci R, Bernardini N, Trincavelli ML, Calderone V, Martini C, Blandizzi C, and Fornai M
- Subjects
- Amyloid beta-Peptides metabolism, Animals, CARD Signaling Adaptor Proteins metabolism, Caspase 1 metabolism, Claudin-1 metabolism, Cognition, Eosinophils pathology, Feces, Feeding Behavior, Humans, Inflammasomes metabolism, Interleukin-1beta metabolism, Intestinal Mucosa pathology, Mice, Mitochondria metabolism, NLR Family, Pyrin Domain-Containing 3 Protein metabolism, Protein Aggregates, THP-1 Cells, alpha-Synuclein metabolism, tau Proteins metabolism, Alzheimer Disease pathology, Alzheimer Disease physiopathology, Colon pathology, Colon physiopathology, Gastrointestinal Motility, Inflammation pathology, Nerve Tissue Proteins metabolism, Prodromal Symptoms
- Abstract
Increasing evidence suggests that intestinal dysfunctions may represent early events in Alzheimer's disease and contribute to brain pathology. This study examined the relationship between onset of cognitive impairment and colonic dysfunctions in a spontaneous AD model before the full development of brain pathology. SAMP8 mice underwent Morris water maze and assessment of faecal output at four, six and eight months of age. In vitro colonic motility was examined. Faecal and colonic Aβ, tau proteins, α-synuclein and IL-1β were assessed by ELISA. Colonic citrate synthase activity was assessed by spectrophotometry. Colonic NLRP3, caspase-1 and ASC expression were evaluated by Western blotting. Colonic eosinophil density and claudin-1 expression were evaluated by immunohistochemistry. The effect of Aβ on NLRP3 signalling and mitochondrial function was tested in cultured cells. Cognitive impairment and decreased faecal output occurred in SAMP8 mice from six months. When compared with SAMR1, SAMP8 animals displayed: (1) impaired in vitro colonic contractions; (2) increased enteric AD-related proteins, IL-1β, active-caspase-1 expression and eosinophil density; and (3) decreased citrate synthase activity and claudin-1 expression. In THP-1 cells, Aβ promoted IL-1β release, which was abrogated upon incubation with caspase-1 inhibitor or in ASC
-/- cells. Aβ decreased mitochondrial function in THP-1 cells. In SAMP8, enteric AD-related proteins deposition, inflammation and impaired colonic excitatory neurotransmission, occurring before the full brain pathology development, could contribute to bowel dysmotility and represent prodromal events in AD., Competing Interests: The authors declare no conflict of interest.- Published
- 2020
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