Cited by 91Alzheimer's disease research and treatmentsDementia and Cognitive Impairment ResearchNeuroinflammation and Neurodegeneration Mechanisms

CIP2A Causes Tau/APP Phosphorylation, Synaptopathy, and Memory Deficits in Alzheimer’s Disease

Open access
Shentu, Yang-Ping, Huo, Yuda, Feng, Xiao-Long, Gilbert, James, Zhang, Qing, Liuyang, Zhen-Yu, Wang, Xiu-Lian, Wang, Guan +7 more·2018·Cell Reports

Abstract

Protein phosphatase 2A (PP2A) inhibition causes hyperphosphorylation of tau and APP in Alzheimer's disease (AD). However, the mechanisms underlying the downregulation of PP2A activity in AD brain remain unclear. We demonstrate that Cancerous Inhibitor of PP2A (CIP2A), an endogenous PP2A inhibitor, is overexpressed in AD brain. CIP2A-mediated PP2A inhibition drives tau/APP hyperphosphorylation and increases APP β-cleavage and Aβ production. Increase in CIP2A expression also leads to tau mislocalization to dendrites and spines and synaptic degeneration. In mice, injection of AAV-CIP2A to hippocampus induced AD-like cognitive deficits and impairments in long-term potentiation (LTP) and exacerbated AD pathologies in neurons. Indicative of disease exacerbating the feedback loop, we found that increased CIP2A expression and PP2A inhibition in AD brains result from increased Aβ production. In summary, we show that CIP2A overexpression causes PP2A inhibition and AD-related cellular pathology and cognitive deficits, pointing to CIP2A as a potential target for AD therapy.

AI snapshot

Written from the paper’s full text.

TL;DR

CIP2A, an endogenous PP2A inhibitor, is overexpressed in Alzheimer’s disease brain and Aβ-treated neurons, where it drives PP2A inhibition, tau/APP hyperphosphorylation, APP β-cleavage, Aβ production, synaptic degeneration, and memory deficits. The paper proposes a vicious cycle in which Aβ induces CIP2A, which further inhibits PP2A and exacerbates AD-like pathology.

Key findings

  • CIP2A protein levels were increased in frontal and temporal cortex of AD human brains compared with age-matched controls; Aβ treatment induced dose-dependent CIP2A expression and PP2A catalytic inhibition in cultured neurons.
  • CIP2A overexpression inhibited PP2A, promoted APP T668 phosphorylation, β-cleavage (increased sAPPβ), and Aβ production without changing PS1 or BACE1; these effects were reversed by PP2A overexpression, and APP-T668A mutation blocked CIP2A-induced β-secretase processing.
  • CIP2A promoted tau hyperphosphorylation at S396 and S404 via PP2A inhibition; PP2A overexpression reversed it, while CIP2A shRNA activated PP2A and dephosphorylated tau. CIP2A also increased tau in soma, dendrites, and spines and reduced spine number, PSD95, GluA1, surface GluA1, and AMPAR mEPSC frequency and amplitude.
  • In C57/BL6 mice (8–10 weeks) with bilateral intrahippocampal AAV-CIP2A, CIP2A overexpression impaired long-term novel object recognition at 24 hr, impaired Morris water maze learning (longer latency on days 5 and 6) and probe performance at 1 and 48 hr, reduced fear-conditioning freezing, reduced hippocampal LTP, decreased spine density, and downregulated synapsin, synaptophysin, GluA1, and PSD95.

Methods

  • Human brain tissues were obtained from the NIH NeuroBioBank; cell models included HEK293-T cells, SH-SY5Y cells, and primary rat cortical/hippocampal neurons treated with Aβ or transfected/infected with CIP2A, PP2A, APP, tau, or shRNA/siRNA constructs.
  • In vivo experiments used Sprague-Dawley rats and C57 mice; mice received bilateral intrahippocampal AAV-Con or AAV-CIP2A, followed by fluorescence confirmation, biochemical assays, behavior tests (novel object recognition, Morris water maze, fear conditioning), LTP recordings, patch-clamp electrophysiology, and Golgi staining.
  • Main analyses included Western blotting, co-immunoprecipitation, PP2A activity assays, Aβ40/42 ELISA, fluorescence/confocal imaging, synaptosome fractionation, and electrophysiology; data are expressed as mean ± SEM and analyzed with one-way ANOVA or Student’s t test, with significance at p < 0.05.

Limitations

  • The paper does not state a dedicated limitations section.
  • Evident from the text: human AD findings are correlative and based on frontal/temporal cortex samples without reported sample sizes or detailed clinical/demographic matching beyond “age-matched controls.”
  • Evident from the text: many mechanistic conclusions rely on overexpression systems (CIP2A transfection/lentivirus/AAV) and acute Aβ treatment; the in vivo studies use CIP2A overexpression rather than CIP2A loss-of-function rescue in AD mouse models, and the upstream cause of CIP2A upregulation in human AD is stated as needing further exploration.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1016/j.celrep.2018.06.009

Cites

46 of 46 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 44 cited sources checked · 0 supported · 0 flagged

  • Findingown data

    In Morris water maze test trials at 1 and 48 hr, CIP2A mice showed decreased swimming time in the target quadrant compared with control mice.

    “In the test trials at both 1 and 48 hr, CIP2A mice showed decreased crossing times and swimming time in the target quadrant compared with the control mice, with no changes in swimming speed (Figures 4I–4K).”
    Quote in the paperSubstantial claim
  • Findingown data

    In HEK293-T cells co-transfected with CIP2A and APP-T668A mutant, CIP2A failed to promote β-secretase processing of APP.

    “Under this condition, CIP2A failed to promote β-secretase processing of APP (Figures 2G–2J).”
    Quote in the paperSubstantial claim
  • Findingown data

    The CIP2A-inducing effects of recombinant Aβ can be recapitulated by endogenous APP overexpression in SH-SY5Y cells.

    “We also demonstrate that the CIP2A-inducing effects of recombinant Aβ can be recapitulated by endogenous APP overexpression in SH-SY5Y cells (Figure 1G).”
    Quote in the paperSubstantial claim
  • Findingown data

    CIP2A increases Aβ production.

    “CIP2A also increased Aβ production (Figures 2E and 2F).”
    Quote in the paperSubstantial claim
  • Findingown data

    Surface GluA1 is significantly reduced in CIP2A-overexpressing neurons.

    “A significant reduction of spine number and surface GluA1 was observed in CIP2A-overexpressing neurons (Figure 3H).”
    Quote in the paperSubstantial claim
  • May combine two claims. 21
  • Classified as probably not a substantial claim. 18
  • May combine two claims.

    Findingown data

    CIP2A interacts with PP2A and tau.

    “we co-transfected CIP2A and tau plasmids into HEK293-T cells and revealed the interaction of CIP2A, PP2A, and tau by CoIP (Figure 2K).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In the test trial 1 hr after acquisition, both groups showed increased interest to the new object with comparable recognition index.

    “In the test trial 1 hr after the acquisition trial, mice in both groups showed increased interest to the new object with comparable recognition index (Figure 4D).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    CIP2A interacts with PP2A and APP.

    “interaction of CIP2A with PP2A and APP was confirmed by co-immunoprecipitation (CoIP) assays (Figure 2B).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    PP2A contributed 71% of the dephosphorylation of human hyperphosphorylated tau isolated from AD patient brains.

    “In vitro analysis of the dephosphorylation ability of different phosphatases toward tau showed that PP2A contributed 71% of the dephosphorylation of human hyperphosphorylated tau isolated from AD patient brains (Liu et al., 2005).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Liu et al., 2005 source

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Incubation of PP2A with hyperphosphorylated tau resulted in tau dephosphorylation and restoration of tau function in promoting microtubule assembly.

    “Incubation of PP2A with hyperphosphorylated tau resulted in tau dephosphorylation and restoration of tau function in promoting microtubule assembly (Wang et al., 1995).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Wang et al., 1995 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    CIP2A-mediated PP2A inhibition drives tau/APP hyperphosphorylation and increases APP β-cleavage and Aβ production.

    “CIP2A-mediated PP2A inhibition drives tau/APP hyperphosphorylation and increases APP β-cleavage and Aβ production.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    CIP2A is upregulated in a variety of peripheral tumors, leading to inhibition of PP2A activity.

    “Cancerous Inhibitor of PP2A (CIP2A) has been shown to be upregulated in a variety of peripheral tumors, leading to an inhibition of PP2A activity (Junttila et al., 2007; Soo Hoo et al., 2002; Khanna et al., 2013a).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Junttila et al., 2007 source

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    • cites Soo Hoo et al., 2002 source

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    • cites Khanna et al., 2013a

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  • May combine two claims.

    Interpretationown data

    CIP2A promotes APP β-cleavage and tau hyperphosphorylation through PP2A inhibition.

    “Taken together, CIP2A promotes APP β-cleavage and tau hyperphosphorylation through PP2A inhibition.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    CIP2A could promote self-renewal and proliferation of mouse neural progenitor cells in vitro.

    “One study reported that CIP2A could promote self-renewal and proliferation of mouse neural progenitor cells in vitro (Kerosuo et al., 2010).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Kerosuo et al., 2010 source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Aβ induces tau filament formation in mouse brain.

    “Aβ induces tau filament formation in mouse brain (Götz et al., 2001).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Götz et al., 2001

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    CIP2A has a role in the development of astrocytoma.

    “Another study suggested a role of CIP2A in the development of astrocytoma (Yi et al., 2013).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Yi et al., 2013

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    Increase in CIP2A expression leads to tau mislocalization to dendrites and spines and synaptic degeneration.

    “Increase in CIP2A expression also leads to tau mislocalization to dendrites and spines and synaptic degeneration.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Elevated expression of CIP2A results in abnormalities in synaptogenesis and synaptic function.

    “These results collectively indicate that elevated expression of CIP2A results in abnormalities in synaptogenesis and synaptic function.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    PP2A inactivation is implicated in promoting phosphorylation of APP at T668 and Aβ over-production.

    “Furthermore, PP2A inactivation is also implicated in promoting phosphorylation of amyloid precursor protein (APP) at T668 and Aβ over-production (Sontag et al., 2007).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Sontag et al., 2007 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    In mice, injection of AAV-CIP2A to hippocampus induced AD-like cognitive deficits and impairments in LTP and exacerbated AD pathologies in neurons.

    “In mice, injection of AAV-CIP2A to hippocampus induced AD-like cognitive deficits and impairments in long-term potentiation (LTP) and exacerbated AD pathologies in neurons.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Aβ and tau interact to either cause or facilitate the pathogenesis of AD.

    “An increasing amount of evidence suggests that Aβ and tau interact to either cause or facilitate the pathogenesis of AD (Ittner and Götz, 2011).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Ittner and Götz, 2011

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    CIP2A overexpression causes PP2A inhibition and AD-related cellular pathology and cognitive deficits.

    “we show that CIP2A overexpression causes PP2A inhibition and AD-related cellular pathology and cognitive deficits, pointing to CIP2A as a potential target for AD therapy.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    CIP2A is expressed in normal adult human and mouse brains, especially in olfactory bulb and hippocampus.

    “CIP2A is also expressed in normal adult human and mouse brains, especially in olfactory bulb and hippocampus (Kerosuo et al., 2010).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Kerosuo et al., 2010 source

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  • May combine two claims.

    Interpretationown data

    CIP2A promotes tau phosphorylation and accumulation in soma and dendritic spines.

    “These findings support the idea that CIP2A promotes tau phosphorylation and accumulation in soma and dendritic spines.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    In cancer cells, CIP2A expression is driven by constitutive DNA-damage signaling.

    “In cancer cells, CIP2A expression is driven by constitutive DNA-damage signaling (Khanna et al., 2013b).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Khanna et al., 2013b

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    DNA damage is a common event in aging.

    “With DNA damage as a common event in aging (Lu et al., 2004)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Lu et al., 2004

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  • Classified as probably not a substantial claim.

    Premisecitation

    PP2A inactivation is regarded as the most important molecular event that causes abnormal tau hyperphosphorylation in the AD brain.

    “PP2A inactivation is regarded as the most important molecular event that causes abnormal tau hyperphosphorylation in the AD brain (Iqbal et al., 2016).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Iqbal et al., 2016 source

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  • May combine two claims.

    Premisecitation

    APP transgenic mice lacking tau develop Aβ pathology but remain cognitively normal.

    “Neurons without tau are resistant to Aβ toxicity, and APP transgenic mice lacking tau develop Aβ pathology but remain cognitively normal (Rapoport et al., 2002; Roberson et al., 2007).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Roberson et al., 2007 source

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  • May combine two claims.

    Interpretationcitation

    Tau pathology may combine with or be downstream of Aβ to cause cognitive deficits.

    “These observations suggest that tau pathology may combine with or downstream of Aβ to cause cognitive deficits.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Altered cellular location of endogenous PP2A inhibitors was reported to induce PP2A inactivation in cytoplasm.

    “In addition, an altered cellular location of endogenous PP2A inhibitors was reported to induce PP2A inactivation in cytoplasm (Tanimukai et al., 2005).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Tanimukai et al., 2005 source

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  • Classified as probably not a substantial claim.

    Premisecitation

    Combined reduction of both Aβ and tau, but not Aβ alone, improves cognition in a mouse model with both plaques and tangles.

    “A combined reduction of both Aβ and tau, but not Aβ alone, was found to improve cognition in a mouse model with both plaques and tangles (Oddo et al., 2004).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Oddo et al., 2004 source

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Impaired methylation of the Leu309 site of PP2Ac may decrease the interaction of PP2Ac with PP2A Bα and reduce the level of PP2ABαC holoenzyme, which is the main form of PP2A for tau dephosphorylation.

    “Sontag et al. (2004a, 2004b) reported that, in AD brains, impaired methylation of the Leu309 site of the PP2A catalytic subunit (PP2Ac) may decrease the interaction of PP2Ac with PP2A Bα and reduce the level of PP2ABαC holoenzyme, which is the main form of PP2A for tau dephosphorylation.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Sontag et al. (2004a, 2004b)

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  • May combine two claims.

    Interpretationown data

    Increased CIP2A expression promoted AD pathogenesis indicated by tau phosphorylation, Aβ over-production, synapse loss, and cognitive impairments.

    “Using the brain tissues, we showed that increased CIP2A expression promoted AD pathogenesis indicated by tau phosphorylation, Aβ over-production, synapse loss, and cognitive impairments.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    PP2A participates in dephosphorylation of a large number of substrates in addition to tau and APP, such as p53, MEK, ERK, and Akt.

    “Furthermore, PP2A participates in dephosphorylation of a large number of substrates in addition to tau and APP, such as p53, mitogen-activated protein kinase (MEK), extracellular signal-regulated kinase (ERK), and Akt (Dennis et al., 2014; Junttila et al., 2007; Ugi et al., 2002).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Dennis et al., 2014 source

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    • cites Junttila et al., 2007 source

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    • cites Ugi et al., 2002 source

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  • May combine two claims.

    Premisecitation

    The inhibitory effect of CIP2A on PP2A is highly specific; PP2A is the only target of CIP2A.

    “First, the inhibitory effect of CIP2A on PP2A is highly specific. A large number of studies especially on cancer have shown that PP2A is the only target of CIP2A (Junttila et al., 2007; Soo Hoo et al., 2002).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Junttila et al., 2007 source

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    • cites Soo Hoo et al., 2002 source

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  • May combine two claims.

    Premisecitation

    Y307 phosphorylation of PP2A was increased in AD and contributed to PP2A inhibition.

    “We have reported that Y307 phosphorylation of PP2A was increased in AD and contributed to PP2A inhibition (Liu et al., 2008).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Liu et al., 2008 source

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    The first crystal structure of CIP2A was recently published and revealed potential druggable structures.

    “Third, the first crystal structure of CIP2A was recently published and revealed potential druggable structures (Wang et al., 2017).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Wang et al., 2017 source

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  • May combine two claims.

    Premisecitation

    PP2A suppression induces APP phosphorylation at T668, leading to enhanced β-secretase processing of APP.

    “PP2A suppression also induces APP phosphorylation at the T668 site, leading to enhanced β-secretase processing of APP (Sontag et al., 2007).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Sontag et al., 2007 source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Drugs have been identified aiming to inhibit CIP2A in cancer therapy.

    “Actually, drugs have been identified aiming to inhibit CIP2A in cancer therapy (De et al., 2014).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites De et al., 2014

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  • May combine two claims.

    Premisecitation

    In tumor tissues, CIP2A inhibits the dephosphorylation of c-Myc at Ser62 by PP2A, protecting c-Myc from degradation, without affecting p53 and MEK phosphorylation.

    “For example, in tumor tissues, CIP2A inhibits the dephosphorylation of c-Myc at the Ser62 site by PP2A, and thus protects c-Myc from degradation, without affecting p53 and MEK phosphorylation (Junttila et al., 2007).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Junttila et al., 2007 source

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35 of 35
  • The paper relies on this without support.

    The molecular mechanisms underlying PP2A inhibition in AD remain unclear.

    “However, even though modulation of PP2A activity in transgenic mouse models (Nicholls et al., 2016) further supports the causative role for PP2A inhibition in AD pathologies, the molecular mechanisms underlying PP2A inhibition in AD remain less clear.”
  • The paper relies on this without support.

    CIP2A has not been implicated in any neurodegenerative disorder.

    “However, thus far CIP2A has not been implicated in any neurodegenerative disorder.”
  • The paper relies on this without support.

    The endogenous pathophysiological mechanisms that inhibit PP2A activity in human AD have not been resolved.

    “However, the endogenous pathophysiological mechanisms that inhibit PP2A activity in human AD have not been resolved.”
  • The paper relies on this without support.

    Aβ toxicity is the central and initial event in AD development.

    “Aβ toxicity is regarded as the central and initial event in AD development.”
  • The paper relies on this without support.

    Phosphorylation sites S396 and S404 of tau are typical sites involved in AD.

    “both typical phosphorylation sites involved in AD”
5 of 5

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Authors
Shentu, Y.-P., Huo, Y., Feng, X.-L., Gilbert, J., Zhang, Q., Liuyang, Z.-Y., Wang, X.-L., Wang, G., Zhou, H., Wang, X.-C., Wang, J.-Z., Lu, Y.-M., Westermarck, J., Man, H.-Y., & Liu, R.
Affiliations
  • Huazhong University of Science and Technology (CN)
  • Boston University (US)
  • Åbo Akademi University (FI)
Corresponding author
  • Man, Heng-Ye
  • Liu, Rong
Venue
Cell Reports
Publisher
Elsevier BV
Published
2018-07
Volume
24
Issue
3
Pages
713-723
ISSN
2211-1247 (ISSN-L)
OpenAlex
W2883780404
Cited by
90
References
45
Citations by year
2026: 6 · 2025: 11 · 2024: 11 · 2023: 10 · 2022: 19 · 2021: 10 · 2020: 13 · 2019: 6 · 2018: 3 · 2012: 1
FWCI
5.49
Type
journal article
Language
en
Open access
Locations
  • Cell Reports (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion, cc-by-nc-nd)
  • PubMed Central (acceptedVersion, cc-by-nc-nd)
  • UTUPub (University of Turku) (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • National Natural Science Foundation of China (81471304, 31771189)
  • Natural Science Foundation of Hubei Province, China (2017CFA065)
  • Integrated Innovative Team for Major Human Diseases Program of Tongji Medical College, HUST
  • NIH (R01MH079407)
Topics
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
Keywords
CIP2A, protein phosphatase 2A, Alzheimer's disease, tau hyperphosphorylation, amyloid precursor protein, amyloid-beta production, synaptopathy, synaptic degeneration, long-term potentiation, memory impairment, AAV gene delivery, therapeutic target
MeSH terms
Alzheimer Disease, Animals, Autoantigens, Brain, Hippocampus, Humans, Membrane Proteins, Memory Disorders, Mice, Inbred C57BL, Nerve Degeneration, Neurons, Phosphorylation, Synapses, Amyloid beta-Peptides, tau Proteins, Rats, Sprague-Dawley, Long-Term Potentiation, Intracellular Signaling Peptides and Proteins, Protein Phosphatase 2, HEK293 Cells

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