Hypoxia Inducible Factor-1α binds and activates γ-secretase for Aβ production under hypoxia and cerebral hypoperfusion
Open accessAbstract
Hypoxic-ischemic injury has been linked with increased risk for developing Alzheimer's disease (AD). The underlying mechanism of this association is poorly understood. Here, we report distinct roles for hypoxia-inducible factor-1α (Hif-1α) in the regulation of BACE1 and γ-secretase activity, two proteases involved in the production of amyloid-beta (Aβ). We have demonstrated that Hif-1α upregulates both BACE1 and γ-secretase activity for Aβ production in brain hypoxia-induced either by cerebral hypoperfusion or breathing 10% O 2. Hif-1α binds to γ-secretase, which elevates the amount of active γ-secretase complex without affecting the level of individual subunits in hypoxic-ischemic mouse brains. Additionally, the expression of full length Hif-1α increases BACE1 and γ-secretase activity in primary neuronal culture, whereas a transcriptionally incompetent Hif-1α variant only activates γ-secretase. These findings indicate that Hif-1α transcriptionally upregulates BACE1 and nontranscriptionally activates γ-secretase for Aβ production in hypoxic-ischemic conditions. Consequently, Hif-1α-mediated Aβ production may be an adaptive response to hypoxic-ischemic injury, subsequently leading to increased risk for AD. Preventing the interaction of Hif-1α with γ-secretase may therefore be a promising therapeutic strategy for AD treatment.
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Predicted HIF1A activation may provide an additional link to APP/Aβ biology because HIF1A has been shown to increase BACE1 expression and γ-secretase activity under hypoxic conditions.
“Notably, predicted HIF1A activation may provide an additional link to APP/Aβ biology because HIF1A has been shown to increase BACE1 expression and γ-secretase activity under hypoxic conditions (Alexander et al., 2022; Guglielmotto et al., 2009b).”
From Isogenic human stem cell models reveal mutation-dependent protective mechanisms of APOE3 Christchurch (2026) · cites this paper as Alexander et al., 2022
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The Role of Oxygen Homeostasis and the HIF-1 Factor in the Development of Neurodegeneration
Mitroshina, E. V., & Vedunova, M. V. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25094581 · Cited by 48 · see citing works
Frisch, C., Baker, L., Srinivasan, G., Mintah, A. E., Leyasi, S., Pedroza, M., Galyon, B., & Brafman, D. A. (2026) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2026.1856154
- Authors
- Alexander, C., Li, T., Hattori, Y., Chiu, D., Frost, G. R., Jonas, L., Liu, C., Anderson, C. J., Wong, E., Park, L., Iadecola, C., & Li, Y.-M.
- Affiliations
- Memorial Sloan Kettering Cancer Center (US)
- Weill Cornell Medicine (US)
- Cornell University (US)
- Corresponding author
- Li, Yue-Ming
- ORCID
- Venue
- Molecular Psychiatry
- Published
- 2022-06-28
- Volume
- 27
- Issue
- 10
- Pages
- 4264-4273
- ISSN
- 1359-4184 (ISSN-L)
- 1476-5578
- PMC
- PMC9722522
- OpenAlex
- W4283640437
- Cited by
- 64
- References
- 9
- Citations by year
- 2026: 24 · 2025: 10 · 2024: 21 · 2023: 8 · 2022: 1
- FWCI
- 6.04
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Molecular Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- MEXT | Japan Society for the Promotion of Science (120209939)
- U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (1R01NS100447)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Keywords
- hypoxia-inducible factor-1α, gamma-secretase, BACE1, amyloid-beta production, hypoxia-ischemia, cerebral hypoperfusion, Alzheimer's disease, protein-protein interaction, therapeutic target
- MeSH terms
- Alzheimer Disease, Animals, Hypoxia, Amyloid beta-Peptides, Aspartic Acid Endopeptidases, Mice, Hypoxia-Inducible Factor 1, alpha Subunit, Amyloid Precursor Protein Secretases
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