Cited by 10Alzheimer's disease research and treatmentsNeuroinflammation and Neurodegeneration MechanismsDementia and Cognitive Impairment Research

Elevated SGK1 increases Tau phosphorylation and microtubule instability in Alzheimer’s patient-derived cortical neurons

Open access
Saleem, Komal, Xiao, Zichun, Zhu, Binglin, Ren, Yong, Yan, Zhen, Feng, Jian·2026·Molecular Psychiatry

Abstract

Hyperphosphorylation of Tau and the ensuing microtubule destabilization are linked to synaptic dysfunction in Alzheimer’s disease (AD). We find a marked increase of phosphorylated Tau (pTau) in cortical neurons differentiated from induced pluripotent stem cells (iPSCs) of AD patients. It is accompanied by significantly elevated expression of Serum and Glucocorticoid-regulated Kinase-1 (SGK1), which is induced by cellular stress, and Histone Deacetylase 6 (HDAC6), which deacetylates tubulin to destabilize microtubules. Indeed, acetylated tubulin and microtubule stability are significantly lower in AD-derived cortical neurons. SGK1 inhibitors or shRNA decrease Tau phosphorylation and HDAC6 levels while increasing acetylated tubulin in AD neurons. Overexpression of SGK1 in normal neurons does the opposite. These results suggest that elevation of the cellular stress-induced SGK1 increases Tau phosphorylation and HDAC6 expression, which destabilize microtubules to compromise many cellular functions subserving cognition. The coordinated increases in SGK1, pTau, and HDAC6, as well as the corresponding decrease in acetylated tubulin and microtubule stability in AD neurons, offer attractive targets for therapeutic development.

AI snapshot

Written from the paper’s full text.

TL;DR

In cortical neurons differentiated from iPSCs of three AD patients versus three controls, AD neurons showed elevated SGK1, phosphorylated Tau, and HDAC6, with reduced acetylated tubulin and microtubule stability. SGK1 inhibition or knockdown lowered pTau and HDAC6 and increased acetylated tubulin in AD neurons, while SGK1 overexpression in control neurons produced the opposite changes.

Key findings

  • AD-derived cortical neurons had significantly increased pTau at AT8 (S202/T205) and S214 versus controls, with unchanged total Tau; SGK1 protein and mRNA were also significantly elevated (unpaired t-test, *p < 0.001 or p < 0.0001, 3 independent experiments).
  • SGK1 inhibitors GSK650394 (100 nM) or EMD638683 (6 µM) for 72 h reduced pTau in AD neurons; SGK1 shRNA decreased pTau in AD neurons, while SGK1 overexpression increased pTau in control but not AD neurons.
  • AD neurons showed significantly lower acetylated tubulin and polymerized tubulin, higher free tubulin, and increased HDAC6 protein/mRNA. SGK1 knockdown or inhibition reduced HDAC6 and increased acetylated tubulin in AD neurons; SGK1 overexpression increased HDAC6 and decreased acetylated tubulin in control neurons.
  • The GSK3β inhibitor CHIR 99021 did not affect SGK1 or pSGK1, and the SGK1 inhibitor GSK650394 did not affect GSK3, suggesting SGK1 and GSK3β act independently in these neurons.

Methods

  • Six human iPSC lines were differentiated to cortical neurons: three controls (CW70305 female 56 years, CW70344 male 62 years, CW50040 male 63 years) and three AD patients (CW50018 female 58 years, CW50024 male 63 years, CW50170 female 64 years); experiments used day 40 neurons unless otherwise noted.
  • Main assays included immunostaining, Western blotting, RT-qPCR, and free versus polymerized tubulin fractionation; SGK1 was manipulated with doxycycline-inducible lentiviral overexpression or shRNA knockdown, and inhibitors GSK650394, EMD638683, and CHIR 99021 were used.
  • Statistics used unpaired t-tests for two groups and two-way ANOVA for multiple treatments, with mean ± SEM, GraphPad Prism 6, three independent experiments, and at least five random frames for imaging quantification.

Limitations

  • Stated: CIRM does not provide specific clinical diagnosis details, family history, or disease-causing mutations for the iPSC lines; patients had only a clinical diagnosis of AD, not neuropathological confirmation, and early-onset AD patients were selected.
  • Stated: future studies are needed to understand the mechanistic details and exact sequence of events among the five interconnected phenotypes: elevated SGK1, pTau, and HDAC6 and decreased acetylated tubulin and microtubule stability.
  • Evident: the study uses a small sample of three control and three AD iPSC lines, examines only neuronal cultures without non-neuronal cells, and does not report in vivo cognitive or synaptic functional outcomes in this system.

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

Integrity signals

Registry

Crossref · 10.1038/s41380-025-03225-4

Cites

60 of 60 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

36 of 54 cited sources checked · 19 supported · 4 flagged · accuracy not yet measured

  • Findingown data

    SGK1 inhibitors GSK650394 (100 nM) or EMD638683 (6 μM) reduce Tau phosphorylation at AT8 and S214 sites in AD cortical neurons.

    “We treated the 6 lines of cortical neurons with two different SGK1 inhibitors, GSK650394 (GSK, 100 nM) [26] or EMD638683 (6 µM) [27] for 72 h and found marked reduction in the immunostaining of AT8 or S214 phospho-specific antibodies (Figs. 3a–c, S4, S5).”
    • Also stated in: § SGK1 inhibition decreases Tau phosphorylation in AD cortical neurons · plain
      “We validated the immunostaining results above with Western blots (Fig. 3e–h).”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [26] Sherk AB, Frigo DE, Schnackenberg CG, Bray JD, Laping NJ, Trizna W, et al. Development of a small-molecule serum- and glucocorticoid-regulated kinase-1 antagonist and its evaluation as a prostate cancer therapeutic. Cancer Res. 2008;68:7475–83. source
    • cites [27] Ackermann TF, Boini KM, Beier N, Scholz W, Fuchss T, Lang F. EMD638683, a novel SGK inhibitor with antihypertensive potency. Cell Physiol Biochem. 2011;28:137–46. source
  • Premisecitation

    The selective SGK1 inhibitor GSK650394 decreases Tau hyperphosphorylation in P301S mice.

    “Indeed, the selective SGK1 inhibitor GSK650394 decreases Tau hyperphosphorylation, restores synaptic transmission, and ameliorate memory deficits in P301S mice [10].”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [10] Cao Q, Wang W, Williams JB, Yang F, Wang ZJ, Yan Z. Targeting histone K4 trimethylation for treatment of cognitive and synaptic deficits in mouse models of Alzheimer’s disease. Sci Adv. 2020;6:eabc8096. source
  • Study design and conductcitation

    The authors' method differentiates human iPSCs to cortical neurons expressing all six major splicing isoforms of Tau.

    “We have overcome this problem by installing the dorsal forebrain fate on neuralizing embryoid bodies to differentiate human iPSCs to cortical neurons expressing all six major splicing isoforms of Tau [23].”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [23] Jiang H, Xiao Z, Saleem K, Zhong P, Li L, Chhetri G, et al. Generation of human iPSC-derived cortical neurons expressing the six Tau isoforms. J Alzheimers Dis. 2025;105:1341–54. source
  • Premisecitation

    SGK1 is induced by oxidative stress.

    “SGK1 is induced by oxidative stress [43–45]”
    Quote in the paperSubstantial claim3 of 3 sources checked
    • cites [43] Kobayashi T, Deak M, Morrice N, Cohen P. Characterization of the structure and regulation of two novel isoforms of serum- and glucocorticoid-induced protein kinase. Biochem J. 1999;344:189–97. source

      The Introduction and the 'Activation of SGK isoforms in 293 cells' section report that oxidative stress activates SGK1 through phosphorylation. They distinguish this rapid activation from induction of SGK mRNA or protein; the passages do not show that oxidative stress induces SGK1 expression. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
    • cites [44] O’Keeffe BA, Cilia S, Maiyar AC, Vaysberg M, Firestone GL. The serum- and glucocorticoid-induced protein kinase-1 (Sgk-1) mitochondria connection: identification of the IF-1 inhibitor of the F(1)F(0)-ATPase as a mitochondria-specific binding target and the stress-induced mitochondrial localization of endogenous Sgk-1. Biochimie. 2013;95:1258–65. source
    • cites [45] Li Y, Liu C, Rolling L, Sikora V, Chen Z, Gurwin J, et al. ROS signaling-induced mitochondrial Sgk1 expression regulates epithelial cell renewal. Proc Natl Acad Sci USA. 2023;120:e2216310120. source
  • Premisecitation

    The selective SGK1 inhibitor GSK650394 restores synaptic transmission in P301S mice.

    “Indeed, the selective SGK1 inhibitor GSK650394 decreases Tau hyperphosphorylation, restores synaptic transmission, and ameliorate memory deficits in P301S mice [10].”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [10] Cao Q, Wang W, Williams JB, Yang F, Wang ZJ, Yan Z. Targeting histone K4 trimethylation for treatment of cognitive and synaptic deficits in mouse models of Alzheimer’s disease. Sci Adv. 2020;6:eabc8096. source
  • May combine two claims. 28
  • Classified as probably not a substantial claim. 27
  • May combine two claims.

    Premisecitation

    iPSC-derived neurons or NGN2-induced neurons have been unable to produce the 4R Tau isoform found in adult human brains; only the fetal 0N3R splicing isoform is produced, even after one year of differentiation.

    “One of the significant hurdles in modeling AD with iPSC-derived neurons or NGN2-induced neurons for the past decade has been their inability to produce the 4R Tau isoform found in adult human brains [19–22]; only the fetal 0N3R splicing isoform is produced, even after one year of differentiation [19].”
    Quote in the paperSubstantial claim4 of 4 sources checked
    • cites [19] Sposito T, Preza E, Mahoney CJ, Seto-Salvia N, Ryan NS, Morris HR, et al. Developmental regulation of tau splicing is disrupted in stem cell-derived neurons from frontotemporal dementia patients with the 10 + 16 splice-site mutation in MAPT. Hum Mol Genet. 2015;24:5260–9. source

      The Results section (‘Postnatal tau splicing is observed at extended time points in vitro’) supports fetal 0N3R-only expression through 100 days, but directly contradicts the claim that it persists after one year: control iPSC-derived neurons expressed 4R tau at day 365. The paper does not report results for NGN2-induced neurons. (LLM, conf=0.90)

      Checked by a reasoning model — may be wrong.

      Experimental — accuracy not yet measured
    • cites [20] Ehrlich M, Hallmann AL, Reinhardt P, Arauzo-Bravo MJ, Korr S, Ropke A, et al. Distinct neurodegenerative changes in an induced pluripotent stem cell model of frontotemporal dementia linked to mutant TAU protein. Stem Cell Reports. 2015;5:83–96. source

      In Results (‘Altered Expression of TAU in FTDP-17 iPSC-Derived Neurons’; page unavailable), the paper reports 4R TAU transcripts in iPSC-derived neurons, including controls, and higher levels in neurons carrying the N279K mutation. It reports predominant fetal TAU protein, not exclusive production of the fetal 0N3R isoform. The paper does not establish the claim about one year of differentiation or NGN2-induced neurons. (LLM, conf=0.88)

      Checked by a reasoning model — may be wrong.

      Experimental — accuracy not yet measured
    • cites [21] Verheyen A, Diels A, Dijkmans J, Oyelami T, Meneghello G, Mertens L, et al. Using human iPSC-derived neurons to model TAU aggregation. PLoS One. 2015;10:e0146127. source

      The Results report that control iPSC-derived cortical neurons expressed only embryonic 0N3R TAU around day 90, and the Discussion says 4R TAU was undetectable after more than 90 days. The paper does not establish that this persists after one year or address NGN2-induced neurons; its Discussion instead notes reports of mature TAU isoforms after extended culture. Page numbers are unavailable in our copy. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites [22] Sato C, Barthelemy NR, Mawuenyega KG, Patterson BW, Gordon BA, Jockel-Balsarotti J, et al. Tau Kinetics in Neurons and the Human Central Nervous System. Neuron. 2018;97:1284–98.e7. source

      The Results section reports detectable 4R tau in iPSC-derived neurons matured for six weeks, although 3R predominated. The Discussion likewise states that these neurons expressed much less 4R than 3R—not that they produced only 0N3R tau. The paper does not report a one-year differentiation experiment or a finding about NGN2-induced neurons; page numbers are not available in our copy. (LLM, conf=0.90)

      Checked by a reasoning model — may be wrong.

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim.

    Premisecitation

    GSK3β expression is increased in AD.

    “To examine whether increased expression of GSK3β in AD [33] is connected to SGK1”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [33] Leroy K, Yilmaz Z, Brion JP. Increased level of active GSK-3beta in Alzheimer’s disease and accumulation in argyrophilic grains and in neurones at different stages of neurofibrillary degeneration. Neuropathol Appl Neurobiol. 2007;33:43–55. source

      The Results section reports that total GSK-3β levels were not significantly different between AD cases and controls; only the active pTyr216 form increased significantly. The Discussion explicitly says total GSK-3β levels were not increased in AD, contrary to the unqualified claim of increased GSK-3β expression. (LLM, conf=0.90)

      Checked by a reasoning model — may be wrong.

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim.

    Premisecitation

    Hyperphosphorylation of Tau is linked to synaptic dysfunctions and subsequent neurodegeneration in AD.

    “Hyperphosphorylation of Tau is linked to synaptic dysfunctions and subsequent neurodegeneration in AD [9].”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [9] Chang CW, Shao E, Mucke L. Tau: enabler of diverse brain disorders and target of rapidly evolving therapeutic strategies. Science. 2021;371:eabb8255. source

      The “Pathogenic mechanisms of abnormal tau” section (page not supplied) says acetylated, hyperphosphorylated FTLD-tau may contribute to neural dysfunction. It does not establish that tau hyperphosphorylation leads from synaptic dysfunction to neurodegeneration in AD; it also cautions that hyperphosphorylation can be pathogenic or protective depending on the sites involved. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Findingown data

    GSK650394 and EMD638683 decrease activated SGK1 (pSGK1) in AD neurons, while control neurons have a lower pSGK1 level that is also decreased by these inhibitors.

    “Western blotting of pSGK1, which recognizes activated SGK1 [28], confirmed the inhibition of activated SGK1 in AD neurons by GSK (100 nM) and EMD (6 µM). In contrast, control neurons had a much lower level of pSGK1 that was also decreased by GSK and EMD (Fig. 3d).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [28] Hochstetler A, Smith H, Reed M, Hulme L, Territo P, Bedwell A, et al. Inhibition of serum- and glucocorticoid-induced kinase 1 ameliorates hydrocephalus in preclinical models. Fluids Barriers CNS. 2023;20:61. source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Tau hyperphosphorylation increases Tau's propensity to form aggregates.

    “and increases its propensity to form aggregates [6].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [6] Alonso AC, Zaidi T, Grundke-Iqbal I, Iqbal K. Role of abnormally phosphorylated tau in the breakdown of microtubules in Alzheimer disease. Proc Natl Acad Sci USA. 1994;91:5562–6. source

      The available Abstract reports that abnormally phosphorylated tau binds normal tau and inhibits microtubule assembly, but it does not say phosphorylation increases tau aggregate formation. Searches for aggregation and self-association found only reference titles, not a finding in this paper; the article’s main text is not available as searchable text in our copy. (LLM, conf=0.72)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim.

    Premisecitation

    Intracellular aggregates of hyperphosphorylated Tau correlate with cognitive decline in Alzheimer's disease.

    “One of the pathological hallmarks of Alzheimer’s disease is the intracellular aggregates of hyperphosphorylated Tau, which show good correlation to cognitive decline [1, 2].”
    Quote in the paperSubstantial claim2 of 2 sources checked
    • cites [1] Bejanin A, Schonhaut DR, La Joie R, Kramer JH, Baker SL, Sosa N, et al. Tau pathology and neurodegeneration contribute to cognitive impairment in Alzheimer’s disease. Brain. 2017;140:3286–300. source
    • cites [2] Boccalini C, Ribaldi F, Hristovska I, Arnone A, Peretti DE, Mu L, et al. The impact of tau deposition and hypometabolism on cognitive impairment and longitudinal cognitive decline. Alzheimers Dement. 2024;20:221–33. source

      The Background identifies neurofibrillary tangles as the tau biomarker, and the Discussion reports that neocortical tau predicted longitudinal cognitive decline. However, the paper assesses tau deposition with PET; our copy does not directly establish that the intracellular aggregates of hyperphosphorylated tau, specifically, were what correlated with decline. The indexed passages have no page numbers. (LLM, conf=0.82)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    SGK1 phosphorylates HDAC4 to regulate epigenetic control in the transcription of many genes.

    “SGK1 also phosphorylates HDAC4 to regulate epigenetic control in the transcription of many genes [52].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [52] Zhang MB, Chen JL, Lu JH, Jia GL, Cao H, Li J. SGK1-HDAC4-HMGB1 signaling pathway in the spinal cord dorsal horn participates in diabetic neuropathic pain. Mol Pain. 2025;21:17448069251321143. source

      The Introduction says SGK1 acts through HDAC4 phosphorylation and that HDAC4’s resulting movement between the nucleus and cytoplasm is a mechanism regulating gene transcription. The Discussion links HDAC4-associated epigenetic modification to altered HMGB1 expression, but does not establish that this SGK1–HDAC4 pathway controls transcription of many genes. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim.

    Premisecitation

    Acetylated tubulin (AcTub) is a marker for stable microtubules.

    “acetylated tubulin (AcTub) (Fig. 5a), a marker for stable microtubules [29]”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [29] Piperno G, LeDizet M, Chang XJ. Microtubules containing acetylated alpha-tubulin in mammalian cells in culture. J Cell Biol. 1987;104:289–302. source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    HDAC6 expression is increased in the cortex and hippocampus of AD patients.

    “Expression of HDAC6 is increased in the cortex and hippocampus of AD patients [34–36].”
    Quote in the paperNot a substantial claim1 of 3 sources checked
    • cites [34] Ding H, Dolan PJ, Johnson GV. Histone deacetylase 6 interacts with the microtubule-associated protein tau. J Neurochem. 2008;106:2119–30. source
    • cites [35] Odagiri S, Tanji K, Mori F, Miki Y, Kakita A, Takahashi H, et al. Brain expression level and activity of HDAC6 protein in neurodegenerative dementia. Biochem Biophys Res Commun. 2013;430:394–9. source
    • cites [36] Zhang L, Sheng S, Qin C. The role of HDAC6 in Alzheimer’s disease. J Alzheimers Dis. 2013;33:283–95. source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    By phosphorylating the ubiquitin ligase NEDD4-2, SGK1 regulates the cell surface expression of ENaC channels.

    “By phosphorylating the ubiquitin ligase NEDD4-2, SGK1 regulates the cell surface expression of ENaC channels [53].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [53] Debonneville C, Flores SY, Kamynina E, Plant PJ, Tauxe C, Thomas MA, et al. Phosphorylation of Nedd4-2 by Sgk1 regulates epithelial Na(+) channel cell surface expression. EMBO J. 2001;20:7052–9. source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Increased Tau acetylation reduces Tau phosphorylation.

    “while increased Tau acetylation reduces Tau phosphorylation [34, 42].”
    Quote in the paperNot a substantial claim2 of 2 sources checked
    • cites [34] Ding H, Dolan PJ, Johnson GV. Histone deacetylase 6 interacts with the microtubule-associated protein tau. J Neurochem. 2008;106:2119–30. source

      The Results report that HDAC6 inhibition reduced tau phosphorylation at T231 in cell-culture models, but not at all sites tested (page not provided). The Discussion describes acetylation of α-tubulin as a possible indirect mechanism; it does not show that increased acetylation of tau caused the reduction. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites [42] Carlomagno Y, Chung DC, Yue M, Castanedes-Casey M, Madden BJ, Dunmore J, et al. An acetylation-phosphorylation switch that regulates tau aggregation propensity and function. J Biol Chem. 2017;292:15277–86. source

      The Discussion reports that acetylation of tau at Lys-321 inhibits phosphorylation at Ser-324. The citing sentence omits those site-specific limits and implies that increased tau acetylation reduces tau phosphorylation generally, which this paper does not establish. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    HDAC6 is a tubulin deacetylase and the main tubulin deacetylase.

    “HDAC6, a tubulin deacetylase [24].”
    • Also stated in: § Increased expression of HDAC6 in cortical neurons derived from AD patients · plain
      “As HDAC6 is the main tubulin deacetylase [31, 32]”
    Quote in the paperSubstantial claim2 of 3 sources checked
    • cites [24] Hubbert C, Guardiola A, Shao R, Kawaguchi Y, Ito A, Nixon A, et al. HDAC6 is a microtubule-associated deacetylase. Nature. 2002;417:455–8. source
    • cites [31] Matsuyama A, Shimazu T, Sumida Y, Saito A, Yoshimatsu Y, Seigneurin-Berny D, et al. In vivo destabilization of dynamic microtubules by HDAC6-mediated deacetylation. EMBO J. 2002;21:6820–31. source
    • cites [32] Zhang Y, Kwon S, Yamaguchi T, Cubizolles F, Rousseaux S, Kneissel M, et al. Mice lacking histone deacetylase 6 have hyperacetylated tubulin but are viable and develop normally. Mol Cell Biol. 2008;28:1688–701. source
  • May combine two claims.

    Premisecitation

    SGK1 expression is increased in P301S Tau transgenic mice and in postmortem brain tissue from AD patients.

    “RNA sequencing (RNAseq) of the prefrontal cortex (PFC) of the P301S human Tau transgenic mouse model of dementia has identified Serum and Glucocorticoid-regulated Kinase-1 (Sgk1) as one of the top-ranking upregulated genes [10].”
    • Also stated in: § Introduction · plain
      “RT-qPCR experiments have confirmed the significantly higher level of SGK1 mRNA in the PFC of AD human postmortem brain tissue [10].”
    • Also stated in: § Introduction · plain
      “SGK1 upregulation is observed in neurons from single-cell RNAseq of AD human frontal cortex [11] and neuron-specific RNAseq data from P301S mice [12].”
    Quote in the paperSubstantial claim3 of 3 sources checked
    • cites [10] Cao Q, Wang W, Williams JB, Yang F, Wang ZJ, Yan Z. Targeting histone K4 trimethylation for treatment of cognitive and synaptic deficits in mouse models of Alzheimer’s disease. Sci Adv. 2020;6:eabc8096. source
    • cites [11] Mathys H, Davila-Velderrain J, Peng Z, Gao F, Mohammadi S, Young JZ, et al. Single-cell transcriptomic analysis of Alzheimer’s disease. Nature. 2019;570:332–7. source

      The ‘Single-nucleus RNA-seq profiling’ section describes postmortem human prefrontal-cortex samples, while the differential-expression section reports cell-type-specific changes without identifying SGK1. Searches for SGK1 and P301S found no passage establishing increased SGK1 expression in either AD brain tissue or P301S mice; the copy does not address the specific claim. (LLM, conf=0.72)

      Experimental — accuracy not yet measured
    • cites [12] Wu T, Dejanovic B, Gandham VD, Gogineni A, Edmonds R, Schauer S, et al. Complement C3 is activated in human AD brain and is required for neurodegeneration in mouse models of amyloidosis and tauopathy. Cell Rep. 2019;28:2111–23.e6. source

      The Induction of Brain Complement Expression section reports RNA-seq analysis of cells sorted from TauP301S mouse hippocampus and describes increased complement-gene expression, not Sgk1 expression in prefrontal cortex. The STAR+METHODS passages identify the RNA-seq datasets, but the passages retrieved for Sgk1 and prefrontal-cortex RNA-seq do not establish that Sgk1 was a top-ranking upregulated gene or that it increased in AD brain tissue. (LLM, conf=0.72)

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

    Premisecitation

    SGK1 phosphorylates FOXO3a, inhibiting its nuclear translocation and transcriptional activity, thereby suppressing apoptosis and promoting cell survival.

    “For example, it phosphorylates the transcription factor FOXO3a to inhibit its nuclear translocation and transcriptional activity, thus suppressing apoptosis and promoting cell survival [51].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [51] Brunet A, Park J, Tran H, Hu LS, Hemmings BA, Greenberg ME. Protein kinase SGK mediates survival signals by phosphorylating the forkhead transcription factor FKHRL1 (FOXO3a). Mol Cell Biol. 2001;21:952–65. source
  • May combine two claims.

    Premisecitation

    SGK1 contributes to Tau hyperphosphorylation and microtubule depolymerization.

    “thus contributing to Tau hyperphosphorylation and microtubule depolymerization [18].”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [18] Yang YC, Lin CH, Lee EH. Serum- and glucocorticoid-inducible kinase 1 (SGK1) increases neurite formation through microtubule depolymerization by SGK1 and by SGK1 phosphorylation of tau. Mol Cell Biol. 2006;26:8357–70. source

      The Results (page not provided) show that SGK1 phosphorylates tau at Ser214 and promotes microtubule depolymerization. They do not establish tau hyperphosphorylation: the paper reports that the other tau phosphorylation sites tested remained unchanged. The Discussion (page not provided) also says SGK1 phosphorylation of tau is probably not related to Alzheimer's disease pathogenesis. (LLM, conf=0.90)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Increased expression of HDAC6 decreases Tau acetylation, a key factor contributing to the formation of Tau aggregates.

    “Increased expression of HDAC6 decreases Tau acetylation [40], which is a key factor contributing to the formation of Tau aggregates [39, 49].”
    Quote in the paperNot a substantial claim3 of 3 sources checked
    • cites [40] Cohen TJ, Guo JL, Hurtado DE, Kwong LK, Mills IP, Trojanowski JQ, et al. The acetylation of tau inhibits its function and promotes pathological tau aggregation. Nat Commun. 2011;2:252. source
    • cites [39] Trzeciakiewicz H, Ajit D, Tseng JH, Chen Y, Ajit A, Tabassum Z, et al. An HDAC6-dependent surveillance mechanism suppresses tau-mediated neurodegeneration and cognitive decline. Nat Commun. 2020;11:5522. source
    • cites [49] Tseng JH, Xie L, Song S, Xie Y, Allen L, Ajit D, et al. The deacetylase HDAC6 mediates endogenous neuritic Tau pathology. Cell Rep. 2017;20:2169–83. source

      The Discussion reports that inhibiting HDAC6 mildly increased tau acetylation, which supports a role for HDAC6 activity in regulating it. The paper does not show that increased HDAC6 expression decreases tau acetylation; it also reports increased acetylated tau in HDAC6-containing neuritic beads. Citation [40] is attached to the HDAC6 clause, not the separate aggregation claim. (LLM, conf=0.82)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    Tau hyperphosphorylation triggers the formation of neurofibrillary tangles and is a key pathological hallmark of AD.

    “Tau hyperphosphorylation, which triggers the formation of neurofibrillary tangles, is a key pathological hallmark of AD [48].”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [48] Grundke-Iqbal I, Iqbal K, Tung YC, Quinlan M, Wisniewski HM, Binder LI. Abnormal phosphorylation of the microtubule-associated protein tau (tau) in Alzheimer cytoskeletal pathology. Proc Natl Acad Sci USA. 1986;83:4913–7. source

      The Abstract links abnormally phosphorylated tau to paired-helical filaments in Alzheimer disease neurofibrillary tangles, supporting its association with AD pathology. It does not show that tau hyperphosphorylation triggers tangle formation; the paper describes that conclusion as evidence suggesting tau is a component of the filaments. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    SGK1 inhibition lowers pTau and rescues deficits in synaptic transmission and memory tests in P301S mice.

    “SGK1 inhibition lowers pTau and rescues the deficits in synaptic transmission and memory tests in P301S mice [10].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [10] Cao Q, Wang W, Williams JB, Yang F, Wang ZJ, Yan Z. Targeting histone K4 trimethylation for treatment of cognitive and synaptic deficits in mouse models of Alzheimer’s disease. Sci Adv. 2020;6:eabc8096. source
  • May combine two claims.

    Findingown data

    SGK1 overexpression significantly decreases AcTub in control neurons, but not in AD neurons.

    “When SGK1 was overexpressed (Figs. 4e, 6a, b), we found a significant decrease in AcTub in control neurons, but not AD neurons, by immunostaining (Fig. 6a, c) (Fig. S8) and Western blotting (Fig. 6d).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    SGK1 knockdown significantly increases AcTub in AD neurons, but not in control neurons.

    “SGK1 knockdown significantly increased AcTub in AD neurons, but not control neurons (Figs. 6a, c, d, S8).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Lentiviral SGK1 shRNA significantly decreases the high endogenous SGK1 level in AD neurons, but not the low endogenous level in control neurons.

    “Conversely, lentivirus expressing SGK1 shRNA significantly decreased the high endogenous SGK1 level in AD neurons, but not the low endogenous level in control neurons (Fig. 4e).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    SGK1 knockdown significantly decreases HDAC6 levels in AD neurons, but not appreciably in control neurons.

    “SGK1 knockdown significantly decreased HDAC6 levels in AD neurons, but not appreciably in control neurons from their low HDAC6 levels (Figs. 8, S10).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In AD2 neurons, SGK1 inhibitors EMD638683 or GSK650394 dose-dependently decrease SGK1, pTau at AT8 and S214, and HDAC6, and increase acetylated tubulin.

    “Interestingly, SGK1 level was decreased by each SGK1 inhibitor in a dose-dependent manner. Consistent with this, pTau levels at AT8 and S214 sites were reduced in parallel. There was a commensurate increase of acetylated tubulin and a corresponding decrease of HDAC6 (Fig. 9a).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    SGK1 overexpression significantly increases Tau phosphorylation at S202/T205 (AT8) and S214 in control neurons, but not beyond the already high levels in AD neurons.

    “SGK1 overexpression significantly increased Tau phosphorylation on S202/T205 (AT8 sites) and S214 in control neurons, but not beyond the already high levels in AD neurons (Fig. 4a, c).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Microtubule stability is significantly lower in AD-derived cortical neurons, as shown by higher free tubulin in the supernatant and lower polymerized tubulin in the pellet.

    “Western blotting showed significantly higher levels of free tubulin in the supernatant fraction (Fig. 5d) and significantly lower levels of polymerized tubulin in the pellet fraction from AD neurons (Fig. 5e).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    The GSK3β inhibitor CHIR 99021 (1 μM for 48 h) significantly inhibits activated phospho-GSK3 α and β isoforms and reduces GSK3β expression in AD neurons.

    “we treated CT1 and AD1 neurons with the selective GSK3β inhibitor CHIR 99021 (1 µM for 48 h), which significantly inhibited the activated phospho-GSK3 (pGSK) α and β isoforms, and reduced the expression level of GSK3β in AD neurons (Fig. 9b).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    SGK1 overexpression significantly increases HDAC6 in control neurons, but not in AD neurons.

    “We overexpressed SGK1 and found a significant increase of HDAC6 in control neurons, but not in AD neurons, which already had a high level of HDAC6 (Figs. 8, S10).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Doxycycline-inducible lentiviral SGK1 overexpression significantly increases SGK1 expression in control neurons over its endogenous level, but does not significantly increase SGK1 expression in AD neurons beyond their already high endogenous level.

    “Western blotting showed that the doxycycline-inducible lentivirus of SGK1 significantly increased SGK1 expression in control neurons over its endogenous level, but did not significantly increase SGK1 expression in AD neurons beyond its already high endogenous level.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    SGK1 knockdown significantly decreases Tau phosphorylation at AT8 and S214 sites in AD neurons, but not in control neurons.

    “SGK1 knockdown significantly decreased Tau phosphorylation on these sites in AD neurons, but not in control neurons, where pTau was already low (Fig. 4b, d).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingnone given

    Inhibition of SGK1 also reduces its expression.

    “inhibition of SGK1, which also reduced its expression”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Study design and conductown data

    Lentiviruses expressing M2rtTA or scrambled shRNA had no significant effect on SGK1 expression or pTau, so M2rtTA was used as the transduction control.

    “Because lentiviruses expressing the reverse tetracycline transactivator M2rtTA or scrambled shRNA had no significant effect on SGK1 expression or pTau, we used M2rtTA as the transduction control.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    Elevated HDAC6 in AD neurons reduces AcTub, which destabilizes microtubules.

    “elevated HDAC6 in AD neurons reduced AcTub, which destabilize microtubules”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The iPSC-derived cortical neuron phenotypes reflect mechanisms operating in the AD brain.
  • May combine two claims.

    Interpretationreasoning

    In the AD state, elevated oxidative stress may induce SGK1 to increase pTau, which destabilizes microtubules and attenuates microtubule-dependent transport.

    “In the AD state, elevated oxidative stress may induce SGK1 to increase pTau, which destabilizes microtubules and attenuates microtubule-dependent transport.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The iPSC-derived cortical neuron phenotypes reflect mechanisms operating in the AD brain.
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    SGK1 is an immediate early gene induced by a variety of cellular stress.

    “SGK1 is an immediate early gene induced by a variety of cellular stress [16].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [16] Lang F, Bohmer C, Palmada M, Seebohm G, Strutz-Seebohm N, Vallon V. Patho)physiological significance of the serum- and glucocorticoid-inducible kinase isoforms. Physiol Rev. 2006;86:1151–78. source
  • May combine two claims.

    Interpretationreasoning

    The increase in SGK1, HDAC6, and pTau, as well as the decrease in AcTub and microtubule stability, appear to be interconnected and may reflect elevated cellular stress in AD.

    “Second, the increase in SGK1, HDAC6, and pTau, as well as the decrease in AcTub and microtubule stability appear to be interconnected and may reflect elevated cellular stress in AD.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The iPSC-derived cortical neuron phenotypes reflect mechanisms operating in the AD brain.
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    The use of CF-1 mice to produce mouse embryonic fibroblasts for culturing human iPSCs is approved by the University at Buffalo Institutional Animal Care and Use Committee.

    “The use of CF-1 mice to produce mouse embryonic fibroblasts for culturing human iPSCs is approved by the University at Buffalo Institutional Animal Care and Use Committee.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationreasoning

    SGK1 exerts a broad and coordinated homeostatic response to maximize cell survival at different conditions.

    “As SGK1 appears to exert a broad and coordinated homeostatic response to maximize cell survival at different conditions”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationcitation

    Reduced AcTub destabilizes microtubules, which reduces neurotransmission.

    “which destabilize microtubules to reduce neurotransmission [47]”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [47] Hirokawa N, Niwa S, Tanaka Y. Molecular motors in neurons: transport mechanisms and roles in brain function, development, and disease. Neuron. 2010;68:610–38. source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Increased AcTub stabilizes microtubules and promotes microtubule-based transport.

    “Increased AcTub stabilizes microtubules and promotes microtubule-based transport [41]”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [41] Reed NA, Cai D, Blasius TL, Jih GT, Meyhofer E, Gaertig J, et al. Microtubule acetylation promotes kinesin-1 binding and transport. Curr Biol. 2006;16:2166–72. source
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Study design and conductnone given

    The use of human iPSCs from de-identified commercial sources is not human subject research.

    “The use of human iPSCs from de-identified commercial sources is not human subject research.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    SGK1 phosphorylates many substrates in different types of cells.

    “SGK1 phosphorylates many substrates in different types of cells [16].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [16] Lang F, Bohmer C, Palmada M, Seebohm G, Strutz-Seebohm N, Vallon V. Patho)physiological significance of the serum- and glucocorticoid-inducible kinase isoforms. Physiol Rev. 2006;86:1151–78. source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    All methods used in the study were performed in accordance with guidelines of International Society for Stem Cell Research.

    “All methods used in the study were performed in accordance with guidelines of International Society for Stem Cell Research.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    All constructs made by us were verified by sequencing.

    “All constructs made by us were verified by sequencing.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    The intensity of tubulin bands was quantified against actin bands from three different experiments.

    “The intensity of tubulin bands was quantified against actin bands from three different experiments with NIH Image J.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    CIRM does not provide specific details on the clinical diagnosis of AD and the presence or absence of family history or disease-causing genetic mutations on these patients.

    “CIRM does not provide specific details on the clinical diagnosis of AD and the presence or absence of family history or disease-causing genetic mutations on these patients.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Sample size is based on the observed effect size in preliminary studies.

    “Sample size is based on the observed effect size in preliminary studies.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Study design and conductnone given

    M2rtTA and scrambled control shRNA had no significant effect in the experiments.

    “As M2rtTA and scrambled control shRNA had no significant effect in the experiments”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    All results are from three technical replicates of three independent biological samples for each subject.

    “All results are from three technical replicates of three independent biological samples for each subject.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Periodical mycoplasma tests by PCR showed no contamination.

    “Periodical mycoplasma tests by PCR showed no contamination.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    At least 5 random images were quantified for a line of neurons at each condition.

    “At least 5 random images were quantified for a line of neurons at each condition.”
    Quote in the paperNot a substantial claim
50 of 50
  • The paper relies on this without support.

    The three AD iPSC lines and three control iPSC lines are representative of AD and normal cortical neurons, respectively.

    “we differentiated iPSCs from three normal subjects and three AD patients to cortical neurons”
  • The paper relies on this without support.

    The iPSC-derived cortical neuron phenotypes reflect mechanisms operating in the AD brain.

    “These results suggest that elevation of the cellular stress-induced SGK1 increases Tau phosphorylation and HDAC6 expression, which destabilize microtubules to compromise many cellular functions subserving cognition.”
  • The authors state this as an assumption.

    Early-onset AD patients may have stronger inborn vulnerabilities that can be embodied in iPSC-derived cortical neurons.

    “We selected early-onset AD patients with the assumption that these patients may have stronger inborn vulnerabilities that can be embodied in iPSC-derived cortical neurons.”
  • The paper relies on this without support.

    Definitive diagnosis of AD requires neuropathology of the postmortem brain.

    “definitive diagnosis of AD requires neuropathology of the postmortem brain”
4 of 4

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Authors
Saleem, K., Xiao, Z., Zhu, B., Ren, Y., Yan, Z., & Feng, J.
Affiliations
University at Buffalo, State University of New York (US)
Corresponding author
Feng, Jian
Venue
Molecular Psychiatry
Published
2025-09-08
Volume
31
Issue
1
Pages
332-342
ISSN
  • 1359-4184 (ISSN-L)
  • 1476-5578
OpenAlex
W4414053167
Cited by
10
References
60
Citations by year
2026: 10
FWCI
5.30
Type
journal article
Language
en
Open access
Locations
  • Molecular Psychiatry (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • PubMed Central (submittedVersion, cc-by)
Funders
  • U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NS113763)
  • U.S. Department of Health & Human Services | NIH | National Institute on Aging (AG079797)
Topics
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Keywords
Alzheimer's disease, SGK1, tau phosphorylation, HDAC6, tubulin acetylation, microtubule instability, cortical neurons, induced pluripotent stem cells, cellular stress, therapeutic target
MeSH terms
Histone Deacetylase 6, Serum-Glucocorticoid Regulated Kinases, Acetylation, Aged, Alzheimer Disease, Cells, Cultured, Cerebral Cortex, Female, Histone Deacetylases, Humans, Male, Microtubules, Neurons, Phosphorylation, Tubulin, tau Proteins, Protein Serine-Threonine Kinases, Immediate-Early Proteins, Induced Pluripotent Stem Cells

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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-18.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-18.

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Statistics and arithmetic are recomputed, not judged.

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