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Inhibition of O-GlcNAcase leads to elevation of O-GlcNAc tau and reduction of tauopathy and cerebrospinal fluid tau in rTg4510 mice
Open accessAbstract
BACKGROUND: Hyperphosphorylation of microtubule-associated protein tau is a distinct feature of neurofibrillary tangles (NFTs) that are the hallmark of neurodegenerative tauopathies. O-GlcNAcylation is a lesser known post-translational modification of tau that involves the addition of N-acetylglucosamine onto serine and threonine residues. Inhibition of O-GlcNAcase (OGA), the enzyme responsible for the removal of O-GlcNAc modification, has been shown to reduce tau pathology in several transgenic models. Clarifying the underlying mechanism by which OGA inhibition leads to the reduction of pathological tau and identifying translatable measures to guide human dosing and efficacy determination would significantly facilitate the clinical development of OGA inhibitors for the treatment of tauopathies. METHODS: Genetic and pharmacological approaches are used to evaluate the pharmacodynamic response of OGA inhibition. A panel of quantitative biochemical assays is established to assess the effect of OGA inhibition on pathological tau reduction. A "click" chemistry labeling method is developed for the detection of O-GlcNAcylated tau. RESULTS: Substantial (>80%) OGA inhibition is required to observe a measurable increase in O-GlcNAcylated proteins in the brain. Sustained and substantial OGA inhibition via chronic treatment with Thiamet G leads to a significant reduction of aggregated tau and several phosphorylated tau species in the insoluble fraction of rTg4510 mouse brain and total tau in cerebrospinal fluid (CSF). O-GlcNAcylated tau is elevated by Thiamet G treatment and is found primarily in the soluble 55 kD tau species, but not in the insoluble 64 kD tau species thought as the pathological entity. CONCLUSION: The present study demonstrates that chronic inhibition of OGA reduces pathological tau in the brain and total tau in the CSF of rTg4510 mice, most likely by directly increasing O-GlcNAcylation of tau and thereby maintaining tau in the soluble, non-toxic form by reducing tau aggregation and the accompanying panoply of deleterious post-translational modifications. These results clarify some conflicting observations regarding the effects and mechanism of OGA inhibition on tau pathology, provide pharmacodynamic tools to guide human dosing and identify CSF total tau as a potential translational biomarker. Therefore, this study provides additional support to develop OGA inhibitors as a treatment for Alzheimer's disease and other neurodegenerative tauopathies.
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![Fig. 2 Determination of OGA enzyme and O-protein levels in OGA iKD mice. a Binding of [3H]Thiamet G in brain homogenates prepared from WT (n = 5) and OGA iKD (n = 4) mice was determined as described in Methods. Individual saturation binding curves were performed using total brain homogenates prepared from each animal and the data shown are the mean ± standard deviation of values for each group of animals. The KD of [3H]Thiamet G binding to OGA was similar in WT and OGA iKD mouse brain (KD = 1.7 nM and 1.9 nM, respectively), while the Bmax values were reduced by 80% in the OGA iKD mouse relative to the WT mouse (433 fmol/mg protein and 78 fmol/mg protein, respectively). b Total O-protein in brain homogenates from WT (n = 5) and OGA iKD mice (n = 5) was measured by a quantitative sandwich immunoassay as described in Methods. Brain O-protein levels were 1.4-fold higher in OGA iKD mice relative to the WT mice. The data shown are the mean ± SEM. Each sample was assayed in duplicate. *p = 0.048 (t-test)](/paper-figures/80b26869a76149c39962198d13751be4/inhibition-of-o-glcnacase-leads-to-elevation-of-o-glcnac-tau-and-reduction-of-figure-2.jpg)






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“Inhibitors of the O-GlcNAcase enzyme (OGA)-like thiamet G increase tau glycosylation, reduce NFTs and neuronal cell death, improve motor behavior, and prolong survival of tau transgenic mice [174, 220, 221].”
From Tau and neuroinflammation in Alzheimer’s disease: interplay mechanisms and clinical translation (2023) · cites this paper as [220]
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Tau and neuroinflammation in Alzheimer’s disease: interplay mechanisms and clinical translation
Chen, Y., & Yu, Y. (2023) · Journal of Neuroinflammation · doi:10.1186/s12974-023-02853-3 · Cited by 516
“Inhibitors of the O-GlcNAcase enzyme (OGA)-like thiamet G increase tau glycosylation, reduce NFTs and neuronal cell death, improve motor behavior, and prolong survival of tau transgenic mice [174, 220, 221].”
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Hart, G. W. (2019) · Journal of Biological Chemistry · doi:10.1074/jbc.aw119.003226 · Cited by 352
Tau Proteins and Tauopathies in Alzheimer’s Disease
Chong, F. P., Ng, K. Y., Koh, R. Y., & Chye, S. M. (2018) · Cellular and Molecular Neurobiology · doi:10.1007/s10571-017-0574-1 · Cited by 260
The human O-GlcNAcome database and meta-analysis
Wulff‐Fuentes, E., Berendt, R., Massman, L., Danner, L., Malard, F., Vora, J. K., Kahsay, R., & Stichelen, S. O.-V. (2021) · Scientific Data · doi:10.1038/s41597-021-00810-4 · Cited by 247
Rösler, T. W., Marvian, A. T., Brendel, M., Nykänen, N.-P., Höllerhage, M., Schwarz, S. C., Hopfner, F., Koeglsperger, T., Respondek, G., Schweyer, K., et al. (2019) · Progress in Neurobiology · doi:10.1016/j.pneurobio.2019.101644 · Cited by 231
Metadata
- Authors
- Hastings, N. B., Wang, X., Song, L., Butts, B. D., Grotz, D., Hargreaves, R., Fred Hess, J., Hong, K.-L. K., Huang, C. R.-R., Hyde, L., Laverty, M., Lee, J., Levitan, D., Lu, S. X., Maguire, M., Mahadomrongkul, V., McEachern, E. J., Ouyang, X., Rosahl, T. W., Selnick, H., Stanton, M., Terracina, G., Vocadlo, D. J., Wang, G., Duffy, J. L., Parker, E. M., & Zhang, L.
- Affiliations
- United States Military Academy (US)
- Alectos (Canada) (CA)
- Merck & Co., Inc., Rahway, NJ, USA (United States) (US)
- Corresponding author
- Duffy, Joseph L.
- Parker, Eric M.
- Zhang, Lili
- ORCID
- Venue
- Molecular Neurodegeneration
- Published
- 2017-05-18
- Volume
- 12
- Issue
- 1
- Pages
- 39-39
- ISSN
- 1750-1326 (ISSN-L)
- PMC
- PMC5437664
- OpenAlex
- W2616169167
- Cited by
- 164
- References
- 37
- Citations by year
- 2026: 14 · 2025: 20 · 2024: 22 · 2023: 14 · 2022: 16 · 2021: 24 · 2020: 17 · 2019: 18 · 2018: 16 · 2017: 2
- FWCI
- 10.73
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Molecular Neurodegeneration (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Merck Research Laboratories
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Glycosylation and Glycoproteins Research
- Health Sciences › Medicine › Genetics (clinical) › Lysosomal Storage Disorders Research
- Keywords
- O-GlcNAcase inhibition, tauopathy, tau hyperphosphorylation, neurofibrillary tangles, rTg4510 mice, Thiamet G, cerebrospinal fluid tau, tau aggregation, pharmacodynamic biomarkers, Alzheimer's disease, O-GlcNAc transferase
- MeSH terms
- Animals, beta-N-Acetylhexosaminidases, Mice, Transgenic, Protein Processing, Post-Translational, Pyrans, Thiazoles, tau Proteins, Tauopathies, Mice
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