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Abstract
Optimal functioning of neuronal networks is critical to the complex cognitive processes of memory and executive function that deteriorate in Alzheimer’s disease (AD). Here we use cellular and animal models as well as human biospecimens to show that AD-related stressors mediate global disturbances in dynamic intra- and inter-neuronal networks through pathologic rewiring of the chaperome system into epichaperomes. These structures provide the backbone upon which proteome-wide connectivity, and in turn, protein networks become disturbed and ultimately dysfunctional. We introduce the term protein connectivity-based dysfunction (PCBD) to define this mechanism. Among most sensitive to PCBD are pathways with key roles in synaptic plasticity. We show at cellular and target organ levels that network connectivity and functional imbalances revert to normal levels upon epichaperome inhibition. In conclusion, we provide proof-of-principle to propose AD is a PCBDopathy, a disease of proteome-wide connectivity defects mediated by maladaptive epichaperomes.
The biology of Alzheimer’s disease (AD) remains unknown. We propose AD is a protein connectivity-based dysfunction disorder whereby a switch of the chaperome into epichaperomes rewires proteome-wide connectivity, leading to brain circuitry malfunction that can be corrected by novel therapeutics.
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1 Memorial Sloan Kettering Cancer Center, Chemical Biology Program, New York, USA (GRID:grid.51462.34) (ISNI:0000 0001 2171 9952) ; City University of New York, Hostos Community College, The Bronx, USA (GRID:grid.262273.0) (ISNI:0000 0001 2188 3760)
2 Memorial Sloan Kettering Cancer Center, Chemical Biology Program, New York, USA (GRID:grid.51462.34) (ISNI:0000 0001 2171 9952)
3 Weill Cornell Medical College, Brain and Mind Research Institute, New York, USA (GRID:grid.5386.8) (ISNI:000000041936877X)
4 Memorial Sloan-Kettering Cancer Center, Molecular Cytology Core Facility, New York, USA (GRID:grid.51462.34) (ISNI:0000 0001 2171 9952)
5 Memorial Sloan Kettering Cancer Center, Chemical Biology Program, New York, USA (GRID:grid.51462.34) (ISNI:0000 0001 2171 9952) ; Memorial Sloan Kettering Cancer Center, Department of Developmental Biology, New York, USA (GRID:grid.51462.34) (ISNI:0000 0001 2171 9952)
6 Memorial Sloan Kettering Cancer Center, Department of Developmental Biology, New York, USA (GRID:grid.51462.34) (ISNI:0000 0001 2171 9952)
7 The New York Stem Cell Foundation Research Institute, New York, USA (GRID:grid.430819.7) (ISNI:0000 0004 5906 3313)
8 Memorial Sloan Kettering Cancer Center, Comparative Pathology Laboratory, New York, USA (GRID:grid.51462.34) (ISNI:0000 0001 2171 9952)
9 Memorial Sloan Kettering Cancer Center, Molecular Pharmacology Program, New York, USA (GRID:grid.51462.34) (ISNI:0000 0001 2171 9952)
10 Memorial Sloan Kettering Cancer Center, Office of Clinical Research, New York, USA (GRID:grid.51462.34) (ISNI:0000 0001 2171 9952)
11 Humboldt State University, Department of Biological Sciences, Arcata, USA (GRID:grid.257157.3) (ISNI:0000 0001 2288 5055)
12 Memorial Sloan Kettering Cancer Center, Department of Epidemiology-Biostatistics, New York, USA (GRID:grid.51462.34) (ISNI:0000 0001 2171 9952)
13 Memorial Sloan Kettering Cancer Center, Department of Radiology, New York, USA (GRID:grid.51462.34) (ISNI:0000 0001 2171 9952)
14 Rockefeller University, Department of Neuroscience, New York, USA (GRID:grid.134907.8) (ISNI:0000 0001 2166 1519) ; Icahn School of Medicine at Mount Sinai, New York, USA (GRID:grid.59734.3c) (ISNI:0000 0001 0670 2351)
15 NYU School of Medicine, Department of Cell Biology, New York, USA (GRID:grid.137628.9) (ISNI:0000 0004 1936 8753) ; NYU School of Medicine, Kimmel Center for Biology and Medicine at the Skirball Institute, New York, USA (GRID:grid.137628.9) (ISNI:0000 0004 1936 8753)
16 Neuroscience & Physiology & the NYU Neuroscience Institute, NYU School of Medicine, Departments of Psychiatry, New York, USA (GRID:grid.137628.9) (ISNI:0000 0004 1936 8753) ; Nathan Kline Institute, Center for Dementia Research, Orangeburg, USA (GRID:grid.250263.0) (ISNI:0000 0001 2189 4777)