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Alzheimer's: three new strategies to defend memories beyond the brain

New findings suggest that social memory can be preserved not only by acting on the brain, but also through metabolites and muscle signals, opening up new therapeutic avenues.

by Francesca Cerati

3' min read

Translated by AI
Versione italiana

3' min read

Translated by AI
Versione italiana

Protecting social memory - the memory that enables us to recognise our loved ones - is one of the most painful and indispensable challenges in the fight against Alzheimer's disease. From the networks that protect neurons to the biochemistry of ageing and the surprising communication between muscles and the brain, three international researches published in the last few months open up as yet unimagined scenarios. And they suggest that memories could be defended not only by intervening in the brain, but also through entirely new pathways.

The networks that protect neurons

A new discovery from the University of Virginia and Virginia Tech paves the way for an innovative approach: the protection of perineuronal networks, structures that surround neurons and regulate brain communication. Scientists have shown that their degradation selectively damages social memory, making it impossible to recognise familiar individuals, while object memory remains intact. A phenomenon that mirrors what happens in patients: the face of a child may become unrecognisable before any object.

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'Finding a structural change that explains a specific memory loss in Alzheimer's is very exciting,' says co-ordinator Harald Sontheimer. 'This is a completely new goal and we already have suitable candidate drugs available.

The team tested matrix metalloproteinase (MMP) inhibitors, already studied in oncology, in mice: by blocking the degradation of perineuronal networks, the animals retained the ability to remember other mice.

'When we protected these brain structures early in life, the mice with this disease were better able to remember their social interactions,' explains researcher Lata Chaunsali.

More research is needed on the safety and efficacy of our approach before it can be transferred to humans, Sontheimer points out.

A molecule that rejuvenates cells

A second study - conducted by an international team between Oslo, China and Portugal - identifies Nad⁺, a natural metabolite that decreases with age, as a possible shield against memory loss. Increasing its levels, by means of precursors such as nicotinamide riboside (Nr) or nicotinamide mononucleotide (Nmn), corrects in animals the RNA splicing errors that in Alzheimer's impair hundreds of genes essential for neuronal health.

"The molecular mechanisms underlying these benefits remain largely unclear," stresses first author Alice Ruixue Ai. However, the new study identifies a crucial player: the Eva 1C protein, which is indispensable for the Nad⁺ to repair errors in the Rna.

'When the Eva 1C gene was silenced, these benefits were lost,' confirms Evandro Fei Fang-Stavem. In the hippocampus and entorhinal cortex of Alzheimer's patients, Eva 1C levels are drastically reduced.

'We propose that maintaining Nad⁺ levels could help preserve neuronal identity and delay cognitive decline,' Ai adds.

The research, published in Science Advances, reinforces the idea that the biology of ageing is at the heart of neurodegeneration: supporting DNA repair systems and cellular metabolism could protect memories for longer.

The muscle that talks to the brain

The third strand comes from Florida Atlantic University and looks to the body to save the mind. Research in Aging Cell shows that gene therapy targeting the muscles - not the brain - can prevent memory loss in mouse models of Alzheimer's disease.

The protagonist is Catepsin B (Ctsb), a myokine released during exercise. By inserting the Ctsb gene into the muscle via a viral vector, the researchers obtained a surprising result: the mice did not develop memory deficits and preserved neurogenesis in the hippocampus, despite the presence of typical amyloid pathologies.

'Our study is the first to show that specific expression of Cathepsin B in muscle can prevent memory loss,' explains Henriette van Praag. 'The road to protecting the brain could start in the body.

The muscle, in short, is not just a mechanical motor: 'It is a powerful communicator with the brain,' emphasises Atul S. Deshmukh of the University of Copenhagen. A curious fact: in healthy mice, overexpression of Ctsb seemed to impair memory, a sign that the mechanisms involved are still to be interpreted.

From the molecular barriers that surround neurons, to the metabolites that repair RNA, to the signals that muscles send to the brain, these three studies - different but converging - show that memory can be defended through many more channels than previously imagined.

In common, a promise: to prevent Alzheimer's patients from losing the faces of their loved ones forever.

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