Pharmacological targeting of MCL-1 promotes mitophagy and improves disease pathologies in an Alzheimer's disease mouse model

Nat Commun. 2020 Nov 12;11(1):5731. doi: 10.1038/s41467-020-19547-6.

Abstract

There is increasing evidence that inducing neuronal mitophagy can be used as a therapeutic intervention for Alzheimer's disease. Here, we screen a library of 2024 FDA-approved drugs or drug candidates, revealing UMI-77 as an unexpected mitophagy activator. UMI-77 is an established BH3-mimetic for MCL-1 and was developed to induce apoptosis in cancer cells. We found that at sub-lethal doses, UMI-77 potently induces mitophagy, independent of apoptosis. Our mechanistic studies discovered that MCL-1 is a mitophagy receptor and directly binds to LC3A. Finally, we found that UMI-77 can induce mitophagy in vivo and that it effectively reverses molecular and behavioral phenotypes in the APP/PS1 mouse model of Alzheimer's disease. Our findings shed light on the mechanisms of mitophagy, reveal that MCL-1 is a mitophagy receptor that can be targeted to induce mitophagy, and identify MCL-1 as a drug target for therapeutic intervention in Alzheimer's disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alzheimer Disease / metabolism*
  • Alzheimer Disease / pathology*
  • Animals
  • Apoptosis / drug effects
  • Autophagy-Related Protein 5 / economics
  • Cell Survival
  • Disease Models, Animal
  • Gene Knockout Techniques
  • Glucose
  • HEK293 Cells
  • HeLa Cells
  • High-Throughput Screening Assays
  • Humans
  • Intracellular Signaling Peptides and Proteins
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Transgenic
  • Microtubule-Associated Proteins / metabolism
  • Mitophagy / drug effects*
  • Mitophagy / physiology*
  • Myeloid Cell Leukemia Sequence 1 Protein / drug effects*
  • Myeloid Cell Leukemia Sequence 1 Protein / genetics
  • Myeloid Cell Leukemia Sequence 1 Protein / metabolism*
  • Neoplasm Proteins
  • Nerve Tissue Proteins
  • Neurons / metabolism
  • Oxygen
  • Receptors, Cytoplasmic and Nuclear
  • Sulfonamides / pharmacology
  • Thioglycolates / pharmacology

Substances

  • Atg5 protein, mouse
  • Autophagy-Related Protein 5
  • Intracellular Signaling Peptides and Proteins
  • Microtubule-Associated Proteins
  • Myeloid Cell Leukemia Sequence 1 Protein
  • NDP52 protein, mouse
  • Nbr1 protein, mouse
  • Neoplasm Proteins
  • Nerve Tissue Proteins
  • Receptors, Cytoplasmic and Nuclear
  • Sulfonamides
  • TAX1BP1 protein, mouse
  • Thioglycolates
  • UMI-77
  • Glucose
  • Oxygen