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
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Research Support, Non-U.S. Gov't
MeSH terms
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Alzheimer Disease / metabolism*
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Alzheimer Disease / pathology*
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Animals
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Apoptosis / drug effects
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Autophagy-Related Protein 5 / economics
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Cell Survival
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Disease Models, Animal
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Gene Knockout Techniques
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Glucose
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HEK293 Cells
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HeLa Cells
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High-Throughput Screening Assays
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Humans
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Intracellular Signaling Peptides and Proteins
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Male
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Mice
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Mice, Inbred C57BL
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Mice, Transgenic
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Microtubule-Associated Proteins / metabolism
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Mitophagy / drug effects*
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Mitophagy / physiology*
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Myeloid Cell Leukemia Sequence 1 Protein / drug effects*
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Myeloid Cell Leukemia Sequence 1 Protein / genetics
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Myeloid Cell Leukemia Sequence 1 Protein / metabolism*
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Neoplasm Proteins
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Nerve Tissue Proteins
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Neurons / metabolism
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Oxygen
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Receptors, Cytoplasmic and Nuclear
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Sulfonamides / pharmacology
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Thioglycolates / pharmacology
Substances
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Atg5 protein, mouse
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Autophagy-Related Protein 5
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Intracellular Signaling Peptides and Proteins
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Microtubule-Associated Proteins
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Myeloid Cell Leukemia Sequence 1 Protein
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NDP52 protein, mouse
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Nbr1 protein, mouse
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Neoplasm Proteins
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Nerve Tissue Proteins
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Receptors, Cytoplasmic and Nuclear
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Sulfonamides
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TAX1BP1 protein, mouse
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Thioglycolates
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UMI-77
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Glucose
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Oxygen