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ABERRANT CROSSTALK BETWEEN INSULIN SIGNALING AND MTOR IN YOUNG DOWN SYNDROME INDIVIDUALS REVEALED BY NEURONAL-DERIVED EXTRACELLULAR VESICLES
Abstract
Aims
Intellectual disability, accelerated aging and early-onset Alzheimer-like neurodegeneration are key brain pathological features of Down syndrome (DS). While growing research aims at the identification of molecular pathways underlying the aging trajectory of DS population data on infants and adolescents with DS are missing.
Methods
Plasma-resident neuronal-derived extracellular vesicles (nEVs) were isolated form healthy donors (HD, n=17) and DS children (n=18) aging from 2 to 17 years who underwent complete clinical workup and routine biochemistry. nEVs were first characterized by dynamic light scattering (DLS) and transmission electron microscopy (TEM) and probed for nEVs markers (L1CAM, CD81, Alix and APOA1). Afterwards, nEVs content was interrogated for markers of insulin/mTOR pathways as well as for proteins involved in synaptic plasticity, i.e., sintaxin-1, PSD95 and pCamKIIα-Thr286.
Results
nEVs isolated from DS children were characterized by a significant increase of pIRS1Ser636, a marker of insulin resistance, and the hyperactivation of the Akt/mTOR/p70S6K axis downstream from IRS1, likely driven by the higher inhibition of PTEN. High levels of pGSK3bSer9 were also found. These alterations occur independent of peripheral alterations. Interestingly, the activation of both Akt and mTOR strongly correlate with pCamKIIα-Thr286 levels in nEVs from HD, while this association is lost in DS individuals, suggesting that the aberrant activation of the Akt/mTOR axis may contribute to dysfunctional synaptic plasticity mechanisms in DS through CaMKIIα.
Conclusions
The alteration of the insulin signalling/mTOR pathways represents an early event in DS brain and likely contributes to the cerebral dysfunctions and intellectual disability observed in this unique population.