Summarize this content to 2000 words in 6 paragraphs One of the hallmarks of Alzheimer’s disease are beta-amyloid plaques in the brain. Many recent studies have looked for ways to treat and remove beta-amyloid plaques. Researchers from the RIKEN Center for Brain Science saythe hormone dopamine may be used as a treatment for Alzheimer’s.Using a mouse model, researchers stimulated the production of an enzyme known to break down beta-amyloid plaques. Clumps or plaques of the protein beta-amyloid in the brain are a hallmark of a type of dementia called Alzheimer’s disease.When beta-amyloid plaques form, they disrupt communication between nerve cells. They can also stimulate the immune system, causing inflammation that eventually destroys brain cells.Over the last few years, researchers have been focusing on finding ways to treat beta-amyloid plaques to help slow Alzheimer’s disease progression. For example, two anti-amyloid medications, lecanemab and donanemab, are FDA-approved to help decrease the amount of plaques in people with early Alzheimer’s.Now, researchers from the RIKEN Center for Brain Science in Japan believe the hormone dopamine may be used to treat Alzheimer’s as it stimulates the production of an enzyme known to break down beta-amyloid plaques in the brain via a mouse model. The study was recently published in the journal Science Signaling. For this study, researchers focused on stimulating the production of an enzyme in the body called neprilysin. Neprilysin is an endopeptidase, the scientific term for an enzyme that divides peptide bonds.Past studies have also examined the potential role neprilysin may play in Alzheimer’s disease as it has shown to be effective in degrading beta-amyloid in the brain. A study published in December 2023 reported that using a neprilysin inhibitor led to increased beta-amyloid. Research published in December 2022 found injecting a form of neprilysin that can penetrate the blood-brain barrier showed the potential to reduce beta-amyloid plaques in the brain.To conduct this study, scientists first found when they applied dopamine to brain cells cultured in a dish, neprilysin levels increased and levels of free-floating beta-amyloid decreased.Next, using a mouse model, researchers used the Designer Receptors Exclusively Activated by Designer Drugs (DREADD) system to insert minute designer receptors into the dopamine-producing neurons in the ventral tegmental area of the brain, which is known to stimulate dopamine neurons.Scientists also fed the mice a matching designer drug. This resulted in an increase in neprilysin production and decreased levels of free-floating beta-amyloid.Researchers then applied this method to a special mouse model of Alzheimer’s disease where the mice develop beta-amyloid plaques. After eight weeks of treatment, scientists reported the amount of beta-amyloid plaques in the mice decreased.For the final step of the study, researchers applied their methodology to L-DOPA treatment, a dopamine precursor molecule used to treat Parkinson’s disease. Treating the mouse model with L-DOPA led to increased neprilysin and decreased beta-amyloid plaques in the brain.Scientists also discovered that after three months of L-DOPA treatment, the mice performed better on memory tests than untreated mice.“We have shown that L-DOPA treatment can help reduce harmful beta-amyloid plaques and improve memory function in a mouse model of Alzheimer’s disease,” said lead study author Naoto Watamura, PhD, from the Laboratory for Proteolytic Neuroscience at the RIKEN Center for Brain Science, in a news release.“But L-DOPA treatment is known to have serious side effects in patients with Parkinson’s disease. Therefore, our next step is to investigate how dopamine regulates neprilysin in the brain, which should yield a new preventive approach that can be initiated at the preclinical stage of Alzheimer’s disease,” Watamura continued.David Merrill, MD, PhD, a board certified geriatric psychiatrist at Providence Saint John’s Health Center in Santa Monica, CA, and Singleton Endowed Chair in Integrative Brain Health, told Medical News Today the study shows an underappreciated connection between dopamine and its effects on beta-amyloid plaques in the brain. “The study goes further in identifying upregulation of neprilysin as (a) possible mechanism for this observed effect,” Merrill continued. “We do see that some Parkinson’s patients also develop Alzheimer’s type amyloid plaques, but interplay between these two neurodegenerative disorders are complex and remain incompletely understood.” MNT also spoke with Manisha Parulekar, MD, director of the Division of Geriatrics at Hackensack University Medical Center and associate professor at Hackensack Meridian School of Medicine in New Jersey, who expressed excitement about this new research. “The findings suggest that dopamine treatment could be a potential new way to combat the disease, which is desperately needed,” Parulekar continued. “I was particularly impressed by the fact that the researchers were able to reduce beta-amyloid plaques in the brains of mice with Alzheimer’s disease using L-DOPA.”“Beta-amyloid plaques are a hallmark of the disease and are thought to contribute to its progression. If L-DOPA can be shown to be effective in reducing beta-amyloid plaques in humans, it could be a major breakthrough in the treatment of Alzheimer’s disease. We continue to look for effective treatment for Alzheimer’s. Repurposing existing medications may be helpful in expediting the process.” — Manisha Parulekar, MD, geriatric medicine physicianParulekar said it is important for researchers to continue to find new ways of combating Alzheimer’s disease because it is a devastating disease that affects millions of people worldwide. “There is currently no cure for Alzheimer’s disease, and the available treatments can only slow the progression of the disease,” she explained. “New treatments are needed to improve the quality of life for people with Alzheimer’s disease and to ultimately find a cure for the disease.” “Alzheimer’s remains a devastating illness for patients and their loved ones,” Merrill added. “The anti-amyloid treatment approaches have failed to solve the problem, though perhaps this idea will lead to new ways of combating Alzheimer’s disease.” For the next steps in this research, Parulekar said one should conduct clinical trials in humans to confirm the findings of the animal studies. “(And) identify the mechanisms by which dopamine regulates neprilysin levels in the brain,” she detailed. “This will help to develop new and more targeted treatments for Alzheimer’s disease.”Merrill said we need to know how dopamine causes neprilysin levels to increase and why does that then decrease amyloid plaque buildup.“Since there are other causes of amyloid plaque buildup in the human brain, rather than the single cause created by a genetic mouse model, will targeting neprilysin upregulation be necessary or sufficient to see an improvement in outcomes for Alzheimer’s disease patients?” — David A. Merrill, MD, geriatric psychiatrist
