
In a groundbreaking study conducted at Massachusetts General Hospital, researchers have unveiled a promising connection between the exercise-induced muscle hormone irisin and the treatment of Alzheimer’s disease (AD). Building upon their previous work in developing 3D human cell culture models replicating key AD hallmarks, the team embarked on a quest to decipher how irisin impacts the amyloid beta pathology central to AD.

Irisin, the focus of this study, is a hormone that surges in response to physical exercise. While previous research hinted at exercise’s ability to reduce amyloid beta deposits in AD mouse models, the precise mechanisms remained a mystery. Irisin primarily influences metabolic processes in fat tissue and stimulates energy expenditure by transforming white fat into brown fat.
What sets this study apart is the meticulous investigation into irisin’s role in the intricate web linking exercise and diminished amyloid beta. The researchers administered irisin to their 3D AD cell culture model, and the outcomes were nothing short of remarkable.
Upon irisin treatment, a significant reduction in amyloid beta pathology was observed. This effect was closely tied to an increase in neprilysin activity, an enzyme responsible for degrading amyloid beta. The heightened neprilysin levels were attributed to enhanced secretion from astrocytes, specialized brain cells.

However, the true revelation lay in the molecular details. The researchers pinpointed integrin αV/β5 as the receptor through which irisin engages with astrocytes, subsequently triggering an upsurge in neprilysin levels. Additionally, irisin’s interaction with this receptor curtailed signaling in two pivotal protein pathways: extracellular signal-regulated kinase (ERK) and signal activator of transcription 3 (STAT3). This reduction in ERK-STAT3 signaling played a pivotal role in irisin’s amplification of neprilysin activity.
Moreover, irisin’s ability to penetrate the bloodstream and reach the brain opens the door to potential therapeutic applications. This study sheds light on irisin’s pivotal role as a mediator in augmenting neprilysin levels, ultimately leading to the reduction of amyloid beta burdens.

Rudolph Tanzi, PhD, senior author of the study and director of the Genetics and Aging Research Unit, emphasized the significance of these findings. “Our findings indicate that irisin is a major mediator of exercise-induced increases in neprilysin levels leading to reduced amyloid beta burden, suggesting a new target pathway for therapies aimed at the prevention and treatment of Alzheimer’s disease,” he stated.
This research offers a tantalizing glimpse into the potential of harnessing irisin as a novel therapeutic avenue for addressing Alzheimer’s disease, marking a crucial step forward in our ongoing battle against this devastating condition.

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