Experimental and real-world evidence supporting the computational repurposing of bumetanide for APOE4-related Alzheimer's disease.

Experimental and real-world evidence supporting the computational repurposing of bumetanide for APOE4-related Alzheimer's disease.
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实验和现实世界证据支持布美他尼的计算再利用,用于治疗 APOE4 相关的阿尔茨海默病。

DOI:
10.1038/s43587-021-00122-7
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发表时间:
2021-10
期刊:
NATURE AGING
影响因子:
--
通讯作者:
Huang, Yadong
Huang, Yadong
中科院分区:
其他
文献类型:
--
作者:
Taubes, Alice;Nova, Phil;Zalocusky, Kelly A.;Kosti, Idit;Bicak, Mesude;Zilberter, Misha Y.;Hao, Yanxia;Yoon, Seo Yeon;Oskotsky, Tomiko;Pineda, Silvia;Chen, Bin;Jones, Emily A. Aery;Choudhary, Krishna;Grone, Brian;Balestra, Maureen E.;Chaudhry, Fayzan;Paranjpe, Ishan;De Freitas, Jessica;Koutsodendris, Nicole;Chen, Nuo;Wang, Celine;Chang, William;An, Alice;Glicksberg, Benjamin S.;Sirota, Marina;Huang, Yadong

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The evident genetic, pathological, and clinical heterogeneity of Alzheimer’s disease (AD) poses challenges for traditional drug development. We conducted a computational drug repurposing screen for drugs to treat apolipoprotein (apo) E4-related AD. We first established apoE-genotype-dependent transcriptomic signatures of AD by analyzing publicly-available human brain database. We then queried these signatures against the Connectivity Map database containing transcriptomic perturbations of >1300 drugs to identify those that best reverse apoE-genotype-specific AD signatures. Bumetanide was identified as a top drug for apoE4 AD. Bumetanide treatment of apoE4 mice without or with Aβ accumulation rescued electrophysiological, pathological, or cognitive deficits. Single-nucleus RNA-sequencing revealed transcriptomic reversal of AD signatures in specific cell types in these mice, a finding confirmed in apoE4-iPSC-derived neurons. In humans, bumetanide exposure was associated with a significantly lower AD prevalence in individuals over the age of 65 in two electronic health record databases, suggesting effectiveness of bumetanide in preventing AD.
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