1. Academic Validation
  2. Ultrasmall Nanoparticles Mitigate Tau Hyperphosphorylation to Restore Synaptic Integrity and Boost Cognitive Function in Alzheimer's Disease

Ultrasmall Nanoparticles Mitigate Tau Hyperphosphorylation to Restore Synaptic Integrity and Boost Cognitive Function in Alzheimer's Disease

  • Adv Healthc Mater. 2025 May 16:e2500941. doi: 10.1002/adhm.202500941.
Hanbing Xu 1 2 3 Gang Wang 1 3 Zhilin Jiang 2 Yaobao Han 2 Weiming Zhao 1 3 Hao Zhang 2 Hong Liu 4 Huayue Liu 1 3 5 Zhen Li 2 Fuhai Ji 1 3
Affiliations

Affiliations

  • 1 Department of Anesthesiology, the First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, 215006, China.
  • 2 Center for Molecular Imaging and Nuclear Medicine, State Key Laboratory of Radiation Medicine and Protection, School for Radiological and Interdisciplinary Sciences (RAD-X), Suzhou Medical College, Soochow University, Collaborative Innovation Center of Radiation Medicine of Jiangsu Higher Education Institutions, Suzhou, 215123, China.
  • 3 Institute of Anesthesiology, Soochow University, Suzhou, 215006, China.
  • 4 Department of Anesthesiology and Pain Medicine, University of California Davis Health, Sacramento, CA, 95817, USA.
  • 5 Ambulatory Surgery Center, The First Affiliated Hospital of Soochow University, Suzhou, 215006, China.
Abstract

Tau hyperphosphorylation represents a critical pathological hallmark of Alzheimer's disease (AD), a prevalent neurodegenerative disorder characterized by progressive cognitive decline. The ubiquitin-specific proteases 14 (USP14) impairs proteasomal function and accelerates hyperphosphorylated Tau accumulation, making it an attractive therapeutic target for modulating the ubiquitin-proteasome pathway in AD treatment. In this study, it is reported that wogonoside-functionalized ultrasmall Cu2-xSe nanoparticles (CSPW NPs) significantly reduce hyperphosphorylated Tau accumulation and alleviate AD symptoms. The therapeutic mechanism involves activation of the ubiquitin-proteasome pathway through USP14 inhibition by CSPW NPs, thereby preventing hyperphosphorylated Tau accumulation. Furthermore, after cell membrane coating (CSPW@CM NPs), these nanoparticles efficiently cross the blood-brain barrier with focused ultrasound assistance and accumulate in the brain to target neurons. Within neurons, they inhibit USP14, reduce phosphorylated Tau deposition, enhance microtubule stability, mitigate synaptic loss, restore synaptic integrity, and ultimately alleviate cognitive dysfunction in AD mice. The findings highlight the substantial potential of USP14 modulation for mitigating Tau hyperphosphorylation in the treatment of AD and related tauopathies.

Keywords

Alzheimer's disease; Tau; USP14 nanoinhibitors; hyperphosphorylation; synapse.

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