BACE1-dependent cleavage of GABAA receptor contributes to neural hyperexcitability and disease progression in Alzheimer's disease

Neuron. 2025 Apr 2;113(7):1051-1064.e6. doi: 10.1016/j.neuron.2025.01.030. Epub 2025 Feb 26.

Abstract

Neural hyperexcitability has been clinically associated with amyloid-β (Aβ) pathology and cognitive impairment in Alzheimer's disease (AD). Here, we show that decreased GABAA receptor (GABAAR) currents are linked to hippocampal granule cell hyperexcitability in the AD mouse model APP23. Elevated levels of β-secretase (BACE1), the β-secretase responsible for generating Aβ peptides, lead to aberrant cleavage of GABAAR β1/2/3 subunits in the brains of APP23 mice and AD patients. Moreover, BACE1-dependent cleavage of the β subunits leads to a decrease in GABAAR-mediated inhibitory currents in BACE1 transgenic mice. Finally, we show that the neural hyperexcitability, Aβ load, and spatial memory deficit phenotypes of APP23 mice are significantly reduced upon the granule cell expression of a non-cleavable β3 subunit mutant. Collectively, our study establishes that BACE1-dependent cleavage of GABAAR β subunits promotes the pathological hyperexcitability known to drive neurodegeneration and cognitive impairment in the AD brain, suggesting that prevention of the cleavage could slow disease progression.

Keywords: BACE1 substrate; GABRB; disinhibition; excitatory inhibitory balance; excitotoxicity; hyperactivity; hyperexcitability; β-secretase.

MeSH terms

  • Alzheimer Disease* / genetics
  • Alzheimer Disease* / metabolism
  • Alzheimer Disease* / pathology
  • Alzheimer Disease* / physiopathology
  • Amyloid Precursor Protein Secretases* / genetics
  • Amyloid Precursor Protein Secretases* / metabolism
  • Amyloid beta-Peptides / metabolism
  • Amyloid beta-Protein Precursor / genetics
  • Animals
  • Aspartic Acid Endopeptidases* / genetics
  • Aspartic Acid Endopeptidases* / metabolism
  • Disease Models, Animal
  • Disease Progression
  • Female
  • Hippocampus / metabolism
  • Humans
  • Male
  • Mice
  • Mice, Transgenic
  • Neurons* / metabolism
  • Neurons* / physiology
  • Receptors, GABA-A* / genetics
  • Receptors, GABA-A* / metabolism

Substances

  • Amyloid Precursor Protein Secretases
  • Receptors, GABA-A
  • Aspartic Acid Endopeptidases
  • Bace1 protein, mouse
  • Amyloid beta-Peptides
  • Amyloid beta-Protein Precursor
  • BACE1 protein, human