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David Vocadlo : Mar 1, 2012  Simon Frazier University

A lot of effort is needed to tackle this disease and different approaches should be pursued to maximize the chance of successfully fighting it.

EDITOR'S NOTE: My paternal grandmother lived well up to 99. She lived with my parents for a long time. My mother once told me Grandma loved to get up in the middle of the night to eat a spoonful or two of sugar, and then go back to bed. Later on, when she needed more constant care in an assisted living facility, she reportedly continued her habitual "midnight snack" of raiding the sugar bowl, at least for a while. When a nurse caught her and put a stop to it; it wasn't long before she passed away. No, she didn't have Alzheimer's; when I would visit her she seemed pretty aware. After reading about the results of this study, I can't help but wonder if perhaps that late-night sugar intake did more for her than just satisfy a sweet craving. –Aimee Herd, BCN.

Slowing or preventing the development of Alzheimer's disease, a fatal brain condition expected to hit one in 85 people globally by 2050, may be as simple as ensuring a brain protein's sugar levels are maintained. (Photo by: Mike Hughes)

That's the conclusion seven researchers, including David Vocadlo, a Simon Fraser University chemistry professor and Canada Research Chair in Chemical Glycobiology, make in the latest issue of Nature Chemical Biology.

The journal has published the researchers' latest paper Increasing O-GlcNAc slows neurodegeneration and stabilizes tau against aggregation.

Vocadlo and his colleagues describe how they've used an inhibitor they've chemically created—Thiamet-G—to stop O-GlcNAcase, a naturally occurring enzyme, from depleting the protein Tau of sugar molecules.

"The general thinking in science," says Vocadlo, "is that Tau stabilizes structures in the brain called microtubules. They are kind of like highways inside cells that allow cells to move things around."

Previous research has shown that the linkage of these sugar molecules to proteins, like Tau, in cells is essential. In fact, says Vocadlo, researchers have tried but failed to rear mice that don't have these sugar molecules attached to proteins.

Vocadlo, an accomplished chess player in his spare time, is having great success checkmating troublesome enzymes with inhibitors he and his students are creating in the SFU chemistry department's Laboratory of Chemical Glycobiology.

Research prior to Vocadlo's has shown that clumps of Tau from an Alzheimer brain have almost none of this sugar attached to them, and O-GlcNAcase is the enzyme that is robbing them.

Such clumping is an early event in the development of Alzheimer's and the number of clumps correlate with the disease's severity.

Scott Yuzwa and Xiaoyang Shan, grad students in Vocadlo's lab, found that Thiamet-G blocks O-GlcNAcase from removing sugars off Tau in mice that drank water with a daily dose of the inhibitor. Yuzwa and Shan are co-first authors on this paper.

The research team found that mice given the inhibitor had fewer clumps of Tau and maintained healthier brains.

"This work shows targeting the enzyme O-GlcNAcase with inhibitors is a new potential approach to treating Alzheimer's," says Vocadlo. "This is vital since to date there are no treatments to slow its progression.

"A lot of effort is needed to tackle this disease and different approaches should be pursued to maximize the chance of successfully fighting it. In the short term, we need to develop better inhibitors of the enzyme and test them in mice. Once we have better inhibitors, they can be clinically tested."

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