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We thank the CGC, funded by the NIH Office of Research Infrastructure Programs (P40 OD010440), for worm strains. We also thank Andrew Fire for kindly providing the L4440 plasmid vector and the HT115 strain. We would also like to thank M Pilar Marin (Microscopy Unit of IIS-La Fe) and Carlos Mora Martinez (Institute of Biotechnology, University of Helsinki, Finland) for her kind help. RPVM is a Miguel Servet type II researcher (CPII16/00004) funded by Instituto de Salud Carlos III (ISCIII, Madrid, Spain). Grants from the ISCIII were used to perform this work (PI14/00949 and PI17/00011). All grants from ISCIII are co-financed by the European Development Regional Fund "A way to achieve Europe" (ERDF). JBY holds a grant from the Generalitat Valenciana and the European Social Fund (ACIF/2019/249). Some equipment used in this work has been funded in partnership between the Generalitat Valenciana (Conselleria de Sanitat I Salut Publica, Valencian Community, Spain) and European Funds (ERDF/FSE), through the call "Improvement of research infrastructures for rare diseases" CV FEDER 2014-2020. This work has been partially supported by a grant from the Fundacio Telemarato de la TV3 (Reference 559), which covered the work of MDS. The funds from the ISCIII are partially supported by the European Regional Development Fund. RPVM is also a Marie Curie fellow (CIG322034, EU). This work has been partially supported by a grant from the CIBERER (ACCI2016), a grant from the Fundacion Ramon Areces (CIVP19S8119) and an Ayuda Miguel Gil grant to RPVM (VII Convocatoria Ayudas a la Investigacion MHER, 2019).

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Garcia-Gimeno, M AAuthorHervás, DAuthor

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October 10, 2024
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Synergistic activation of AMPK prevents from polyglutamine-induced toxicity in Caenorhabditis elegans

Publicated to:Pharmacological Research. 161 105105- - 2020-11-01 161(), DOI: 10.1016/j.phrs.2020.105105

Authors: Gomez-Escribano, A P; Bono-Yague, J; Garcia-Gimeno, M A; Sequedo, M D; Hervas, D; Fornes-Ferrer, V; Torres-Sanchez, S C; Millan, J M; Sanz, P; Vazquez-Manrique, R P

Affiliations

CSIC, Inst Biomed Valencia, Valencia, Spain - Author
Ctr Invest Biomed Red Enfermedades Raras CIBERER, Madrid, Spain - Author
Inst Invest Sanitaria La Fe, Dept Biostat, Valencia, Spain - Author
Inst Invest Sanitaria La Fe, Lab Mol Cellular & Genom Biomed, Valencia, Spain - Author
Joint Unit Rare Dis IIS La Fe CIPF, Valencia, Spain - Author
Tau Analyt, Parc Cient Univ Valencia, Paterna, Spain - Author
Univ Politecn Valencia, Dept Biotechnol, Escuela Tecn Super Ingn Agron & Medio Nat ETSIAMN, Valencia, Spain - Author
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Abstract

Expression of abnormally long polyglutamine (polyQ) tracks is the source of a range of dominant neurodegenerative diseases, such as Huntington disease. Currently, there is no treatment for this devastating disease, although some chemicals, e.g., metformin, have been proposed as therapeutic solutions. In this work, we show that metformin, together with salicylate, can synergistically reduce the number of aggregates produced after polyQ expression in Caenorhabditis elegans. Moreover, we demonstrate that incubation polyQ-stressed worms with low doses of both chemicals restores neuronal functionality. Both substances are pleitotropic and may activate a range of different targets. However, we demonstrate in this report that the beneficial effect induced by the combination of these drugs depends entirely on the catalytic action of AMPK, since loss of function mutants of aak-2/AMPK alpha 2 do not respond to the treatment. To further investigate the mechanism of the synergetic activity of metformin/salicylate, we used CRISPR to generate mutant alleles of the scaffolding subunit of AMPK, aakb-1/AMPK beta 1. In addition, we used an RNAi strategy to silence the expression of the second AMPK beta subunit in worms, namely aakb-2/AMPK beta 2. In this work, we demonstrated that both regulatory subunits of AMPK are modulators of protein homeostasis. Interestingly, only aakb-2/AMPK beta 2 is required for the synergistic action of metformin/salicylate to reduce polyQ aggregation. Finally, we showed that autophagy acts downstream of metformin/salicylate-related AMPK activation to promote healthy protein homeostasis in worms.

Keywords

AmpkAspirinAutophagy genesCaenorhabditis elegansDysfunctionHealthspanInsightsLife-spanMetforminModelNematodePolyq toxicityProteinSalycilateSynergSynergy

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Pharmacological Research due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2020, it was in position 16/276, thus managing to position itself as a Q1 (Primer Cuartil), in the category Pharmacology & Pharmacy. Notably, the journal is positioned above the 90th percentile.

From a relative perspective, and based on the normalized impact indicator calculated from World Citations provided by WoS (ESI, Clarivate), it yields a value for the citation normalization relative to the expected citation rate of: 1.1. This indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: ESI Nov 14, 2024)

This information is reinforced by other indicators of the same type, which, although dynamic over time and dependent on the set of average global citations at the time of their calculation, consistently position the work at some point among the top 50% most cited in its field:

  • Field Citation Ratio (FCR) from Dimensions: 3.67 (source consulted: Dimensions Jul 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-07-16, the following number of citations:

  • WoS: 20
  • Scopus: 19

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-07-16:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 32.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 32 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 15.95.
  • The number of mentions on the social network X (formerly Twitter): 25 (Altmetric).