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. Author manuscript; available in PMC: 2019 May 24.
Published in final edited form as: Nat Neurosci. 2018 Feb 5;21(4):463–473. doi: 10.1038/s41593-018-0080-x

Table 1. Putative mechanisms underlying homeostatic failures in early AD.

Molecular target Mode of action Relevance to neural homeostasis Relevance to AD
Presenilin 1 Catalytic subunit of γ-secretase complex

Regulation of Ca2+ release from ER
PS1 deletion and early-onset AD M146V PS1 mutation disrupt synaptic scaling Target of the majority of early-onset AD mutations; the last step in the APP cleavage, determines the length of Aβ and its biophysical properties
BACE1 secretase cleaving APP at β site BACE1 KO mice display lack of synaptic scaling to visual experience in primary sensory cortex and increased excitatory basal synaptic transmission APP processing, Aβ production
REST Transcriptional repressor of neuronal genes during embryonic development Reduction in excitatory presynaptic strength and in intrinsic excitability to hyperactivity Its expression is downregulated in MCI and AD, in comparison to normal aging
TNF-α Releasable by glia cytokine Postsynaptic up-scaling to inactivity Increases Aβ production and inhibits the secretion of sAPP

Increases BACE1 expression and suppresses Aβ degradation by microglia
BDNF Activity-dependent, neuron-derived releasable modulator Postsynaptic scaling and E/I balance

Presynaptic adaptation
Early BDNF treatment ameliorates neuronal loss in AD mouse model

Interaction between BDNF and APOE polymorp hism affects memory decline in preclinical AD
CDK5 Proline-directed serine/threonine kinase Synaptic scaling, presynaptic adaptation CDK5 hyperactivation promotes neurodegeneration
Arc Immediate early gene product Synaptic scaling Regulates activity-dependent Aβ production

Reduction of Arc mRNA in the dentate gyrus of AD mice

Deregulation of Arc in the vicinity of amyloid plaques disrupts responses to visual stimuli in the visual cortex
NPTX2 Immediate early gene product NPTXs regulate synaptic scaling of excitatory synapses on PV interneurons NPTX2 is downregulated in human AD brains and reduction in its expression contributes to aberrant brain activity in AD model mice
mTOR serine/threonine protein kinase TSC-mTOR signaling regulates inhibition-excitation balance and firing rate without altering homeostatic responses
mTOR regulates presynaptic homeostatic adaptations
Genetic and pharmacological reduction of mTOR signaling ameliorates AD-related pathology and cognitive decline in transgenic AD models
CaMKK2 Ca2+/calmodulin-dependent and serine/threonine protein kinase STO-609, a CaMKK2 inhibitor, occludes synaptic scaling STO-609, a CaMKK2 inhibitor, rescues Aβ-induced spine loss
CaMKII Ca2+-calmodulin-dependent kinase II Presynaptic and postsynaptic adaptations p(T286)-αCaMKII is reduced at synaptic locations in hippocampus of AD patients and the degree of p(T286)-αCaMKII loss at synaptic locations correlates with severity of the disease
CaN Calcineurin, Ca2+-calmodulin-dependent protein phosphatase Inhibition of CaN activity causes homeostatic synaptic plasticity via retinoic acid CaN is hyperactivated in AD
Voltage-gated calcium channels Ion channel L-type VGCC mediates presynaptic adaptation and postsynaptic scaling APP regulates L-type VGCC in interneurons
RyR Ca2+ release from ER Synaptic scaling Increase in RyR-mediated Ca2+ release from ER causes dysregulation of Ca2+ homeostasis in AD models
STIM2-SOC-CaMKII Ca2+ homeostasis Spine stability Downregulation of STIM2 causes spine loss in AD mice
Retinoic acid Transcriptional activator during brain development, synaptic strength modulation Synaptic scaling Retinoic acid rescues AD-like pathology in mouse model
GABA(B)R GPCR presynaptic and postsynaptic adaptations, firing rate homeostasis APP is a core molecule of the presynaptic GABA(B)R macromolecular complex

Regulates the Aβ40/42 ratio during spike bursts
Adenosine receptors GPCR Sleep homeostasis, anti-epileptic effect by increased extracellular adenosine A2AR are overexpressed in the hippocampus of AD patients and AD mice, mediate LTP and memory impairments

A1R regulates the Aβ40/42 ratio during spike bursts

See Supplementary Table 1 for supporting references.