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Lakshmana’s current research focus is to target complex pathways that can simultaneously modulate the multiple processes of neurodegenerative cascade triggering a synergistic response for a viable therapeutic approach.

Since microglia activation-induced neuroinflammation or loss of synapses correlates better with cognitive dysfunction in AD than Aβ or plaque load, multifactorial and heterogeneous diseases like AD require the simultaneous modulation of multiple targets for curative treatment. Therefore, his focus now is to modulate adult hippocampal neurogenesis (AHN), the endocannabinoid system (ECS), autophagy-lysosome pathway (ALP), and epigenetic pathways which are well--known to exert pleiotropic activity including not only on Aβ and hyperphosphorylated tau but also on the AHN, synaptic integrity and neuroinflammation. By modulating these pathways, Lakshmana’s long-term goal is to develop Multi-Target Directed (MTD) compounds for AD and other neurological disorders.

Adult Hippocampal Neurogenesis

Now there is unequivocal evidence that continuous adult hippocampal neurogenesis (AHN) and their integration into hippocampal circuitry is necessary for proper learning and memory and plasticity. Given that AHN is impaired even before the onset of AD pathology, and also because the decline in neurogenesis strongly associate with cognitive deterioration during aging, coupled with the evidence that blocking neurogenesis in Alzheimer’s mice shortly after birth leads to more pronounced cognitive deficits later in life, the study of potential pathways to influence AHN is crucial for the development of AD therapy. To accomplish this, Lakshmana’s laboratory has focused on the autophagy-lysosome pathway (ALP) and the endocannabinoid system (ECS), both of which are known to critically regulate AHN. The CB1 receptors are the most abundant G protein-coupled receptors in the mammalian brain, and they are also expressed in the neural stem cells (NSCs) which positively regulate neurogenesis and synaptic plasticity in the subventricular zone (SVZ) and hippocampal dentate subgranular zone (SGZ). Lakshmana’s interest is to use small molecule modulators of CB1 and CB2 receptors to enhance AHN and thereby prevent memory decline in models of AD. Given the failure of clinical translation of promising preclinical results into a successful therapy, Lakshmana also utilizes induced pluripotent stem cell (iPSC) technology to provide a nearly unlimited amount of mature neurons induced from iPSCs derived directly from AD patients’ skin fibroblasts. This unprecedented iPSC technology is expected to enable successful screening and triage of hit compounds prior to in vivo testing.

Autophagy-lysosome Pathway (ALP)

Advancing age is the most prevalent risk factor for AD because of the decline of cellular protein quality control processes in the brain as evidenced by the massive accumulation of multiple protease-deficient axonal lysosomes and autophagosomes in the dystrophic neurites of AD brains which may be responsible for eliciting microglial activation, neuroinflammation, loss of synapses and reduced AHN. Indeed, released lysosomal contents can mimic viral particles and activate innate immunity, or release metabolites and cathepsins that can be sensed as intracellular danger-associated molecular patterns (DAMPs) and elicit inflammation. Thus lysosomal defects may be primarily responsible for AD pathogenesis. To counter ALP defects in AD, Lakshmana has successfully generated flag-TFEB transgenic mice as well as conditional TFEB knockout mice to assess the role and potential mechanism of TFEB in mitigating neuroinflammation, in rescuing loss of synapses and restoring the reduced NPCs proliferation, thereby increase the longevity of aged as well as mouse models of AD.

Restoring Synaptic Integrity

Another major focus of Lakshmana’s research is to investigate the precise mechanisms that trigger synaptic dysfunction in AD, as well as ways to restore the loss of synapses that occur at the early stages of the disease. Wide-ranging methodologies that include immunoblot quantitation of synaptic proteins, quantitation of synapses by immunohistochemistry (IHC), synaptosomes from mouse and human brain tissue, iPSC-derived neurons, real-time synaptic vesicle release using optogenetic approach and synaptopHluorin, and transmission electron microscopy (TEM) for the ultrastructural evaluation of synapses, synaptic vesicles, and post-synaptic density are used.

Assay Development and Throughput Screening

The overall goal of Lakshmana’s laboratory is to develop disease-modifying therapy for AD, ALS, and other neurological disorders. To accomplish this goal, a biological assay to identify the activators of sAPPα (to enhance non-amyloidogenic processing of APP) was developed using AlphaLISA technology, and a high throughput screening (HTS) has identified several hits and lead compounds which are now being developed. A high-content screening (HCS) assay was also developed using EGFP-TFEB construct in HeLa cells (to activate autophagy), which has also resulted in the identification of several lead compounds that dephosphorylate TFEB and activate ALP. Since HDAC2 activity is inversely related to memory, another assay on HDAC2 using AlphaLISA and HDAC-Glo™ technology was also successfully developed and utilized. Lakshmana is currently interested to develop assays against biological targets to reduce neuroinflammation. By collaborating with several synthetic and organic chemists, Lakshmana utilizes thousands of hetero and acyclic compounds for HTS and HCS screenings to identify hits and lead compounds for successfully identifying disease-modifying therapy for AD and other neurological disorders.