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Fat vesicles from obesity linked to alzheimer's disease risk

Scientists find fat-derived particles could accelerate Alzheimer’s, connecting obesity to toxic brain changes. Study: Decoding adipose-brain crosstalk: Distinct lipid cargo in human adipose-derived extracellular vesicles modulates amyloid aggregation in Alzhei

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Scientists find fat-derived particles could accelerate Alzheimer’s, connecting obesity to toxic brain changes.

Alzheimer’s disease (AD) could affect 82 million people by 2050. The brain is rich in fats, which comprise a significant portion of the myelin sheath and neuronal membranes. Disruptions in lipid metabolism—whether due to genetic factors or environmental influences—can increase the risk of AD, particularly when linked to obesity.

In a recent study published in Alzheimer’s & Dementia, researchers discuss the role of extracellular vesicles as a potential link between obesity and Alzheimer’s disease (AD).

How fat dysregulation leads to amyloid pathology

During obesity, lipotoxicity, which reflects abnormally high lipid levels, can damage brain tissue by causing inflammation. This condition is worsened by the presence of adipokines, which are chemicals released from fat tissue that activate immune-inflammatory pathways.

According to the amyloid cascade hypothesis, neurodegeneration in AD begins with the formation of the amyloid-β (Aβ) 40 and 42 peptides. Following their secretion into the extracellular space, these peptides aggregate under certain conditions to form small oligomers or fibrils.

Aβ fibrillization, the process by which Aβ fibrils are generated, precedes amyloid plaque formation, a characteristic feature of AD brains. Plaques are lipid-enriched and can be produced during fat-dependent Aβ peptide condensation, which leads to brain inflammation, neuronal injury, inadequate energy supply, and oxidative stress.

Extracellular vesicles (EVs) from fat cells are membrane-bound molecules that contain fat released from different regions throughout the body. Often originating from peripheral fat tissue, these EVs may cross the blood-brain barrier to change the balance of fats in the brain, which increases the risk of neurodegenerative disease.

Aβ fibrilization is affected by genetic and environmental factors, including lipid-laden EVs from peripheral fatty tissue.

The current study's researchers removed and purified EVs, mostly exosomes, from subcutaneous and visceral fat samples obtained from lean and obese people. In addition to quantifying the complete array of fat molecules present in these EVs, in vitro Aβ aggregation was quantified using purified Aβ40 and Aβ42 peptides in fat-rich environments that resemble the brain milieu in health and disease.

Study findings

EVs obtained from obese individuals were characterized by a distinctive lipid profile that reflects their role as fat carriers originating from subcutaneous and visceral fat tissues. Purified EVs isolated from obese people had higher concentrations of lysophosphatidylcholine (LPC) and sphingomyelin (SM), which suggests abnormal fat metabolism.

Both saturated and unsaturated fatty acids were directly implicated in Aβ fibrilization when present at lipotoxic concentrations, with LPC18:0 lipids exhibiting particularly strong aggregation effects. Notably, low levels of some sphingomyelins like SM23:0 reduced Aβ aggregation, whereas higher concentrations of this sphingomyelin led to increased Aβ aggregation.

SM16:0 and SM18:0 also promoted Aβ aggregation, the latter of which is the most abundant sphingomyelin species present in the brain. High levels of LPC18:0 also correlated with a marked increase in Aβ42 fibrilization.

Palmitic acid, the most abundant saturated fatty acid present in the human body, did not significantly affect Aβ aggregation under normal conditions. However, pathologically high levels of palmitic acid led to increased Aβ fibrilization.

These findings provide compelling molecular evidence linking peripheral lipid imbalance to Aβ aggregation, suggesting that metabolic dysfunction associated with obesity may contribute to central amyloid pathology via adipose-derived EV lipids.”

Study limitations

The study findings suggest that adipose-derived EVs can directly interfere with amyloid aggregation kinetics in the brain microenvironment, increasing the risk of neurodegenerative diseases like AD. Nevertheless, additional research, including in vivo studies, longitudinal clinical cohorts, and direct measurement of brain amyloid pathology, must be conducted to confirm whether these lipid-based EVs contribute to the development and progression of AD.

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  • Yang, L., Chan, M., Sheng, J., et al. (2025). Decoding adipose–brain crosstalk: Distinct lipid cargo in human adipose-derived extracellular vesicles modulates amyloid aggregation in Alzheimer's disease. Alzheimer’s & Dementia. doi:10.1002/alz.70603.

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Related questions

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02How do these peptides act?

These peptides, like the parent compound AC253, acted as antagonists at the AMY receptor. They were also resistant to protein breakdown, and crossed the blood-brain barrier easily when injected into the abdominal cavity, to localize in the hippocampus, which is crucial in memory. These peptides protected the brain against beta-amyloid injury, and normalized the AD-associated impairment of the memory-associated long-term potentiation of nerve impulses in the hippocampus. They improved memory testing results, and reduced the level of inflammation in the brain. These effects appear to be mediated via the blockade of AMY receptors. For instance, inhibition of microglial AMY receptors reduce the activation of the inflammasome NLRP3. This reduces the secretion of inflammatory chemicals in the surrounding brain tissue, which offers another mechanism for lower amyloid production. In addition, these peptides increase the rate of outflow of amyloid beta from the brain, which also contributes to a lower level of amyloid after treatment. These marked changes all occurred within a relatively short span of treatment. A very important additional finding was that treatment with these peptides brought about improvement in mice which were showing signs of well-established AD in the brain as well as in their behavior. This is unique in that most therapies fail to affect the progress of AD once it has begun to manifest clinically. Peptides also have fewer off-target effects. Small molecules are easy to administer, inexpensive to make and cross the blood-brain barrier more rapidly. For this reason, the team resorted to computational tools and artificial intelligence to come up with a new small molecular drug based on these peptides. This can be taken orally, and is similar in size and structure to the medications used for medical conditions like high blood pressure. An optimized version is being developed to enable human trials to be conducted. The work so far has taken about two decades, building step upon painstaking step to come up with the right solution. However, says Jhamandas, “Occasionally you come across a discovery that has the potential to change the game in a very fundamental way, like hitting a home run, and I'm very excited that we are really on to something here.” Short amylin receptor antagonist peptides improve memory deficits in Alzheimer’s disease mouse model. Rania Soudy, Ryoichi Kimura, Aarti Patel, Wen Fu, Kamaljit Kaur, David Westaway, Jing Yang & Jack Jhamandas. Scientific Reports, volume 9, Article number: 10942 (2019). https://doi.org/10.1038/s41598-019-47255-9. https://www.nature.com/articles/s41598-019-47255-9

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03What is nisin?

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04What was this study about?

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05A peptide identified in a fungus found in northern European pine forests possesses as much power as penicillin as well as vancomycin, according to an international team of researchers.

Reporting in the October 13 issue of Nature, a team from Denmark-based biotech company Novozymes, and researchers from Georgetown University Medical Center and the David Geffen School of Medicine at UCLA, say they have isolated "plectasin," the first defensin ever found in fungi. The research was performed at Novozymes laboratories in Denmark. Defensins are peptides, miniature protein molecules that are produced by a wide range of animals to protect themselves against infection. Humans have defensins in their white blood cells and in their skin, for example, but it is believed that this new fungal defensin, plectasin, is more potent and targets certain bacteria more specifically. Indeed, when plectasin was tested in the laboratory and in animals, it proved to be highly effective against the bacteria Streptococcus pneumoniae, and Streptococcus pyogenes, including strains that are now resistant to conventional antibiotics. These bacteria are responsible for such diseases as meningitis, community-acquired pneumonia, strep throat, life-threatening sepsis, and flesh destroying skin infections. The discovery of plectasin has implications for the development of defensins as a treatment against many common, and deadly, infections, and may initiate a new era of antibiotic discovery and development, said study co-author Michael Zasloff, M.D., Ph.D., Professor in the Departments of Surgery and Pediatrics at Georgetown University Medical Center. Zasloff says that the field of antibiotic development has not changed much since 1929 when Alexander Fleming realized that the fungal "bread mold" Penicillium, which had landed by chance in a Petri dish produced a substance that eliminated colonies of staphylococcal bacteria. "Most antibiotics used by humans are produced by fungi and certain soil bacteria," he said. "Using our existing tools of discovery, we have failed to uncover any new classes of antibiotics from these sources over the past decade. However, by utilizing a new genetic approach that allowed the team to discover plectasin, we now know that a whole class of antibiotics has been overlooked." "This finding (plectasin), and the existence of about 200,000 additional species of fungi, opens up a vast universe to explore for novel peptide antibiotics," said co-author Robert Lehrer, M.D., Distinguished Professor of Medicine at the David Geffen School of Medicine at UCLA. Plectasin, if proven safe and effective in humans, could be on the market by 2012, said Lehrer. Zasloff and Lehrer are known internationally as experts in antimicrobial peptides - the class of antibiotics that plectasin falls within - and in this study they collaborated with Novozymes, a Danish biotech company that led the research. Zasloff and Lehrer are the only two scientists from U.S. universities on the team of 20 researchers who co-authored the research paper. All life forms have to defend themselves against microbial invaders - bacteria, fungi, viruses - and to do this, they produce antimicrobial defensin peptides. In humans, defensins are made by specific white blood cells and immune cells that later engulf foreign invaders, and by the skin and mucous membranes, in order to kill microbes before they invade protective barriers. Researchers believe that fungi have a similar system of defense, especially since these plant-like organisms live off rotting matter, said Zasloff. "They must compete with other organisms, like bacteria and viruses, which also want to consume the same meal. In addition, they need to defend themselves from being eaten by the microbes which surround them." But he said no one had been able to find defensins in fungi using traditional research techniques, which involved growing fungi in liquid cultures and then testing the culture to see if it contained any antibiotic molecule. The research team instead used the latest genetic science to search for the defensins they thought fungi must have. Selecting the Pseudoplectania nigrella species of fungus may have been serendipitous, Lehrer said, but the Novozymes team used state-of-the-art biotechnology to intercept ,and interpret its genetic messages and exhibited tremendous skill in producing plectasin efficiently, economically, and in large amounts." "I started working on antimicrobial peptides over three decades ago, said Lehrer, and my laboratory first described human defensins in 1985. So, the discovery of plectasin makes me feel like a grandfather." Further examination revealed that this defensin, plectasin, resembles defensins found in spiders, scorpions, dragonflies and mussels - thus suggesting that the defensins found in insects, molluscs and fungi arose from a common ancestral gene, the researchers say. Based on this information, the scientists now believe that defensins appeared in living things more than a billion years ago. The investigators then turned to the National Center for Antimicrobials and Infection Control, the Danish equivalent of the U.S. Centers for Disease Control, to test plectasin in the laboratory for antimicrobial activity against a broad spectrum of bacteria. It showed potent activity against several species of Gram-positive bacteria, and was especially active against S. pneumoniae (the leading cause of pneumonia), including all known clinical strains and those that are now resistant to conventional antibiotics. "That is important because increasing bacterial resistance to conventional antibiotics threatens the future of many antibiotics in current use," Zasloff said. "In mouse studies, plectasin showed extremely low toxicity, and was as effective as vancomycin and penicillin in curing the animals of experimental peritonitis (inflammation of the lining of the abdominal cavity, which can be deadly) and pneumonia caused by S. pneumoniae, the researchers report. "Although the precise mechanism by which plectasin exerts its antimicrobial activity is still under investigation, it may work by a mechanism that is very different from traditional antibiotics, Zasloff said. "As a group, defensins exhibit activity against many types of bacteria, fungi, protozoa, and even viruses. It is entirely possible that fungal defensins will be discovered that could be developed against all of these human pathogens," Zasloff added.

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Peptide Therapy Guide Editorial Team

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