Key result
SGK1 inhibition reverses hypoexcitability in Alzheimer's iPSC-derived neurons by restoring Na+ currents and spontaneous firing.
Why the study?
The physiological consequences of elevated SGK1 expression observed in sporadic Alzheimer's disease were unclear.
Does SGK1 inhibition restore excitability in iPSC-derived cortical neurons from sporadic Alzheimer's disease patients?
Does SGK1 inhibition restore excitability in iPSC-derived cortical neurons from sporadic Alzheimer's disease patients?
SGK1 inhibition restores neuronal excitability and synaptic transmission in iPSC-derived cortical neurons from sporadic Alzheimer's disease patients, offering a potential new therapeutic pathway.
Should not yet change AD clinical practice; extends hypothesis for SGK1 inhibition as novel therapeutic target in sporadic disease.
The vast majority of Alzheimer's disease (AD) cases are sporadic, without a clear etiology. We have previously found increased expression of Serum and Glucocorticoid-regulated Kinase 1 (SGK1) in mouse models of dementia, postmortem cortical tissues and induced pluripotent stem cells (iPSCs)-derived cortical neurons from patients with sporadic AD (sAD). SGK1 is induced by a variety of cellular stress. The physiological consequences of elevated SGK1 in sAD is unclear. Here, we differentiated iPSCs from four sAD patients and four age- and sex-matched healthy controls into electrophysiologically mature cortical neurons with prolonged culture for more than 100 days. The sAD cortical neurons exhibited significant reductions in voltage-gated Na + currents, amplitudes of evoked action potentials, and frequencies of spontaneous excitatory postsynaptic currents and spontaneous action potentials. Application of a selective inhibitor of SGK1 reversed all these phenotypes in sAD neurons without affecting control neurons. The SGK1-dependent hypoexcitability suggests that a convergent and inborn mechanism attenuates neuronal communications despite different genetic background of the sAD patients. Their iPSC-derived cortical neurons have captured the defective neurotransmission, which underlies cognitive and memory symptoms of AD, many decades before clinical manifestations. The study offers a new pathway to restore synaptic transmission in AD. • Mature iPSC-derived cortical neurons from AD patients and healthy controls. • Reduced Na + currents and evoked action potential overshoot in AD neurons. • Decreased frequencies of spontaneous EPSC and spontaneous AP in AD neurons. • Hypoexcitability of AD neurons rescued by SGK1 inhibition. • SGK1-dependent inborn hypoexcitability in AD is captured in iPSC-derived neurons.
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Jiang et al. (2026) studied Sporadic Alzheimer's disease (n=8). Selective inhibitor of SGK1 vs. Untreated sAD neurons and healthy control neurons was evaluated on Voltage-gated Na+ currents, amplitudes of evoked action potentials, and frequencies of spontaneous excitatory postsynaptic currents and spontaneous action potentials. Application of a selective SGK1 inhibitor reversed the hypoexcitability phenotypes in iPSC-derived cortical neurons from sporadic Alzheimer's disease patients without affecting control neurons.
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