Circadian Clock Protein Discovery Offers New Hope for Alzheimer's Prevention
Groundbreaking research from Washington University School of Medicine reveals that manipulating the body's circadian rhythm could protect against Alzheimer's disease. Scientists discovered that inhibiting a specific circadian protein called REV-ERBα in mice significantly increased NAD+ levels and reduced harmful tau protein buildup in the brain. This innovative approach suggests that targeting the body's internal clock may represent a promising new strategy for preventing neurodegeneration and maintaining brain health as we age.
In a significant breakthrough for Alzheimer's research, scientists have uncovered a surprising connection between the body's circadian rhythm and brain protection against neurodegenerative diseases. Recent findings from Washington University School of Medicine in St. Louis demonstrate that manipulating our internal biological clock could offer a novel approach to preventing Alzheimer's pathology.

The Circadian-Alzheimer's Connection
The research, published in Nature Aging, focused on a specific circadian protein called REV-ERBα that helps regulate the body's daily rhythms of metabolism and inflammation. Led by Dr. Erik Musiek, the Charlotte & Paul Hagemann Professor of Neurology at WashU Medicine, the team investigated whether disrupting this protein's activity could influence brain health in mouse models of Alzheimer's disease.
What they discovered was remarkable: by turning off REV-ERBα, researchers observed significant increases in nicotinamide adenine dinucleotide (NAD+) levels in the brain. NAD+ is a crucial molecule involved in metabolism, energy production, and DNA repair, with declining levels closely associated with brain aging and neurodegenerative conditions.

Mechanism of Brain Protection
The research team employed two approaches to test REV-ERBα's role in brain health. In one group of mice, they genetically deleted the protein throughout the entire body, while in another group, they removed it specifically from astrocytes – supportive glial cells that form a major part of the central nervous system. Both methods resulted in significantly elevated NAD+ levels in the brain.
This finding is particularly important because it suggests that targeting REV-ERBα specifically in astrocytes could directly boost NAD+ in the brain, potentially offering a more precise therapeutic approach for neurodegeneration. The increased NAD+ levels subsequently led to reduced accumulation of tau protein, a toxic substance known to disrupt brain function and drive Alzheimer's disease progression.
Potential Therapeutic Applications
Beyond genetic approaches, the researchers also tested a pharmacological intervention. They used a drug that blocks REV-ERBα activity, which had previously shown promise in studies of amyloid-β and Parkinson's disease. This drug treatment similarly increased NAD+ levels and protected mice from tau-related brain damage.
The implications of these findings are substantial. As Dr. Musiek and first author Dr. Jiyeon Lee explained in their research publication, manipulating the body's internal clock through REV-ERBα inhibition could represent a completely new strategy for protecting the brain, preventing tau buildup, and potentially slowing or halting Alzheimer's disease progression.

Future Directions and Implications
While these findings are preliminary and conducted in mouse models, they open exciting new avenues for Alzheimer's prevention research. The study highlights the importance of circadian biology in brain health and suggests that timing-based interventions might one day complement existing approaches to neurodegenerative disease prevention.
The research team's work demonstrates that the relationship between our body's natural rhythms and brain health is more intricate than previously understood. By continuing to explore how circadian proteins like REV-ERBα influence neurodegenerative processes, scientists may develop innovative treatments that work with our biological clocks rather than against them.
As this field advances, it could lead to new preventive strategies for Alzheimer's disease that focus on optimizing circadian health, potentially offering hope for the millions affected by this devastating condition worldwide.



