LEPTIN PEPTIDES AND THEIR USE FOR TREATING NEUROLOGICAL DISORDERS

20200255492 ยท 2020-08-13

    Inventors

    Cpc classification

    International classification

    Abstract

    A method of treating a neurological disorder comprising administering a leptin peptide fragment comprising amino acids located within the region of amino acids 116-125 of leptin is disclosed. The leptin peptide fragment preferably comprises up to 30 amino acids, and/or wherein the leptin peptide fragment comprises one or more amino acids located between amino acids 116-122 of leptin, for example the sequence X.sub.1CX.sub.2LPX.sub.3X.sub.4 wherein X.sub.1 is selected from G or S; X.sub.2 is selected from S, H or P; X.sub.3 is selected from Q, H, W, L, P or R and X4 is selected from T, A, or V (SEQ ID NO:14) or the sequence SCHLPWASGL (SEQ ID NO:22). The neurological disorder can include those which would benefit from treatment through cognitive enhancement and/or neuroprotection, such as age-associated memory impairment or loss, mild cognitive impairment, and Alzheimer's disease, and can include Parkinson's disease, frontotemporal dementia, progressive supranuclear palsy, Pick's disease, corticobasal degeneration, alcoholic dementia, (DLB) dementia with Lewy bodies, Picks' disease, thalamic dementia, hippocampal sclerosis, Hallervorden-Spatz, multiple system atrophy, tauopathies, subacute aterioscleroitic encephalopathy (Binswanger's disease), amyloid angiopathy, vasculitis, prion diseases, and paraneoplastic syndromes. The invention also includes a pharmaceutical formulation for this method, which can include the peptide in the form of a cyclic peptide or a peptide conjugate.

    Claims

    1.-34. (canceled)

    35. A method of treating a neurological disorder comprising administering to a subject in need, a leptin peptide fragment comprising at least 4 consecutive amino acids located within the region of amino acids 116-125 of leptin.

    36. The method according to claim 35, wherein the leptin peptide fragment comprises up to 30 amino acids.

    37. The method of claim 35, wherein the leptin peptide fragment comprises one or more amino acids located between amino acids 116-122 of leptin.

    38. The method of claim 35, wherein the leptin peptide comprises the sequence:
    X1CX2LPX3X4 wherein X1 is selected from G or S; X2 is selected from S, H or P; X3 is selected from Q, H, W, L, P or R and X4 is selected from T, A, or V (SEQ ID NO:14).

    39. The method according to claim 35, wherein the leptin peptide comprises amino acids selected from the group consisting of 116-121 of leptin, 117-122 of leptin, 117-125 of leptin, 118-123 of leptin, 119-124 of leptin, 120-125 of leptin, and 116-130 of leptin.

    40. The method of claim 35, wherein the leptin peptide fragment comprises a sequence derived from human leptin.

    41. The method of claim 35, wherein the leptin peptide fragment has the sequence SCHLPWASGL (SEQ ID NO:22).

    42. The method of claim 35, wherein the leptin peptide fragment comprises 1, 2, or 3 deletions, modifications, substitutions and/or additions to the amino acid sequence.

    43. The method of claim 35, wherein the leptin peptide fragment is in the form of a cyclic peptide.

    44. The method of claim 35, wherein the peptide is in the form of a peptide conjugate, wherein the leptin peptide fragment is conjugated to another peptide, or non-peptide molecule.

    45. The method of claim 44, wherein the other peptide or non-peptide molecule is a biologically or pharmaceutically active agent.

    46. The method of claim 35, wherein the neurological disorder is a disorder which would benefit from treatment through cognitive enhancement and/or neuroprotection.

    47. The method of claim 35, wherein the neurological disorder is selected from the group consisting of age-associated memory impairment or loss, mild cognitive impairment, and Alzheimer's disease.

    48. The method of claim 35, wherein the neurological disorder is selected from the group consisting of Parkinson's disease, frontotemporal dementia, progressive supranuclear palsy, Picks disease, corticobasal degeneration, alcoholic dementia, (DLB) dementia with Lewy bodies, Picks' disease, thalamic dementia, hippocampal sclerosis, Hallervorden-Spatz, multiple system atrophy, tauopathies, subacute aterioscleroitic encephalopathy (Binswanger's disease), amyloid angiopathy, vasculitis, prion diseases, and paraneoplastic syndromes.

    49. A pharmaceutical formulation comprising a leptin peptide fragment comprising at least 4 consecutive amino acids located within the region of amino acids 116-125 of leptin.

    50. The pharmaceutical formulation according to claim 49, wherein the leptin peptide fragment comprises up to 30 amino acids.

    51. The pharmaceutical formulation according to claim 49, wherein the leptin peptide fragment comprises one or more amino acids located between amino acids 116-122 of leptin.

    52. The pharmaceutical formulation according to claim 49 comprising the sequence:
    X1CX2LPX3X4 wherein X1 is selected from G or S; X2 is selected from S, H or P; X3 is selected from Q, H, W, L, P or R and X4 is selected from T, A, or V (SEQ ID NO:14).

    53. The pharmaceutical formulation according to claim 49, wherein the leptin peptide fragment comprises amino acids selected from the group consisting of 116-121 of leptin, 117-122 of leptin, 117-125 of leptin, 118-123 of leptin, 119-124 of leptin, 120-125 of leptin, and 116-130 of leptin.

    54. The pharmaceutical formulation according to claim 49, wherein the leptin peptide sequence is derived from human leptin.

    55. The pharmaceutical formulation according to claim 49, wherein the 116-125 region of leptin has the sequence SCHLPWASGL (SEQ ID NO:22).

    56. The pharmaceutical formulation according to claim 49, comprising 1, 2, or 3 deletions, modifications, substitutions and/or additions to the amino acid sequence.

    57. The pharmaceutical formulation according to claim 49, wherein the leptin peptide fragment is in the form of a cyclic peptide.

    58. The pharmaceutical formulation according to claim 49, wherein the peptide is in the form of a peptide conjugate, wherein the leptin peptide fragment is conjugated to another peptide, or non-peptide molecule.

    59. The pharmaceutical formulation according to claim 58, wherein the other peptide or non-peptide molecule is a biologically or pharmaceutically active agent.

    60. A cyclic peptide or peptide conjugate comprising a leptin peptide fragment comprising at least 4 consecutive amino acids located within the region of amino acids 116-125 of leptin.

    61. The cyclic peptide or peptide conjugate according to claim 60, wherein the leptin peptide fragment comprises up to 30 amino acids.

    62. The cyclic peptide or peptide conjugate according to claim 60, wherein the leptin peptide fragment comprises one or more amino acids located between amino acids 116-122 of leptin.

    63. The cyclic peptide or peptide conjugate according to claim 60, comprising the sequence:
    X1CX2LPX3X4 wherein X1 is selected from G or S; X2 is selected from S, H or P; X3 is selected from Q, H, W, L, P or R and X4 is selected from T, A, or V (SEQ ID NO:14).

    64. The cyclic peptide or peptide conjugate according to claim 60, wherein the leptin peptide fragment comprises amino acids selected from the group consisting of 116-121 of leptin, 117-122 of leptin, 117-125 of leptin, 118-123 of leptin, 119-124 of leptin, 120-125 of leptin, and 116-130 of leptin.

    65. The cyclic peptide or peptide conjugate according to claims 60, wherein the leptin peptide sequence is derived from human leptin.

    66. The cyclic peptide or peptide conjugate according to claim 60, wherein the 116-125 region of leptin has the sequence SCHLPWASGL (SEQ ID NO:22).

    67. The cyclic peptide or peptide conjugate according to claims 60, comprising 1, 2, or 3 deletions, modifications, substitutions and/or additions to the amino acid sequence.

    Description

    BRIEF DESCRIPTION OF THE DRAWINGS

    [0071] The present invention will now be further described by way of example, with reference to the following figures.

    [0072] FIG. 1A, FIG. 1B, and FIG. 1C are graphs of normalized iEPSP slope versus time.

    [0073] FIG. 2A, FIG. 2B, FIG. 2C, FIG. 2D, FIG. 2E, and FIG. 2F are graphs of normalized slope (% baseline) versus time (FIG. 2A and FIG. 2B); a photograph of representative confocal images of surface GluR1 staining in control cultured hippocampal neurons and after exposure to leptin (FIG. 2C; a bar graph of relative intensity for Control, Leptin, Leptin (116-130) and Leptin 22-56); and a bar graph of relative intensity versus Control, Leptin, BpV, Bpv plus Leptin, Leptin 116 and BpV plus Leptin 116.

    [0074] FIG. 3A, FIG. 3B, FIG. 3C and FIG. 3D are graphs of normalized fEPSP slope versus time.

    [0075] FIG. 4A, FIG. 4B, FIG. 4C, and FIG. 4D are graphs of normalized fEPSP slope versus time (FIG. 4A, FIG. 4B, FIG. 4C and FIG. 4D) and 4E shows a bar graph of relative intensity for A (41-1), A, Leptin, Leptin plus A, Leptin 116 (116-130 peptide), Leptin 116 plus A, Leptin 22 (22-56 peptide) and Leptin 22 plus A.

    [0076] FIG. 5A, FIG. 5B, FIG. 5C and FIG. 5D are bar graphs showing the percent LDH release for human Leptin and Leptin (116-130); CuCl2-treated (FIG. 5A), A1-41-treated (FIG. 5B), and untreated (FIG. 5C).

    [0077] FIG. 6A, FIG. 6B and FIG. 6C are bar graphs showing the present LDH release for A1-42, Leptin (116-130), WP1066, Leptin (116-130) plus wortmannin, and wortmannin (FIG. 6A); the ratio of p-STAT3:pan-STAT3 for untreated or Leptin (116-130) (FIG. 6B); and the ratio of p-Akt:pan-Akt for untreated and Leptin (116-130) (FIG. 6C).

    [0078] FIG. 7A, FIG. 7B, FIG. 7C and FIG. 7D are a drawing showing object-place-context recognition (FIG. 7A); and bar graphs showing dimension index (FIG. 7B), total exploration time (FIG. 7C) and exploration time (FIG. 7D) for control, leptin, and fragment.

    [0079] FIGS. 8A and 8C are graphs of normalised fEPSP slope over time for leptin 116-121 and leptin 124-129 respectively; FIGS. 8B and 8D are bar graphs of relative intensity vs control for leptins 116-121, 117-122 and leptins 124-129, 125-130; FIG. 8E is a bar graph of relative intensity above control for leptin 116-121, 117-122, 118-123, 120-125 and 124-129.

    [0080] FIG. 9A and FIG. 9B are representative confocal images of surface GluA1 expression in hippocampal neurons and a bar graph showing relative intensity of surface GluA1 for Control and the three indicated Leptin fragments. FIG. 9c is a bar graph of relative intensity above control for leptin 116-121, 117-122, 118-123, 120-125, 124-129 and 125-130.

    [0081] FIG. 10 is a diagram showing the sequences and activities of Leptin fragments. Leptin (116-121) (SCSLPQ, SEQ ID NO:16); Leptin (117-122) (CSLPQT, SEQ ID NO:17); Leptin (118-123) (SLPQTS, SEQ ID NO:18); Leptin (120-125) (PQTSGL, SEQ ID NO:19); Leptin (124-129) (GLQKPE, SEQ ID NO:20); Leptin (116-130) (SCSLPQTSGLQKPES, SEQ ID NO:21). Leptin (125-130) (LQKPES, SEQ ID NO:22)

    [0082] FIG. 11A, FIG. 11B, and FIG. 11C are three bar graphs showing % LDH release, % mitochondrial activity, and ptau expression, respectively, for the indicated Leptin fragments.

    [0083] FIG. 12: A.sub.1_42 promotes increased expression of tau at dendrites. A) Representative confocal images of endogenous tau labelling in control (HBS) and A.sub.1_42 (1 M) treated hippocampal (7-14 days in vitro) neurons, with magnified views of dendritic regions indicated by white boxes and intensity profiles of corresponding dendrites. A.sub.1_42 increased endogenous tau expression compared to control. Scale bars are 10 gm. B) Pooled data showing relative tau intensity in control and A.sub.1_42-treated neurons. A.sub.1_42 promotes tau mislocalization to dendrites. C) Representative images of endogenous tau staining in control conditions and after exposure to the inactive, reverse peptide of A.sub.1_42 (A.sub.42_1; 1 M) and A.sub.1_42 (1 M). A.sub.42_1 has no effect on the endogenous levels of tau compared to control whereas A.sub.1_42 increases dendritic levels of tau. D) Pooled data showing relative tau intensities for control, A.sub.42_1 and A1-42- ** * represent p<0.001.

    [0084] FIG. 13: A.sub.1-42 promotes increased expression of tau at synapses. A) Representative confocal images of endogenous tau (red) and PSD-95 (green) labelling in control (HBS), A.sub.42-1 (1 M) and A.sub.1-42 (1 M) treated hippocampal (7-14 DIV) neurons, with magnified dendritic regions indicated by white boxes and intensity profiles of corresponding dendrites. A.sub.1-42 increases % co-localization between endogenous tau and PSD-95 compared to A.sub.42-1 and control-treated neurons. Scale bars are 10 ium. B) Pooled data showing % co-localization for control, A.sub.42-1 and A.sub.1-42 treated neurons. A.sub.1-42 promotes tau mislocalization to dendritic spines. C) Pooled data showing relative tau intensity for control, A.sub.42-1 and A.sub.1-42.

    [0085] FIG. 14: Leptin prevents A-induced mislocalization of tau to synapses. A. Representative confocal images of endogenous tau (red) and PSD-95 (green) labelling in control (HBS), leptin (10 nM), A1-42 (1 M) and leptin (10 nM)+A1-42 (1 M) treated hippocampal neurons. Leptin reduces the levels of tau and its expression at synapses. B) Pooled data showing % co-localization for control, leptin, A1-42 and A1-42+leptin-treated neurons. Leptin prevented the A1.42-driven movement of tau to synapses. C) Pooled data showing relative tau intensity in control, leptin, A1-42 and A1-42+leptin-treated neurons. Leptin counteracts A1-42's effects by reducing the dendritic levels of tau to near control levels.

    [0086] FIG. 15: Leptin(116-130) prevents AP-induced mislocalization of tau to synapses. A) Representative confocal images of endogenous tau (red) and PSD-95 (green) labelling in control (HBS), leptin(116-130; 10 nM), A1_42 (1 M) and leptin(116-130; 10 nM)+A1-42 (1 M) treated neurons. Leptin(116-130) reduces the dendritic levels of tau and its synapses. Scale bars=B) Pooled data showing % co-localization for control, leptin(116-130), A1-42 and A1-42+leptin(116-130)-treated neurons. Leptin(116-130) prevented A1-42-driven movement of tau to synapses. C) Pooled data showing relative tau intensity in control, leptin(116-130), A1_42 and A1-42+leptin(116-130)-treated neurons. Leptin(116-130) counteracts A1-42's effects by reducing dendritic tau levels.

    [0087] FIG. 16. Treatment with A.sub.1-42 increases phosphorylation of tau. A: Confocal images of phosphorylated tau (p-Tau) staining in control treated (HBS), A.sub.1-42 (1 M) treated, and A.sub.42-1 (1 M) treated hippocampal cultures. Scale bar represents 10 m. B: Histogram of pooled data from changes in p-Tau localization in control conditions, and after exposure to A.sub.1-42, or A.sub.42-1 in hippocampal neurons. Dashed line denotes changes compared to control intensity. *, **, and *** represent p<0.05, p<0.01, and p<0.001, respectively.

    [0088] FIG. 17. The synaptic levels of p-Tau are increased by A1-42. A. Confocal images of p-Tau (red) and PSD-95 (green) staining in control (HBS), A1.42 (1 M) and A42.1 (1 M) treated cultures. (B) Histogram of pooled data showing changes in p-Tau localization in control conditions, and after exposure to A1.42, or A42.1 in hippocampal neurons (n=4). (C) Histogram of pooled data showing p-tau/PSD-95 co-localisation in control conditions, and after exposure to A1.42, or A42-1 in hippocampal neurons (n=3). (D) Histogram of pooled data of % co-localization of p-Tau and PSD-95 (n=3). Dashed line denotes changes compared to control intensity

    [0089] FIG. 18. Leptin protects against A.sub.1-42 effects on p-tau. (A). Confocal images of p-Tau staining in control (HBS), A.sub.1-42 (1 M), leptin (10 nM), and A.sub.1-42 (1 M)+leptin (10 nM) treated cultures. (B) Histogram of pooled data showing changes in p-Tau localization in control conditions, and after exposure to A.sub.1-42, leptin and A.sub.1-42+leptin. C: Histogram of pooled data of % co-localization of pTau and PSD-95 in neurons exposed to A.sub.1-42, leptin or A.sub.1-42+leptin. Leptin prevents A.sub.1-42-driven tau phosphorylation and its targeting to synapses.

    [0090] FIG. 19. The leptin fragment (116-130) also protects against the effects of A.sub.1-42 A. Histogram of pooled data illustrating changes in p-Tau localization in control conditions, and after exposure to A.sub.1-42, leptin frag (116-130) and A.sub.1-42leptin (116130) in hippocampal neurons (n=2). B: Histogram of pooled data of the % co-localization of p-Tau and PSD-95 after exposure to A.sub.1-42, leptin(116-130) and A.sub.1-42+leptin(116-130) in hippocampal neurons. (n=2). Treatment with leptin(116-130) prevents A.sub.1-42-dependent phosphorylation of tau and it trafficking to synapses.

    [0091] FIG. 20: Leptin prevents A-induced mislocalization of tau by inhibiting GSK-3. A) Representative confocal images of tau (red) and PSD-95 (green) labelling in A1-42 (1 M)+leptin (10 nM), A1-42 (1 M)+SB216763 (100 nM) and A1-42 (1 M)+SB216763 (100 nM)+leptin (10 nM) treated hippocampal neurons. Inhibition of GSK-3 reduces tau expression at synapses. B) Pooled data showing % co-localization for tau and PSD95 under various conditions. Inhibition of GSK-3 mirrored the effects of leptin as it decreased % tau/PSD-95 co-localization. C) Pooled data showing relative tau intensity in neurons under various conditions. Inhibition of GSK-3 by SB216763 mirrors the effects of leptin suggesting that the protective actions of leptin are due to inhibition of GSK-3.

    [0092] FIG. 21: A: Bar chart of the quantification of the fluorescent signal per cell following thioflavin S staining of SH-SY5Y neuronal cultures 96 hours after seeding with 1 M Amyloid (A.sub.1-42). Cultures were established in triplicate on 3 separate occasions and statistical significance relative to control untreated cultures is denoted by *** where P<0.001. Also shown are fluorescent photomicrographs (B) of thioflavin S-stained control untreated cultures, cultures treated with 1 nM leptin.sub.116-130, 1 M Ab.sub.1-42 or co-treated with 1 nM leptin.sub.116-130 and 1 M Ab.sub.1-42(B). Thioflavin S is used to stain for amyloid in these cultures and it is clear that amyloid propagation following seeding is greatly reduced in the presence of leptin.sub.116-130. Scale bar represents 10 m.

    [0093] FIG. 22: Bar graph (A) demonstrating the percent survival of SH-SY5Y neural cells following serum/glucose deprivation (an emerging in vitro model of stroke [2]). Cultures were established on 7 separate occasions in quadruplicate and starved of serum and glucose when they reached 70% confluence. Neural cell viability in response to a range of concentrations of leptin.sub.116-130 was determined 96 hours later using a crystal violet assay to measure cell number. Statistical significance relative to serum/glucose deprivation is denoted with ** where P<0.01 and *** where P<0.001. Photomicrographs of serum/glucose deprived cultures and of serum/glucose deprived cultures treated with 0.1 nM leptin.sub.116-130 (B) further highlight the enhanced cell number in the presence of leptin.sub.116-130. Scale bar represents 25 m.

    [0094] FIG. 23: Bar graph demonstrating an increase in the cross-sectional area of individual mitochondria following 1 hour of treatment with 100 M 6-OHDA. In combination with 0.1 nM leptin.sub.116-130(A), leptin.sub.116-130 prevents 6-OHDA-associated mitochondrial swelling. Also shown is a bar graph demonstrating the decrease in mitochondrial fragmentation following treatment with 100 M 6-OHDA. In combination with 0.1 nM leptin.sub.116-130 (B), leptin.sub.116-130 prevents 6-OHDA-associated mitochondrial clumping. Cultures were established on 3 separate occasions in quadruplicate and stained with MitoRED to identify mitochondria after 1 hour of treatment. Statistical significance relative to untreated control is denoted with ** where P<0.01 and *** where P<0.001. Representative images of 100 M 6-OHDA-treated MitoRED stained cultures (C) and 100 M 6-OHDA and leptin.sub.116-130 co-treated MitoRED stained cultures are shown. Scale bar represents 10 M.

    [0095] FIG. 24. Bar chart of the quantification of the fluorescent signal per cell following thioflavin S staining of neuronal cultures 96 hours after seeding with 1 M Amyloid (Ab.sub.1-42). Cultures were established in triplicate on 3 separate occasions and statistical significance relative to control untreated cultures is denoted by *** where P<0.001 (A). Bar chart demonstrating the discrimination index of exploration time of novel, compared to familiar, objects in a murine episodic-like memory test (B). 3 groups of mice (n=8 per group) were IP injected with saline (control) on 7.8 nM/ml leptin.sub.116-121 or leptin.sub.117-121. Memory performance was tested 45 minutes post-injection. Statistical significance relative to saline-injected animals is denoted by * where P<0.05. Bar chart of serum leptin levels in mice injected with leptin.sub.116-121 or leptin.sub.117-122 demonstrating that administration of these hexamers did not significantly alter the level of native leptin (C). Leptin levels were determined by ELISA, using a commercially-supplied kit (Sigma, UK) and using blood serum harvested 24 hours post injection.

    [0096] FIG. 25. Alignment of murine and human target sequences within the flexible C-D loop region of the leptin molecule (A). Bar chart showing the quantification of the fluorescent signal per cell following thioflavin S staining of neuronal cultures 96 hours after seeding with 1 M Amyloid (Ab.sub.1-42) (B). Cultures were established in triplicate on 3 separate occasions and statistical significance relative to control untreated cultures is denoted by *** where P<0.001.

    [0097] FIG. 26. Bar graphs demonstrating the survival of fully differentiated SH-SY5Y human neuronal cells following administration of either A.sub.1-42 (10 M; A, B) or 10 M CuCl.sub.2 (C,D). Data from crystal violet assays to determine cell number (A, C) or lactate dehydrogenase assays to quantify the degree of cell membrane rupture (B, D) are shown, Cultures were established on 3 separate occasions in triplicate and viability was determined 96 hours post treatment. Statistical significance relative to control, untreated cells is denoted with * where P<0.05; ** where P<0.01 and *** where P<0.001.

    DETAILED DESCRIPTION OF EMBODIMENTS OF THE INVENTION

    [0098] FIG. 1A, FIG. 1B, and FIG. 1C show that Leptin (116-130) promotes conversion of STP into a persistent increase in synaptic transmission in juvenile hippocampus. FIG. 1A: pooled data showing that primed burst stimulation (indicated by the arrow) delivered in the absence of leptin induced STP (filled circle) in juvenile hippocampal slices. In contrast, in leptin-treated slices (open circle) the same stimulation paradigm resulted in a persistent increase in synaptic transmission. In this and subsequent figures, each point is the average of 4 successive responses. Top, Representative synaptic records (average of 4 consecutive records) are shown for the times indicated. FIG. 1B and FIG. 1C: during exposure to leptin (116-130; 50 nM), application of the primed burst stimulation paradigm resulted in a persistent increase in synaptic transmission FIG. 1B, whereas only STP was evident in slices treated with leptin (22-56; FIG. 1C);

    [0099] FIG. 2A, FIG. 2B, FIG. 2C, FIG. 2D, FIG. 2E, and FIG. 2F show that in adults, leptin (116-130) induces a persistent increase in synaptic efficacy and increases GluA1 trafficking to hippocampal synapses. FIG. 2A: pooled data showing that application of leptin (116-130) results in a persistent increase in excitatory synaptic transmission in adult hippocampal slices. FIG. 2B: in contrast application of leptin (22-56) failed to alter excitatory synaptic strength. FIG. 2C: representative confocal images of surface GluR1 staining in control cultured hippocampal neurons and after exposure to leptin, leptin (116-130) or leptin (22-56). Leptin (116-130) mirrors the effects of leptin by increasing GluA1 surface labelling. Scale bars, 10 m. FIG. 2D: pooled data showing relative changes in surface GluA1 labelling in control conditions, and after exposure to leptin, leptin (116-130) or leptin (22-56) in hippocampal neurons. FIG. 2E: pooled data of the percent colocalization of surface GluA1 and synaptophysin immunolabelling in cultured hippocampal neurons. Leptin (116-130), but not leptin (22-56) increased GluA1 surface labelling associated with synapses. FIG. 2F: pooled data of relative changes in surface GluA1 labelling in hippocampal cultures in control conditions, after bpV, leptin or leptin (116-130) treatment, and in the presence of bpV and either leptin, or leptin (116-130). Inhibition of PTEN mimicked and occluded the effects of leptin (116-130).

    [0100] FIG. 3A, FIG. 3B, FIG. 3C and FIG. 3D show Leptin (116-130) inhibits the aberrant effects of amyloid- A.sub.1-42 on hippocampal synaptic plasticity in juvenile slices. FIG. 3A: pooled data showing that HFS (indicated by the arrow) induces synaptic plasticity in A.sub.42-1-treated (open circles) slices, whereas A.sub.1-42 inhibits synaptic plasticity (filled circles). FIG. 3B: exposure to leptin prevented A.sub.1-42-inhibition of synaptic plasticity. Treatment with leptin (116-130; FIG. 3C) but not leptin (22-56; FIG. 3D) reversed A.sub.1-42-inhibition of synaptic plasticity.

    [0101] FIG. 4A, FIG. 4B, FIG. 4C, FIG. 4D and FIG. 4E show Leptin (116-130) prevents A-induced AMPA receptor internalization and facilitation of hippocampal LTD. FIG. 4A: pooled data showing that the subthreshold low frequency stimulation (indicated by the arrow) failed to induce long-term depression (LTD) in A42-1-treated (open circles) slices, whereas robust LTD (filled circles) is induced in A1-42-treated juvenile slices. FIG. 4B: exposure to leptin prevented A1-42-induced LTD. Similarly treatment with leptin (116-130; FIG. 4C) but not leptin (22-56; FIG. 4D) prevented A1-42-induced LTD. FIG. 4E: pooled data showing relative changes in GluA1 surface labelling in cultured hippocampal neurons in control (A42-1) conditions and after treatment with leptin, A1-42, leptin (116-130), leptin (22-56) and in the presence of A1-42 plus either leptin, leptin (116-130) or leptin (22-56), respectively. Leptin and leptin (116-130) prevent A-driven internalization of GluA1.

    [0102] FIG. 5A, FIG. 5B, FIG. 5C and FIG. 5D show that Leptin (116-130) prevents copper and A-induced cell death in human SH-SY5Y cells. FIG. 5A: pooled data revealing that leptin and leptin (116-130) prevent LDH release induced by administration of 5 M CuCl2. FIG. 5B: similar pooled data was obtained for cultures treated with 10 M A1-42. FIG. 5C: pooled data showing that in 5 M CuCl2 treated cultures enhanced numbers of cells are detected with a crystal violet assay when cultures are co-treated with either leptin or leptin (116-130) with a similar trend observed when cultures were induced to die with 10 M A1-42 (FIG. 5D);

    [0103] FIG. 6A, FIG. 6B and FIG. 6C show that the neuroprotective effects of leptin (116-130) involve activation of STAT3 and PI3-kinase-dependent signalling pathways. FIG. 6A: pooled data revealing that treatment of SH-SY5Y cells with the STAT-3 inhibitor WP1066 (5 M) prevented leptin (116-130)-mediated neuroprotection from the effects of 10 M A1-42. FIG. 6A: pooled data from LDH assays demonstrating that the PI3-kinase inhibitor wortmannin (50 nM) attenuated leptin (116-130)-mediated neuroprotection against 10 M A1-42. Pooled data from ELISA assays showing that leptin (116-130) stimulates phosphorylation of STAT3 (FIG. 6B). Pooled data from ELISA assays showing that leptin (116-130) stimulates phosphorylation of Akt (FIG. 6C);

    [0104] FIG. 7A, FIG. 7B, FIG. 7C and FIG. 7D show Leptin (116-130) enhances episodic-like memory. FIG. 7A: object-place-context task used to assess episodic-like memory. There are 2 sample phases in which mice are exposed to different copies of 2 different objects (star and hexagon) and allowed to explore for 3 min. In the test phase they see 2 new copies of 1 of the objects. The arrow points to the object that has not been previously seen in that place within that context. FIG. 7B: meanSEM discrimination index for the 3 groups. *P<0.05. FIG. 7C: total exploration time in the test phase is not different between groups. FIG. 7D: exploration of the novel and familiar objects in the test phase; treatment with leptin or the leptin fragment (116-130) enhanced performance on the episodic-like memory test.

    [0105] FIG. 8 shows Leptin (116-121) and (117-122) facilitate hippocampal LTP; Top panel: Application of leptin (116-121; open circle) significantly increased the magnitude of LTP compared to control (filled circle; n=6). Middle panel, In contrast, application of leptin (124-129; open circle) failed to alter the magnitude of LTP compared to control (filled circle; n=6). 2B, Lower panel; Histograms of pooled data showing the effects of the different hexamers on the magnitude of LTP in juvenile hippocampal slices. Leptin (116-121) and leptin (117-122) both increased the magnitude of LTP (2B), whereas leptin (124-129) and leptin (125-130) were without effect (2D). *** P<0.001; **P<0.01; *P<0.05.

    [0106] FIG. 9A and FIG. 9B show that Leptin (116-130) and leptin (117-122), but not leptin (124-129) enhance GluA1 surface expression in hippocampal neurons. FIG. 9A: representative confocal images of surface GluA1 expression in hippocampal neurons (8 DIV) in control conditions and following treatment with leptin (116-130), leptin (117-122) or leptin (124-129). GluA1 surface expression was detected using an antibody against a cell-surface epitope of GluA1 as previously (Moult et al, 2010). The scale bars represent 10 m. FIG. 9B: pooled data (n=48) showing relative changes in control conditions and after exposure to leptin (116-130), leptin (117122) or leptin (124-129). Both leptin (116-130) and leptin (117-122) increased GluA1 surface labelling, whereas leptin (124-129) had no effect. *** P<0.001; **P<0.01; *P<0.05. C, Summary plot of the effects of the leptin fragments on AMPA receptor trafficking.

    [0107] FIG. 10 is a summary of leptin fragment hexamers and their effects on hippocampal synaptic function.

    [0108] FIG. 11A, FIG. 11B, and FIG. 11C show Leptin 116-121 and 117-122 protect against A.sub.1-42-mediated cell death in differentiated SH-SY5Y human neuronal cells in vitro. FIG. 11A: histogram of pooled data obtained using an LDH assay which detects release of lactate dehydrogenase and therefore neuroprotection is indicated by a decrease in levels. Treatment with leptin and the leptin fragment (116-130) protects against A-induced cell death induced by A.sub.1-42. This neuroprotective action is mirrored by the hexamers leptin (116-121) and leptin (117-122), but not leptin (124-129) and leptin (125-130). FIG. 11B: histogram of pooled data obtained using an MTT assay that monitors mitochondrial activity and therefore an enhanced level of activity reflects greater neuronal survival. Exposure to either leptin or leptin (116-130) protects against A-induced cell death, and again this is mirrored by the hexamers leptin (116-121) and leptin (117-122), but not leptin (124-129) and leptin (125-130). FIG. 11C: data from and ELISA assay measuring phosphorylated tau expression in differentiated SH-SY5Y human neuronal cells treated with leptin, leptin (116-130) or the leptin hexamers. Treatment with leptin and the leptin fragment (116-130) protects against A.sub.1-42-mediated increase in p-tau, which is mirrored by the hexamers leptin (116-121) and leptin (117-122), but not leptin (124-129) and leptin (125-130). Data was analysed by one-way ANOVA with Tukey post hoc test; residuals were normally distributed. All significant differences are stated relative to A.sub.1-42 viability where: *** P<0.001; **P<0.01; *P<0.05; n=11 biological repeats (each biological data point representing the mean of 3 technical repeats).

    [0109] Methods

    [0110] Primary Neuronal Culture

    [0111] Hippocampal cultures were prepared from neonatal Sprague Dawley rats as before (O'Malley et al. 2007). Briefly, neonatal Sprague Dawley rats (1-3 days old) were killed by cervical dislocation in accordance with Schedule 1 of the United Kingdom Government Animals (Scientific Procedures) Act, 1986 and the hippocampi removed. After washing in HEPES buffered saline (HBS) comprising (mM): NaCl 135; KCl 5; CaCl.sub.2 1; MgCl.sub.2 1; HEPES 10; D-glucose 25 at pH 7.4; cells were treated with protease Type X and Type XIV (0.5 mg/ml; Sigma) for 25 min at room temperature. Dissociated cells were plated onto sterile dishes (Falcon 3001) treated with poly-1-lysine (20 g/ml; 1-2 h) and maintained in MEM with serum replacement-2 (Sigma) in a humidified atmosphere of 5% CO2 and 95% O2 at 37 C. for up to 3 weeks.

    [0112] Human Neural Cell Line SH-SY5Y

    [0113] The human neuroblastoma cell line, SH-SY5Y (ECACC, UK) was maintained in Dulbecco's Modified Eagle Medium supplemented with glucose (4500 g/l) and 10% (v/v) cosmic calf serum (Fisher Scientific, UK) at 37 C. in a humidified atmosphere of 5% CO2, 95% air and allowed to reach 70-80% confluence before seeding. Cells (passage 10-18) were plated at 10 000 cells per well in 96 well tissue culture plates (Nunc, VWR, UK) and at a density of 210.sup.5 cells in 35 mm dishes for protein extraction. To induce differentiation, cells were cultured in DMEM supplemented with glucose (4500 g/l), 1% (v/v) cosmic calf serum and 10 M retinoic acid for 5 days. Thereafter they were incubated in DMEM supplemented with glucose (4500 g/l), serum replacement 2 (2%; Sigma, UK) and 18 M 5-fluorodeoxyuridine to inhibit proliferation of undifferentiated cells. The 50% of the medium was changed every 2-3 days and pharmacological treatment was carried out 7 days after switching to this medium. Reagents used were (from Sigma UK unless stated) 0.1-10 nM human leptin and leptin (116-130); 0.1-10 nM leptin (22-56; Bachem; Switzerland); 10 nM leptin (116-121) leptin (117-122), leptin (124-129) or leptin (125-130; all Severn Biotech, UK); 5 M copper chloride; 10 mM A.sub.1-42, 5 M WP1066 or 50 nM wortmannin. All treatments were added to the culture at the same time and survival assays were carried out after 96 h treatment. Protein samples for signaling ELISA were extracted 3 h after exposure to the relevant reagents and for biomarker expression after 72 hours.

    [0114] Cell Survival Assays

    [0115] The concentration of lactate dehydrogenase (LDH) in the culture medium or the mitochondrial activity within cells was used to monitor the level of cell death, as previously (Oldreive and Doherty 2010). In certain experiments, a Crystal violet assay was used to assess total cell number. Cells were fixed in neutral buffered formalin and washed 3 times in PBS prior to staining with 0.01% crystal violet acetate for 5 min. Plates were washed 5-10 times in dH2O and cells solubilised in 100 l dimethyl sulfoxide (DMSO) before reading the absorbance on a Biohit BP100 plate reader. For all assays, data is expressed as percentage relative to control, untreated wells to normalize for differences in plating density between individual experiments.

    [0116] ELISA for Cell Signalling Pathways and Phosphorylated Tau

    [0117] Protein from cultures was extracted into 500 l Tris-buffered saline containing protease inhibitor cocktail, and a Bradford assay used to determine protein concentration. Samples were diluted to give equal loading onto ELISA plates. Commercially available ELISA kits were used in accordance with the manufacturer's instructions to determine the ratio of pan-STAT3 to phospho-STAT3 (Sigma, UK) and pan-Akt to phospho-Akt (Sigma, UK) and the levels of alpha-tubulin and phosphorylated tau (Sigma, UK). Each protein sample was run in duplicate using samples derived from at least 5 biological repeats.

    [0118] Surface Labelling of AMPA Receptors

    [0119] To monitor GluA1 surface expression, immunocytochemistry was performed on hippocampal cultures (7-14 DIV) as before (Moult et al. 2010). Neurons were treated with agents for 20 min at room temperature (20-22 C.) before incubation with an antibody against an N-terminal region of GluA1 (sheep anti-GluR1; in house antibody against synthetic peptide (RTSDSRDHTRVDWKR) corresponding to 253-267 residues of GluR1; 1:100; Moult et al. 2010) at 4 C. Neurons were then fixed with 4% paraformaldehyde (5 min) before adding an appropriate fluorescently labelled secondary.

    [0120] Electrophysiology.

    [0121] Parasagittal hippocampal slices (300 m) were prepared from either P13-21 or 12-24-week-old male Sprague Dawley rats as previously (Moult et al. 2010). Brains were rapidly removed and placed in ice-cold artificial CSF (aCSF; bubbled with 95% O.sub.2 and 5% CO.sub.2) containing the following (in mm): 124 NaCl, 3 KCl, 26 NaHCO.sub.3, 1.25 NaH.sub.2PO.sub.4, 2 CaCl.sub.2, 1 MgSO.sub.4, and 10 d-glucose. Once prepared, parasagittal slices were allowed to recover at room temperature in oxygenated aCSF for 1 h before use. Slices were transferred to a submerged chamber maintained at room temperature and perfused with artificial cerebrospinal fluid at 2 ml min.sup.1. Standard extracellular recordings were used to monitor evoked field excitatory postsynaptic potentials (fEPSP) from stratum radiatum. The Schaffer collateral-commissural pathway was stimulated (constant voltage; 0.1 ms) at 0.033 Hz, using a stimulus intensity that evoked a peak amplitude 50% of the maximum. Synaptic potentials were low pass filtered at 2 kHz and digitally sampled at 10 kHz. The fEPSP slope was measured and expressed relative to baseline. Synaptic records are the average of 4 consecutive responses and stimulus artefacts are blanked for clarity. Recordings were made using an Axopatch 200B amplifier and analyzed using LTP v2.4 software. In synaptic plasticity studies, the degree of potentiation was calculated 30-35 min after HFS and expressed as a percentage of baselinestandard error of mean (SEM).

    [0122] Hippocampal Neuron Culture

    [0123] Hippocampal cultures were prepared as previously (Moult et al, 2010). Neonatal Sprague-Dawley rats (1-3 d old) were neonatal Sprague-Dawley rats were killed by cervical dislocation in accordance with the UK Animals (Scientific Procedures Act) 1986 legislation. Hippocampi were removed, and after washing in HEPES-buffered saline comprising (mM) 135 NaCl; 5 KCl; 1 CaCl2; 1 MgCl2; 10 HEPES; and 25 D-glucose at pH 7.40-4, were treated with papain (1.5 mg ml21; Sigma-Aldrich) for 20 min at 37 C. Dissociated cells were plated onto sterile dishes (35 mm diameter; Greiner Bio-One, Kremsmun-ster, Austria) treated with poly-D-lysine (20 g ml.sup.1; 1-2 h). Cultures were maintained in serum replacement medium (SR2; Sigma-Aldrich) in a humidified atmosphere of 5% CO2 and 95% O2 at 37 C. for up to 2 wk.

    [0124] Immunocytochemistry.

    [0125] Immunocytochemistry was conducted on primary hippocampal cultures (7-14 DIV). Prior to labelling with antibodies, neurons were washed with HBS containing glycine (0.01 mM) and incubated with agents for 1 h at room temperature. Cultures were fixed with 4% paraformaldehyde for 5 min, then permeabilized with 0.1% Triton X-100 for 5 min. To label endogenous tau, neurons were incubated with a rabbit anti-tau (Ab-217; Genscript) primary antibody (1:200 dilution) at room temperature for 30 min, followed by incubation with an Alexa Fluor555 donkey anti-rabbit (1:250, Invitrogen) secondary antibody for an additional 30 min duration. To assess the % co-localisation of tau at synapses, neurons were dual labelled with an antibody against the synaptic marker, PSD-95 (mouse anti-PSD-95; 1:500, Thermo Fisher) followed by application of an Alexa Fluor488 goat anti-mouse secondary antibody (1:500, Invitrogen).

    [0126] Phosphorylated tau was labelled with primary antibody rabbit anti-tau (Ab-396) polyclonal antibody (1:500, Gen Script) corresponding to phosphorylation site of serine 396 (Y-K-S.sup.P-P-V). To visualise p-tau labelling, neurons were then incubated for 30 min with Alexa fluor555 donkey anti-rabbit IgG secondary antibody (1:250, Thermo Fisher Scientific). For synaptic localisation of p-tau, a secondary primary antibody was then added to compare p-tau localization relative to the synaptic marker, PSD95 (mouse anti-PSD-95, 1:500, Thermo Fisher Scientific) for 30 min. PSD-95 labelling was visualized by incubating with a goat anti-mouse Alexa Fluor 468-conjugated antibody (1:500; Thermo Fisher Scientific) for 30 min.

    [0127] Imaging and Analyses

    [0128] A Zeiss LSM510 confocal microscope was used for image acquisition and analysis. Images were obtained using a 10-s scan speed in single tracking mode or multi-tracking mode for dual labelling experiments. The intensity of immunostaining was measured off-line using Lasersharp software (Zeiss Lasersharp), whereby analysis lines of 50 m length were drawn along randomly selected dendritic regions. All data were obtained from at least three different cultures from different animals. Imaging conditions including illumination intensity and photomultiplier gains were kept constant between treatments for each experiment. In addition, data were normalised relative to the mean fluorescence intensity obtained from control neurons. For synaptic co-localisation experiments, tau and PSD-95 positive immunostaining were compared. The number of tau-positive sites that co-localized with PSD-95 positive sites were counted and expressed as a percentage of total positive sites (peaks of intensity).

    [0129] All data are presented as meanSEM. Statistical analyses were performed using a Student independent t test for comparison of means (for % co-localization) and a one-way ANOVA with Tukey's post hoc test for comparisons between multiple groups. A value of p<0.05 was considered significant.

    [0130] Cell Culture

    [0131] The human neuroblastoma cell line, SH-SY5Y (ECACC, UK) was maintained in Dulbecco's Modified Eagle Medium supplemented with glucose (4500 g/l) and 10% (v/v) cosmic calf serum (Fisher Scientific, UK) at 37 C. in a humidified atmosphere of 5% CO2, 95% air and allowed to reach 70-80% confluence before seeding. Cells (passage 10-18) were plated at 210.sup.5 cells on 13 mm borosilicate class coverslips or at 10 000 cells per well in 96 well tissue culture plates (Nunc, VWR, UK) prior to treatment. Reagents used were (from Sigma UK unless stated) 1 nM human leptin, leptin (116-121), leptin (117-122) and leptin (117-125); 0.0001-1 nm murine leptin fragments leptin (116-121), leptin (117-122) and leptin (116-130); 100 M 6-hydroxydopamine; 10 M CuCl.sub.2; 1 mM A.sub.1-42.

    [0132] Thioflavin S Staining

    [0133] After 96 hours, cultures were fixed for 15 minutes in neutral buffered formalin, washed in phosphate buffered saline and stained with 0.05% Thioflavin S for 10 minutes prior to washing in phosphate buffered saline and mounting for visualisation on a fluorescent microscope. Relative fluorescent intensity per cell was determined using post hoc image analysis with Fiji software. Quantitative data is presented as the mean fluorescence per cell relative to control untreated cells.

    [0134] Determination of Cell Viability

    [0135] The concentration of lactate dehydrogenase (LDH) in the culture medium or the mitochondrial activity within cells was used to monitor the level of cell death, as previously (Oldreive and Doherty 2010). A Crystal violet assay was used to assess total cell number. Cells were fixed in neutral buffered formalin and washed 3 times in PBS prior to staining with 0.01% crystal violet acetate for 5 min. Plates were washed 5-10 times in dH2O and cells solubilised in 100 l dimethyl sulfoxide (DMSO) before reading the absorbance on a Biohit BP100 plate reader. For all assays, data is expressed as percentage relative to control, untreated wells to normalize for differences in plating density between individual experiments.

    [0136] Mitored Analysis of Mitochondrial Morphology

    [0137] Cells were treated with pre-warmed cell culture medium containing 1 M MitoRed ((9-[2-(4-Methylcoumarin-7-oxycarbonyl)phenyl]-3,6-bis(diethylamino)xanthylium chloride) and returned to the incubator for 45 minutes. Following fixation in NBF for 15 minutes, cells were washed 3 times in PBS. Coverslips were mounted in fluorescence mountant onto microscope slides and imaged on the Zeiss Axio MR2 microscope. The mean mitochondrial area and index of fragmentation (number of mitochondria: total area of mitochondrial material) were calculated using Fiji.

    [0138] Results

    [0139] Leptin (116-130) Facilitates NMDA Receptor-Dependent Hippocampal Synaptic Plasticity

    [0140] It is known that NMDA receptors contribute little to basal excitatory synaptic transmission but synaptic activation of NMDA receptors is crucial for LTP induction at hippocampal synapses (Bliss and Collingridge 1993). Previous studies indicate that lep-tin enhances the magnitude of activity-dependent LTP in acute hippocampal slices (Oomura et al. 2006) and following direct administration into the hippocampus in vivo (Wayner et al. 2004). We have also shown that leptin facilitates NMDA receptor-dependent synaptic plasticity as leptin promotes conversion of short term potentiation (STP) to hippocampal LTP (Shanley et al. 2001). In order to compare the effects of leptin and the leptin fragments on synaptic plasticity in juvenile hippocampal slices (P13-21), a primed burst stimulation paradigm (5 trains of 8 stimuli at 100 Hz; Rose and Dunwiddie 1986) was used to induce STP, which returned to baseline levels within 30-35 min (n=4; FIG. 1A). In accordance with previous studies (Shanley et al. 2001), application of leptin (50 nM) prior to the stimulation paradigm converted STP into a persistent increase in synaptic transmission (1556.1% of baseline at 40 min; n=4; P<0.05; FIG. 1A). Similarly, treatment with 50 nM leptin (116-130) facilitated synaptic plasticity as synaptic transmission was enhanced to 1436.4% of baseline in leptin (116-130)-treated slices (n=4; P<0.05; FIG. 1B). In contrast, in slices exposed to 50 nM leptin (22-56), only STP was observed as synaptic transmission returned to baseline levels within 40 min (n=6; FIG. 1C).

    [0141] Leptin (116-130) Induces Synaptic Plasticity at Adult Hippocampal CA1 Synapses

    [0142] We have shown that leptin regulation of excitatory synaptic transmission is age-dependent. Thus in contrast to its effects in juvenile tissue, leptin (25 nM) induces a novel form of LTP in adult hippocampus (Moult and Harvey 2011). In order to verify if the leptin fragments mirror leptin action in adult tissue, the effects of the leptin fragments were examined in hippocampal slices from adult (12-24 weeks) rats. In accordance with previous studies (Moult et al. 2010; Moult and Harvey 2011), application of leptin (25 nM; 20 min) to adult slices rapidly enhanced synaptic transmission (to 18813% of baseline; n=4; P<0.01; data not shown) which was sustained for the duration of recordings. Synaptic transmission was also markedly increased (to 14013% of baseline; n=5; P<0.05; FIG. 2A) after treatment with 25 nM leptin (116-130), whereas application of 25 nM leptin (22-56) had no significant effect on synaptic efficacy (992% of baseline; n=4; P>0.05; FIG. 2B). These data indicate that leptin (116-130) mirrors the ability of leptin to enhance synaptic efficacy in adult hippocampus.

    [0143] Leptin (116-130), But Not Leptin (22-56) Enhances the Surface Expression of GluA1

    [0144] Trafficking of AMPA receptors to and away from synapses is crucial for various forms of activity-dependent synaptic plasticity (Collingridge et al. 2004). Our studies indicate that leptin regulates AMPA receptor trafficking as leptin promotes trafficking of GluA1 to hippocampal synapses (Moult et al. 2010). Moreover the ability of leptin to induce LTP in adult hippocampus requires the delivery of GluA1 to synapses by leptin (Moult et al. 2010). Thus, to assess if the leptin fragments also influence AMPA receptor trafficking processes, the surface expression of GluA1 was assayed in cultured hippocampal neurons (Moult et al. 2010). In agreement with previous studies, application of leptin (50 nM; 15 min) increased surface GluA1 expression to 1847%; (n=36; P<0.001; FIG. 2C,D) compared with control hippocampal neurons. Similarly GluA1 surface expression was elevated (to 1606% of control; n=36; P<0.001) after exposure to 50 nM leptin (116-130; FIG. 2C,D), whereas GluA1 surface expression (984% of control; n=36; P>0.05) was not altered after treatment with 50 nM leptin (22-56). These data indicate that leptin (116-130), but not leptin (22-56) mirrors the plasticity enhancing effects of leptin by increasing GluA1 surface expression in hippocampal neurons.

    [0145] As excitatory synaptic strength is governed by the density of AMPA receptors expressed at synapses, the effects on synaptic AMPA receptors was examined by comparing the colocalization between surface GluA1 and synaptophysin immunolabelling in hippocampal cultures (Moult et al. 2010). In agreement with previous studies (O'Malley et al. 2007; Moult et al. 2010), leptin (50 nM; 30 min) increased synaptophysin staining to 1449% of control (n=48; P<0.001) and it also enhanced the degree of colocalization between surface GluA1 and synaptophysin immunostaining from 435.4% to 624.4% (n=36; P<0.05; FIG. 2E). Similarly, in hippocampal neurons treated with leptin (116-130), synaptophysin staining was increased to 1229% (n=36; P<0.05) and a significant increase (to 644.9%; n=36; P<0.01) in GluA1-synaptophysin colocalization was observed (FIG. 2E). Conversely, exposure to leptin (22-56) had no significant effect on either synaptophysin staining (1059%; n=36; P>0.05) or the degree of colocalization (495.4%; n=36; P>0.05; FIG. 2E). These data indicate that leptin (116-130), but not leptin (22-56) promotes the trafficking of GluA1 to synapses in hippocampal neurons.

    [0146] Inhibition of the phosphatase, PTEN underlies leptin-driven trafficking of GluA1 to synapses (Moult et al. 2010). In order to determine if similar leptin dependent signalling cascades mediate the actions of leptin (116-130), the effects of pharmacological inhibition of PTEN with bisperoxovanadium (bpV; Schmid et al. 2004) were assessed in hippocampal cultures. Application of bpV (50 nM; 30 min) increased GluA1 surface expression to 1488% of control (n=36; P<0.001; FIG. 2F). In accordance with previous studies (Moult et al. 2010), leptin resulted in a significant increase in surface GluA1 labelling (1407.2%; n=36; P<0.001; FIG. 2F). Similarly, GluA1 surface expression was enhanced (to 16710% of control; n=36; P<0.001) after exposure to leptin (116-130). Moreover, treatment with bpV occluded the effects of either leptin or leptin (116-130) such that GluA1 staining was 1316.6% and 1488.1% of control (n=36; P<0.001; for both; FIG. 2F) in the presence of bpV and either leptin or leptin (116-130), respectively. These data indicate that the ability of leptin (116-130) to regulate GluA1 trafficking involves inhibition of PTEN.

    [0147] Leptin (116-130), But Not Leptin (22-56) Reverses A1-42 Inhibition of Hippocampal Synaptic Plasticity

    [0148] Several studies indicate that soluble A oligomers impair activity-dependent synaptic plasticity, as exposure to A inhibits hippocampal LTP (Shankar et al. 2008; Li et al. 2009) and enhances LTD (Shankar et al. 2008). Moreover, our recent studies indicate that leptin reverses the detrimental effects of A1-42 on both LTP and LTD (Doherty et al. 2013). Thus we assessed if either of the fragments mirrored the protective actions of leptin on hippocampal synaptic plasticity. Initially we determined that application of leptin prevented the acute effects of .sub.A1-42 on LTP. In control slices, synaptic plasticity was induced using high frequency stimulation (HFS; 100 Hz 10 trains of 8 stimuli) which increased synaptic transmission to 1273.4% of baseline (n=8; P<0.01). Similarly in slices treated with the inactive peptide .sub.A42-1 (1 tiM; 40 min), an enhancement of synaptic transmission (1328.8% of base-line) was induced (n=5; P<0.05; FIG. 3A). However, in accordance with previous studies (Doherty et al. 2013), exposure to A1-42 not only blocked hippocampal synaptic plasticity (967.5% of baseline; n=5; P>0.05; FIG. 3A) but this effect was reversed by leptin (25 nM; 1356.3% of baseline; n=4; P<0.05; FIG. 3B. Similarly, treatment with 25 nM leptin (116-130) before .sub.A1-42 resulted in a robust increase in synaptic transmission (to 1365.5% of baseline; n=6; P<0.05; FIG. 3C). In contrast, HFS failed to increase synaptic efficacy (1073.3% of baseline; n=5; P>0.05) in slices exposed to A1-42 and leptin (22-56; FIG. 3D), although some STP was observed. Thus these data indicate that like leptin, leptin (116-130) prevents the detrimental effects of .sub.A1-42 on hippocampal synaptic plasticity.

    [0149] Leptin (116-130) Reverses A1-42-Induced LTD

    [0150] It is known that oligomeric A promotes the induction of LTD (Shankar et al. 2008) and that exposure to a low concentration of leptin (10 nM) prevents facilitation of hippocampal LTD by A1-42 (Doherty et al. 2013). Thus we assessed if either of the leptin fragments mirror leptin action. Initially we verified that leptin prevented A1-42-induced LTD. In agreement with previous studies (Doherty et al. 2013), application of the subthreshold LFS paradigm failed to induce LTD in vehicle-treated slices (945.6% of baseline; n=5; P>0.05), whereas robust LTD (733.8% of baseline; n=5; P<0.001) was induced in A1-42-treated slices (FIG. 4A). Furthermore, leptin (10 nM) reduced the magnitude of A1-42-induced LTD such that LFS depressed synaptic transmission to 1015.3% of baseline in leptin-treated slices (n=4; P>0.05; FIG. 4B). To establish if the leptin fragments mirrored leptin action the effects of leptin (116-130) or leptin (22-56) were also examined. Application of 10 nM leptin (116-130) or leptin (22-56) had no significant effect on basal synaptic transmission (n=6 for leptin [116-130] and n=5 for leptin [22-56]). Application of 10 nM leptin (22-56) failed to alter the magnitude of A.sub.1-42-induced LTD such that synaptic transmission was depressed to 734.0% of baseline (n=5; P<0.001; FIG. 4D). In contrast, a significant reduction in the magnitude of A.sub.1-42-induced LTD (945.2% of baseline; n=5; P>0.05; FIG. 4C) was observed in hippocampal slices treated with leptin (116-130; 10 nM; 45 min) indicating that leptin (116-130) also inhibits facilitation of LTD by A.sub.1-42. Thus these data indicate that leptin (116-130), but not leptin (22-56) reverses A.sub.1-42-induced facilitation of LTD.

    [0151] Leptin (116-130) Prevents A-Induced Internalization of GluA1

    [0152] Previous studies indicate that A promotes internalization of the AMPA receptor subunit, GluA1 (Hsieh et al. 2006; Liu et al. 2010); an effect that is prevented by leptin (Doherty et al. 2013). To determine if the leptin fragments mirror this effect, the cell surface density of GluA1 was probed in cultured hippocampal neurons (Moult et al. 2010). In accordance with previous studies (Doherty et al. 2013), treatment with A.sub.1-42 (500 nM; 20 min) significantly attenuated (to 702% of control) GluA1 surface expression compared with control (A.sub.42-1-treated) hippocampal neurons (n=48; P<0.001; FIG. 4E). Application of a low concentration of leptin (10 nM) induced a small increase in GluA1 surface expression (1137% of control; n=36; P<0.01). However, in leptin-treated neurons, A.sub.1-42 failed to significantly alter GluA1 surface expression (1014% of control; n=36; P>0.05). In contrast, treatment with a low concentration (10 nM) of leptin (22-56) had no significant effect on GluA1 trafficking per se (n=36; P>0.05). Moreover, leptin (22-56) failed to prevent the effects of A on GluA1 trafficking as surface GluA1 was reduced to 512% of control (n=36; P<0.001) in the presence of A and leptin (22-56; FIG. 4E). Conversely, after exposure to leptin (116-130), A.sub.1-42 failed to significantly reduce GluA1 surface expression (974% of control; n=36; P>0.05). These data indicate that leptin (116-130) mirrors leptin action by preventing A.sub.1-42-induced internalization of GluA1 in cultured hippocampal neurons. Leptin (116-130) Prevents Copper and A-Induced Cell Death

    [0153] We have demonstrated previously that leptin attenuates cortical neuronal death triggered by A.sub.1-42 or divalent copper ions (Doherty et al. 2013). To determine whether leptin (116-130) has neuroprotective actions, the effects of leptin (116-130) on the viability of differentiated human neural cells (SH-SY5Y) was examined after exposure to either 5 M CuCl2 or 10 M A.sub.1-42. Cells were treated with the toxin alone or with a range of concentrations (10-0.1 nM) of leptin or leptin (116-130). Determination of membrane leakage by LDH assay revealed a significant reduction in LDH release after treatment with either leptin or leptin (116-130; both 0.1-10 nM). Thus for CuCl.sub.2-treated cells, 10 nM leptin reduced LDH release by 39.52.73% compared with CuCl.sub.2 alone (n=5; P<0.001; FIG. 5A); an effect that was mirrored by 10 nM leptin (116-130; 45.62.92% [n=5; P<0.001; FIG. 5A]). In A.sub.1-42 treated cells, leptin also significantly reduced LDH release by 31.813.2% (0.1 nM) and 47.97.45% (10 nM), respectively (n=5; P<0.001; FIG. 5B). Similarly, application of 0.1 nM or 10 nM leptin (116-13) decreased LDH release by 26.717.3% or 46.69%, respectively (n=5; P<0.05; FIG. 5B). Thus like leptin, treatment with leptin (116-130) reduces neuronal death in response to AD-linked toxins in vitro.

    [0154] In parallel studies a crystal violet assay was used to verify these findings by assessing cell number. In CuCl.sub.2-treated cells, there was a concentration-dependent increase in the survival of cells treated with either leptin or leptin (116-130). Thus, treatment with leptin (0.1 nM) resulted in a 16.73.4% increase in cell number and this increased to 43.49.2% in the presence of 10 nM leptin (n=5; P<0.01). Similarly, exposure to 0.1 or 10 nM leptin (116-130) increased cell number by 27.810.6% and 39.913.5%, respectively (n=5; FIG. 5C). Treatment with leptin (116-130) also mirrored leptin action by increasing cell viability in A.sub.1-42-treated cultures as cell number increased by 19.215% and 44.37.5% after treatment with 0.1 nM or 10 nM leptin, respectively (n=5 for each; P<0.01). Exposure to leptin (116-130) also resulted in significant increases in cell number (0.1 nM: 29.49.4% increase; 10 nM: 51.86.3% increase; n=5 for both; P<0.001; FIG. 5D).

    [0155] As leptin (22-56) has biological activity in other systems, the specificity of the leptin (116-130) fragment in promoting cell survival was examined by determining whether leptin (22-56) inhibited neuronal death induced by A.sub.1-42. In contrast to leptin (116-130), treatment with leptin (22-56) had no effect on the viability of cells exposed to A.sub.1-42 (41.25.8% survival following A.sub.1-42 treatment and 48.69.3% in A.sub.1-42 with 10 nM leptin (22-56) treated cells; n=5; P>0.5; data not shown). These data reveal a potent neuroprotective effect of the leptin fragment (116-130) that is comparable to the survival actions of leptin. Moreover, this anti-apoptotic response is specific to leptin (116-130) as leptin (22-56) failed to influence neuronal viability.

    [0156] The Neuroprotective Effects of Leptin (116-130) Involve Activation of STAT3 and PI3-Kinase-Dependent Signalling Pathways

    [0157] Our previous studies indicate a crucial role for STAT3 and PI3-kinase/Akt signalling in the neuroprotective actions of leptin (Doherty et al. 2013). To determine whether leptin (116-130) acts via similar signalling cascades we examined the effects of pharmacological inhibitors of STAT3 (WP1066) or PI3-kinase (wortmannin). In A.sub.1-42-treated SH-SY5Y cells, application of either inhibitor significantly reduced the ability of leptin (116-130) to alleviate neuronal death. When neurons were treated with the STAT3 inhibitor, an 18.33.2% increase in LDH release in leptin (116-130) and A.sub.1-42-treated cultures was observed, which is similar to the 26.74.4% increase observed with A.sub.1-42 alone (n=5; P>0.5; FIG. 6A). Thus STAT3 inhibition blocks the neuroprotective actions of leptin (116-130), suggesting a role for STAT3 in this process. Furthermore, following inhibition of PI3-kinase with wortmannin an 26.99.8% increase in LDH release was observed in leptin (116-130) and A.sub.1-42-treated cells which is not significantly different from cells treated with A.sub.1-42 alone (n=5; P>0.5; FIG. 6A. Thus these data also indicate a role for PI3-kinase in mediating the neuroprotective actions of leptin (116-130).

    [0158] To verify that leptin (116-130) directly activates these signaling pathways, SH-SY5Y cells were exposed to 1 nM leptin (116-130; 3 h) or left untreated prior to protein extraction for ELISA. The ratio of phosphorylated STAT3 to pan STAT3 increased markedly following leptin (116-130) administration (n=3; P<0.01; FIG. 6B. Similarly an increase in the ratio of phosphorylated Akt to pan Akt was observed following exposure to leptin (116-130; n=3; P<0.01; FIG. 6C). These data indicate that leptin (116-130) reduces cell death by a mechanism involving activation of STAT3 and PI3-kinase. Furthermore, exposure to leptin (116-130) resulted in a significant increase in the active components of these signalling cascades.

    [0159] Leptin (116-130) Enhances Episodic-Like Memory

    [0160] The current data demonstrate that leptin (116-130) enhances hippocampal synaptic plasticity mechanisms and has neuroprotective effects. To further assess its therapeutic potential we next asked if this fragment has similar cognitive enhancing properties to the whole leptin molecule. Previous studies indicate that leptin enhances hippocampal-dependent memory (Oomura et al. 2006; Farr et al. 2006), whereas resistance to lep-tin results in impaired spatial memory (Li et al. 2002). We used the object-place-context (OPC) recognition task which models human episodic memory, the first cognitive process to be compromised in the early stages of AD (Swainson et al. 2001). Performance on this task has been shown to be impaired in murine models of AD (Davis et al. 2013) and is compromised in animals with lesions of hippocampus (Langston and Wood 2010) and lateral entorhinal cortex (Wilson et al. 2013). The task is based on the object recognition paradigm and models the integrated aspect of human episodic memory by exposing rodents to novel combinations of objects, the spatial locations in which they are experienced and the contextual features of the environment (FIG. 7A; Eacott and Norman 2004). A total of 42 C57/BL6 mice were habituated to a testing environment and then trained on object recognition, object-place recognition and object-context recognition. Following training mice were tested on 4 days of the episodic-like OPC task. On these days mice were assigned to 1 of 3 groups (control, leptin, or fragment) and on each day mice were given 100 l IP injections of saline, 7.8 nM/ml leptin, or 7.8 nM/ml leptin (116-130) 30 min prior to testing. One-way ANOVA on the discrimination indices during the first minute of the test phase revealed a significant effect of group (FIG. 7B; F (2,41)=4.318, P=0.02). Post hoc comparisons (Tukey's HSD) revealed that both the leptin and leptin (116-130) treated mice showed enhanced performance on the task relative to the control group (P<0.05) and did not differ from each other. One sample t-tests confirmed that all groups performed significantly better than chance level performance (P<0.01). Finally analysis of the overall exploration time in both sample and test phases of the task revealed no change in total levels of exploration between groups demonstrating that neither leptin nor leptin (116-130) produced a non-specific change in exploration behaviour (FIG. 7C; P>0.05). The increased discrimination index was driven by an increase in exploration of the novel object combined with a decrease in the exploration of the familiar object (FIG. 7D). Together these data indicate that leptin (116-130) mirrors leptin's action by enhancing performance in episodic-like memory tasks.

    [0161] Leptin (116-121) and Leptin (117-122) Facilitate Hippocampal LTP.

    [0162] To determine if the leptin hexamers influence the magnitude of activity-dependent synaptic plasticity, standard extracellular recording techniques were used to assess the effects of leptin (116-121, 117-122, 118-123, 120-125, 124-129 and 125-130) on the magnitude of LTP induced by high frequency stimulation (100 Hz, 1 s) in acute hippocampal slices. In control slices, application of the HFS protocol resulted in robust LTP (11710.8% of baseline; n=5; p<0.05; FIG. 8). Exposure of slices to 10 nM leptin (116-121) for 50 min prior to HFS also resulted in facilitation of LTP (to 1626.3% of baseline; n=5; p<0.05; FIG. 8), and this was significantly greater than control LTP (p<0.05). Similarly, treatment with leptin (117-122) also facilitated LTP such that the magnitude of LTP was 19119.7% of baseline (n=6; p<0.05) and this effect was significantly greater than control LTP (1254.9% of baseline; n=5; p<0.05) evoked in interleaved slices. In parallel studies, application of leptin (118-123; 1583.8%; n=7; p<0.05; FIG. 8) or leptin (120-125; to 1638.8% of baseline; n=5; p<0.05) also facilitated LTP, compared to control LTP (FIG. 8). In contrast application of either 10 nM leptin (124-129) or leptin (125-130) failed to facilitate LTP as the magnitude of LTP was 1375.6% of baseline (n=5; p>0.05; FIG. 8) and 1372.4% (n=5; p>0.05) in the presence of leptin (124-129) and leptin (125-130), respectively, and this was not significantly different to LTP observed in control conditions. Thus of the fragments tested (FIG. 8), leptin (116-121), leptin (117-122), leptin (118-123) and leptin (120-125) all mirrored the actions of leptin and enhanced the magnitude of LTP, whereas leptin (124-129) and leptin (125-130) failed to alter the magnitude of LTP.

    [0163] Leptin (116-121) and Leptin (117-122) Increase the Surface Expression of GluA1 in Hippocampal Neurons.

    [0164] We have shown that leptin (116-130) increases the surface expression of GluA1 in hippocampal neurons (Malekizadeh et al, 2016), which mirrors the action of the whole leptin molecule. Thus to determine if the leptin hexamers are also capable of influencing AMPA receptor trafficking processes, the effects of leptin (116-121, 117-122, 118-123, 120-126, 122-128, 124-129 and 125-130) on the surface expression of GluA1 was assessed using immunocytochemical approaches in hippocampal neurons. Application of 10 nM leptin (116-121) for 15 min increased GluA1 surface expression to 1469% of control (p<0.001; n=36; FIG. 9A). Similarly, exposure of neurons to 10 nM leptin (117-122) also increase surface GluA1 to 16710% of control (p<0.001; n=36; FIG. 9A). Likewise treatment of hippocampal neurons with either leptin (118-123) or leptin (120-125) also increased the surface expression of GluA1 in hippocampal neurons (FIG. 9B and FIG. 9C). In contrast application of leptin (124-129) had no significant effect on GluA1 surface labelling (896% of control; p>0.05; n=48; see FIGS. 9B, 9C Likewise treatment with leptin (125-130) failed to significantly alter the surface expression of GluA1 (985% of control; n=36; p>0.05; FIG. 9C nor did treatment with either leptin (121-126) or leptin (122-128; FIG. 9C). Thus like leptin and leptin (116-130), treatment with leptin (116-121) or leptin (117-122) increase the surface expression of GluA1 suggesting potential cognitive enhancing action. Leptin (116-121) and leptin (117-122) mirror the neuroprotective actions of leptin and leptin (116-130)

    [0165] To determine whether the leptin hexamers described above had neuroprotective actions, the effects of leptin (116-121, 117-122, 124-129 and 125-130) on the viability of differentiated human neural cells (SH-SY5Y) were examined after exposure to 10 M A1-42. Cells were treated with the toxin alone or 10 nM of leptin, leptin (116-130) or the listed hexamers. Determination of membrane leakage by LDH assay revealed a significant reduction in LDH release after treatment with either leptin or leptin (116-130; both 10 nM). Furthermore, leptin (116-121) and leptin (117-122) mirrored this neuroprotective effect but leptin (124-129) and leptin (125-130) did not. Thus for A31-42-treated cells, 10 nM leptin and 10 nM leptin (116-130) significantly reduced LDH release by 25.32.5% and 24.0+2.2*% respectively compared with A.sub.1-42 alone (n=11; P<0.001; FIG. 11A); an effect that was mirrored by 10 nM leptin (116-121) and leptin (117-122); 27.13.1% and 27.43.5% (n=11; P<0.001; FIG. 11A), but not by 10 nM leptin (124-129) or leptin (125-130) (n=11; P>0.5; FIG. 11A). Thus like leptin and leptin (116-130), treatment with leptin (116-121) or leptin (117-122) reduces neuronal death in response to AD-linked toxins in vitro.

    [0166] To confirm the findings of the LDH assay, cells were treated with A.sub.1-42 alone or with a 10 nM of leptin, leptin (116-130) or the listed hexamers, and mitochondrial activity, as a measure of cell viability, determined by MTT assay. A significant increase in mitochondrial activity was detected following treatment with either leptin or leptin (116-130; both 10 nM). Furthermore, leptin (116-121) and leptin (117-122) mirrored this neuroprotective effect but leptin (124-129) and leptin (125-130) did not. Thus for A.sub.1-42-treated cells, 10 nM leptin and 10 nM leptin (116-130) increased mitochondrial activity by 32.65.2% and 40.9+5.8% respectively compared with A.sub.1-42 alone (n=11; P<0.001; FIG. 11B); an effect that was mirrored by 10 nM leptin (116-121) and leptin (117-122); 43.613.9% and 40.53.7*% (n=11; P<0.001; FIG. 11B), but not by 10 nM leptin (124-129) or leptin (125-130) (n=11; P>0.5; FIG. 11B). This reinforces the findings from the LDH assay that similar to either leptin or leptin (116-130), treatment with leptin (116-121) or leptin (117-122) reduces neuronal death in response to AD-linked toxins in vitro.

    [0167] Leptin (116-121) and Leptin (117-122) Mirror the Ability of Leptin and Leptin (116-130) to Reduce the Expression of the AD-Linked Biomarker Phosphorylated Tau (p-Tau)

    [0168] Hyper-phosphorylation of tau is the underpinning mechanism of the development of neurofibrillary tanglesone of the key pathological feature of AD. Human SH-SY5Y neuronal cells were exposed to A1-42 alone or in combination with 10 nM leptin, leptin (116-130), leptin (116-121), leptin (117-122), leptin (124-129) or leptin (125-130). Protein was extracted for ELISA assay and the ratio of p-tau to the house-keeping protein -tubulin determined (FIG. 11C). Treatment with 10 nM leptin, leptin (116-130), leptin (116-121) or leptin (117-122) significantly decreased the A.sub.1-42-mediated increase in p-tau in these cells. In contrast leptin (124-129) and (125-130) did not. Thus for A.sub.1-42-treated cells, 10 nM leptin and 10 nM leptin (116-130) reduced p-tau expression by 56.28.0% and 58.9+4.6% respectively compared with A1-42 alone (n=5; P<0.001; FIG. 11C); an effect that was mirrored by 10 nM leptin (116-121) and leptin (117-122); 58.14.0% and 45.486.1% (n=5; P<0.001 and P<0.01 respectively; FIG. 11C), but not by 10 nM leptin (124-129) or leptin (125-130)(n=5; P>0.5; FIG. 11C). These data reveal that leptin (116-121) and leptin (117-122) mirror the effects of leptin and leptin (116-130) in decreasing the expression of this AD-linked biomarker.

    [0169] Previous studies have shown that exposure to amyloid beta (A) promotes phosphorylation of tau, and that leptin protects against this aberrant action of A in our models of AD [6]. Recent evidence indicates that treatment with oligomeric A increases translocation of tau to synapses and this has been linked to synaptic dysfunction and ultimately cognitive impairments.

    [0170] In accordance with existing data, we have set up and characterised a cellular model in hippocampal neurons that mirrors the aberrant trafficking of tau to synapses. In this model chronic treatment with A results in increased expression of tau at dendrites and specifically trafficking of tau to synapses where it is likely to interfere with normal excitatory synaptic transmission (see FIGS. 12, 13). In this model of tau-related synaptic dysfunction, treatment with leptin protects against the A-driven increase in the dendritic levels of tau, and it prevents tau trafficking to synapses (FIG. 14). Moreover, this protective effect of leptin is mirrored by the leptin fragment (116-130; FIG. 15).

    [0171] Previous studies have indicated that phosphorylation of tau is a key event that occurs in AD, and tau phosphorylation is also linked to its increased expression at synapses. In accordance with this, exposure to A increases the dendritic levels of p-tau, and in particular the synaptic levels of p-tau are increased after exposure to A (FIGS. 16, 17). Treatment with leptin and leptin (116-130) also protects against A-driven increase in p-tau, as the dendritic levels of p-tau are reduced by leptin or leptin (116-130). Moreover, treatment with leptin or leptin (116-130) also prevents the ability of P to traffic p-tau to synapses (FIG. 18, 19). As GSK-3 is known to be a key enzyme involved in tau phosphorylation, the role of this signalling pathway has also been explored. We find that inhibitors of GSK-3 prevent the neuroprotective actions of leptin and leptin (116-130; FIG. 20) suggesting that leptin driven inhibition of GSK-3 is likely to be the pathway involved in preventing tau phosphorylation and subsequent trafficking to hippocampal synapses.

    [0172] Murine Leptin116-130

    [0173] Previously we have shown neuroprotection in models of Alzheimer's Disease (AD)[1].

    [0174] In accordance with the existing data we have demonstrated that leptin116-130 prevents the accumulation of amyloid beta following seeding of cultures with amyloid (FIG. 21). This fortifies our existing evidences that leptin116-130 has potent anti-AD effects in empirical models.

    [0175] We have expanded upon our AD data to consider the potential of leptin116-130 to demonstrate neuroprotection in an in vitro model of ischemic stroke. Thus, an emerging model of stroke related neuronal death is the deprivation of serum and glucose from cultures of neural cells [New Ref]. Under these conditions we see significant neuroprotection by leptin116-130 (FIG. 22). This reveals a novel neuroprotective role of this fragment.

    [0176] In a cellular Parkinson's Disease (PD) model, leptin116-130 prevents mitochondrial swelling and clumping in response to 6-hydroxydopamine (6-OHDA; FIG. 23), which is in keeping with earlier research on the full-length leptin molecule, which demonstrates robust neuroprotection from dopaminergic neurotoxins[7]. The current findings show the prevention of 6-OHDA-mediated neuronal swelling by leptin116-130 as demonstrated by the reduction in mean mitochondrial area when the fragment is present. In addition, 6-OHDA induces mitochondrial clumping as elucidated by the decrease in the fragmentation index of the mitochondrial pool in the presence of this neurotoxin. This is prevented by leptin116-130. Thus leptin116-130 prevents mitochondrial dysfunction in empirical models of PD.

    [0177] Taken together these data strengthen the findings that leptin116-130 can protect against neuronal death and dysfunction in AD. Excitingly we have also expanded upon this existing knowledge to reveal the potential for a more general beneficial effect in other neurodegenerative conditions.

    [0178] Murine Leptin Hexamers Based on Leptin.sub.116-130

    [0179] The data presented above reported pro-survival effects of leptin116-121 and leptin117-122 in AD models.

    [0180] Building on these findings we have evaluated the potential for these hexamer fragments to ameliorate amyloid propagation after initial seeding with 1 M A1-42. We have demonstrated that leptin116-121 and leptin117-122 prevent the accumulation of amyloid beta following seeding of cultures with amyloid (FIG. 24A).

    [0181] Further to this we have evaluated the effects of these hexamer peptides on episodic memory in mice. There is an 8 fold increase in episodic memory performance following treatment with leptin116-121 or leptin117-121 (FIG. 24B). This implies that both leptin hexamers enhance the ability of the mice to recognise the presence of a novel object within the test arena.

    [0182] Blood samples taken 24 hours after injection showed no significant alterations in circulating leptin levels following any of the treatments revealing no long-term effects of the hexamers on endogenous leptin production (FIG. 24C).

    [0183] Thus hexamer fragments of leptin.sub.116-130 mirror the effects of leptin and of leptin.sub.116-130 validating their further investigation as potential small peptide therapeutics.

    [0184] Humanised Leptin Fragments Based on leptin.sub.116-130

    [0185] As all fragments tested above have been based on murine leptin116-130, we have designed and synthesised 3 human leptin fragments, hleptin117-125, hleptin116-121 and hleptin117-122 (FIG. 25A).

    [0186] Using thioflavin S staining as before, we have demonstrated that hleptin117-125, hleptin116-121 and hleptin117-122 prevent the accumulation of amyloid beta following seeding of cultures with amyloid (FIG. 25B).

    [0187] Furthermore both hleptin117-125 and hleptin116-121 prevent neuronal loss in vitro in response to either 10 M amyloid betal-42 (FIGS. 26A and 26B) or 10 M copper chloride (FIGS. 26C and 26D). This mirrors the action of murine leptin116-130.

    [0188] These data reveal that humanised forms of target sequences within leptin116-130 demonstrate potent neurobeneficial effects in vitro. Crucially these sequences are amenable to peptide modification via halogenation, which the murine sequence is not (see below) and therefore open the possibility of peptide modification and stabilisation by this route.

    [0189] Peptide Modification

    [0190] Halogenation and cyclisation: Target sequences for halogenation should ideally contain a tryptophan and there is no such residue in murine leptin.sub.116-130. Therefore, this work is focused on the human sequences, and to date 3 sequences (.sub.hleptin.sub.117-125, .sub.hleptin.sub.116-121, and .sub.hleptin.sub.117-122) containing a 7-bromo-tryptophan have been synthesised by Severn Biotech, UK. Second generation peptides with alternative bromo-tryptophans and/or which have been cyclised are also being synthesised.

    [0191] Discussion

    [0192] It is well established that the hormone leptin circulates in the plasma and enters the brain via transport across the blood brain barrier. In the hypothalamus, leptin plays a major role in regulating food intake and body weight (Spiegelman and Flier 2001). However, the central actions of the hormone leptin are not restricted to the hypothalamus and the regulation of energy homeostasis. Indeed, a number of extrahypothalamic brain regions, including the hippocampus display high levels of leptin receptor expression (Irving and Harvey 2014). Leptin mRNA and protein are also highly expressed in the hippocampal formation (Morash et al. 1999) and emerging evidence suggests brain-specific production of leptin (Eikelis et al. 2006). Thus, it is likely that a combination of locally released leptin as well as peripherally derived leptin reach hippocampal synapses and can influence synaptic function. Indeed, numerous studies indicate that leptin has potential cognitive enhancing properties as it readily facilitates the cellular events underlying hippocampal learning and memory. Thus, leptin has rapid effects on activity-dependent synaptic plasticity, glutamate receptor trafficking and dendritic morphology (Irving and Harvey 2014). In addition, several studies have identified neuroprotective effects of leptin as the viability of central and peripheral neurons is markedly influenced by this hormone (Weng et al. 2007; Doherty et al. 2008; Guo et al. 2008). Recent clinical evidence has established a link between circulating leptin levels and the incidence of AD (Power et al. 2001; Lieb et al. 2009) that has fueled the possibility of using the leptin system as a novel therapeutic target in AD. Indeed, treatment of various AD models with leptin prevents the detrimental effects of A that occur at both early and late stages of the disease (Fewlass et al. 2004; Farr et al. 2006; Doherty et al. 2013). However, as leptin is a very large peptide, developing small leptin-like molecules may be a better therapeutic approach. Several fragments of the leptin peptide are biologically active and mirror the anti-obesity effects of leptin (Grasso et al. 1997; Rozhayskaya-Arena et al. 2000; Grasso et al. 2001). However, the cognitive enhancing and neuroprotective effects of the leptin fragments are not known. Here we provide the first compelling evidence that leptin (116-130), but not leptin (22-56), has a potent effect on hippocampal synaptic function as it promotes trafficking of AMPA receptors to synapses and facilitates hippocampal synaptic plasticity. Moreover in cellular models that mimic amyloid toxicity, leptin(116-130), but not leptin (22-56) prevents the aberrant effects of A on hippocampal synaptic function and neuronal viability. These findings indicate that one particular leptin fragment, namely (116-130), mirrors the beneficial actions of leptin in preventing the detrimental effects of A at the early and late stages of AD. Finally we have shown that the leptin fragment that enhances hippocampal synaptic plasticity and has neuro-protective effects, namely leptin (116-130), is also a cognitive enhancer as it improves performance on tests of episodic memory.

    [0193] Here we show that, in accordance with previous studies (Shanley et al. 2001; Wayner et al. 2004), NMDA receptor-dependent synaptic plasticity is enhanced by leptin as treatment with leptin promoted conversion of STP into a persistent increase in synaptic transmission in juvenile hippocampal slices. Similarly exposure to the leptin fragment (116-130) readily facilitated synaptic plasticity as an increase in synaptic strength was evident in leptin (116-130), but not leptin (22-56)-treated slices. We have shown that the efficacy of excitatory synaptic transmission is also regulated by leptin in adult hippocampus (Moult et al. 2010). In agreement with this, application of either leptin or leptin (116-130) to adult hippocampal slices resulted in the induction of a persistent increase in synaptic transmission. In contrast, however leptin (22-56) failed to alter excitatory synaptic strength in adult hippocampus.

    [0194] AMPA receptor trafficking is pivotal for activity-dependent synaptic plasticity (Collingridge et al. 2004) and leptin regulates trafficking of GluA1 to synapses (Moult et al. 2010). In this study, treatment with either leptin or leptin (116-130) increased GluA1 surface expression in cultured hippocampal neurons, whereas leptin (22-56) was without effect. In co-localization studies, the density of GluA1 subunits associated with synapses was increased after application of leptin or leptin (116-130), suggesting that leptin (116-130) parallels the actions of leptin by boosting the synaptic insertion of AMPA receptors. We have shown that leptin-driven trafficking of GluA1 involves inhibition of PTEN (Moult et al. 2010) Similarly in this study, the ability of leptin (116-130) to influence GluA1 trafficking involves inhibition of PTEN, as application of the PTEN inhibitor bpV blocked the increase in GluA1 surface expression induced by leptin (116-130) in hippocampal neurons. These data indicate that like leptin, treatment with leptin (116-130) promotes GluA1 trafficking to hippocampal synapses via inhibition of PTEN. Thus, overall these data indicate that the leptin fragment (116-130) mirrors the actions of leptin as it markedly influences the cellular events underlying learning and memory by regulating AMPA receptor trafficking.

    [0195] It is known that A inhibits the induction of hippocampal LTP (Shankar et al. 2008), and this detrimental effect of .sub.A1-42 is reversed by leptin (Doherty et al. 2013). Similarly, leptin (116-130) reversed the acute effects of .sub.A1-42 in this study as synaptic plasticity was readily induced in hippocampal slices exposed to leptin (116-130) and A.sub.1-42. Contrastingly, application of leptin (22-56) failed to prevent the detrimental effects of A.sub.1-42 as no increase in synaptic strength was induced after exposure to A.sub.1-42 and leptin (22-56). However, in slices exposed to leptin (22-56) post-tetanic potentiation (PTP) and some STP was observed after HFS, suggesting that this fragment may influence the transient enhancement of synaptic strength induced by HFS. As PTP and STP are thought to involve presynaptic expression mechanisms (Zucker and Regehr 2002; Lauri et al. 2007), it is feasible that leptin (22-56) can act pre-synaptically to influence glutamate release mechanisms.

    [0196] Several studies indicate that A.sub.1-42 also facilitates the induction of hippocampal LTD (Shankar et al. 2008; Li et al. 2009), and this effect is also reversed by leptin (Doherty et al. 2013). In accordance with these findings, treatment with leptin reduced the magnitude of LTD in A.sub.1-42-treated slices. Similarly, leptin (116-130), but not leptin (22-56) attenuated the effects of A.sub.1-42 as the magnitude of LTD was significantly decreased in the presence of leptin (116-130). Moreover, application of either leptin or leptin (116-130) inhibited A.sub.1-42-driven AMPA receptor removal from hippocampal synapses, whereas treatment with leptin (22-56) was without effect. Thus overall these data demonstrate that leptin (116-130) mirrors the actions of leptin in counteracting the detrimental acute effects of A.sub.1-42 on hippocampal synaptic function.

    [0197] Evidence is growing that leptin has neuroprotective actions in various models of neurodegenerative disease. In Parkinson's disease models, treatment with leptin protects dopaminergic neurons from various toxic insults (Weng et al. 2007; Doherty et al. 2008), whereas in AD models of amyloid toxicity, leptin increases neuronal viability via activation of STAT3 and PI3-kinase signalling (Doherty et al. 2008; Guo et al. 2008; Doherty et al. 2013). In this study, leptin and leptin (116-130) enhanced the survival of human neural (SH-SY5Y) cells treated with either A.sub.1-42 or Cu.sup.2+. Conversely no change in cell viability was evident after treatment with leptin (22-56), thereby providing further evidence that leptin (116-130) but not leptin (22-56) mirrors the protective actions of leptin.

    [0198] In these studies, we reveal that signalling via PI3-kinase and STAT3 is essential for leptin (116-130)-mediated neuroprotection as selective inhibition of these pathways eliminated the protective effects of leptin (116-130). Moreover, direct activation of key components of PI3-kinase and STAT3 signalling pathways was observed following administration of leptin (116-130). As stimulation of both PI3-kinase (Doherty et al. 2013; Doherty et al. 2008) and STAT3 signalling cascades (Doherty et al. 2013; Guo et al. 2008) mediate the neuroprotective actions of leptin, these data indicate that leptin (116-130) is activating the same signalling pathways as the full length leptin peptide to induce neuronal survival. This provides further evidence that leptin (116-130) is mirroring the neuronal effects of leptin.

    [0199] These studies demonstrate that the 116-130 fragment of the leptin molecule enhances hippocampal synaptic plasticity and has neuroprotective effects. As such this fragment is a very interesting therapeutic target to treat memory dysfunction and protect against neurodegeneration in the early stages of AD. To test the functional implications of the effects of leptin 116-130 we examined the effects of acute doses of this fragment on a test of episodic-like memory. This test is particularly appropriate as it models the type of memory that is first compromised in AD. Performance on the task has been shown to be impaired in rodents with damage to the lateral entorhinal cortex (Wilson et al. 2013), the first region to be damaged in AD, and the hippocampus (Langston and Woods, 2010). It has also been shown that the triple transgenic murine model of AD show impaired performance on this task at 6 months of age (Davis et al. 2013). The current data demonstrate powerful cognitive enhancing effects of both leptin and leptin (116-130) as both groups performed significantly better than controls on the OPC task. This is the first time that leptin has been shown to enhance the specific type of memory that degrades in AD and the fact that this cognitive enhancement is also produced by leptin (116-130) suggests that this fragment is a viable tool to treat memory dysfunction caused by damage to the hippocampal-entorhinal network. Recent studies indicate that administration of leptin also protects against A-induced impairments in spatial memory tasks (Tong et al. 2015). Thus, it is feasible that administration of leptin (116-130) will also mirror the effects of leptin and protect against the chronic effects of A on hippocampal-dependent learning and memory.

    [0200] The current experiments demonstrated enhancement of memory for object-place-context associations. Enhancement of this hippocampal-dependent task is consistent with our findings showing enhancement of hippocampal synaptic plasticity but it remains a possibility that leptin 116-130 may also enhance simpler forms of recognition memory such as object recognition or object-place recognition. These simpler forms of recognition memory are dependent on other areas of the medial temporal lobe network and so future work could examine whether the cognitive enhancement is specific to the hippo-campus or also affects the surrounding cortical inputs. One other consideration is the anxiolytic properties of leptin that have been reported in both normal (Liu et al. 2010) and chronically stressed rats (Lu et al. 2006). Reduced anxiety could potentially affect performance on the spontaneous recognition tasks as less anxious animals may explore more freely. This was not found to be the case in the current study as the levels of exploration in both sample and test phases of the OPC experiment were not different between groups. This is not surprising as animals had extensive handling and pre-training before the OPC test and so levels of anxiety would have been very low in all animals. In conclusion, these data indicate that the leptin (116-130) fragment mirrors the cognitive enhancing effects of leptin as it promotes trafficking of the AMPA receptor subunit GluA1 to synapses, facilitates hippocampal synaptic plasticity and improves performance in an episodic-like memory task. In addition, leptin (116-130) counteracts the detrimental effects of A.sub.1-42 on hippocampal synaptic function and neuronal viability in various cellular models of amyloid toxicity.

    [0201] To further refine the precise sequence of leptin (116-130) that is required for its leptin-mimetic effects, hexamer peptides of the molecule were generated by peptide scanning. The potential for these to elicit leptin-like biological effects was tested in vitro.

    [0202] Two specific leptin hexamers (116-121; 117-122) are effective in mirroring the cognitive enhancing effects of leptin, as treatment of hippocampal slices with either hexamer results in facilitation of hippocampal LTP. In contrast, leptin (124-129) and leptin (125-130) failed to alter the magnitude of LTP suggesting that the N-terminal region of leptin (116-130) is the bioactive region. AMPA receptor trafficking is also critical for hippocampal synaptic plasticity and leptin and leptin (116-130) potently regulate the trafficking of the AMPA receptor subunit, GluA1 (Moult et al, 2010; Malekizadeh et al, 2016). Similarly, exposure of hippocampal neurons to either leptin (116-121) or leptin (117-122) increased the surface expression of GluA1, thereby mirroring the effects of leptin. Contrastingly, treatment with either leptin (124-129) or leptin (125-130) had no effect on GluA1 surface expression in hippocampal neurons.

    [0203] In accordance with the data above, both leptin (116-121) and leptin (117-122) attenuated A.sub.1-42-mediated cell death as effectively as either leptin or leptin (116-130). Thus both LDH and MTT assays confirmed that the bioactive region of leptin (116-130) lies in the N-terminal end of the molecule as neither leptin (124-129) nor leptin (125-130) mirrored the neuroprotective effects of leptin or leptin (116-130). Similarly only leptin (116-121) and leptin (117-122) mirrored the leptin or leptin (116-130)-mediated attenuation of p-tau upregulation in response to A.sub.1-42. Neither leptin (124-129) nor leptin (125-130) had any significant effect.

    [0204] Taken together the work on the hexamer peptides further refine the sequence required to elicit a leptin-mimetic response, isolating it to the N-terminal of fragment leptin (116-130). Our findings not only reinforce the consensus that the leptin system is an important therapeutic target in AD, but also establish that leptin (116-130), and smaller hexamer fragments of this molecule, may be useful in the development of leptin-mimetic agents for therapeutic use.

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