RT Journal Article T1 d-Pinitol promotes tau dephosphorylation through a cyclin-dependent kinase 5 regulation mechanism: A new potential approach for tauopathies? A1 Medina-Vera, Dina A1 Navarro, Juan Antonio A1 Rivera, Patricia A1 Rosell-Valle, Cristina A1 Gutierrez-Adan, Alfonso A1 Sanjuan, Carlos A1 Lopez-Gambero, Antonio Jesus A1 Tovar, Ruben A1 Suarez, Juan A1 Pavon, Francisco Javier A1 Baixeras, Elena A1 Decara, Juan A1 Rodriguez de Fonseca, Fernando K1 Akt K1 CDK5 K1 d-pinitol K1 insulin K1 tau phosphorylation K1 tauopathy AB Recent evidence links brain insulin resistance with neurodegenerative diseases, where hyperphosphorylated tau protein contributes to neuronal cell death. In the present study, we aimed to evaluate if d-pinitol inositol, which acts as an insulin sensitizer, affects the phosphorylation status of tau protein. We studied the pharmacological effect of d-pinitol on insulin signalling and tau phosphorylation in the hippocampus of Wistar and Zucker rats. To this end, we evaluated by western blotting the Akt pathway and its downstream proteins as being one of the main insulin-mediator pathways. Also, we explored the functional status of additional kinases phosphorylating tau, including PKA, ERK1/2, AMPK and CDK5. We utilized the 3xTg mouse model as a control for tauopathy, since it carries tau mutations that promote phosphorylation and aggregation. Surprisingly, we discovered that oral d-pinitol treatment lowered tau phosphorylation significantly, but not through the expected kinase GSK-3 regulation. An extensive search for additional kinases phosphorylating tau revealed that this effect was mediated through a mechanism dependent on the reduction of the activity of the CDK5, affecting both its p35 and p25 subunits. This effect disappeared in leptin-deficient Zucker rats, uncovering that the association of leptin deficiency, obesity, dyslipidaemia and hyperinsulinaemia abrogates d-pinitol actions on tau phosphorylation. The 3xTg mice confirmed d-pinitol effectiveness in a genetic AD-tauopathy. The present findings suggest that d-pinitol, by regulating CDK5 activity through a decrease of CDK5R1, is a potential drug for developing treatments for neurological disorders such as tauopathies. PB Wiley YR 2022 FD 2022-04-21 LK http://hdl.handle.net/10668/19922 UL http://hdl.handle.net/10668/19922 LA en NO Medina-Vera D, Navarro JA, Rivera P, Rosell-Valle C, Gutiérrez-Adán A, Sanjuan C, et al. d-Pinitol promotes tau dephosphorylation through a cyclin-dependent kinase 5 regulation mechanism: A new potential approach for tauopathies? Br J Pharmacol. 2022 Oct;179(19):4655-4672 DS RISalud RD Apr 18, 2025