Nikolaos K Robakis, PhD
img_Nikolaos K Robakis
PROFESSOR | Psychiatry
PROFESSOR | Neuroscience
Research Topics
Aging, Alzheimer's Disease, Apoptosis/Cell Death, Brain, Cell Adhesion, Memory, Molecular Biology, Neuro-degeneration/protection, Neurobiology, Neuroscience, Signal Transduction, Synapses
Multi-Disciplinary Training Area
Neuroscience [NEU]
Genetics and function of proteins involved in neurodegeneration (APP, presenilin, tau)

A general description of Alzheimer disease (AD) and relevant projects

Alzheimer disease (AD), the most common cause of dementia in the aged, is a neurodegenerative disorder caused by severe neuronal loss and synaptic abnormalities in the hippocampus and neocortical regions of the brain. Neuropathologically, the disease is defined by brain accumulation of amyloid plaques (APs) and neurofibrillary tangles (NFTs). AD is a serious humanitarian and financial problem as it afflicts a large number of individuals and is very expensive to care for its victims. Most AD cases are classified as sporadic (SAD) because they lack obvious genetic etiologies. A small percent of all cases however, segregates within families (FAD) suggesting genetic etiologies. Most FAD mutations map on three genes encoding the Amyloid Precursor Protein (APP), presenilin1 (PS1) and presenilin2 (PS2). Close to 200 FAD mutations map on the gene encoding PS1 while about 20 FAD mutations are found in APP and 10 in PS2. PSs are functional components of the γ-secretase proteolytic complexes that process many receptor proteins and APP. PS/γ-secretase processing of APP yields Aβ peptides that aggregate to form APs used to define AD. The mechanisms by which FAD mutants promote neuronal death and AD remain unclear. A common theory suggests that AD is caused by Aβ peptides and its derivatives, but inhibitors of Aβ production or anti-Aβ antibodies show no therapeutic value (for recent review see Robakis 2011). Other evidence indicates that FAD mutants affect cellular functions including inhibition of signal transduction and gene expression. Since SAD and FAD have similar clinical and neuropathological phenotypes, understanding how genetic mutations promote neurodegeneration and AD will also help our understanding of SAD.

Role of PS and FAD mutants in neoroprotection

To examine the effects of FAD mutations on neurodegeneration, we study the genetics, molecular biology, and biological functions of wild type (WT) and mutant PSs and APP. We found that PS1 FAD mutants cause a loss of γ-secretase cleavage function at ε-sites of substrates manifested by both, decreased production of cytosolic peptides that function in cell signaling and accumulation of γ-secretase substrates. These data support a theory that PS FAD mutations promote neurotoxicity by inhibiting γ-secretase-catalyzed ε-cleavage of substrates thus reducing cell signaling while causing accumulation of membrane-bound cytotoxic peptides (Marambaud et al. 2003; Georgakopoulos et al., 2006;  Litters et al., 2007; Barthet et al., 2012a). We also reported that PS mediates brain-derived neurotrophic factor (BDNF)-dependent neuroprotection against toxic insults such as oxidative stress and glutamate toxicity (Barthet et al., 2012b). We currently examine the mechanisms of the PS-dependent neuroprotection and the effects of FAD mutants on trophic factor-mediated nueroprotection of cortical neurons using both in vitro primary neuronal cultures and in vivo transgenic mouse models.

PSs and miRNAs in glucose deprivation and AD

Emerging evidence indicates that PSs regulate expression of microRNAs (miRs), non-coding small RNAs that suppress mRNA translation. In our lab we found that PS1/γ-secretase regulates expression of miR-212 that targets the mRNA of PEA15, a protein known as a promoter of cancer cell survival under glucose deprivation. We observed that absence of PS1 sensitizes neurons to glucose deprivation and increases expression of miR-212 while decreasing PEA-15. Furthermore, we found that PS/γ-secretase regulates neuronal survival by suppressing expression of miR-212. Based on our data, we hypothesize that increased expression of miR-212 and resultant decrease in PEA15 expression contribute to increased vulnerability of PS1 null neurons under reduced glucose, a condition commonly found in AD. In our Center we currently examine the relationship between PS1, miR-212 and its target protein PEA15 and examine their effects on neuronal survival under stress conditions. In addition, we ask how PS/γ-secretase affects miR-212 and whether PS modulates the glucose deprivation-induced survival signaling of PEA15. We also ask whether expression of miR-212 and its target PEA15 changes in brains of AD patients and in PS FAD mutant knockin animal models.

Brain vascular abnormalities and AD

Evidence in the last decade implicates cerebral microvasculature abnormalities in the genesis of AD neuropathology. Additional literature shows that the EphB4/ephrinB2 system regulates development/function of vascular systems. Binding of extracellular EphB4 receptor to transmembrane ephrinB2 ligand protein on surface of endothelial cells stimulates angiogenesis/growth of new vessels from existing vasculature. Thus, treatment of endothelial cells with EphB4 stimulates cell sprouting and tube formation, processes considered crucial initial steps in angiogenesis. We found that the EphB4-induced sprouting/tube formation depends on γ-secretase activity and that EphB4 stimulates γ-secretase processing of ephrinB2 producing peptide ephrinB2/CTF2 (Georgakopoulos et al., 2006; 2011). Our data suggest that EphB4/ephrinB2 regulates angiogenesis through PS/γ-secretase. In support of this hypothesis, we found that peptide ephrinB2/CTF2 stimulates sprouting of endothelial cells in vitro. In our lab, we explore the mechanisms via which the EphB4/ephrinB2 and PS1/γ-secretase systems promote angiogenesis and ask whether these mechanisms are altered in AD. Since PS1 FAD mutants affect the ε cleavage of γ-secretase substrates thus decreasing production of ephrinB2/CTF2 (see above), we ask whether FAD mutants alter the EphB4/ephrinB2-dependent angiogenesis. In our work we use both in vtro cell systems and mouse transgenic models.

Role of Progranulin in Frontotemporal lobar degeneration (FTLD)

Recent reports show that progranulin (PGRN) gene null or missense mutations are linked to frontotemporal lobar degeneration (FTLD), a form of dementia characterized by severe neuronal loss in the frontal and temporal brain regions of adult patients. The nature of these mutations suggests that survival of certain neuronal brain populations need expression of both functional alleles of PGRN (haploinsufficiency). We found that PRGN stimulates phosphorylation and activation of neuronal MEK/ERK/p90RSK and PI3K/Akt cell survival pathways and rescues cortical neurons from cell death induced by glutamate or oxidative stresses. Our data showed that extracellular PRGN acts as a neuroptotective factor supporting the hypothesis that in FTLD reduction of PGRN results in decreased survival signaling and neuroprotection against excitotoxicity and other stresses, leading to accelerated neuronal death (Xu et al., 2011). We are currently working on the identification of receptors that mediate the cellular effects of PRGN and its mutants involved in FTLD. 


Current Grant Support:  This research center is supported by four NIH grants and a grant from the Alzheimer's Association.


Robakis Laboratory


PhD, New York University

Physicians and scientists on the faculty of the Icahn School of Medicine at Mount Sinai often interact with pharmaceutical, device and biotechnology companies to improve patient care, develop new therapies and achieve scientific breakthroughs. In order to promote an ethical and transparent environment for conducting research, providing clinical care and teaching, Mount Sinai requires that salaried faculty inform the School of their relationships with such companies.

Dr. Robakis did not report having any of the following types of financial relationships with industry during 2022 and/or 2023: consulting, scientific advisory board, industry-sponsored lectures, service on Board of Directors, participation on industry-sponsored committees, equity ownership valued at greater than 5% of a publicly traded company or any value in a privately held company. Please note that this information may differ from information posted on corporate sites due to timing or classification differences.

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