Role of Wnt Signaling in Adult Hippocampal Neurogenesis in Health and Disease

1The subgranular zone (SGZ) of the hippocampal dentate gyrus is one of the neurogenic niches of the adult brain where the generation of new neurons persist during adulthood. Compelling evidence indicate that this process is conserved in mammals including humans. New neurons are generated from radial glia-like neural stem cells (NSCs) located in the SGZ, that express nestin, glial fibrillary acidic protein (GFAP) and Sox2. These NSCs, also referred as type 1 cells, are slowly dividing or quiescent, and after activation proliferate asymmetrically and give rise to highly proliferate intermediate progenitor cells or type 2 cells, that transition between type 2a cells and neuronal committed type 2b cells. Type 2b cells differentiate into neuroblasts or type 3 cells that develop into immature neurons and subsequently to mature granule cells, that become integrated into the hippocampal circuitry. In rodents, these stages are well characterized by morphological features, and the expression of specific markers. Among these, doublecortin (DCX) is transiently expressed, from neuronal committed progenitor cells until newborn cells begin to express mature neuronal markers. Thus, DCX has been a crucial marker used for the identification of newborn neurons in the adult human dentate gyrus.

2Although the role of adult hippocampal neurogenesis has been challenging to determine in humans, increasing evidence in rodents and non-human primates indicate that adult-born neurons contribute to the structural and functional plasticity of the hippocampus, and to spatial learning and memory, cognitive flexibility, mood regulation and pattern separation, the latter known to be associated to the function of the dentate gyrus in humans. Accumulating evidence suggests that dysregulation of adult hippocampal neurogenesis may contribute to cognitive decline in aging and neurological disorders [reviewed in;;; ]. Therefore, there has been an evolving interest in the therapeutic potential of strategies aimed to enhance endogenous neurogenesis in conditions affecting cognitive abilities.

3Neurogenesis in the adult hippocampus is highly regulated by local environmental cues. The SGZ provides an essential environmental niche for NSCs that allows their proliferation and maintenance, and supports the neurogenesis process. The neurogenic niche comprises cells, signaling molecules and neurotransmitter components. Growing evidence indicate that Wnt signals are key modulators of different stages of neurogenesis. The first member of the Wnt family was discovered more than 30 years ago, and thereafter the interest in Wnts has grown exponentially, since these ligands are involved in diverse developmental and adult processes in health and disease. Wnts are secreted glycoproteins that signal through seven-pass transmembrane Frizzled (FZD) receptors. To date, 19 members of the Wnt family have been identified in mammals, along with 10 members of the FZD family of receptors. Wnt ligands bind to the extracellular cysteine rich domain (CRD) of FZDs to trigger the canonical Wnt/β-catenin signaling pathway, or the non-canonical or β-catenin-independent pathways Wnt/planar cell polarity (PCP), and Wnt/Ca2+.

4Although some Wnts mainly activate one specific Wnt cascade, it also occurs that one Wnt ligand can activate different signaling cascades depending on the receptor and co-receptor context, increasing the possibilities of interaction and the complexity of the Wnt signaling activation. Wnt co-receptors include the single transmembrane low-density lipoprotein receptor-related protein 5 and 6 (LRP5/6) that trigger Wnt/β-catenin signaling activation, the single-pass transmembrane receptor tyrosine kinase-like orphan receptors 1 and 2 (Ror1/2), and Ryk that activate non-canonical Wnt signaling. In addition, Wnt signaling is modulated by a number of evolutionary conserved inhibitors and activators [for review see; ]. Endogenous activators include the family of four secreted glycoproteins R-spondin (RSPO1-4) and Norrin, described as agonists of the canonical Wnt signaling. Endogenous inhibitors include secreted frizzled-related proteins (sFRPs) composed by five members sFRP1-5, and Wnt inhibitory factor-1 (WIF-1), which directly bind to Wnt proteins preventing their interaction with FZD receptors; Dickkopf 1, 2, and 3 (Dkk1-3), which bind LRP5/6 and the transmembrane proteins Kremen to disrupt the interaction of Wnt/FZD; and Wise/SOST that bind to LRP5/6 to block Wnt-induced FZD-LRP5/6 interaction.

5Activation of canonical Wnt/β-catenin signaling involves the formation of Wnt/LRP/FZD ternary complex, which induces the recruitment of the scaffolding protein Disheveled (Dvl), and the multiprotein complex composed of the scaffolding protein Axin, APC, and the enzymes casein kinase 1 (CK1) and glycogen synthase kinase 3β (GSK3-β). In consequence, β-catenin phosphorylation is inhibited, thus preventing its ubiquitination and degradation. β-catenin accumulates in the cytoplasm and translocate into the nucleus where it interacts with members of the T cell factor/lymphoid enhancer binding factor (TCF/LEF) family of transcription factors displacing the transcriptional repressor Groucho, and regulating the expression of target genes. In the Wnt/PCP pathway the binding of the Wnt ligand causes the activation of the small GTPases Rho and Rac, and downstream c-Jun N-terminal kinase (JNK) which regulates cytoskeleton dynamics and activation of activator protein-1 (AP-1) family transcription factors. Other PCP components include the transmembrane proteins Van Gogh-like (Vangl) and Celsr1-3, and the cytoplasmic factors Prickle and Diversin. The Wnt/PCP pathway regulates the coordinated polarization of cells or structures in the plane of a tissue, and orientation of subcellular structures and cellular processes [reviewed in; ]. The Wnt/Ca2+ signaling cascade is a G protein-dependent signaling pathway that triggers the activation of phospholipase C and phosphodiesterase, increasing the levels of intracellular inositol 1,4,5-triphosphate (IP3) and 1,2 diacylglycerol (DAG). IP3 and DAG lead to the release of calcium from the endoplasmic reticulum and the consequent activation of calcium sensitive proteins such as calcium calmodulin dependent protein kinase II (CamKII), protein kinase C (PKC) or the phosphatase calcineurin that activates the Nuclear factor of activated T-cells (NFAT).

6In the central nervous system, Wnt signaling pathways play pivotal roles during development, controlling cell division, differentiation, polarity, migration, and synaptogenesis. In the adult brain, Wnt signaling regulates synaptic plasticity, adult neurogenesis and behavior [reviewed in; ]. Here we summarize evidence supporting that the Wnt signaling is a key regulator of adult hippocampal neurogenesis in health and disease.

7Compelling evidence indicate that components of the Wnt signaling pathway play multiple roles during adult neurogenesis. As will be discussed, the data also suggest that canonical and non-canonical Wnt signaling cascades regulate different stages of neurogenesis: Wnt/β-catenin signaling regulates proliferation and fate commitment, while non-canonical Wnt signaling controls the differentiation and development of newborn neurons. In this section, we summarize current knowledge on the role of Wnt signaling components and pathways in controlling different stages of adult hippocampal neurogenesis (Figure 1).

8Wnts are secreted lipid-modified glycoproteins that act as autocrine and paracrine signaling molecules. Wnts are expressed in neural progenitor cells (NPCs) isolated from the adult hippocampus, and in dentate gyrus astrocytes. In co-culturing experiments, it was demonstrated that Wnts secreted by astrocytes promote neuronal differentiation of NPCs. In addition, sequestering Wnts secreted by cultured adult hippocampal progenitors (AHPs) reduced proliferation and the expression of genes involved in the maintenance of progenitors cells, while inducing an upregulation of genes involved in neuronal differentiation. This indicates that autocrine Wnt signaling controls maintenance and proliferation of NPCs.

9The first study directly linking Wnt proteins and adult hippocampal neurogenesis in vivo showed that general blockade of Wnt signaling with a dominant negative of Wnt1 ligand, which non-autonomously blocks Wnt signaling, almost completely eliminated the generation of new neurons in adult rat hippocampus. On the other hand, lentivirus-mediated overexpression of Wnt3, which is normally expressed in the SGZ and mostly by niche astrocytes, induced neurogenesis in the adult rat dentate gyrus. In cultured AHPs, overexpression of Wnt3 and Wnt3a, which activate the Wnt/β-catenin pathway, increased neuronal fate commitment and enhanced the proliferation of neuroblasts, suggesting that canonical Wnt signaling regulates these processes. In agreement, expression of dominant-negative Lef1 (dnLef1) reduced neuronal differentiation induced by co-culture with hippocampal astrocytes. Wnt7a was also described as an endogenous modulator of hippocampal neurogenesis that regulates proliferation and neuronal differentiation. Wnt7a knockout mice showed fewer NPCs, which exhibited lengthened cell cycles and a reduced cell cycle reentry, and also showed impaired neuronal differentiation. On the contrary, chronic infusion of Wnt7a directly into the rat hippocampus increased the number of immature neurons. Wnt7a knockdown in NSCs reduced the expression of Cyclin D1, while when NSCs were induced to differentiate into neurons Wnt7a knockdown reduced mRNA levels of neurogenin 2 (Ngn2). In cultured progenitors β-catenin binds to TCF/LEF binding sites in the promoter region of Cyclin D1, while in neurons β-catenin binds to TCF/LEF binding site in the promoter region of Ngn2. These findings indicate that Wnt7a regulates proliferation and differentiation through the canonical Wnt/β-catenin signaling pathway. In addition, immature neurons in Wnt7a knockout mice exhibited reduced dendritic arborization. These data indicate that Wnt7a has multiple roles during adult hippocampal neurogenesis controlling proliferation, differentiation and development of newborn neurons.

10More recently, Wnt5a was also identified as an endogenous niche factor that regulates hippocampal neurogenesis. We determined that reducing the levels of Wnt5a in the dentate gyrus of adult mice decreased the generation of new neurons. Lentivirus-mediated knockdown of Wnt5a reduced the differentiation of neuronal committed progenitor cells, which remained as non-proliferative intermediate Sox2-expressing progenitors that failed to continue with the neuronal differentiation program. In addition, impaired dendritic arborization of newborn neurons was observed when knocking down Wnt5a. A similar effect was observed when Wnt5a was reduced in cultured AHPs, in which neuronal differentiation and morphological development of the derived neurons were reduced, while treatment with Wnt5a had the opposite effect. In agreement, chronic infusion of Wnt5a ligand into the adult rat hippocampus increased the number of immature neurons and altered their pattern of neurite outgrowth. In cultured AHPs, Wnt5a activated CamKII, PKC and JNK, and activated AP1 and c-jun in differentiated but not proliferative AHPs, indicating that Wnt5a triggers activation of non-canonical Wnt signaling cascades. Moreover, we found that the effect of Wnt5a on neuronal differentiation was mediated Wnt/Ca2+/CamKII signaling, while the effect on morphological development involved Wnt/Ca2+ and Wnt/JNK cascades, indicating that Wnt5a is an endogenous factor regulating neurogenesis through non-canonical Wnt signaling.

11Frizzleds are the primary receptors for Wnt signals. All FZD isoforms present conserved structural characteristics, including a N-terminus extracellular region containing the highly conserved CRD, seven transmembrane regions, and an intracellular C-terminus that mediate the interaction between FZD and Dvl [reviewed in; ]. Several FZD receptors are expressed in cultured AHPs, and some of them show specific expression patterns during differentiation. In the adult dentate gyrus, FZD3 is expressed in immature and mature neurons, but not in NSCs or NPCs, suggesting FZD3 is required for later stages of adult neurogenesis. In agreement, FZD3 expression increased upon differentiation in cultured AHPs. Retrovirus-mediated knockdown of FZD3 did not affect neuronal differentiation of newborn cells, however, the dendritic arborization of FZD3-deficient newborn neurons was reduced. In addition, the orientation and positioning of these neurons within the granule cell layer (GCL) was affected. FZD3 knockdown reduced the Wnt5a-dependent activation of c-Jun and JNK in differentiated AHPs, indicating FZD3 activates Wnt/PCP signaling in these cells. The same study demonstrated that in vivo knockdown of Celsr 1-3 impaired the development and maturation of adult-born neurons without affecting neuronal differentiation. Celsr1-3, the mammalian homologs of Drosophila Flamingo, are a family of atypical cadherins that contain seven transmembrane segments, and are part of the so-called Wnt/PCP core proteins in vertebrates. Newborn neurons deficient in Celsr 2/3 showed impaired dendritic arborization and altered positioning within the GCL, while Celsr 1-deficient neurons displayed abnormal orientation. Celsr 3 knockdown also altered dendritic pruning of adult-born neurons. Altogether, these data suggest that Wnt/PCP signaling is involved in polarization and dendritic development of adult-born neurons, but not in fate commitment.

12FZD1 receptor is also expressed in the adult dentate gyrus, where it was found in NSC, NPCs and immature neurons, and its expression is reduced in mature neurons, suggesting the role of this receptor is restricted to early stages of adult neurogenesis. We determined that retrovirus-mediated knockdown of FZD1 in the dentate gyrus of adult mice reduced neuronal differentiation of newborn cells, while increasing the differentiation into astrocytes. Additionally, FZD1-deficient immature neurons showed altered migration within the GCL, but exhibit normal dendritic arborization. FZD1 has been largely described as a receptor for the canonical Wnt signaling, and in agreement, FZD1 knockdown reduced β-catenin levels and the expression of proneural Wnt target genes in AHPs. These results suggest that FZD1 regulates neuronal fate commitment through the canonical Wnt/β-catenin signaling pathway. In accordance, knockdown of the co-receptor for the canonical Wnt pathway LRP6, lead to a reduction in neuronal differentiation of newborn cells. Interestingly, as observed by FZD1 knockdown, no effect on morphological development was observed in LRP6-deficient newborn neurons. In agreement with its role in early stages of neurogenesis LRP6 is expressed in proliferating AHPs and its expression was reduced upon differentiation. Altogether, these evidences suggest that specific receptors and co-receptors activate canonical Wnt/β-catenin to control neuronal fate commitment. Interestingly, β-catenin reporter mouse lines showed a peak of Wnt/β-catenin activity during early stages of adult hippocampal neurogenesis. Different transgenic reporter mouse lines have been used to evaluate the activity of Wnt/β-catenin signaling in the dentate gyrus: the BATGAL mice, the ins-topGal mice, and the Axin2LacZ/+ mice. Although the expression pattern of the reporter activity is not exactly the same in the different mouse lines likely for the molecular construct of the transgenes, the use of BrdU birth-dating strategies and specific molecular markers together with the reporter activity showed that Wnt/β-catenin signaling is active during early stages of adult hippocampus neurogenesis (including NPCs and proliferating neuroblasts), and is attenuated in immature neurons. Considering that activation of a specific Wnt signaling pathway may antagonize the activation of other Wnt signaling cascades, it is feasible to suggest that the Wnt/β-catenin pathway might be inhibited after fate commitment by the activation of non-canonical Wnt signaling cascades, which as discussed, regulate the development of newborn neurons. Interestingly, Wnt/β-catenin activity is reactivated in mature newborn neurons, suggesting that the canonical Wnt pathway might also control later stages of neurogenesis such as maturation or synaptic integration. Notably, it was recently shown that the attenuation of Wnt/β-catenin signaling in early stages of newborn neurons is required for correct dendrite development, and Wnt/β-catenin reactivation in maturing neurons modulates the tempo of dendritic growth and spine formation, indicating that a precise control of Wnt signaling activity is required for the generation of new granule cells in the adult hippocampus.

13Interestingly, a dual role in adult hippocampal neurogenesis was determined for ATP6AP2, an adaptor protein between Wnt/β-catenin and Wnt/PCP signaling that possess a dual function forming a signalosome to initiate canonical Wnt signaling, and acting as a Wnt/PCP core protein. ATP6AP2 knockdown in proliferating progenitors reduced the activity of the TCF/LEF in response to Wnt3a, while in differentiated progenitors ATP6AP2 knockdown reduced AP-1 signaling in response to Wnt5a. This evidence indicates that ATP6AP2 modulates the activation of canonical Wnt/β-catenin and non-canonical Wnt/PCP signaling in NPCs at different stages of the neurogenic process. In vivo, ATP6AP2 knockdown had a dual effect reducing the number of immature neurons and inducing defects in several aspects of the morphological development, migration and orientation of new neurons in the adult hippocampus.

14Altogether, the discussed evidence suggests that Wnt signaling components mediate the activation of specific signaling cascades, which coordinately control the progression of neurogenesis in the adult hippocampus.

15The endogenous Wnt antagonists sFRP3 and Dkk1 have shown to regulate neurogenesis in the adult hippocampus. sFRP3 is highly expressed in the dentate gyrus by mature granule cells in the GCL and regulates different stages of neurogenesis. sFRP3 knockout mice exhibited increased proliferation of NSC, together with increased dendritic development, spine density and accelerated maturation of newborn neurons. Interestingly, in the adult hippocampus there is a septo-temporal gradient of expression of this Wnt inhibitor that is inversely related to NSCs proliferation, suggesting that sFRP3 levels, and therefore Wnt signaling activity, contribute to the graded distribution of neurogenesis in the adult dentate gyrus. sFRP3 is also involved in the physiological modulation of neurogenesis by electroconvulsive stimulation (ECS) and wheel running, which concomitantly with the increase in neuronal activity, lead to a reduction in the levels of sFRP3 in the dentate gyrus and to the activation of the Wnt/β-catenin signaling pathway. Besides, Dkk1 regulates self-renewal of NPCs and morphological maturation of newborn neurons. In NPCs loss of Dkk1 increased Wnt/β-catenin signaling reporter activity, indicating that Dkk1 negatively regulates the canonical Wnt pathway in the adult hippocampus. Dkk1 was involved in the age-dependent decrease in neurogenesis, which will be discussed later.

16Wnt/β-catenin target genes have been involved in multiple stages of adult hippocampal neurogenesis. Cyclin D1 is involved in the Wnt-mediated induction of proliferation in neural progenitors. In proliferative NPCs, β-catenin is bound to the TCF/LEF motif in the Cyclin D1 promoter, associated with the active chromatin markers acetylated histone H3 (AcH3) and trimethylated histone H3 at lysine 4 (H3K4me3). But when NPCs are induced to differentiate, β-catenin dissociate from the Cyclin D1 promoter. On the contrary, upon differentiation β-catenin binds a TCF/LEF binding site in the Ngn2 gene promoter in association with active chromatin markers AcH3 and H3K4me3. Ngn2 is a proneural basic helix-loop-helix (bHLH) transcription factor that promotes neuronal differentiation. Prior to differentiation, no β-catenin was detected in the TCF/LEF binding site of the Ngn2 promoter in NPCs.

17NeuroD1 is also a bHLH proneural transcription factor involved in the Wnt-mediated induction of neuronal differentiation. NeuroD1 is expressed in neuronal committed progenitors and immature neurons, but not in NSCs. Overexpression of NeuroD1 in cultured adult NSC increased their neuronal differentiation, while reducing their differentiation into oligodendrocytes and astrocytes, indicating NeuroD1 promotes neuronal fate-commitment. In the adult dentate gyrus, β-catenin knockdown in Sox2 cells induced the loss of NeuroD1 progenitors, as well as a decrease in newborn granule neurons, with no effect on the NSC pool. Neurod1 gene promoter contains a TCF/LEF binding site that is overlapped with a binding site for Sox2 (Sox/LEF site). In undifferentiated NSCs, Sox2 and the histone deacetylase HDAC1 repressor protein are associated with the Sox/LEF site in the Neurod1 promoter. In differentiated neurons β-catenin, along with acetylated histone H3 and methylated histone H3 at lysine 4, which are related with transcriptional activation, are present in the Neurod1 promoter. The data indicate that the Neurod1 promoter is repressed by Sox2 in NSCs, and in response to Wnt stimulation it is transcriptionally activated by β-catenin leading to NeuroD1 expression and neurogenesis. The gene encoding prospero-related homeodomain transcription factor 1 (Prox1) also contains TCF/LEF sites overlapped with Sox2 binding sites in promoter/enhancer regions. Prox1 is expressed in type 2 cells, neuroblasts, immature neurons and mature granule neurons restricted to the dentate gyrus. Prox1 is required for the maintenance of intermediate progenitor cells, and for neuronal differentiation of granule cells. Altogether, these data suggest that in adult hippocampal neurogenesis Wnt/β-catenin signaling regulates proliferation through the expression of Cyclin D1 and promotes neuronal differentiation through the expression of proneural transcription factors including Ngn2, NeuroD1 and Prox1.

18An age-related decline in adult hippocampal neurogenesis has been evidenced in rodents, non-human primates and humans, suggesting that conserved mechanisms may underlie the reduced capacity of the aged hippocampus to generate new neurons. Recently, a correlation between the loss of immature neurons and an early cognitive decline was determined in aged humans, suggesting that efforts to promote neurogenesis may foster new therapeutic possibilities for the aging brain.

19The reduced neurogenesis is likely a consequence of a deteriorated neurogenic niche unable to sustain neurogenesis. Growing evidence suggest that the Wnt signaling pathway is part of the signaling mechanisms affected, that might contribute to the decline in neurogenesis (Figure 2). In support of this idea, β-catenin reporter mice exhibit a strong decrease in β-catenin signaling activity in the GCL with age, and increasing β-catenin activity counteracts the age-associated maturation defects of adult-born dentate granule neurons. In addition, the expression of Wnt3 and Wnt3a in the dentate gyrus decreases with age, concomitantly with the decrease in newborn neurons positive for NeuroD1. In aged rats (22-month-old) almost no expression of Wnt3 was observed in astrocytes of the SGZ compared to young rats (4-week-old), although the number of astrocytes remained unaffected. This was also determined in cultured primary astrocytes from the hippocampus of aged mice (9-month-old), which showed reduced levels of Wnt3 and Wnt3a compared to astrocytes cultured from young animals (4-week-old). Interestingly, the same study determined that NSCs isolated from the hippocampus of young and aged mice exhibited a more effective neuronal differentiation when cultured on young versus aged primary astrocyte layer. This effect was not observed when Wnt3 was knocked down in young astrocytes, suggesting that loss of Wnt signals might contribute to the impaired neurogenesis in the aged hippocampus. Of note, the expression of FZD receptors and co-receptors were almost unchanged between young and aged NSC. Another study determined that conditioned media from young astrocytes induced promoter activity of the anti-apoptotic protein Survivin in aged and young NPCs, while conditioned medium from aged astrocytes decreased Survivin promoter activity and NPC proliferation compared to control medium. Survivin is a Wnt target gene, and lentivirus-mediated expression of Survivin in the dentate gyrus of aged mice (13-month-old), increased proliferation. This study also determined that Wnts released by astrocytes promote NPC proliferation by inducing Survivin expression, and that most Wnt ligands are downregulated in aged astrocytes. Interestingly, wheel running, a well characterized inducer of neurogenesis in young and aged hippocampus, induced an increase in the number of Wnt3 expressing cells concomitantly with an increase in the density of immature neurons in the dentate gyrus, suggesting that Wnt3 could mediate the stimulation of neurogenesis in the adult hippocampus.

20In addition to the downregulation of Wnt signals, in aging there is an increase in endogenous Wnt inhibitors. Increased levels of Dkk1 were observed in the hippocampus of aged mice. Interestingly, loss of Dkk1 restored neurogenesis in old mice (2-year-old) and increased the dendritic complexity of newborn neurons. Moreover, loss of Dkk1 restored spatial working memory and memory consolidation, and improved affective behavior in aged mice. sFRP3 was also increased in the aging hippocampus. Interestingly, genetic inhibition of sFRP3 in a mouse model of accelerated aging, rescued neural progenitor proliferation in the hippocampal dentate gyrus.

21Impaired neurogenesis is observed in several neuropsychiatric and neurodegenerative diseases such as mood disorders, epilepsy, Parkinson’s disease and Alzheimer’s disease (AD). AD is the most common type of dementia, it is estimated that 30 million people suffer form AD worldwide. AD is characterized by a progressive memory loss, impaired cognitive functions, neuronal loss and synaptic dysfunction. Histopathological hallmarks of AD are the extracellular deposition of amyloid β peptide (Aβ) forming amyloid plaques, and the presence of intracellular neurofibrillary tangles mainly composed by hyperphosphorylated tau proteins [reviewed in ]. Aβ is generated from sequential proteolysis of amyloid precursor protein (APP) by β- and γ-secretase enzymes. In addition to neuronal loss, reduced neurogenesis was evidenced in the dentate gyrus of patients with AD pathology. Post-mortem brain analysis from AD patients revealed a progressive decline in the number of newborn neurons, and in the maturation of these cells as the disease advanced. Reduced neurogenesis has also been evidenced in different mouse models of AD, which show impairments in NPCs proliferation, differentiation and maturation of newborn neurons. Interestingly, in AD mice deficits in neurogenesis precede Aβ plaque and NFT formation, suggesting that impairment in neurogenesis may mediate early cognitive decline. Recently, reduced number of neuroblasts in early stages of cognitive decline was determined in humans, suggesting that reduced neurogenesis may promote cognitive deficits in AD, or exacerbate them. Because increased neurogenesis in the dentate gyrus is associated with improved cognitive capacities, there has been great interest in the potential of neurogenesis as a therapeutic target for conditions affecting cognition. In this regard, genetic manipulation of neurogenesis by inducing the expression of the proneural gene NeuroD1 in hippocampal progenitors restored spatial memory in a mouse model of AD. This evidence supports the potential of neurogenesis as a therapeutic target to prevent or improve cognitive deficits in normal aging and pathological conditions.

22Interestingly, we and others have determined that hippocampal neurogenesis is stimulated in AD mouse models through physiological, and pharmacological stimulation. These evidences demonstrate that NSCs in the hippocampus retains the ability to generate new neurons. In this context, the decrease in neurogenesis in AD could be due to a deterioration of the neurogenic niche. Wnt signaling is likely affected in the SGZ niche since compelling evidence indicate a downregulation of this signaling pathway is associated to the pathophysiology of AD [reviewed in;;; ]. Among the several components of the Wnt pathway that are altered in AD, increased levels of Dkk1 were found in post-mortem brains of AD patients, and in the hippocampus of the TgCRND8 mouse model of AD, expressing a double mutant form of the human APP. Also, increased levels of active GSK-3β was observed in the dentate gyrus of TgCRND8 mice, suggesting a downregulation of Wnt signaling activity in this area. Moreover, in AD patients altered gene expression was found for the soluble Wnt inhibitor WIF-1 in the temporal lobe, Wnt7b and intracellular components of canonical Wnt signaling in the entorhinal cortex and hippocampus, and FZD3 in prefrontal cortex. In addition, a genetic variant of the Wnt co-receptor LRP6, showing reduced activation of the canonical Wnt signaling has been associated to late-onset AD.

23Considering the crucial role of the Wnt signaling in the regulation of neurogenesis, it might be possible that the dysregulation of this signaling pathway may contribute to neurogenesis deficits observed in AD. Of note, overexpression of Wnt3 restored neurogenesis in the hippocampus of the 5xFAD mouse model of AD, that express human APP and PSEN1 with a total of five AD-linked mutations. As well, overexpression of Wnt3a was also able to restore neurogenesis levels in the dentate gyrus of 3xTgAD mice, bearing human APP, tau and PSEN1 with AD-linked mutations. These evidences indicate that in AD brain, neurogenesis is able to respond to exogenous Wnt stimulation, and suggest that Wnt manipulation is an attractive therapeutic target to promote neurogenesis in this pathological condition (Figure 3).

24Supporting the association between Wnt signaling impairment and reduced neurogenesis, several drugs able to enhance neurogenesis in AD models have shown to modulate components of the Wnt signaling pathway (Figure 3). Pharmacological inhibition of the key component of the Wnt signaling pathway GSK-3β, enhances neurogenesis in the hippocampus of AD mice. Lithium, a widely used mood stabilizer that inhibits GSK-3α/β by competing with the cofactor magnesium, induced the proliferation and survival rate of NPCs in the SGZ of TgCRND8 mice. Lithium treatment induced an increase in the number of immature neurons expressing nuclear β-catenin, supporting the activation of Wnt/β-catenin signaling in newborn neurons. Importantly, therapeutic concentrations of lithium induced proliferation of cultured AHPs, which was prevented by β-catenin knockdown, indicating that lithium induced neurogenesis trough activation of the Wnt/β-catenin signaling pathway. Additionally, Andrographolide (ANDRO) one of the main constituents of the medicinal plant Andrographis paniculata, that inhibits GSK-3β through a substrate-competitive mode of action, promoted hippocampal neurogenesis in the APPswe/PSEN1ΔE9 mouse model of AD. ANDRO treatment induced proliferation and increased the density of immature neurons in the dentate gyrus of AD mice, concomitantly with an increase in hippocampal levels of β-catenin and NeuroD1 in the hippocampus. Importantly, ANDRO was shown to improve cognitive performance in APPswe/PSEN1ΔE9 mice, and in J20 mice expressing human APP with two mutations linked to familial AD. More recently, Valproic acid (VPA), another selective inhibitor of GSK-3β used as an antiepileptic and mood-stabilizing drug, was shown to promote proliferation, increase the density of immature neurons, and improved learning and memory in the dentate gyrus of triple transgenic APPswe/PSEN1ΔE9/Nestin-GFP mice. VPA treatment increased β-catenin levels, and induced the expression of NeuroD1, suggesting the activation of the Wnt signaling pathway in the hippocampus of AD mice.

25In addition, the biological trace element Selenomethionine (Se-Met) and Ethosuximide (ETH), which inactivate GSK-3β through the PI3K/Akt pathway, also promoted neurogenesis in AD models. Together with the inactivation of GSK-3β, Se-Met increased β-catenin levels, induced the expression of Cyclin D1, and increased cell proliferation and neurogenesis in the hippocampus of a 3xTg AD mice. On the other hand, treatment with the antiepileptic drug ETH, reversed cognitive dysfunction, and increased proliferation and neuronal differentiation in the dentate gyrus of a rat model of AD induced by the injection of Aβ (1-42) into the hippocampus. ETH prevented the Aβ-induced reduction in the expression of neurogenesis-related genes (including Ngn2 and NeuroD1), and Wnt signaling components, suggesting that the effects of ETH may be mediated by β-catenin signaling.

26Curcumin, a natural polyphenol compound derived from turmeric (Curcuma longa), was also suggested to induced neurogenesis through the activation of Wnt/β-catenin signaling pathway. Curcumin encapsulated in PLGA nanoparticles induced NSC proliferation and neuronal differentiation in the hippocampus of an Aβ-induced rat model of AD, and reduced the cognitive deficits. Curcumin enhanced nuclear translocation of β-catenin, decreased GSK-3β levels, and increased promoter activity of Cyclin D1. In the hippocampus, curcumin enhanced the expression of Wnt3a, Dvl, FZD1 and LRP5/6, and the Wnt target genes Ngn2 and NeuroD1, and reduced the expression of the negative regulators of Wnt signaling WIF-1 and Dkk1. Interestingly, pharmacological and genetic inhibition of the Wnt pathway blocked the stimulation of neurogenesis mediated by curcumin, indicating that the effects of curcumin are mediated by activation of Wnt/β-catenin signaling. Another natural product, Xanthoceraside (XAN), a triterpenoid saponin monomer extracted from the husks of Xanthoceras sorbifolia Bunge, ameliorated the cognitive impairment and concomitantly increased NSCs proliferation and neuronal differentiation in APPswe/PS1ΔE9 mice. Interestingly, XAN treatment enhanced the expression of Wnt3a, increased the levels of inactive GSK-3β and induced nuclear translocation of β-catenin in the hippocampus of APP/PS1 mice, suggesting that XAN may promote neurogenesis by enhancing the Wnt/β-catenin signaling pathway. Moreover, Dkk1 inhibited the effects of XAN in cultured NSC.

27The reviewed studies indicate that the Wnt signaling plays multiple roles in adult hippocampal neurogenesis including NPCs proliferation, fate-commitment, development and maturation of newborn neurons. Evidences suggest a stage-specific expression of particular receptors that might activate different Wnt signaling cascades to control the progression of neurogenesis. Although the role of the canonical Wnt co-receptor LRP6 support this notion, the role of other co-receptors that control the activation of non-canonical Wnt signaling remains to be elucidated. The identification of Wnt co-receptors involved in adult neurogenesis is a critical issue that should be addressed to gain a more comprehensive understanding of how canonical and non-canonical Wnt signaling are regulated during adult neurogenesis. In addition, it will be interesting to further study the downstream signaling components and effectors involved in the regulation of adult hippocampal neurogenesis by non-canonical Wnt signaling.

28Several studies indicate that Wnt proteins released by hippocampal astrocytes and progenitor cells are crucial components of the SGZ niche. In addition, endogenous Wnt inhibitors are also components of the neurogenic microenvironment that dynamically regulate Wnt-mediated neurogenesis under physiological conditions. Considering the increasing number of Wnt regulators identified to date, it will be interesting to further investigate the contribution of these molecules to the dynamic control of neurogenesis.

29In agreement with the critical roles of Wnt signaling in adult neurogenesis, evidence indicates that Wnt signaling is associated with the age-dependent decline in neurogenesis. Concomitantly with the decrease in the generation of new neurons, in normal aging there is a reduction in the expression of Wnt proteins, an increase in the expression of Wnt inhibitors, and a decrease in canonical Wnt signaling activity in the dentate gyrus. Wnt dysfunction might also underlie the impairment of neurogenesis observed in AD. Interestingly, genetic and pharmacological activation of Wnt signaling was shown to restore adult hippocampal neurogenesis, and also to improve cognitive performance in animal models of AD. Although it is not yet known how neurogenesis contribute to hippocampal function in humans, compelling evidence in animal models suggest that adult-born neurons are important for learning and memory, cognitive flexibility and mood regulation. In addition, recent findings support that neurogenesis impairment contributes to cognitive decline in aging and AD. Therefore, a better understanding on the molecular mechanisms involved in the regulation of neurogenesis may have important therapeutic implications. The reviewed evidence suggests that stimulation of Wnt signaling emerges as an attractive strategy to enhance endogenous neurogenesis and improve hippocampal-dependent cognitive function.

30SBA, DV-B, and MDM wrote and revised the manuscript. LV-N, wrote, drafted, and edited the manuscript. All authors approved the final version as submitted.

31The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.