Review Article

FoxO Proteins in the Nervous System

Table 1

Forkhead box class O (FoxO) in the nervous system.

PathwayFunction

Tissue expressionFoxO proteins are expressed in all tissues of the body
FoxO proteins appear to have selective expression in the nervous system that may offer insight into the biology of specific FoxO proteins
FoxO proteins may be applicable for multiple neurodegenerative disorders that include Alzheimer’s disease, Parkinson’s disease, Huntington’s disease, amyotrophic lateral sclerosis, and auditory neuronal disease

Epigenetic and posttranslational modificationFoxO proteins are controlled by posttranslation protein modifications that involve phosphorylation, acetylation, and ubiquitylation that involve Akt, SgK, MST1, IKK, SIRT1, and Wnt signaling with WISP1

Oxidative stressFoxO proteins may be required for oxidative stress to result in apoptosis and can disrupt proliferative pathways of Wnt signaling
FoxO proteins have been linked to disease progression and oxidative stress can modify FoxO interactions with other proteins that can ultimately influence cell neuronal survival

Autophagy and apoptosisDuring oxidative stress, FoxO proteins can lead to the induction of autophagy and promote cell survival to clear the presence of toxic proteins such as mHtt, α-synuclein, and Aβ
Under some circumstances with autophagy, a reduction in autophagy is required for protection indicating that FoxO cytoprotection may not always be directly tied to the induction of autophagy
Protection against apoptosis usually requires inhibition or gene knockdown of FoxO proteins to protect against injuries such as cerebral ischemia, microglial and inflammatory cell demise, and Aβ exposure. Protection with metabotropic glutamate receptors, NAD+ precursors, and trophic factors such as EPO requires inhibition and nuclear export of FoxO proteins

Stem cellsActivity of FoxO proteins can be necessary for the development of hematopoietic stem cells, dopaminergic cells, muscle regeneration, and oligodendrocyte progenitor development and myelination
At times, reduction in FoxO protein activity is required for cell development and differentiation such as with pancreatic beta cell survival, osteoblast precursors, embryonic stem cells, and enteric nervous system precursors

Akt: protein kinase B; Aβ: beta-amyloid; EPO: erythropoietin; IKK: IκB kinase; MST1: mammalian sterile 20-like kinase-1; mHtt: mutant Huntingtin; SgK: NAD+: nicotinamide adenine dinucleotide; serum- and glucocorticoid-inducible protein kinase; SIRT1: silent mating type information regulation 2 homolog 1 (S. cerevisiae); WISP1: wnt1 inducible signaling pathway protein 1.