Beta Amyloid Peptide

Beta Amyloid Peptides


J Neurosci Res. 2010 Oct 1. [Epub ahead of print]

Efficient four-drug cocktail therapy targeting amyloid-β peptide for Alzheimer's disease.

Department of Pharmacology, Faculty of Medicine, Saitama Medical University, Saitama, Japan.

Abstract

Cocktail treatment is an effective multidrug medication therapy for some diseases, such as cancer and AIDS, because of the additive or synergistic effect of each medicine and relief from adverse effects. Amyloid-β peptide (Aβ), which is now recognized as central to the development of Alzheimer's disease (AD), is derived from the sequential proteolysis of amyloid precursor protein (APP) by β- and γ-secretases. Secretase inhibitors are one of most attractive targets for therapeutic intervention in AD. However, because β- and γ-secretases cleave not only APP but also other substrate proteins, strong inhibition of these secretases leads to severe adverse effects. Some nonsteroidal antiinflammatory drugs (NSAIDs) and cholesterol-lowering drugs (statins) can modify the production of Aβ. Here, we report that a cocktail treatment with four drugs (NSAID, statin, and β- and γ-secretase inhibitors) had additive effects on the reduction of Aβ levels in cultured cells without competing with each other. Moreover, the four-drug cocktail treatment caused no changes in processing of the γ-secretase substrate Notch. This is suggests that this cocktail treatment could be a new therapeutic approach for AD. © 2010 Wiley-Liss, Inc.
PMID: 20890992 [PubMed - as supplied by publisher]
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J Korean Med Sci. 2010 Oct;25(10):1492-8. Epub 2010 Sep 17.

GD3 Accumulation in Cell Surface Lipid Rafts Prior to Mitochondrial Targeting Contributes to Amyloid-β-induced Apoptosis.

Department of Neurology, Dong-A University College of Medicine, Medical Science Research Center, Busan, Korea.

Abstract

Neuronal apoptosis induced by amyloid β-peptide (Aβ) plays an important role in the pathophysiology of Alzheimer's disease (AD). However, the molecular mechanism underlying Aβ-induced apoptosis remains undetermined. The disialoganglioside GD3 involves ceramide-, Fas- and TNF-α-mediated apoptosis in lymphoid cells and hepatocytes. Although the implication of GD3 has been suggested, the precise role of GD3 in Aβ-induced apoptosis is still unclear. Here, we investsigated the changes of GD3 metabolism and characterized the distribution and trafficking of GD3 during Aβ-induced apoptosis using human brain-derived TE671 cells. Extracellular Aβ-induced apoptosis in a mitochondrial-dependent manner. GD3 level was negligible in the basal condition. However, in response to extracellular Aβ, both the expression of GD3 synthase mRNA and the intracellular GD3 level were dramatically increased. Neosynthesized GD3 rapidly accumulated in cell surface lipid microdomains, and was then translocated to mitochondria to execute the apoptosis. Disruption of membrane lipid microdomains with methyl-β-cyclodextrin significantly prevented both GD3 accumulation in cell surface and Aβ-induced apoptosis. Our data suggest that rapidly accumulated GD3 in plasma membrane lipid microdomains prior to mitochondrial translocation is one of the key events in Aβ-induced apoptosis.
PMID: 20890432 [PubMed - in process]
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3.
J Mol Biol. 2010 Sep 30. [Epub ahead of print]

Mechanism of fiber assembly; treatment of Aβ-peptide aggregation with a coarse-grained united-residue force field.

Department of Physics and Astronomy, Louisiana State University, Baton Rouge, LA (70803); Baker Laboratory of Chemistry and Chemical Biology, Cornell University, Ithaca, NY 14853-1301.

Abstract

The mechanism of growth of fibrils of the β-amyloid peptide (Aβ) was studied by means of a physics-based coarse-grained united-residue (UNRES) model and molecular dynamics (MD) simulations. To identify the mechanism of monomer addition to an Aβ(1-40) fibril, an unstructured monomer was placed at a 20 (˚)A distance from a fibril template, and allowed to interact freely with it. The monomer was not biased towards the fibril conformation, by either the force field or the MD algorithm. By using a coarse-grained model with replica exchange MD, a longer time scale was accessible making it possible to observe how the monomers probe different binding modes during their search towards the fibril conformation. Although different assembly pathways were seen, they all follow a dock-lock mechanism, with two distinct locking stages, which is consistent with data from experiments on fibril elongation. Whereas these experiments have not been able to characterize the conformations populating the different stages, we have been able to describe these different stages explicitly by following free monomers as they dock onto a fibril template and adopt the fibril conformation; i.e., we describe fibril elongation step by step, at the molecular level. During the first stage of the assembly, "docking", the monomer tries different conformations. After docking, the monomer is locked into the fibril through two different locking stages. In the first stage the monomer forms hydrogen bonds with the fibril template along one of the strands in a two-stranded β hairpin; in the second stage, hydrogen bonds are formed along the second strand, locking the monomer into the fibril structure. The data reveal a free-energy barrier separating the two locking stages. The importance of hydrophobic interactions and hydrogen bonds in the stability of the Aβ fibril structure was examined by carrying out additional canonical MD simulations of oligomers with different numbers of chains (4 to 16 chains) with the fibril structure as the initial conformation. The data confirm that the structures are stabilized largely by hydrophobic interactions and show that the intermolecular hydrogen bonds are highly stable and contribute to the stability of the oligomers as well.
PMID: 20888834 [PubMed - as supplied by publisher]
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Protein Sci. 2010 Sep 30. [Epub ahead of print]

N-terminal engineering of amyloid-β-binding affibody molecules yields improved chemical synthesis and higher binding affinity.

Royal Institute of Technology (KTH), School of Biotechnology, Division of Molecular Biotechnology, AlbaNova University Centre, 106 91 Stockholm, Sweden.

Abstract

The aggregation of amyloid-β (Aβ) peptides is believed to be a major factor in the onset and progression of Alzheimer's disease. Molecules binding with high affinity and selectivity to Aβ-peptides are important tools for investigating the aggregation process. An Aβ-binding Affibody molecule, Z(Aβ3), has earlier been selected by phage display and shown to bind Aβ(1-40) with nanomolar affinity and to inhibit Aβ-peptide aggregation. In this study we create truncated functional versions of the Z(Aβ3) Affibody molecule better suited for chemical synthesis production. Engineered Affibody molecules of different length were produced()by solid phase peptide synthesis (SPPS) and allowed to form covalently linked homodimers by S-S-bridges. The N-terminally truncated Affibody molecules Z(Aβ3)(12-58), Z(Aβ3)(15-58) and Z(Aβ3)(18-58) were produced in considerably higher synthetic yield than the corresponding full-length molecule Z(Aβ3)(1-58). Circular dichroism (CD) spectroscopy and surface plasmon resonance (SPR)-based biosensor analysis showed that the shortest Affibody molecule - Z(Aβ3)(18-58) - exhibited complete loss of binding to the Aβ(1-40)-peptide, while the Z(Aβ3)(12-58) and Z(Aβ3)(15-58) Affibody molecules both displayed approximately one order of magnitude higher binding affinity to the Aβ(1-40)-peptide compared to the full-length Affibody molecule. Nuclear magnetic resonance (NMR) spectroscopy showed that the structure of Aβ(1-40) in complex with the truncated Affibody dimers is very similar to the previously published solution structure of the Aβ(1-40)-peptide in complex with the full-length Z(Aβ3) Affibody molecule. This indicates that the N-terminally truncated Affibody molecules Z(Aβ3)(12-58) and Z(Aβ3)(15-58) are highly promising for further engineering and future use as binding agents to monomeric Aβ(1-40).
PMID: 20886513 [PubMed - as supplied by publisher]
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PLoS One. 2010 Sep 23;5(9):e12853.

Selective disruption of the cerebral neocortex in Alzheimer's disease.

Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, Massachusetts, United States of America. rahul@nmr.mgh.harvard.edu

Abstract

BACKGROUND: Alzheimer's disease (AD) and its transitional state mild cognitive impairment (MCI) are characterized by amyloid plaque and tau neurofibrillary tangle (NFT) deposition within the cerebral neocortex and neuronal loss within the hippocampal formation. However, the precise relationship between pathologic changes in neocortical regions and hippocampal atrophy is largely unknown.
METHODOLOGY/PRINCIPAL FINDINGS: In this study, combining structural MRI scans and automated image analysis tools with reduced cerebrospinal fluid (CSF) Aβ levels, a surrogate for intra-cranial amyloid plaques and elevated CSF phosphorylated tau (p-tau) levels, a surrogate for neocortical NFTs, we examined the relationship between the presence of Alzheimer's pathology, gray matter thickness of select neocortical regions, and hippocampal volume in cognitively normal older participants and individuals with MCI and AD (n = 724). Amongst all 3 groups, only select heteromodal cortical regions significantly correlated with hippocampal volume. Amongst MCI and AD individuals, gray matter thickness of the entorhinal cortex and inferior temporal gyrus significantly predicted longitudinal hippocampal volume loss in both amyloid positive and p-tau positive individuals. Amongst cognitively normal older adults, thinning only within the medial portion of the orbital frontal cortex significantly differentiated amyloid positive from amyloid negative individuals whereas thinning only within the entorhinal cortex significantly discriminated p-tau positive from p-tau negative individuals.
CONCLUSIONS/SIGNIFICANCE: Cortical Aβ and tau pathology affects gray matter thinning within select neocortical regions and potentially contributes to downstream hippocampal degeneration. Neocortical Alzheimer's pathology is evident even amongst older asymptomatic individuals suggesting the existence of a preclinical phase of dementia.
PMID: 20886094 [PubMed - in process]
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PLoS One. 2010 Sep 23;5(9). pii: e12974.

Phospho-eIF2α Level Is Important for Determining Abilities of BACE1 Reduction to Rescue Cholinergic Neurodegeneration and Memory Defects in 5XFAD Mice.

Center for Dementia Research, Nathan Kline Institute, New York University School of Medicine, Orangeburg, New York, United States of America.

Abstract

β-Site APP-cleaving enzyme 1 (BACE1) initiates amyloid-β (Aβ) generation and thus represents a prime therapeutic target in treating Alzheimer's disease (AD). Notably, increasing evidence indicates that BACE1 levels become elevated in AD brains as disease progresses; however, it remains unclear how the BACE1 upregulation may affect efficacies of therapeutic interventions including BACE1-inhibiting approaches. Here, we crossed heterozygous BACE1 knockout mice with AD transgenic mice (5XFAD model) and compared the abilities of partial BACE1 reduction to rescue AD-like phenotypes at earlier (6-month-old) and advanced (15-18-month-old) stages of disease, which expressed normal (∼100%) and elevated (∼200%) levels of BACE1, respectively. BACE1(+/-) deletion rescued memory deficits as tested by the spontaneous alternation Y-maze task in 5XFAD mice at the earlier stage and prevented their septohippocampal cholinergic deficits associated with significant neuronal loss. Importantly, BACE1(+/-) deletion was no longer able to rescue memory deficits or cholinergic neurodegeneration in 5XFAD mice at the advanced stage. Moreover, BACE1(+/-) deletion significantly reduced levels of Aβ42 and the β-secretase-cleaved C-terminal fragment (C99) in 6-month-old 5XFAD mouse brains, while these neurotoxic β-cleavage products dramatically elevated with age and were not affected by BACE1(+/-) deletion in 15-18-month-old 5XFAD brains. Interestingly, although BACE1(+/-) deletion lowered BACE1 expression by ∼50% in 5XFAD mice irrespective of age in concordance with the reduction in gene copy number, BACE1 equivalent to wild-type controls remained in BACE1(+/-)·5XFAD mice at the advanced age. In accord, phosphorylation of the translation initiation factor eIF2α, an important mediator of BACE1 elevation, was dramatically increased (∼9-fold) in 15-18-month-old 5XFAD mice and remained highly upregulated (∼6-fold) in age-matched BACE1(+/-)·5XFAD mice. Together, our results indicate that partial reduction of BACE1 is not sufficient to block the phospho-eIF2α-dependent BACE1 elevation during the progression of AD, thus limiting its abilities to reduce cerebral Aβ/C99 levels and rescue memory deficits and cholinergic neurodegeneration.
PMID: 20886088 [PubMed - in process]
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Magn Reson Med Sci. 2010;9(3):95-9.

Amyloid imaging using high-field magnetic resonance.

Molecular Neuroscience Research Center, Shiga University of Medical Science.

Abstract

The formation of senile plaques followed by deposition of amyloid β peptides (Aβ) are the earliest pathological changes of Alzheimer's disease (AD); thus, detection of the plaques remains the most important early diagnostic indicator of AD. Amyloid imaging is a noninvasive technique for visualizing senile plaques in the brains of patients with Alzheimer's using positron emission tomography (PET) or magnetic resonance (MR) imaging. Several types of probes have been developed for PET, but few ligands have been developed specifically for MR imaging detection of amyloid plaques. This review presents recent advances in amyloid imaging using MR imaging and includes our studies.
PMID: 20885081 [PubMed - in process]
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Neuroscience. 2010 Sep 25. [Epub ahead of print]

Low energy laser light (632.8 nm) suppresses amyloid-β peptide-induced oxidative and inflammatory responses in astrocytes.

Department of Biological Engineering, University of Missouri, Columbia, MO 65211, USA.

Abstract

Oxidative stress and inflammation are important processes in the progression of Alzheimer's disease (AD). Recent studies have implicated the role of amyloid β-peptides (Aβ) in mediating these processes. In astrocytes, oligomeric Aβ induces the assembly of NADPH oxidase complexes resulting in its activation to produce anionic superoxide. Aβ also promotes production of pro-inflammatory factors in astrocytes. Since low energy laser has previously been reported to attenuate oxidative stress and inflammation in biological systems, the objective of this study was to examine whether this type of laser light was able to abrogate the oxidative and inflammatory responses induced by Aβ. Primary rat astrocytes were exposed to Helium-Neon laser (λ=632.8 nm), followed by the treatment with oligomeric Aβ. Primary rat astrocytes were used to measure Aβ-induced production of superoxide anions using fluorescence microscopy of dihydroethidium (DHE), assembly of NADPH oxidase subunits by the colocalization between the cytosolic p47(phox) subunit and the membrane gp91(phox) subunit using fluorescent confocal microscopy, phosphorylation of cytosolic phospholipase A(2 (cPLA)2), and expressions of pro-inflammatory factors including interleukin-1β (IL-1β) and inducible nitric-oxide synthase (iNOS) using Western blot Analysis. Our data showed that laser light at 632.8 nm suppressed Aβ-induced superoxide production, colocalization between NADPH oxidase gp91(phox) and p47(phox) subunits, phosphorylation of cPLA(2,) and the expressions of IL-1β and iNOS in primary astrocytes. We demonstrated for the first time that 632.8 nm laser was capable of suppressing cellular pathways of oxidative stress and inflammatory responses critical in the pathogenesis in AD. This study should prove to provide the groundwork for further investigations for the potential use of laser therapy as a treatment for AD.
PMID: 20884337 [PubMed - as supplied by publisher]
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Eur J Pharmacol. 2010 Sep 29. [Epub ahead of print]

Involvement of notch signaling pathway in amyloid precursor protein induced glial differentiation.

Burnett School of Biomedical Sciences, College of Medicine, University of Central Florida, Orlando, FL 32827, USA.

Abstract

The amyloid precursor protein (APP) has been mainly studied in its role in the production of amyloid β peptides (Aβ), because Aβ deposition is a hallmark of Alzheimer's disease. Although several studies suggest APP has physiological functions, it is still controversial. We previously reported that APP increased glial differentiation of neural progenitor cells (NPCs). In the current study, NPCs transplanted into APP23 transgenic mice primarily differentiated into glial cells. In vitro treatment with secreted APP (sAPP) dose-dependently increased glial fibrillary acidic protein (GFAP) immuno-positive cells in NPCs and over expression of APP caused most NPCs to differentiate into GFAP immuno-positive cells. Treatment with sAPP also dose-dependently increased expression levels of GFAP in NT-2/D1 cells along with the generation of Notch intracellular domain (NICD) and expression of Hairy and enhancer of split 1 (Hes1). Treatment with γ-secretase inhibitor suppressed the generation of NICD and reduced Hes1 and GFAP expressions. Treatment with the N-terminal domain of APP (APP 1-205) was enough to induce up regulation of GFAP and Hes1 expressions, and application of 22 C11 antibodies recognizing N-terminal APP suppressed these changes by sAPP. These results indicate APP induces glial differentiation of NPCs through Notch signaling.
PMID: 20883690 [PubMed - as supplied by publisher]
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Protein Sci. 2010 Sep 29. [Epub ahead of print]

Structurally distinct toxicity inhibitors bind at common loci on β-amyloid fibril.

Department of Chemical & Biochemical Engineering, University of Maryland Baltimore County, 1000 Hilltop Circle, Baltimore MD 21250.

Abstract

The accumulation of aggregated β-Amyloid (Aβ) in the brain is a hallmark of Alzheimer's Disease (AD) and is thought to play a role in the neurotoxicity associated with the disease. The mechanism by which Aβ aggregates induce toxicity is uncertain. Nonetheless, several small molecules have been found to interact with Aβ fibrils and to prevent their toxicity. In this paper we studied the binding of these known toxicity inhibitors to Aβ fibrils, as a means to explore surfaces or loci on Aβ aggregates that may be significant in the mechanism of action of these inhibitors. We believe knowledge of these binding loci will provide insight into surfaces on the Aβ fibrils important in Aβ biological activity. The program DOCK was used to computationally dock the inhibitors to an Aβ fibril. The inhibitors docked at two shared binding loci, near Lys28 and at the C-termini near Asn27 and Val39. The docking predictions were experimentally verified using lysine specific chemical modifications and Aβ fibrils mutated at Asn27. We found that both Congo red and Myricetin, despite being structurally different, bound at the same two sites. Additionally, our data suggests that three additional Aβ toxicity inhibitors may also bind in one of the sites. Identification of these common binding loci provides targets on the Aβ fibril surface that can be tested in the future for their role in Aβ biological activity.
PMID: 20882638 [PubMed - as supplied by publisher]Free Article
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11.
Neurosci Bull. 2010 Oct;26(5):417-27.

Regulation of β cleavage of amyloid precursor protein.

Laboratory of Neural Signal Transduction, Institute of Neuroscience, Shanghai Institutes of Biological Sciences, State Key Laboratory of Neuroscience, Shanghai 200031, China; E-mail: yzwang@ion.ac.cn.

Abstract

Alzheimer's disease ranks the first cause for senile dementia. The amyloid cascade is proposed to contribute to the pathogenesis of this disease. In this cascade, amyloid β peptide (Aβ) is produced through a sequential cleavage of amyloid precursor protein (APP) by β and γ secretases, while its cleavage by α secretase precludes Aβ production and generates neurotrophic sAPPα. Thus, enhancing α secretase activity or suppressing β and γ cleavage may reduce Aβ formation and ameliorate the pathological process of the disease. Several regulatory mechanisms of APP cleavage have been established. The present review mainly summarizes the signaling pathways pertinent to the regulation of APP β cleavage.
PMID: 20882069 [PubMed - in process]
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J Neurosci. 2010 Sep 29;30(39):13110-5.

Diabetes-associated SorCS1 regulates Alzheimer's amyloid-beta metabolism: evidence for involvement of SorL1 and the retromer complex.

Department of Neurology and Alzheimer's Disease Research Center, Mount Sinai School of Medicine, New York, New York 10029, USA.

Abstract

SorCS1 and SorL1/SorLA/LR11 belong to the sortilin family of vacuolar protein sorting-10 (Vps10) domain-containing proteins. Both are genetically associated with Alzheimer's disease (AD), and SORL1 expression is decreased in the brains of patients suffering from AD. SORCS1 is also genetically associated with types 1 and 2 diabetes mellitus (T1DM, T2DM). We have undertaken a study of the possible role(s) for SorCS1 in metabolism of the Alzheimer's amyloid-β peptide (Aβ) and the Aβ precursor protein (APP), to test the hypothesis that Sorcs1 deficiency might be a common genetic risk factor underlying the predisposition to AD that is associated with T2DM. Overexpression of SorCS1cβ-myc in cultured cells caused a reduction (p = 0.002) in Aβ generation. Conversely, endogenous murine Aβ(40) and Aβ(42) levels were increased (Aβ(40), p = 0.044; Aβ(42), p = 0.007) in the brains of female Sorcs1 hypomorphic mice, possibly paralleling the sexual dimorphism that is characteristic of the genetic associations of SORCS1 with AD and DM. Since SorL1 directly interacts with Vps35 to modulate APP metabolism, we investigated the possibility that SorCS1cβ-myc interacts with APP, SorL1, and/or Vps35. We readily recovered SorCS1:APP, SorCS1:SorL1, and SorCS1:Vps35 complexes from nontransgenic mouse brain. Notably, total Vps35 protein levels were decreased by 49% (p = 0.009) and total SorL1 protein levels were decreased by 29% (p = 0.003) in the brains of female Sorcs1 hypomorphic mice. From these data, we propose that dysfunction of SorCS1 may contribute to both the APP/Aβ disturbance underlying AD and the insulin/glucose disturbance underlying DM.
PMID: 20881129 [PubMed - in process]
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13.
J Neurosci. 2010 Sep 29;30(39):13089-94.

Transgenic mice with chronic NGF deprivation and Alzheimer's disease-like pathology display hippocampal region-specific impairments in short- and long-term plasticities.

Laboratory of Molecular Mechanisms of Synaptic Plasticity, European Brain Research Institute, 00143 Rome, Italy.

Abstract

The etiology of Alzheimer's disease (AD) remains elusive. The "amyloid" hypothesis states that toxic action of accumulated β-amyloid peptide (Aβ) on synaptic function causes AD cognitive decline. This hypothesis is supported by analysis of familial AD (FAD)-based transgenic mouse models, where altered amyloid precursor protein (APP) processing leads to Aβ accumulation correlating with hippocampal-dependent memory deficits. Some studies report prominent dentate gyrus (DG) glutamatergic plasticity alterations in these mice, while CA1 plasticity remains relatively unaffected. The "neurotrophic unbalance" hypothesis, on the other hand, states that AD-related loss of cholinergic signaling and altered APP processing are due to alterations in nerve growth factor (NGF) trophic support. This hypothesis is supported by analysis of the AD11 mouse, which exhibits chronic NGF deprivation during adulthood and displays AD-like pathology, including Aβ accumulation and hippocampal-dependent memory deficits. In this study, we analyzed CA1 and DG glutamatergic plasticity in AD11 mice to evaluate whether these mice also share with FAD models a common phenotype in hippocampal synaptic dysfunction. We report that AD11 mice display age-dependent short- and long-term DG plasticity deficits, while CA1 plasticity remains relatively spared. We also report that both structures exhibit enhanced glutamatergic transmission under lower, yet physiological, neurotransmitter release conditions, a defect that should be considered when further evaluating hippocampal synaptic deficits underlying AD pathology. We conclude that severe deficits in DG plasticity represent another common denominator between these two etiologically different types of AD mouse models, independent of the initial insult (overexpression of FAD mutation or NGF deprivation).
PMID: 20881126 [PubMed - in process]
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14.
Phytother Res. 2010 Oct;24(10):1538-42.

Neuroprotective effect of honokiol and magnolol, compounds from Magnolia officinalis, on beta-amyloid-induced toxicity in PC12 cells.

School of Pharmacy, The Chinese University of Hong Kong, Shatin, Hong Kong, China.

Abstract

Amyloid β peptide (Aβ) induced toxicity is a well-established pathway of neuronal cell death which might play a role in Alzheimer's disease. In this regard, the toxic effect of Aβ on a cultured Aβ-sensitive neuronal cell line was used as a primary screening tool for potential anti-Alzheimer's therapeutic agents. The effects of nine pure compounds (vitamin E, α-asarone, salidroside, baicolin, magnolol, gastrodin, bilobalide, honokiol and β-asarone) from selected Chinese herbs on neuronal cell death induced by Aβ in NGF-differentiated PC12 cells were examined. Only two of the studied compounds, honokiol and magnolol, significantly decreased Aβ-induced cell death. Further experiments indicated that their neuroprotective effects are possibly mediated through reduced ROS production as well as suppression of intracellular calcium elevation and inhibition of caspase-3 activity. The results provide for the first time a scientific rationale for the clinical use of honokiol and magnolol in the treatment of Alzheimer's disease. Copyright © 2010 John Wiley & Sons, Ltd.
PMID: 20878707 [PubMed - in process]
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15.
J Biol Chem. 2010 Sep 28. [Epub ahead of print]

Statins promote the degradation of extracellular amyloid {beta}-peptide by microglia via stimulation of exosome-associated IDE secretion.

University Hospital Bonn, Germany;

Abstract

Epidemiological studies indicate that intake of statins decrease the risk of developing Alzheimer's disease (AD). Cellular and in vivo studies suggested that statins might decrease the generation of the amyloid β-peptide (Aβ) from the β-amyloid precursor protein (APP). Here, we show that statins potently stimulate the degradation of extracellular Aβ by microglia. The statin-dependent clearance of extracellular Aβ is mainly exerted by insulin degrading enzyme (IDE) which is secreted in a non-conventional pathway in association with exosomes. Stimulated IDE secretion and Aβ degradation was also observed in blood of mice upon peripheral treatment with lovastatin. Importantly, increased IDE secretion upon lovastatin treatment was dependent on protein isoprenylation and upregulation of exosome secretion by fusion of multivesicular bodies (MVBs) with the plasma membrane. These data demonstrate a novel pathway for the non-conventional secretion of IDE via exosomes. The modulation of this pathway could provide a new strategy to enhance the extracellular clearance of Aβ.
PMID: 20876579 [PubMed - as supplied by publisher]
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16.
Neuroscience. 2010 Sep 25. [Epub ahead of print]

Cloning, sequencing and expression in the dog of the main APP isoforms and some of the enzymes related with their processing.

Montecanal Laboratory, Araclon Biotech, Zaragoza, Spain.

Abstract

Alzheimer's disease (AD) is characterized by neuronal loss and the presence of both neurofibrillary tangles and senile plaques in the brain. These plaques arise from the deposition of beta-amyloid (Aβ) peptides (38-43 amino acids), which are generated from enzymatic cleavage of the amyloid precursor protein (APP) by β- and γ- secretases. In the present work, we cloned the principal APP isoforms as well as some enzymes that have been implicated in their amyloidogenic and non-amyloidogenic processing in dogs. Additionally, the main proteases implicated in the degradation of Aβ were also studied. We also investigated the level of expression of these APP isoforms and enzymes in different brain regions and in peripheral tissues. Our data demonstrate that these canine proteins are highly homologous to their human counterparts. In addition, the expression pattern of these proteins in dogs is consistent with previous data reported in humans. Thus, dogs may be a natural model to study the biology of AD and could also serve as an animal model for Aβ-targeted drugs against this devastating disease.
PMID: 20875843 [PubMed - as supplied by publisher]
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17.
Brain Res. 2010 Sep 25. [Epub ahead of print]

Neurogranin in cerebrospinal fluid as a marker of synaptic degeneration in Alzheimer's disease.

Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry, The Sahlgrenska Academy at University of Gothenburg, Mölndal, Sweden.

Abstract

Synaptic pathology occurs early in Alzheimer's disease (AD) development, and cerebrospinal fluid biomarkers for synaptic damage may be altered early in the disease process. In the present study we examined cerebrospinal fluid levels of the postsynaptic protein neurogranin in patients with mild cognitive impairment (MCI) or AD and controls. The low neurogranin level in cerebrospinal fluid required enrichment by immunoprecipitation prior to mass spectrometric identification and semi-quantitative immunoblot analysis. Relative quantification revealed a significant increase of neurogranin in the AD group compared with controls, while the MCI group was not statistically different from either controls or the AD group. The concentration of the AD biomarkers T-tau, P-tau(181) and Aβ(42) were significantly changed in the control and MCI groups compared with the AD group, but no significant differences were found between the MCI group and controls for the three biomarkers. Nevertheless, a trend towards increasing levels of neurogranin, T-tau and P-tau(181) was found in cerebrospinal fluid from MCI patients compared with controls. The elevated neurogranin levels in the MCI and AD groups might reflect synaptic degeneration. These results together suggest that cerebrospinal fluid neurogranin might be valuable together with the established AD biomarkers in the early diagnosis of AD and warrants further studies to determine the diagnostic value of neurogranin.
PMID: 20875798 [PubMed - as supplied by publisher]Free Article
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18.
J Am Chem Soc. 2010 Sep 28. [Epub ahead of print]

Combination of Kinetically Selected Inhibitors in Trans Leads to Highly Effective Inhibition of Amyloid Formation.

Department of Chemistry, State University of New York at Stony Brook, Stony Brook, New York 11794-3400, and Department of Medicine, New York University Medical Center, 550 First Avenue, New York, New York 10016.

Abstract

Amyloid formation plays a role in over 25 human disorders. A range of strategies have been applied to the problem of developing inhibitors of amyloid formation, but unfortunately, many inhibitors are effective only in molar excess and typically either lengthen the time to the onset of amyloid formation, (the lag time), while having modest effects on the total amount of amyloid fibrils produced, or decrease the amount of amyloid without significantly reducing the lag time. We demonstrate a general strategy whereby two moderate inhibitors of amyloid formation can be rationally selected via kinetic assays and combined in trans to yield a highly effective inhibitor which dramatically delays the time to the appearance of amyloid and drastically reduces the total amount of amyloid formed. A key feature is that the selection of the components of the mixture is based on their effect on the time course of amyloid formation rather than on just the amount of amyloid produced. The approach is validated using inhibitors of amyloid formation by islet amyloid polypeptide, the causative agent of amyloid formation in type 2 diabetes and the Alzheimer's disease Aβ peptide.
PMID: 20873820 [PubMed - as supplied by publisher]
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19.
Zhong Yao Cai. 2010 May;33(5):763-7.

[The protective effect of puerarin on Abeta(25-35)-induced PC12 cell injury]

[Article in Chinese]
Department of Anatomy, Hainan Medical College, Haikou 571101, China. hyzhang_xjtu@yahoo.cn

Abstract

OBJECTIVE: To study The protective effect of puerarin on Abeta(25-35)-induced PC12 cell injury.
METHODS: PC12 cells were treated with puerarin for 0.5 h, then incubated with Abeta(25-35) (50 micromol/L) for 24 h to investigate the production of reactive oxygen species (ROS), mitochondrial membrane potential levels and Caspase-3 activation; The expressions of Bax, bcl-2 were measured by Western Blotting.
RESULTS: Preincubation of the cell with puerarin could inhibit the ROS and increase mitochondrial membrane potential levels. Puerarin was also found to increase the Bcl-2/Bax ratio and reduce Caspase-3 activation.
CONCLUSION: Puerarin may act as an intracellular ROS scavenger, and its antioxidant properties may protect against Abeta(25-35)-induced cell injury.
PMID: 20873562 [PubMed - in process]
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20.
Biopolymers. 2010 Sep 24. [Epub ahead of print]

CD measurements of β-amyloid (1-40) and (1-42) in the condensed phase.

Japan Science and Technology Agency, ERATO-SORST Kuroda Chiromorphology Team, 4-7-6 Komaba, Meguro-ku, Tokyo, 153-0041, Japan.

Abstract

Circular Dichroism (CD) spectroscopy of proteins/peptides in thin films can provide valuable information on the structures in the aggregated states, however, it is difficult to estimate the secondary structure content quantitatively due to artifact signals arising from macroscopic anisotropies which is unique to the solid phase. Using a Universal Chiroptical Spectrophotometer (UCS-1) together with the measurement and analytical procedures we have developed, we could obtain artifact-free CD spectra of cast and Langmuir-Blodgett (L-B) films of synthetic peptides, Aβ (1-40) and (1-42) which are related to Alzheimer's disease. The work gave insights into the mechanisms for structural transformation and amyloid-like aggregation. © 2010 Wiley Periodicals, Inc. Biopolymers, 2010.
PMID: 20872872 [PubMed - as supplied by publisher]
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Abeta Peptide~Beta Amyloid

1. Phytother Res. 2010 Oct;24(10):1538-42.

Neuroprotective effect of honokiol and magnolol, compounds from Magnolia
officinalis, on beta-amyloid-induced toxicity in PC12 cells.

Hoi CP, Ho YP, Baum L, Chow AH.

School of Pharmacy, The Chinese University of Hong Kong, Shatin, Hong Kong,
China.

Amyloid β peptide (Aβ) induced toxicity is a well-established pathway of neuronal
cell death which might play a role in Alzheimer's disease. In this regard, the
toxic effect of Aβ on a cultured Aβ-sensitive neuronal cell line was used as a
primary screening tool for potential anti-Alzheimer's therapeutic agents. The
effects of nine pure compounds (vitamin E, α-asarone, salidroside, baicolin,
magnolol, gastrodin, bilobalide, honokiol and β-asarone) from selected Chinese
herbs on neuronal cell death induced by Aβ in NGF-differentiated PC12 cells were
examined. Only two of the studied compounds, honokiol and magnolol, significantly
decreased Aβ-induced cell death. Further experiments indicated that their
neuroprotective effects are possibly mediated through reduced ROS production as
well as suppression of intracellular calcium elevation and inhibition of
caspase-3 activity. The results provide for the first time a scientific rationale
for the clinical use of honokiol and magnolol in the treatment of Alzheimer's
disease. Copyright © 2010 John Wiley & Sons, Ltd.


PMID: 20878707 [PubMed - in process]


2. J Biol Chem. 2010 Sep 28. [Epub ahead of print]

Statins promote the degradation of extracellular amyloid {beta}-peptide by
microglia via stimulation of exosome-associated IDE secretion.

Tamboli IY, Barth E, Christian L, Siepmann M, Singh S, Tolksdorf K, Heneka MT,
Luetjohann D, Wunderlich P, Walter J.

University Hospital Bonn, Germany;

Epidemiological studies indicate that intake of statins decrease the risk of
developing Alzheimer's disease (AD). Cellular and in vivo studies suggested that
statins might decrease the generation of the amyloid β-peptide (Aβ) from the
β-amyloid precursor protein (APP). Here, we show that statins potently stimulate
the degradation of extracellular Aβ by microglia. The statin-dependent clearance
of extracellular Aβ is mainly exerted by insulin degrading enzyme (IDE) which is
secreted in a non-conventional pathway in association with exosomes. Stimulated
IDE secretion and Aβ degradation was also observed in blood of mice upon
peripheral treatment with lovastatin. Importantly, increased IDE secretion upon
lovastatin treatment was dependent on protein isoprenylation and upregulation of
exosome secretion by fusion of multivesicular bodies (MVBs) with the plasma
membrane. These data demonstrate a novel pathway for the non-conventional
secretion of IDE via exosomes. The modulation of this pathway could provide a new
strategy to enhance the extracellular clearance of Aβ.


PMID: 20876579 [PubMed - as supplied by publisher]


3. Neuroscience. 2010 Sep 25. [Epub ahead of print]

Cloning, sequencing and expression in the dog of the main APP isoforms and some
of the enzymes related with their processing.

Sarasa L, Gallego C, Monleón I, Olvera A, Canudas J, Montañés M, Pesini P, Sarasa
M.

Montecanal Laboratory, Araclon Biotech, Zaragoza, Spain.

Alzheimer's disease (AD) is characterized by neuronal loss and the presence of
both neurofibrillary tangles and senile plaques in the brain. These plaques arise
from the deposition of beta-amyloid (Aβ) peptides (38-43 amino acids), which are
generated from enzymatic cleavage of the amyloid precursor protein (APP) by β-
and γ- secretases. In the present work, we cloned the principal APP isoforms as
well as some enzymes that have been implicated in their amyloidogenic and
non-amyloidogenic processing in dogs. Additionally, the main proteases implicated
in the degradation of Aβ were also studied. We also investigated the level of
expression of these APP isoforms and enzymes in different brain regions and in
peripheral tissues. Our data demonstrate that these canine proteins are highly
homologous to their human counterparts. In addition, the expression pattern of
these proteins in dogs is consistent with previous data reported in humans. Thus,
dogs may be a natural model to study the biology of AD and could also serve as an
animal model for Aβ-targeted drugs against this devastating disease.


PMID: 20875843 [PubMed - as supplied by publisher]


4. Brain Res. 2010 Sep 25. [Epub ahead of print]

Neurogranin in cerebrospinal fluid as a marker of synaptic degeneration in
Alzheimer's disease.

Thorsell A, Bjerke M, Gobom J, Brunhage E, Vanmechelen E, Andreasen N, Hansson O,
Minthon L, Zetterberg H, Blennow K.

Institute of Neuroscience and Physiology, Department of Psychiatry and
Neurochemistry, The Sahlgrenska Academy at University of Gothenburg, Mölndal,
Sweden.

Synaptic pathology occurs early in Alzheimer's disease (AD) development, and
cerebrospinal fluid biomarkers for synaptic damage may be altered early in the
disease process. In the present study we examined cerebrospinal fluid levels of
the postsynaptic protein neurogranin in patients with mild cognitive impairment
(MCI) or AD and controls. The low neurogranin level in cerebrospinal fluid
required enrichment by immunoprecipitation prior to mass spectrometric
identification and semi-quantitative immunoblot analysis. Relative quantification
revealed a significant increase of neurogranin in the AD group compared with
controls, while the MCI group was not statistically different from either
controls or the AD group. The concentration of the AD biomarkers T-tau,
P-tau(181) and Aβ(42) were significantly changed in the control and MCI groups
compared with the AD group, but no significant differences were found between the
MCI group and controls for the three biomarkers. Nevertheless, a trend towards
increasing levels of neurogranin, T-tau and P-tau(181) was found in cerebrospinal
fluid from MCI patients compared with controls. The elevated neurogranin levels
in the MCI and AD groups might reflect synaptic degeneration. These results
together suggest that cerebrospinal fluid neurogranin might be valuable together
with the established AD biomarkers in the early diagnosis of AD and warrants
further studies to determine the diagnostic value of neurogranin.


PMID: 20875798 [PubMed - as supplied by publisher]


5. J Am Chem Soc. 2010 Sep 28. [Epub ahead of print]

Combination of Kinetically Selected Inhibitors in Trans Leads to Highly Effective
Inhibition of Amyloid Formation.

Meng F, Raleigh DP, Abedini A.

Department of Chemistry, State University of New York at Stony Brook, Stony
Brook, New York 11794-3400, and Department of Medicine, New York University
Medical Center, 550 First Avenue, New York, New York 10016.

Amyloid formation plays a role in over 25 human disorders. A range of strategies
have been applied to the problem of developing inhibitors of amyloid formation,
but unfortunately, many inhibitors are effective only in molar excess and
typically either lengthen the time to the onset of amyloid formation, (the lag
time), while having modest effects on the total amount of amyloid fibrils
produced, or decrease the amount of amyloid without significantly reducing the
lag time. We demonstrate a general strategy whereby two moderate inhibitors of
amyloid formation can be rationally selected via kinetic assays and combined in
trans to yield a highly effective inhibitor which dramatically delays the time to
the appearance of amyloid and drastically reduces the total amount of amyloid
formed. A key feature is that the selection of the components of the mixture is
based on their effect on the time course of amyloid formation rather than on just
the amount of amyloid produced. The approach is validated using inhibitors of
amyloid formation by islet amyloid polypeptide, the causative agent of amyloid
formation in type 2 diabetes and the Alzheimer's disease Aβ peptide.


PMID: 20873820 [PubMed - as supplied by publisher]


6. Zhong Yao Cai. 2010 May;33(5):763-7.

[The protective effect of puerarin on Abeta(25-35)-induced PC12 cell injury]

[Article in Chinese]

Zhang HY, Yi XN, Liu YH, Lao ML, Zhang XF.

Department of Anatomy, Hainan Medical College, Haikou 571101, China.
hyzhang_xjtu@yahoo.cn

OBJECTIVE: To study The protective effect of puerarin on Abeta(25-35)-induced
PC12 cell injury. METHODS: PC12 cells were treated with puerarin for 0.5 h, then
incubated with Abeta(25-35) (50 micromol/L) for 24 h to investigate the
production of reactive oxygen species (ROS), mitochondrial membrane potential
levels and Caspase-3 activation; The expressions of Bax, bcl-2 were measured by
Western Blotting. RESULTS: Preincubation of the cell with puerarin could inhibit
the ROS and increase mitochondrial membrane potential levels. Puerarin was also
found to increase the Bcl-2/Bax ratio and reduce Caspase-3 activation.
CONCLUSION: Puerarin may act as an intracellular ROS scavenger, and its
antioxidant properties may protect against Abeta(25-35)-induced cell injury.


PMID: 20873562 [PubMed - in process]


7. Biopolymers. 2010 Sep 24. [Epub ahead of print]

CD measurements of β-amyloid (1-40) and (1-42) in the condensed phase.

Harada T, Kuroda R.

Japan Science and Technology Agency, ERATO-SORST Kuroda Chiromorphology Team,
4-7-6 Komaba, Meguro-ku, Tokyo, 153-0041, Japan.

Circular Dichroism (CD) spectroscopy of proteins/peptides in thin films can
provide valuable information on the structures in the aggregated states, however,
it is difficult to estimate the secondary structure content quantitatively due to
artifact signals arising from macroscopic anisotropies which is unique to the
solid phase. Using a Universal Chiroptical Spectrophotometer (UCS-1) together
with the measurement and analytical procedures we have developed, we could obtain
artifact-free CD spectra of cast and Langmuir-Blodgett (L-B) films of synthetic
peptides, Aβ (1-40) and (1-42) which are related to Alzheimer's disease. The work
gave insights into the mechanisms for structural transformation and amyloid-like
aggregation. © 2010 Wiley Periodicals, Inc. Biopolymers, 2010.


PMID: 20872872 [PubMed - as supplied by publisher]


8.  Error occurred:
PMID: 20870845

9. Int J Alzheimers Dis. 2010 Aug 12;2010. pii: 723782.

Neuron loss in transgenic mouse models of Alzheimer's disease.

Wirths O, Bayer TA.

Division of Molecular Psychiatry and Alzheimer Ph.D. Graduate School, Department
of Psychiatry, University of Goettingen, von-Siebold-Str. 5, 37075 Goettingen,
Germany.

Since their initial generation in the mid 1990s, transgenic mouse models of
Alzheimers's disease (AD) have been proven to be valuable model systems which are
indispensable for modern AD research. Whereas most of these models are
characterized by extensive amyloid plaque pathology, inflammatory changes and
often behavioral deficits, modeling of neuron loss was much less successful. The
present paper discusses the current achievements of modeling neuron loss in
transgenic mouse models based on APP/Aβ and Tau overexpression and provides an
overview of currently available AD mouse models showing these pathological
alterations.


PMCID: PMC2943100
PMID: 20871861 [PubMed - in process]


10. Free Radic Biol Med. 2010 Sep 22. [Epub ahead of print]

Oxidative Modification to LDL-related Receptor Protein 1 (LRP1) in Hippocampus
from Subjects with Alzheimer's Disease: Implications for Aβ Accumulation in AD
Brain.

Owen JB, Sultana R, Aluise CD, Erickson MA, Price TO, Bu G, Banks WA, Butterfield
DA.

Department of Chemistry, University of Kentucky, Lexington KY 40506-0055; Center
of Membrane Sciences, University of Kentucky, Lexington, KY 40506-0059, USA.

Alzheimer's disease (AD) is a neurodegenerative disorder characterized
histopathologically by the presence of senile plaques (SP), neurofibrillary
tangles, and synapse loss. The main component of SP is amyloid-β peptide (Aβ)
that has been associated with increased oxidative stress, leading to oxidative
modification of proteins and consequently to neurotoxicity and neurodegeneration.
Low-density lipoprotein receptor-related protein 1 (LRP1) is the primary moiety
responsible for the efflux of Aβ from the brain to the blood across the
blood-brain barrier (BBB). Impaired brain-to-blood transport of Aβ by LRP1 has
been hypothesized to contribute to increased levels of Aβ in AD brain. The cause
of LRP1 dysfunction is unknown, but we have hypothesized that Aβ oxidizes LRP1,
thus damaging its own transporter. Consistent with this notion, we report in the
current study a significant increase in the levels of the lipid peroxidation
product 4-hydroxy-2-nonenal (HNE) bound to transmembrane LRP1 in AD hippocampus.
In contrast, the levels of LRP1-resident 3-nitrotyrosine (3NT) did not show a
significant increase in AD hippocampus compared to age-matched controls. Based on
this study, we propose that Aβ impairs its own efflux from the brain by oxidation
of its transporter LRP1, leading to increased Aβ deposition in brain, thereby
contributing to subsequent cognitive impairment in AD.


PMID: 20869432 [PubMed - as supplied by publisher]


11. Neurosci Lett. 2010 Sep 22. [Epub ahead of print]

Cholinesterase Inhibitor use is associated with increased plasma levels of
anti-Abeta 1-42 antibodies in Alzheimer's Disease patients.

Conti E, Galimberti G, Tremolizzo L, Masetto A, Cereda D, Zanchi C, Piazza F,
Casati M, Isella V, Appollonio I, Ferrarese C.

Department of Neuroscience and Biomedical Technologies, University of
Milano-Bicocca, San Gerardo Hospital, Monza (MI), Italy.

Acetyl-cholinesterase inhibitors (AChEI) are drugs frequently prescribed for the
treatment of Alzheimer's disease (AD), exerting an effect on cognition, as well
as on behavioural and psychological symptoms of dementia and activities of daily
living. The efficacy of AChEI may be ascribed not only to the activation of
cholinergic transmission, but also to other mechanisms, among which a putative
regulation of the immune response has already been hypothesized. In the present
study, we evaluated, in a cross-sectional sample of 66 AD patients and 48 healthy
controls, the putative influence of AChEI on anti-Abeta 1-42 antibody plasma
levels by ELISA assay. AD patients receiving AChEI therapy showed increased
plasma levels of anti-Abeta 1-42 antibodies respect to untreated AD patients and
antibodies levels similar to those of healthy controls, both before and after
normalization by total IgG values. Our results support a potential role of AChEI
in the modulation of the immune response against Abeta. We suggest that a
strategy aimed at increasing the endogenous response against this peptide might
represent an interesting therapeutic target to be further investigated.


PMID: 20869427 [PubMed - as supplied by publisher]


12. Biochimie. 2010 Sep 21. [Epub ahead of print]

Targeting cyclooxygenases-1 and -2 in neuroinflammation: Therapeutic
implications.

Aïd S, Bosetti F.

Molecular Neuroscience Unit, Brain Physiology and Metabolism Section, National
Institute on Aging, NIH, Bethesda, MD 20892.

Neuroinflammation has been implicated in the pathogenesis or the progression of a
variety of acute and chronic neurological and neurodegenerative disorders,
including Alzheimer's disease. Prostaglandin H synthases or cyclooxygenases (COX
-1 and COX-2) play a central role in the inflammatory cascade by converting
arachidonic acid into bioactive prostanoids. In this review, we highlighted
recent experimental data that challenge the classical view that the inducible
isoform COX-2 is the most appropriate target to treat neuroinflammation. First,
we discussed data showing that COX-2 activity is linked to anti-inflammatory and
neuroprotective actions and is involved in the generation of novel lipid
mediators with pro-resolution properties. Then, we reviewed recent data
demonstrating that COX-1, classically viewed as the homeostatic isoform, is
actively involved in brain injury induced by pro-inflammatory stimuli including
Aβ, lipopolysaccharide, IL-1β, and TNF-α. Overall, we suggest revisiting the
traditional views on the roles of each COX during neuroinflammation and we
propose COX-1 inhibition as a viable therapeutic approach to treat CNS diseases
with a marked inflammatory component.


PMID: 20868723 [PubMed - as supplied by publisher]


13. Eur J Pharmacol. 2010 Sep 21. [Epub ahead of print]

Puerarin attenuates amyloid-beta-induced cognitive impairment through suppression
of apoptosis in rat hippocampus in vivo.

Li J, Wang G, Liu J, Zhou L, Dong M, Wang R, Li X, Li X, Lin C, Niu Y.

Elevated levels of β-amyloid (Aβ) in the brains being a hallmark of Alzheimer's
disease have been believed to play a critical role in the cognitive dysfunction
that occurs in Alzheimer's disease. Recent evidence suggests that Aβ induces
neuronal apoptosis in the brain and in primary neuronal cultures. In this study,
we investigated the effects of puerarin, a phytoestrogen isolated from Pueraria
lobata, on cognitive function and neuronal apoptosis in the intrahippocampal
injection of Aβ rats and its mechanism of action. The results show the
intrahippocampal injection of Aβ induced a spatial memory deficit, apoptosis, and
caspase-9 activation in hippocampal neurons. Puerarin treatment ameliorated
Aβ(1-42)-induced cognitive impairment and reversed the increase of apoptosis in
the hippocampus. The attenuation is associated with the activation of Akt and
phosphorylation of Bad. These results suggest that puerarin may be an
anti-Alzheimer's disease candidate drug to suppress both Alzheimer's
disease-related neuronal cell apoptosis and dysfunction of the memory system.


PMID: 20868658 [PubMed - as supplied by publisher]


14. Hippocampus. 2010 Apr 13. [Epub ahead of print]

Chronic psychosocial stress accelerates impairment of long-term memory and
late-phase long-term potentiation in an at-risk model of Alzheimer's disease.

Tran TT, Srivareerat M, Alkadhi KA.

Department of Pharmacological and Pharmaceutical Sciences, University of Houston,
College of Pharmacy, Houston, Texas.

Although it is generally agreed that Aβ contributes to the pathogenesis of AD,
its precise role in AD and the reason for the varying intensity and time of onset
of the disease have not been elucidated. In addition to genetic factors,
environmental issues such as stress may also play a critical role in the etiology
of AD. This study examined the effect of chronic psychosocial stress in an
at-risk (treatment with a subpathogenic dose of Aβ; "subAβ") rat model of AD on
long-term memory by three techniques: memory tests in the radial arm water maze,
electrophysiological recordings of synaptic plasticity in anesthetized rats, and
immunoblot analysis of learning- and long-term memory-related signaling
molecules. Chronic psychosocial stress was induced using a rat intruder model.
The subAβ rat model of AD was induced by continuous infusion of 160 pmol/day
Aβ(1-42) via a 14-day i.c.v. osmotic pump. All tests showed that subAβ rats were
not different from control rats. Result from behavioral tests and
electrophysiological recordings showed that infusion of subAβ in chronically
stressed rats (stress/subAβ group) caused significant impairment of cognitive
functions and late-phase long-term potentiation (L-LTP). Molecular analysis of
various signaling molecules after expression of L-LTP, revealed an increase in
the levels of p-CREB in control, stress, and subAβ rats, but not in the
stress/subAβ rats. These findings suggest that the chronic stress-induced
molecular alteration may accelerate the impairment of cognition and synaptic
plasticity in individuals "at-risk" for AD. © 2010 Wiley-Liss, Inc.


PMID: 20865724 [PubMed - as supplied by publisher]


15. Hum Vaccin. 2010 Nov 9;6(11). [Epub ahead of print]

Virus-like particle based vaccines for Alzheimer disease.

Chackerian B.

Department of Molecular Genetics and Microbiology, University of New Mexico
School of Medicine, Albuquerque, NM, USA. bchackerian@salud.unm.edu.

Vaccines targeting the amyloid-β (Aβ) peptide have promise as immunotherapies for
the treatment of Alzheimer disease (AD). Human trials of a first generation Aβ
vaccine highlighted the need for a vaccine strategy that could consistently
induce high-titer antibodies against Aβ without also inducing inflammatory
auto-reactive T cell responses. In this review, I will describe the use of
virus-like particle (VLP) based vaccines against Aβ that can potentially satisfy
these demands. VLPs can serve as highly multivalent platforms for the display of
diverse antigens on their surfaces. VLP display markedly increases the
immunogenicity of antigens, including self-antigens. VLP-based immunogens
targeting Ab have been developed by several different groups, and have
demonstrated effectiveness in animal models of AD. One VLP-based candidate
vaccine for AD, CAD106, developed by Cytos Biotechnology and Novartis
Pharmaceuticals, is currently in human clinical trials.


PMID: 20864801 [PubMed - as supplied by publisher]


16. Am J Pathol. 2010 Sep 23. [Epub ahead of print]

CX3CR1 Deficiency Alters Microglial Activation and Reduces Beta-Amyloid
Deposition in Two Alzheimer's Disease Mouse Models.

Lee S, Varvel NH, Konerth ME, Xu G, Cardona AE, Ransohoff RM, Lamb BT.

From the Department of Neurosciences, Lerner Research Institute,* The Cleveland
Clinic; and the Departments of Neurosciences, and Genetics, Case Western Reserve
University School of Medicine, Cleveland, Ohio.

Microglia, the primary immune effector cells in the brain, continually monitor
the tissue parenchyma for pathological alterations and become activated in
Alzheimer's disease. Loss of signaling between neurons and microglia via deletion
of the microglial receptor, CX3CR1, worsens phenotypes in various models of
neurodegenerative diseases. In contrast, CX3CR1 deficiency ameliorates pathology
in murine stroke models. To examine the role of CX3CR1 in Alzheimer's
disease-related β-amyloid pathology, we generated APPPS1 and R1.40 transgenic
mouse models of Alzheimer's disease deficient for CX3CR1. Surprisingly, CX3CR1
deficiency resulted in a gene dose-dependent reduction in β-amyloid deposition in
both the APPPS1 and R1.40 mouse models of AD. Immunohistochemical analysis
revealed reduced staining for CD68, a marker of microglial activation.
Furthermore, quantitative immunohistochemical analysis revealed reduced numbers
of microglia surrounding β-amyloid deposits in the CX3CR1-deficient APPPS1
animals. The reduced β-amyloid pathology correlated with reduced levels of TNFα
and CCL2 mRNAs, but elevated IL1β mRNA levels, suggesting an altered
neuroinflammatory milieu. Finally, to account for these seemingly disparate
results, both in vitro and in vivo studies provided evidence that CX3CL1/CX3CR1
signaling alters the phagocytic capacity of microglia, including the uptake of Aβ
fibrils. Taken together, these results demonstrate that loss of neuron-microglial
fractalkine signaling leads to reduced β-amyloid deposition in mouse models of AD
that is potentially mediated by altered activation and phagocytic capability of
CX3CR1-deficient microglia.


PMID: 20864679 [PubMed - as supplied by publisher]


17. J Biol Chem. 2010 Sep 23. [Epub ahead of print]

Macroautophagy is not directly involved in the metabolism of amyloid precursor
protein.

Boland B, Smith DA, Mooney D, Jung SS, Walsh DM, Platt FM.

University College Dublin, Ireland;

Alterations in the metabolism of amyloid precursor protein (APP) are believed to
play a central role in Alzheimers disease (AD) pathogenesis. Burgeoning data
indicates that APP is proteolytically processed in endosomal-autophagic-lysosomal
(EAL) compartments. In this study, we used both in vivo and in vitro paradigms to
determine if alterations in macroautophagy affect APP metabolism. Three mouse
models of glycosphingolipid (GSL) storage diseases, namely, Niemann Pick Type C1,
GM1 gangliosidosis and Sandhoff disease had mTOR-independent increases in the
autophagic vacuole (AV) associated protein, LC3-II, indicative of impaired
lysosomal flux. APP-C-terminal fragments (APP-CTFs) were also increased in brains
of the three mouse models, however, discrepancies between LC3-II and APP-CTFs
were seen between primary (GM1 gangliosidosis and Sandhoff disease) and secondary
(Niemann Pick Type C1) lysosomal storage models. APP-CTFs were proportionately
higher than LC3-II in cerebellar regions of GM1 gangliosidosis and Sandhoff
disease, while LC3-II increased before APP-CTFs in brains of NPC1 mice.
Endogenous murine Aβ40 from RIPA-soluble extracts was increased in brains of all
three mice. The in vivo relationship between AV and APP-CTF accumulation was also
seen in cultured neurons treated with agents that impair primary (chloroquine,
leupeptin + pepstatin) and secondary (U18666A, vinblastine) lysosomal flux.
However, Aβ secretion was unaffected by agents that induced autophagy (rapamycin)
or impaired AV clearance, and LC3-II positive AVs predominantly co-localised with
degradative LAMP-1-positive lysosomes. These data suggest that neuronal
macroautophagy does not directly regulate APP metabolism, but highlights the
important anti-amyloidogenic role of lysosomal proteolysis in post-secretase
APP-CTF catabolism.


PMID: 20864542 [PubMed - as supplied by publisher]


18. J Pharmacol Exp Ther. 2010 Sep 23. [Epub ahead of print]

H3 Receptor Miniseries: H3 Receptors and Pain Modulation: Peripheral, Spinal and
Brain Interactions.

Hough L, Rice FL.

1 Albany Medical College MC-136;

Histamine H(3) receptors (H(3)Rs), distributed within in the brain, the spinal
cord, and on specific types of primary sensory neurons, can modulate pain
transmission by several mechanisms. In the skin, H(3)Rs are found on certain Aβ
fibers, and on keratinocytes and Merkel cells, as well as on deep dermal,
peptidergic Aδ fibers terminating on deep dermal blood vessels. Activation of
H(3)Rs on the latter in the skin, heart, lung and dura mater reduces CGRP and
substance P release, leading to anti-inflammatory (but not antinociceptive)
actions. However, activation of H(3)Rs on the spinal terminals of these sensory
fibers reduces nociceptive responding to low intensity mechanical stimuli, and to
inflammatory stimuli such as formalin. These findings suggest that H(3)R agonists
might be useful analgesics, but these drugs have not been tested in
clinically-relevant pain models. Paradoxically, H(3) antagonists/ inverse
agonists have also been reported to attenuate several types of pain responses,
including phase II responses to formalin. In the periaquaductal gray (PAG, an
important pain regulatory center), the H(3) inverse agonist thioperamide releases
neuronal histamine and mimics histamine's biphasic modulatory effects in thermal
nociceptive tests. Newer H(3) inverse agonists with potent, selective, and
brain-penetrating properties show efficacy in several neuropathic and arthritis
pain models, but the sites and mechanisms for these actions remain poorly
understood.


PMID: 20864501 [PubMed - as supplied by publisher]


19. J Neuroimmunol. 2010 Sep 21. [Epub ahead of print]

Anti-11[E]-pyroglutamate-modified amyloid β antibodies cross-react with other
pathological Aβ species: Relevance for immunotherapy.

Perez-Garmendia R, Ibarra-Bracamontes V, Vasilevko V, Luna-Muñoz J, Mena R,
Govezensky T, Acero G, Manoutcharian K, Cribbs DH, Gevorkian G.

Instituto de Investigaciones Biomédicas, Universidad Nacional Autónoma de México
(UNAM), AP 70228, Cuidad Universitaria, México DF, 04510, Mexico.

N-truncated/modified forms of amyloid beta (Aß) peptide are found in diffused and
dense core plaques in Alzheimer's disease (AD) and Down's syndrome patients as
well as animal models of AD, and represent highly desirable therapeutic targets.
In the present study we have focused on N-truncated/modified Aβ peptide bearing
amino-terminal pyroglutamate at position 11 (AβN11(pE)). We identified two B-cell
epitopes recognized by rabbit anti-AβN11(pE) polyclonal antibodies.
Interestingly, rabbit anti-AβN11(pE) polyclonal antibodies bound also to
full-length Aβ1-42 and N-truncated/modified AβN3(pE), suggesting that the three
peptides may share a common B-cell epitope. Importantly, rabbit anti-AβN11(pE)
antibodies bound to naturally occurring Aβ aggregates present in brain samples
from AD patients. These results are potentially important for developing novel
immunogens for targeting N-truncated/modified Aβ aggregates as well, since the
most commonly used immunogens in the majority of vaccine studies have been shown
to induce antibodies that recognize the N-terminal immunodominant epitope (EFRH)
of the full length Aβ, which is absent in N-amino truncated peptides.


PMID: 20864186 [PubMed - as supplied by publisher]


20. J Neurol Sci. 2010 Sep 20. [Epub ahead of print]

Oxidative stress in Alzheimer's disease hippocampus: A topographical study.

Cruz-Sánchez FF, Gironès X, Ortega A, Alameda F, Lafuente JV.

Institute of Neurological and Gerontological Sciences, Faculty of Medicine,
International University of Catalonia, Josep Trueta, s/n. 08195 Sant Cugat del
Vallès, Barcelona, Spain.

Advanced glycation end-products (AGEs) and their receptor (RAGE) are molecules
related to oxidative stress demonstrated in aging and in several pathological
disorders including Alzheimer's disease (AD). Aging has been considered the main
risk factor for AD. Amyloid deposits (Aβ-D) and neurofibrillary tangles (NFT) are
pathological changes related to AD involving hippocampal regions. Different
degrees of AD pathology have been described according to distribution of NFTs in
different topographical regions of hippocampus and cerebral cortex. The
hippocampus shows a selective vulnerability under several noxes especially those
including hypoxia. Hypoxia in the nervous tissue induces oxidative stress. In an
attempt to find out more about anatomical distribution of the oxidative stress
through hippocampal regions in AD, a collection of brains were studied. Samples
from deceased patients who had suffered from AD and from age-matched controls
were immunohistochemically studied with AGE and RAGE antibodies according to a
topographical division of the hippocampus and brain cortical regions. Results
suggest that an oxidative stress pathway starts in the CA3 sector progresses to
CA1 and then continues to other hippocampal and cortical areas building a
pathoclitic pathway for Alzheimer's disease progression.


PMID: 20863531 [PubMed - as supplied by publisher]

Amyloid Cascade in Alzheimer’s Disease Review Article By Prof.Shankar P S

Amyloid Cascade  in Alzheimer’s Disease Review  Article Shankar  P  S

Address  for  correspondence:
P  S  Shankar,
Emeritus  Professor  and  Director,
MR  Medical  College,  Gulbarga,  Karnataka.

Introduction
Alzheimer’s  disease  (AD),  the  most  common
cause  of  dementia,  is  a  progressive  and  fatal
neurodegenerative disorder characterized pathologically
by atrophy of  the  cerebral cortex and hippocampus,
with  intraneuronal  neurofibrillary  tangles  containing
abnormally phosphorylated  tau protein,  extracellular
amyloid plaques, and neuronal cell death, and clinically
by gradual impairment of memory.
1 The patient gradually
becomes progressively impaired in both cognitive and
functional capacities. The loss of intellectual abilities
is  of  sufficient  severity  to  interfere  with  social  and
occupational functioning.
Memory destroying illness
The sensory experiences received by the human
brain  are  processed  and  stored  as  memory.  This
information  is recalled  in an  integrated  fashion at an
appropriate time. Memory fades in Alzheimer’s disease
and often it is compared to the erasure of a computer
hard disk. Initially it involves failure to recall the recent
events though the person is able to recollect the events
that had taken place long ago. As the illness progresses,
the old memory also gets disappeared and ultimately
the patient  fails to recognize  the near and dear. This
memory destroying  illness  is associated with  loss of
a  lifetime memories  that make up  the  identity of  the
person.
Pathological process
AD  is associated with destruction of more  than
100  billion  neurons  and  their  associated  100  trillion
connections.  There  is  progressive  loss  of  cortical
neurons and formation of amyloid plaques, intraneuronal
neurofibrillary  tangles  and  accumulation  of  a  beta-
amyloid  in  arterial  walls  of  cerebral  blood  vessels
(amyloid  angiopathy).  Beta-amyloid  is  the  major
component of the plaques, whereas hyperphosphorylated
tau protein is the major constituent of the neurofibrillary
tangles. The pathological process of atrophy begins in
the hippocampus and spreads to involve diffuse areas
of temporal, parietal and frontal lobes of the cerebral
cortex. There  is  symmetric enlargement of  the  third
and fourth ventricles. The loss of neurons, especially
in  the nucleus basilis causes a  relative deficiency of
acetylcholine to result in different clinical manifestations.
Cholinesterase inhibitors
The neurotransmitter acetylcholine  is necessary
for  clear  thinking.  It  gets  destroyed  by  the  enzyme
acetylcholinesterase  (ChE).  Since  acetylcholine
deficiency has been observed  in AD, ChE  inhibitors
have been used  to block  the action of ChE so as  to
increase  the  cerebral  concentration  of  acetylcholine
essential  for  synaptic  transmission.  Donepezil,
rivastigmine and galantamine (ChE inhibitors) facilitate
an increase in the level of acetylcholine.
2
 These agents
show  improvement  in  global  function  and  reduce
cognitive disturbances. There is reduction in behavioural
disturbances and  temporary stabilization of activities
of  daily  living.
3  As  the  destruction  of  the  neurons
proceeds relentlessly, the medications become ineffective
after some  time.
Mementine
The  symptoms  of AD are  thought  to be  due  to
persistent  activation  of  central  nervous  system  N-
methyl-D-aspartate  (NMDA)  receptors  by  the  amino
acid glutamate. Glutamate acts as the main excitatory
neurotransmitter  substance.  Memantine,  an  NMDA
receptor  antagonist  acts  either  by  interfering  with
glutamate excitotoxicity or by providing symptomatic
improvement through effects on functions of hippocampal
neurons.
4 Though it slows the cognitive decline in mild-
to moderate AD,  its  effects  also  do  not  last  long.
2728
Journal of  The  Indian Academy  of Geriatrics,   Vol.  4, No. 1, March, 2008
New approaches to therapy
Efforts are being made to find treatment to slow
or halt the memory destroying disease following better
understanding of the molecular events that appear to
trigger this disorder. It has kindled the hope of effectively
slowing or stopping the gradual loss of neurons in the
brain,  and  ultimately  to  stop  the  progression  of  the
disease.  Many  drugs  are  under  various  stages  of
clinical trials and there are some promising preliminary
results.
5
Amyloid plaques and tangles
A cascade of events pertaining to amyloid, underlie
development of AD.
 6 Amyloid cascade hypothesis is
based on the fact that plaques and tangles of proteins
in the cerebral cortex and limbic system deleteriously
affect  the higher  functions of  the brain. The plaques
are deposited outside the neurons and are composed
of a small protein called amyloid beta  (A-beta). The
tangles are found inside neurons, and their branching
axons and dendrites. They are made up of filaments
of proteins  called  tau. The  plaques and  tangles  are
responsible  for  the  degeneration  of  the  neurons.
Amyloid-beta triggers the disruption and death of the
neurons.
This hypothesis has led to the efforts of developing
drugs to inhibit the production of A-beta and tau, and
thus stop the harmful effects of these on the neurons.
A-beta  is a short peptide.  It  is derived  from  the
amyloid  precursor  protein  (APP)  with  a  part  of  the
protein lying inside the cells and a part outside, sticking
out of the cellular membrane. Two protease enzymes-
beta secretase and gamma secretase are able to carve
out A-beta from APP. This is a normal process occurring
in  all  cells  in  the  body.
In AD, there is an excess accumulation of A-beta.
Initially  beta  secretase  cuts APP  found  outside  the
cellular membrane with the help of aspartic acids. Then
the  presenilin  protein,  a  component  of  the  gamma-
secretase enzyme cuts the remaining portion of APP
found inside the membrane and releases A-beta into
the aqueous environment outside the membrane, and
gets attached to one another as small soluble assemblies
(plaques). They are toxic to the neurons. Experimentally
it has been shown that high concentrations of A-beta
molecules  in a  test  tube  can assemble  into  fibrillary
structures similar to those found in the plaques of AD.
They have been shown to be toxic to neurons cultured
in petridishes.
The  step  wise  process  of  oxidation  and  lipid
peroxidation  of  cell  membranes,  glutamatergic
excitotoxicity, beta-amyloid aggregation, inflammation
and  tau  hyperphosphorylation,  cause  neurotoxicity,
neuronal cell death and neurotransmitter deficit.
Neuritic plaques have a central core of insoluble
deposit  of  amyloid  beta-peptide  surrounded  by
astrocytes, microglia and dystrophic neuritis consisting
of paired helical filaments.
 7  Neurofibrillary tangles are
made up of paired helical filaments of abnormally filled
and phosphorylated tau protein  in the neuron and  its
dendrites. More  tau  tangles are seen  in  the brain as
the  disease  advances.  There  is  also  reduction  in
synaptic density, loss of neurons and degeneration in
hippocampal neurons. There is a specific degeneration
of  neurons  concerned with maintenance  of  specific
transmitter  cysteines  and  result  in  deficits  of
acetylcholine, nor-epinephrine, and serotonin.
 8 Though
plaque formation arrests, plaque formation of tangles
continues. It correlates with the progress and severity
of dementia.
Genetic predisposition: Members of the families
having a high risk of getting AD at a relatively young
age,  carry  rare  genetic mutations  that  encode APP
specifically affecting  the areas of  the protein  in and
around the A-beta region. Genetic predisposition appears
to  be  inherited  as an  autosomal  dominant  trait with
relatively complete penetrance. Four different genes
have been identified to be involved in the heritable form
of the disease.  The presence of the apolipoprotein E4
allele  found  on  the  long  arm  of  chromosome  19
increases  the  likelihood  of  development  of  AD.
  9
Apolipoprotein E4 genotype appears to enhance A-beta
peptide aggregation or decrease  its  cleavage.   This
makes  them susceptible  to develop  the disease at a
relatively young age. It has been shown persons with
Down’s  syndrome  (trisomy  21)  exhibit much  higher
incidence of AD in middle age. This is due to the fact
chromosome  21  contains  APP  gene.  There  is  an
increased  production  of  A-beta  from  birth,  and
consequently an increased amyloid deposit beginning
from a young age.
Mutations  in two related genes called presenilin
1 and 2 lead to occurrence of severe form of AD very
early in life The mutations increase amount of A-beta
that is prone to clumping mutations of presenilin-1 gene
located on chromosome 14 which may lead to an early29
Journal of The  Indian Academy of Geriatrics, Vol. 4, No. 1, March, 2008
onset autosomal dominant AD.
 10  Rarely the mutations
of the presenilin-2 gene on chromosome 1 may cause
autosomal dominant AD with an earlier onset of  the
disease and a shorter, more rapidly progressive course.
The proteins encoded by the presenilin genes are part
of  the  gamma  secretase  enzyme  that  help  in  the
synthesis of  the harmful  peptides.
Protease  inhibitors:  It  is not  clear how A-beta
destroys  the  neurons.  Aggregates  of  A-beta  found
outside  the neuron  can  initiate  a  cascade of events
that  can bring about an alteration of  the  tau protein
inside  the  cell. A-beta aggregates are  likely  to bring
about changes in the kinases that add phosphates onto
proteins. There  is likelihood of addition of an excess
amount of phosphates to tau, resulting in formation of
twisted  filaments. The altered  tau proteins are  likely
to  act  deleteriously  by  disrupting  the  microtubules
carrying proteins along the axons and dendrites, and
kill neurons. Thus A-beta plays the pivotal role in the
initiation of AD.  In  this background, drugs are being
produced targeting the proteases (protease inhibitors)
that  produce A-beta,  and  to  inhibit  their  activity.
The  proteases  use  aspartic  acids  to  catalyze
protein cutting reactions. Small-sized beta-secretase
inhibitors are yet to be developed that can effectively
pass through the blood brain barrier. Gamma secretase
is the other enzyme involved in the formation of A-beta
by cutting the remaining portion of APP inside the cell
following  the cleavage by beta secretase. Studies  in
mice have shown deletion of presenilin-1 gene genetically
decreases  the  cutting of APP by  gamma  secretase.
It has  been proved  that  the  protein encoded  by  the
gene  is  essential  for  the  function  of  the  enzyme.
Inhibitors of aspartyl proteases  could block gamma-
secretase cleavage of APP in cells. Gamma secretase
also  contains  a  pair  of  aspartic  acids  as  in  beta-
secretase and are essential for catalyzing the protein
cutting  reaction.
11  Presenilin  protein  acts  like  an
unusual aspartyl protease in the cell membranes. The
inhibitors  of  gamma  secretase  are  relatively  small
molecules  that can penetrate blood brain barrier.
Inhibitors of aspartyl proteases could block gamma-
secretase cleavage of APP in cells. Gamma secretases
like beta secretases  contain a pair of aspartic acids
essential  for  catalyzing  the  protein  cutting  reaction.
Presenilin protein appears  to be an unusual aspartyl
protease attached to the cell membrane. Two aspartic
acids in presenilin lie within the membrane. They are
very  essential  to  the gamma  secretase  cleavage  to
produce A-beta.  Inhibitors of gamma secretase bind
directly to presenlin. Gamma secretase enzyme plays
an  important  role  in maintenance of undifferentiated
precursor cells in different parts of the body. Gamma
secretase  cuts  a  cell  surface  protein  called  Notch
receptor. High  doses of gamma  secretase  inhibitors
cause  toxic  effects  in mice  by  disrupting  the Notch
signal. Molecules have been identified that modulate
gamma  secretases  so  that  A-beta  production  is
blocked without affecting cleavage of Notch.
11 Attempts
have been made to produce inhibitors that can curtail
the creation of A-beta or create a shorter peptide that
does  not  clump  easily.  Such  a  preparation  called,
Flurizan    has  shown  promising  results.
Immunization: The  second strategy  is  to  clear
the  brain  of  toxic  assemblies  of  A-beta  after  its
production by active immunization. It involves recruiting
the  patients  own  immune  system  to  attack  A-beta.
Injection of A-beta into mice genetically engineered to
develop amyloid plaques stimulated an immune response
that prevented the plaques from  forming in the brain
of young mice and cleared plaques already present in
older mice.
11
The mice produced antibodies that recognize A-
beta and  the antibodies made  the microglia  in brain
to attack aggregates of the peptide. It improved learning
and memory. However studies in humans, has lead to
development of encephalitis probably through the action
of T cells. However, immunization produced antibodies
against A-beta and  there was some  improvement  in
memory and concentration. Passive immunization by
injecting the antibodies into patients aims to clear the
peptides. These antibodies produced  in mouse cells
and  genetically  engineered  to  prevent  rejection  in
humans are unlikely to evoke occurrence of encephalitis
as  they  do  not  trigger T  cell  response  in  the  brain.
The procedure was able  to  remove A-beta  from  the
brain.
Immunization with selected parts of A-beta instead
of entire peptide can stimulate the antibody producing
B cell of the immune system without triggering T cells
involved in the occurrence of encephalitis.
Non-immunological strategy: Non-immunological
strategy to stop aggregation of A-beta compounds has
been attempted. The compounds interact directly with
A-beta to keep the peptide dissolved in the fluid outside
brain neurons preventing formation of harmful clumps.
Alzhemed,  a  small  molecule  apparently  mimicking30
Journal of  The  Indian Academy  of Geriatrics,   Vol.  4, No. 1, March, 2008
heparin binds to A-beta and reduces peptide aggregation
and shows some improvement in cognitive functions
of  patients with mild AD.
Targetting Tau: The  tau filaments cause neuronal
tangles,  and  they  are a  promising  target  to  prevent
degeneration  of  neurons.  Inhibitors  could  block  the
kinases that place an excessive amount of phosphates
onto  tau,  which  is  an  essential  step  in  filament
formation. No  success has  been  seen  in production
of  such  a  drug.  It  is  hoped  such  drugs might work
synergistically with  those  targeting A-beta.
Reduction  in production of APP: Cholesterol
lowering  agents  (statins)  used  to  cut  risk  of  heart
disease could become a treatment for AD. Epidemiologic
studies have shown people taking statins have a lower
risk of acquiring AD     By  lowering  cholesterol  these
drugs may reduce production of APP or perhaps affect
the  creation  of  A-beta  by  inhibiting  activity  of  the
responsible secretases. Attempts are made to prevent
AD  by  using  statins.
Cell-based  therapy:  Cell  therapy  is  another
approach in the treatment. The gene encoding a large
protein such as nerve growth factor (NGF) was inserted
into the skin biopsies obtained from patients with mild
forms  of  AD.  Such  genetically  modified  cells  were
implanted surgically into the forebrain of the patients,
with a view that the implanted cells would produce and
secrete NGF, thus preventing the loss of acetylcholine
producing neurons and improve memory. The treatment
was associated with slowing down of cognitive decline.
Medical fraternity is eagerly looking forward for a
break  through  in  the research  to provide a drug  that
could  effectively  slow  or  stop  the  gradual  loss  of
neurons. The treatment targeting A-beta may halt the
occurrence or retard progress of Alzheimer’s disease.
References
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2. Doody RS, Stevens JC, Buck C, et al. Practice parameter:
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of  the  Quality  Standards  Subcommittee  of  the  American
Academy  of Neurology. Neurology  2001;  56:1154-1166.
3. Cummings  R.  Cholinesterase  inhibitors:  a  new  class  of
psychotropic  agents. Am  J  Psychiatr  2000;  157:  6-15.
4. Tariot  PN,  Farlow  MR,  Grossberg  GT,  et  al.  Memantine
treatment  in  patients  with  moderate  to  severe  Alzheimer
disease already receiving donepezil: a randomized controlled
trial. JAMA. 2004; 291: 317-324.
5. Wolfe MS. Therapeutic  strategies  for Alzheimer’s  disease.
Nat Rev Drug Discov 2002;  1: 859-866.
6. Selkos DJ. Presenilins, B-amyloid precursor protein and the
molecular  basis  of  Alzheimer’s  disease.  Clin  Neurol  Res
2001; 1: 91-103.
7. Cummings R, Vinters HV, Cole GM, et al. Alzheimer’s disease.
Neurology 1998; 51: 53-57.
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