Review
Membrane rafts in Alzheimer's disease beta-amyloid production

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Abstract

Alzheimer's disease (AD), the most common age-associated dementing disorder, is pathologically manifested by progressive cognitive dysfunction concomitant with the accumulation of senile plaques consisting of amyloid-β (Aβ) peptide aggregates in the brain of affected individuals. Aβ is derived from a type I transmembrane protein, amyloid precursor protein (APP), by the sequential proteolytic events mediated by β-site APP cleaving enzyme 1 (BACE1) and γ-secretase. Multiple lines of evidence have implicated cholesterol and cholesterol-rich membrane microdomains, termed lipid rafts in the amyloidogenic processing of APP. In this review, we summarize the cell biology of APP, β- and γ-secretases and the data on their association with lipid rafts. Then, we will discuss potential raft targeting signals identified in the secretases and their importance on amyloidogenic processing of APP.

Introduction

Alzheimer's disease (AD) is one of the major neurodegenerative diseases that is predominant among aged individuals. The principal pathological hall marks of AD, originally described by Alois Alzheimer a little over one hundred years ago, are the two lesions, neurofibrillary tangles and senile plaques, which are found at significantly higher frequency in the cortex and hippocampus in individuals afflicted with AD compared to age matched healthy individuals [1]. Eighty years later, the molecular composition of senile plaques was deciphered with the advent of advanced biochemical and genetic tools. Senile plaques consist of extracellular deposits of 39–42 amino acid-long amyloid-β (Aβ) peptides. Subsequent studies revealed that Aβ is released from a large type I transmembrane protein, termed amyloid precursor protein (APP), by the sequential proteolysis of a set of enzymes termed β- and γ-secretases. Identification of familial AD-linked mutations in APP gene launched the exploration of the cell biology of APP and these secretases to modulate Aβ production to attenuate disease pathology. A growing body of evidence indicates that changes in cholesterol homeostasis can influence Aβ production, and studies in neuronal and non-neuronal cells implicate cholesterol-enriched membrane microdomains, termed lipid rafts, in amyloidogenic processing of APP. However, the connection between cholesterol, lipid rafts and APP processing has not been completely understood, and controversy still exists. In this review, we will first describe the cell biology of APP, β- and γ-secretases followed by the mechanistic details of amyloidogenic processing. Then, we will elaborate on the current status of research addressing the importance of raft association of BACE1 and γ-secretase, and discuss potential raft targeting signals in the secretases and their unanticipated redundant role on amyloidogenic processing of APP.

Section snippets

An overview of APP and secretases

The APP gene is mapped to chromosome 21 and different isoforms of APP exist as a result of alternative splicing of the nascent transcript. Predominant isoforms include APP695, 751 and 770 which differ by the absence (APP695) or presence (APP751 and 770) of an extracellular Kunitz protease inhibitor (KPI) domain. APP695 is the major neuronal isoform whereas APP770 isoform is expressed in most other cell types. Direct correlation of APP overexpression and AD pathology is evident in Down's

The role of cholesterol in AD pathogenesis

Cholesterol has long been clinically associated with AD pathogenesis and this connection attracted many research groups to explore the underlying causal role of cholesterol on APP processing for therapeutic intervention. In fact, the brain is the most cholesterol-rich organ in our body, which can sequester 25% of total cholesterol even though it contributes to 2% of total body weight [45], [46]. Since, cholesterol is the main constituent of lipid rafts, it is imperative to understand the

Lipid rafts

Lipid rafts are dynamic and highly ordered membrane microdomains rich in cholesterol and sphingolipids that are distinct from surrounding membranes of unsaturated phospholipids. The average size of lipid rafts is estimated to be 50 nm in diameter, although several distinct raft domains can exist in a cell that are heterogeneous in size and life time [72], [73]. Lipid rafts concentrate select proteins and serve as a platform for cellular processes such as cell signaling, pathogen entry, cell

Cholesterol depletion

Selective targeting of BACE1 and γ-secretase processing of APP in lipid rafts is considered as an elegant therapeutic strategy to modulate Aβ production. Cholesterol is the main constituent of lipid rafts and depletion of cellular cholesterol by sequestering agent such as methyl-β-cyclodextrin disturb the integrity of lipid raft domains. Therefore, cholesterol depletion was used as an approach to displace secretases and APP from raft domains. As a consequence, APP processing to Aβ was strongly

Conclusion

The role of cholesterol in amyloidogenic processing of APP came under close scrutiny following the publication of epidemiological studies that correlated cellular cholesterol and AD pathogenesis. Given that cholesterol is one of the major constituent of lipid rafts, the involvement of raft membrane microdomains in APP processing was investigated. Indeed, multiple lines of evidence suggest that amyloidogenic processing of APP is associated with membrane raft microdomains. Spatial segregation of

Acknowledgements

Research in authors' laboratories are supported by NIH grants AG021495 and AG019070, Alzheimer's Association (IIRG to GT; NIRG to KSV) and the American Health Assistance Foundation.

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