CJH332H1 Lecture Notes - Lecture 20: Amyloid Precursor Protein Secretase, Presenilin, Psen1

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25 May 2018
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Lecture 20: Alzheimer’s Disease
Creating AD mouse models
PSEN1 mutations are inheritable form of AD
We do’t ko hich odels doiates ad iitiates AD
- APP or Tau modified mice
Different proteins (tau and APP) have characteristic patterns in where they start accumulate
- APP in cortex, hippocampus spreads over cortex and hippocampus
- Tau in amygdala, hippocampus slower spreading
APP23 mouse AB plaque stained with congo red (staining monoamines) also shown in human (AD)
pR5 mouse (hyperphosphorylated tau) show similar intracellular inclusions that eventually degenerate. This is
also shown in human (AD)
- Extracellular b-amyloid formation AND intracellular NFTs involving hyperphosphorylated tau
Both APP23 and pR5 use Thy1.2 promoter which allows expression in all over the brain (all types of neurons)
Possible treatment strategies
AB fibrils/plaques (none of them useful for clinical trials)
- Stimulating a-secretase will decrease b-amyloid plaques
- Inhibiting y-secretase will stop ultimate formation of B-amyloid
- Passive immunization with anti-AB plaque antibodies (immune system to clear them up)
- Active immunization with AB peptides
Tau fibrils/NFTs
- Inhibition of tau aggregation
- Inhibiting kinases
- Stimulators of phosphatases to remove phosphates
- Increasing MT stabilization (transgenic methods)
- Increase of tau clearance (potential problem with this tau is intracellular protein and is released to ECM)
Genetics of AD
While sporadic AD is majority AD patients (non genetic in origin), familial AD (FAD) accounts for only 5%
FAD manifests earlier (around 40-50 years of age) compared to >65 years of age in sporadic instances
Despite this drastic difference in disease onset, symptoms are identical
Only 50% of FAD (5%) can be explained by known mutations in genes encoding APP and presenilins 1 and 2
APP mutations
Relatively rare (~12%)
Aerage age of oset is i the early 50’s
Most Down Syndrome patients develop AD after age 40 since they have an extra copy of chromosome 21
- On it has a location that encodes for APP (extra load of APP those who have DS develop AP symptoms)
Most mutations alter APP processing by:
- Increasing cleavage via the B-secretase pathway (more substrate/APP, more secretase)
- Increasing the AB42/40 ratio (AB1-42 fragment more toxic/fibrilionic potential than AB40)
Presenilins (PS)
Y-secretase complex is composed of 4 constituents:
- Presenilin (1 or 2), Nicastrin, APH-1 and PEN-2
PS component is the only one with proteolytic activity (that can cut peptides)
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Document Summary

Creating ad mouse models: psen1 mutations are inheritable form of ad, we do(cid:374)"t k(cid:374)o(cid:449) (cid:449)hich (cid:373)odels do(cid:373)i(cid:374)ates a(cid:374)d i(cid:374)itiates ad. App or tau modified mice: different proteins (tau and app) have characteristic patterns in where they start accumulate. App in cortex, hippocampus spreads over cortex and hippocampus. Tau in amygdala, hippocampus slower spreading: app23 mouse ab plaque stained with congo red (staining monoamines) also shown in human (ad, pr5 mouse (hyperphosphorylated tau) show similar intracellular inclusions that eventually degenerate. Extracellular b-amyloid formation and intracellular nfts involving hyperphosphorylated tau: both app23 and pr5 use thy1. 2 promoter which allows expression in all over the brain (all types of neurons) Possible treatment strategies: ab fibrils/plaques (none of them useful for clinical trials) Inhibiting y-secretase will stop ultimate formation of b-amyloid. Passive immunization with anti-ab plaque antibodies (immune system to clear them up) Active immunization with ab peptides: tau fibrils/nfts.

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