Aβ</scene>' />
Although the majority of is secreted out of the cell, Aβ can be generated in several subcellular compartments within the cell, such as the ER, Golgi/TGN, and endosome/lysosome. In addition, extracellular Aβ can be internalized by the cell for degradation. The intracellular existence of Aβ implies that Aβ may accumulate within neurons and contribute to disease pathogenesis. Confirming this, intraneuronal Aβ immunoreactivity has been found in the hippocampal and entorhinal cortical regions which are prone to early AD pathology in patients with mild cognitive impairment. In Down Syndrome (DS) patients, the accumulation of intracellular Aβ precedes extracellular plaque formation and the level of intraneuronal Aβ decreases as the extracellular Aβ plaques accumulate. Intraneuronal Aβ can also impair amygdala-dependent emotional responses by affecting the ERK/MAPK signaling pathway. Inhibition of dynamin-mediated but not clathrin-mediated Aβ internalization was also found to reduce Aβ-induced neurotoxicity. One recent study suggests that internalized Aβ can aggregate within the cell and disrupt the vesicular membrane, thus contributing to its pathological effect. There are two main toxic species, Aβ40 and Aβ42, with Aβ42 more hydrophobic and more prone to fibril formation while only making up about 10% of the Aβ peptide produced. Studies done on familial AD (FAD) mutations consistently show increases in the ratio of Aβ42/40, suggesting that elevated levels of Aβ42 relative to Aβ40 is critical for AD pathogenesis, probably by providing the core for Aβ assembly into oligomers, fibrils, and amyloidogenic plaques.[6] In addition to generating Aβ, γ-secretase cleavage of APP also generates an APP intracellular domain (AICD) within the cell. AICD has been found to possess transcriptional transactivation activity and can regulate the transcription of multiple genes including APP, GSK-3b, KAI1, neprilysin, BACE1, p53, EGFR, and LRP1. In addition, free AICD can induce apoptosis and may play a role in sensitizing neurons to toxic stimuli. [4] However, as the intracellular domain of APP, one important function of AICD is to facilitate the interaction of APP with various cytosolic factors that regulate APP's intracellular trafficking and/or signal transduction function. Interestingly, it seems that AICD-mediated APP interaction with different factors is controlled by the phosphorylation state of AICD.[6]
Relevance
There are 32 APP, 179 PSEN1 (presenilin 1 gene locus), and 14 PSEN2 gene mutations that result in early-onset, autosomal dominant, fully penetrant AD. In APP, mutations cluster around the γ-secretase cleavage site, although the most famous APP mutation (APP-swe) causes a change in amino acids adjacent to the BACE1 cleavage site.[7] AD-related loci are found on chromosome 1 and chromosome 14; two homologous genes, PSEN1(encoding PS1) on chromosome 14 and PSEN2 (encoding PS2) on chromosome 1.2 PSEN gene mutations (which gives rise to proteins presenilin, PS1 and PS2) predominantly alter the amino acids in their nine transmembrane domains. The common thread to all these mutations is that they increase production of the less soluble and more toxic Aβ42 relative to Aβ40.5 Mutations in the PSEN1 gene, encoding presenilin-1 (PS1), are the most common cause of familial Alzheimer’s disease (FAD). [8] These familial mutations lead to the heritable form of Alzheimer’s disease.[5]
Structural highlights
The structural information of the γ-secretase complex has been primarily obtained by electron microscopy analysis with a maximum resolution of 12 Å, revealing a globular structure with several extracellular domains, three water-accessible cavities, and a potential substrate-binding surface groove in the TM region. Recently a three-dimensional structure of the intact human γ-secretase complex was determined by cryo-electron microscopy with a resolution of 4.5 Å. The overall structural model comprises a horseshoe-shaped structure with 19 TMs and a bilobed ectodomain representing Nicastrin. The extracellular domain of Nicastrin contains a large lobe and a small lobe. The large lobe of Nicastrin thought to be responsible for substrate recognition, associates with the small lobe through a hydrophobic pivot at the center. The current speculative model suggests that PS1 and PEN-2 are located to the “thick” end of the horseshoe shape, whereas APH-1 and Nicastrin are located toward the “thin” end. PEN-2 spans the membrane twice, with N- and C-terminal domains facing the lumen of the ER. Analysis of the APH-1 sequence shows that it contains seven potential TM domains, with the N-terminal domain facing the extracellular space and the C-terminal domain facing the cytosol. Further work is required to elucidate structural details of other γ-secretase components at the atomic level.2 However, strong evidence suggests that the γ-secretase complex resides primarily in the ER, Golgi/TGN, endocytic and intermediate compartments, most of which (except the TGN) are not major subcellular localizations for APP.[6]
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