Masumura M, Hata R, Nishimura I, Uetsuki T, Sawada T, Yoshikawa K
BF Research Institute, c/o National Cardiovascular Center, 7-1, 5-Chome, Fujishiro-dai, Suita, 565-0873, Osaka, Japan.
Brain Res Mol Brain Res. 2000 Sep 15;80(2):219-27. doi: 10.1016/s0169-328x(00)00163-7.
To elucidate the mechanism of neuronal death in Alzheimer's disease, we investigated the effects of overexpression of wild-type Alzheimer amyloid precursor protein (APP) on neuronal cells and glial cells in vivo. When an APP695-expressing adenovirus was injected into the dorsal hippocampal region, a number of neurons in remote areas were positively stained with anti-APP monoclonal antibody, and underwent severe degeneration from 3 to 7 days after viral inoculation. Most degenerating neurons were immunopositive with both APP and activated caspase-3, but some neurons that expressed activated caspase-3 were not expressing APP from 7 to 14 days after virus injection. In the neighborhood of the degenerating neurons, activated microglia/macrophages, which were identified by the phenotypic marker C3bi receptor (CD11b/c; OX-42), were observed, and some of them appeared to phagocytose the caspase-3-immunopositive degenerating neurons. In addition to microglia/macrophages, infiltrating leukocytes expressing CD45 or CD4 were also detected. These results suggest that the increased accumulation of APP induced not only caspase-3-mediated death machinery, but also inflammatory responses including microglial activation. These inflammatory responses might cause further neurodegeneration through the alternative pathway that might activate the caspase-3-mediated death machinery without APP expression.
为阐明阿尔茨海默病中神经元死亡的机制,我们在体内研究了野生型阿尔茨海默淀粉样前体蛋白(APP)过表达对神经元细胞和神经胶质细胞的影响。当将表达APP695的腺病毒注射到背侧海马区时,远处区域的许多神经元用抗APP单克隆抗体呈阳性染色,并在病毒接种后3至7天发生严重退化。大多数退化的神经元对APP和活化的半胱天冬酶-3均呈免疫阳性,但在病毒注射后7至14天,一些表达活化半胱天冬酶-3的神经元未表达APP。在退化神经元的附近,观察到通过表型标记C3bi受体(CD11b/c;OX-42)鉴定的活化小胶质细胞/巨噬细胞,其中一些似乎吞噬了半胱天冬酶-3免疫阳性的退化神经元。除小胶质细胞/巨噬细胞外,还检测到表达CD45或CD4的浸润白细胞。这些结果表明,APP积累的增加不仅诱导了半胱天冬酶-3介导的死亡机制,还引发了包括小胶质细胞活化在内的炎症反应。这些炎症反应可能通过替代途径导致进一步的神经变性,该替代途径可能在无APP表达的情况下激活半胱天冬酶-3介导的死亡机制。