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脑焦谷氨酸淀粉样蛋白β由组织蛋白酶B产生,并被半胱氨酸蛋白酶抑制剂E64d所降低,这代表了一种潜在的阿尔茨海默病治疗方法。

Brain pyroglutamate amyloid-β is produced by cathepsin B and is reduced by the cysteine protease inhibitor E64d, representing a potential Alzheimer's disease therapeutic.

作者信息

Hook Gregory, Yu Jin, Toneff Thomas, Kindy Mark, Hook Vivian

机构信息

American Life Science Pharmaceuticals, La Jolla, CA, USA.

Department of Neurosciences, Medical University of South Carolina, Charleston, SC, USA Ralph H. Johnson VA Medical Center, Charleston, SC, USA.

出版信息

J Alzheimers Dis. 2014;41(1):129-49. doi: 10.3233/JAD-131370.

Abstract

Pyroglutamate amyloid-β peptides (pGlu-Aβ) are particularly pernicious forms of amyloid-β peptides (Aβ) present in Alzheimer's disease (AD) brains. pGlu-Aβ peptides are N-terminally truncated forms of full-length Aβ peptides (flAβ(1-40/42)) in which the N-terminal glutamate is cyclized to pyroglutamate to generate pGlu-Aβ(3-40/42). β-secretase cleavage of amyloid-β precursor protein (AβPP) produces flAβ(1-40/42), but it is not yet known whether the β-secretase BACE1 or the alternative β-secretase cathepsin B (CatB) participate in the production of pGlu-Aβ. Therefore, this study examined the effects of gene knockout of these proteases on brain pGlu-Aβ levels in transgenic AβPPLon mice, which express AβPP isoform 695 and have the wild-type (wt) β-secretase activity found in most AD patients. Knockout or overexpression of the CatB gene reduced or increased, respectively, pGlu-Aβ(3-40/42), flAβ(1-40/42), and pGlu-Aβ plaque load, but knockout of the BACE1 gene had no effect on those parameters in the transgenic mice. Treatment of AβPPLon mice with E64d, a cysteine protease inhibitor of CatB, also reduced brain pGlu-Aβ(3-42), flAβ(1-40/42), and pGlu-Aβ plaque load. Treatment of neuronal-like chromaffin cells with CA074Me, an inhibitor of CatB, resulted in reduced levels of pGlu-Aβ(3-40) released from the activity-dependent, regulated secretory pathway. Moreover, CatB knockout and E64d treatment has been previously shown to improve memory deficits in the AβPPLon mice. These data illustrate the role of CatB in producing pGlu-Aβ and flAβ that participate as key factors in the development of AD. The advantages of CatB inhibitors, especially E64d and its derivatives, as alternatives to BACE1 inhibitors in treating AD patients are discussed.

摘要

焦谷氨酸淀粉样β肽(pGlu-Aβ)是阿尔茨海默病(AD)大脑中存在的特别有害的淀粉样β肽(Aβ)形式。pGlu-Aβ肽是全长Aβ肽(flAβ(1-40/42))的N端截短形式,其中N端谷氨酸环化为焦谷氨酸以生成pGlu-Aβ(3-40/42)。淀粉样β前体蛋白(AβPP)的β-分泌酶切割产生flAβ(1-40/42),但尚不清楚β-分泌酶BACE1或替代β-分泌酶组织蛋白酶B(CatB)是否参与pGlu-Aβ的产生。因此,本研究检测了这些蛋白酶的基因敲除对转基因AβPPLon小鼠脑内pGlu-Aβ水平的影响,该小鼠表达AβPP亚型695并具有大多数AD患者中发现的野生型(wt)β-分泌酶活性。CatB基因的敲除或过表达分别降低或增加了pGlu-Aβ(3-40/42)、flAβ(1-40/42)和pGlu-Aβ斑块负荷,但BACE1基因的敲除对转基因小鼠的这些参数没有影响。用E64d(一种CatB的半胱氨酸蛋白酶抑制剂)处理AβPPLon小鼠也降低了脑内pGlu-Aβ(3-42)、flAβ(1-40/42)和pGlu-Aβ斑块负荷。用CA074Me(一种CatB抑制剂)处理神经元样嗜铬细胞导致从活性依赖的调节分泌途径释放的pGlu-Aβ(3-40)水平降低。此外,先前已证明CatB基因敲除和E64d处理可改善AβPPLon小鼠的记忆缺陷。这些数据说明了CatB在产生pGlu-Aβ和flAβ中的作用,而pGlu-Aβ和flAβ是AD发展中的关键因素。讨论了CatB抑制剂,特别是E64d及其衍生物,作为治疗AD患者的BACE1抑制剂替代品的优势。

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