LeBlanc A
Department of Neurology and Neurosurgery, McGill University, Montréal, Québec, Canada.
J Neurosci. 1995 Dec;15(12):7837-46. doi: 10.1523/JNEUROSCI.15-12-07837.1995.
The etiology of the amyloid beta peptide in sporadic Alzheimer's disease (AD) is not known. Amyloid beta peptide (A beta), a proteolytic product of the amyloid precursor protein (APP), is deposited in the senile plaques and cerebrovascular tissues of individuals with either sporadic or familial AD (FAD). Increased A beta production from mutant APPs in FAD fosters the hypothesis that overexpression of A beta plays a primary role in the pathogenesis of AD. The absence of APP mutations in sporadic AD which displays identical pathological features than FAD such as synapse and neuronal loss, senile plaques and neurofibrillary tangles, suggests other causes for overexpression and/or deposition of A beta. To investigate the effect of neuronal death on APP metabolism and A beta secretion, human primary neuron cultures were induced to undergo apoptosis by serum deprivation. Serum deprived neurons display shrunken and rounded morphology, contain condensed chromatine and fragmented DNA, which are characteristic of apoptosis. In serum deprived neurons, metabolism of APP through the nonamyloidogenic secretory pathway is decreased to 20% from 40% in control cultures whereas 4kDa A beta is increased three- to fourfold. The results suggest that human neurons undergoing apoptosis generate excess A beta and indicates a possible mechanism for increased A beta in the absence of APP mutations.
散发性阿尔茨海默病(AD)中β-淀粉样肽的病因尚不清楚。β-淀粉样肽(Aβ)是淀粉样前体蛋白(APP)的蛋白水解产物,沉积于散发性或家族性AD(FAD)患者的老年斑和脑血管组织中。FAD中突变APPs产生的Aβ增加,支持了Aβ过表达在AD发病机制中起主要作用的假说。散发性AD中不存在APP突变,但其表现出与FAD相同的病理特征,如突触和神经元丢失、老年斑和神经原纤维缠结,这表明Aβ过表达和/或沉积还有其他原因。为了研究神经元死亡对APP代谢和Aβ分泌的影响,通过血清剥夺诱导人原代神经元培养物发生凋亡。血清剥夺的神经元表现出形态萎缩和变圆,含有浓缩的染色质和片段化的DNA,这些都是凋亡的特征。在血清剥夺的神经元中,通过非淀粉样生成分泌途径的APP代谢从对照培养物中的40%降至20%,而4kDa Aβ增加了三到四倍。结果表明,正在经历凋亡的人神经元会产生过量的Aβ,并提示了在没有APP突变的情况下Aβ增加的一种可能机制。