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New Orleans: Symposium Probes Why Synapses Are Suffering

25 November 2003. Are you sometimes tempted to view APP and presenilin merely as raw material and machine for Aβ production, respectively? If so, think again, because that narrow spotlight is opening up to a broader understanding of how these two proteins function and might contribute to Alzheimer’s in their own right, as it were. At the annual meeting of the Society for Neuroscience held earlier this month in New Orleans, Jie Shen of Brigham and Women’s Hospital in Boston led a symposium on synaptic changes in Alzheimer’s disease, a topic that overlaps in large part with new areas of investigation for APP and PS. The event drew a packed auditorium, in part, perhaps, because the original Richard Morris of water maze fame was on hand, as well. (Developed in the 1980s for the study of hippocampal memory, this mouse swimming pool has become de rigueur for any Alzheimer’s mouse lab trying to prove their favorite intervention is meaningful in vivo.) New functions proposed for APP and PS included axonal transport, formation of the synapse, and synaptic transmission and its related signal transduction pathways. One provocative upshot of this new data—briefly debated at the symposium—was that presenilin mutations may cause memory loss and neurodegeneration not just through a toxic gain of function—the widely accepted notion—but in a more complex manner that involves also the loss of separate physiological functions of PS in learning and memory. Here’s a summary of the symposium presentations, plus another talk that tied in tau with axonal transport.

Presenilin: A Memory Molecule?
Shen first reminded the audience that synaptic loss remains the best early correlate of cognitive impairment in AD, and is accompanied by a “dying back” of dendrites and axons, and by aberrant sprouting (for a recent review, see Hashimoto et al., 2003). Of the known familial AD mutations, only 16 are in APP, and they are rare (see APP mutations directory; see also ARF related news story). By contrast, the literature contains about 143 mutations in presenilins 1 and 2 (see PS mutations directory; for the latest additions, see Tedde et al., 2003), and they are far more common. Do they cause AD through a gain of function or a loss of function? Speaking for the former are their dominant inheritance pattern and evidence that they increase Aβ42 levels. At the same time, however, PS mutations are scattered throughout the coding sequence of the two genes, and this is consistent with a partial loss of function, Shen said.

Shen took a genetic approach to understand the normal function of presenilin in the postnatal brain. Since PS 1 and 2 are important for embryonic development, knockout mice die too early for the study of these proteins' roles later in life. Shen and colleagues, therefore, generated a line of neuron-specific conditional PS1 knockout mice, which are normal anatomically, have lower Aβ production, and show a surprisingly subtle spatial memory deficit (see ARF related news story). Next, Shen’s group crossed these conditional PS1 knockouts with APPswe+717e transgenic mice made in Lennart Mucke’s lab and asked whether inactivating PS1 could prevent the amyloid pathology in these mice without side effects. (Besides exploring the normal role of PS, this experiment mimics genetically a γ-secretase inhibitor treatment for AD; see also ARF related New Orleans story.) As expected, these double mutants have neither amyloid pathology nor the related gliosis and inflammation. However, collaborative studies with Alfredo Kirkwood’s group at Johns Hopkins University showed that eliminating PS1 did not rescue the LTP impairment. It did not completely rescue the behavioral deficits of the APP transgenics, either, Shen's and Morris' groups found (see also 295.13). The double mutants temporarily performed better on an associative memory task, but by the age of six months, had fallen behind again, plus they performed poorly in spatial reference tests. “This mixed phenotype highlights the importance of comprehensive testing of AD models using multiple behavioral paradigms,” said Shen.

Up to this point, PS2 could compensate for PS1, potentially muddying the results. To shut this escape hatch, Shen’s lab crossed their conditional PS1 knockout to a PS2 knockout strain from Karen Duff’s group, creating mice that express PS1 until a month after birth and then continue life without any presenilin in their excitatory forebrain neurons. These mice, too, seem fine at two months of age, but go downhill from there, Shen told the audience. At this age, prior to any pathology, the mice show mild deficits in associative and spatial memory, as well as in short-term plasticity and LTP. The latter prompted the researchers to investigate NMDA receptor-mediated responses and found reductions there, as well. What’s more, NMDA receptor and CaMKinase II levels in synaptoneurosome preparations were reduced. Postdoc Carlos Saura presented these data in a slide talk (239.2). By six months, the mice were severely impaired in spatial learning and memory, failing to learn conditioned fear or the Morris water maze. The mice also had shrunken white matter, and by nine and 16 months (few mice survive to this age), they suffer progressive neurodegeneration, with reductions in synaptophysin levels, dendritic number and complexity, number of cortical neurons, and cortical volume. Gliosis accompanies this process, Shen reported.

What molecular webs might underlie this profound phenotype? Shen’s suspicion fell on the CREB/CREM pathway, in part because prior work has established it as a mediator of synaptic plasticity, hippocampus-dependent learning, and in part because mice mutant in these factors show impaired LTP and neurodegeneration (see Pittenger et al., 2002; Chen et al., 2003). Indeed, at two months, these mice had downregulated a list of genes whose expression depends on CREB, including BDNF, c-fos, and others. Total levels of CREB itself or its phosphorylated version were unchanged, but levels of CREB-binding protein (CBP) were down, suggesting that presenilin is somehow necessary to maintain normal levels of CBP. Tau was hyperphosphorylated and p25 upregulated.

Shen invited the audience to ponder a working model for memory impairment in which problems with presenilin function would, as one of the earliest steps, lead to impaired synaptic plasticity through a downregulation of the CREB pathway. While at first blush these data seem to flatly contradict the amyloid hypothesis, Shen explained that the story is more complex than that. "There is truth to both sides as some PS mutations clearly increase Aβb42 generation. I think that, depending on the downstream targets, PS mutations can lead to the disease through both loss and gain of function," she concluded.

Richard Morris, of the University of Edinburgh, Scotland, noted that finding a suitable behavioral model for AD is a formidable task because the clinical diagnosis of this heterogeneous disease requires memory impairment plus at least one other cognitive disturbance, for example aphasia or deficits in decision-making. Even just the memory component features differences in working, episodic, remote, and semantic memory, Morris explained, with striking deficits in episodic memory early in the disease. How can one model that? By now, numerous mouse models show behavioral deficits (for example, the Tg2576, App23, CRND8, and SAMP8 strains), most of which are assessed using the water maze and the radial arm maze introduced by Gary Arendash and Dave Morgan at the University of South Florida in Tampa.

In earlier studies of the PDAPP mouse, with Guiquan Chen at the University of Edinburgh and Karen Chen and others at Elan Biopharmaceuticals in south San Francisco, Morris tried to distinguish between the ability to encode, store, and retrieve memories (Chen et al., 2000). To that end, he devised a serial spatial-learning task that involves longitudinal testing of an animal and allows for the teasing apart of the different processes of memory. A key result of this work was that these animals seem to forget what they had learned faster because of a specific defect in memory retrieval. Morris noted that a decline in excitatory transmission might underly this effect.

APP: A Synapse Builder?
Hui Zheng of Baylor College of Medicine in Houston presented data implying a physiological role for APP and some of its family members in synapse formation. She proposed that impairments in this function could perhaps also contribute to the synaptic deficits in AD. Zheng pointed out that Aβ is but one of many APP processing products, all of which are affected by FAD mutations. She said it remains unclear whether the synaptic damage in vivo occurs via Aβ, other APP cleavage products, APP-related signaling pathways, or a combination of these. Zheng added that other APP family members such as APLP1 or 2 are also suspects, given that they are abundantly expressed in neurons and found in dendrites.

Zheng and colleagues have further examined their APP-knockout mouse (Zheng et al., 1995). In addition to gliosis, an LTP defect, and behavioral deficits in the water maze, this mouse also moves around less and has a weak grip. The mice have normal numbers of neurons, but their dendrites were abnormally short. Then, Zheng crossed APLP2-knockout mice, which appear normal, with the APP knockouts and found that the offspring died soon after birth, much like a similar set of mice created in Ulrike Muller’s lab (Heber et al., 2000). A growing number of double knockouts of either APP and APLP1 or 2 now exist, Zheng said, offering a chance to sort out the more subtle synaptic functions of these proteins.

The locomotor defect and weak grip of the mice inspired Zheng to study their neuromuscular junctions as a peripheral model of what might be going wrong with synaptic development in the late embryonic stage. The scientists found that the double knockouts had fewer synaptic vesicles on the presynaptic side, as well as a defect in the proper distribution and positioning of presynaptic vesicles opposite acetylcholine receptors on the postsynaptic membrane. Slightly later, these faulty synapses sprouted neurites excessively, Zheng reported. It’s not clear yet whether the vesicle defect has to do with transport or some other aspect of vesicle release and recycling, but it is clear that the neuromuscular junctions were defective in electrophysiological measures of presynaptic function. This synapse-forming role of APP/APLP2 is the first in-vivo demonstration of a physiological function of the APP family of proteins, Zheng said. Whether something similar happens in central synapses, and whether this could explain the behavioral and LTP deficits in APP-knockout mice, are open questions at this point, she added.

Starving Synapses: Axonal Transport a Common Theme?
If the APP family and the presenilins play important physiological roles at synapses, then surely trouble looms if their delivery dries up. In this sense, blockages of axonal transport could provide another mechanism of AD pathogenesis, and indeed, a number of groups have described axonal transport defects in different neurodegenerative diseases in recent years (see ARF related news story; ARF news; ARF news). At the symposium, Larry Goldstein of University of California, San Diego, set the stage by describing just how enormous a transport burden neurons face. Their “railway” system of tracks (the microtubules) and engines (the kinesin and dynein families of motor proteins) shuttle most of the neuron’s biosynthesis products down the axon and other materials (such as NGF) back up to the nucleus. Axons are narrow and easily jammed by stalled vesicles; distances are immense. Goldstein briefly recapped his lab’s prior work on huntingtin (see ARF related news story) and on Alzheimer’s, including Drosophila studies suggesting that APP serves as an anchor for kinesin (see ARF related news story), which mediates transport of vesicles containing APP, BACE, and γ-secretase to the synaptic terminals (see ARF related news story). This work led to a working model in which APP interacts with kinesin, perhaps with JIP-1b as a scaffold (see Inomata et al., 2003), to transport a cargo vesicle that contains the APP processing machinery. Transport defects could be physical, i.e., plugging of the axon by protein aggregates, and/or could occur in a positive feedback loop whereby stalling of vesicles would increase local processing of APP in the axon. Increased APP or impaired kinesin function could also set off this speculative cycle, as could endocytosis of Aβ, Goldstein said.

Goldstein then presented new experiments in mice that aimed to test the prediction that APP overexpression should poison axonal transport by titrating APP away from kinesin binding. Postdoc Gorazd (Goghy) Stokin first studied the morphology of cholinergic axons in basal forebrain of APPSwe mice made by Richard Bochelt, and found numerous axonal swellings, some as large as 10 microns (see also 445.6). In the electron microscope, these swellings resemble those seen in axons of APP-overexpressing fruit flies and contain numerous vesicles and organelles, including mitochondria. Some look as though they are degenerating. Initial data from an ongoing analysis of human AD tissue hint that it, too, contains similar axonal swellings, Goldstein added. Could these axonal swellings be precursors of the dystrophic neurites that are a hallmark of the AD brain?

Next, Stokin crossed the APP transgenic mice to strains deficient in a kinesin light chain gene to ask whether reducing the amount of kinesin would disrupt axonal transport in mice as it did in flies. When he looked for axonal swellings in cortex, he found none in wild-type mice, some in the APP transgenics, and abundant swellings in the double-transgenics. To ask whether reduced transport increases APP processing, the scientists measured amyloid pathology in the double-transgenic mice and found that reducing kinesin accelerated the age-related increase in Aβ levels and plaque deposition. In preliminary experiments, the scientists also saw the distribution of plaque deposition shift in such a way that the fraction in the entorhinal cortex (which projects through the perforant pathway to the dentate gyrus of the hippocampus and is affected early in AD) appeared to increase relative to deposition in the dentate gyrus (see ARF related news story). While these issues need further study, Goldstein argued that APP processing likely is regulated by kinesin in some way.

And, in turn, kinesin may be regulated by tau. In a separate session in New Orleans, Eva-Maria Mandelkow talked about a new relationship between tau and the movement of APP vesicles down the axon (336.6). She proposed that the kinase cascade MARKK-MARK controls this process by phosphorylating tau and causing it to come off the microtubules. Her presentation revolved around tau’s role in limiting vesicle transport through its competition with kinesin for microtubule binding. Overexpression of tau leads to a redistribution of organelles back to the cell body and thus starves the synapse, Mandelkow explained. Her lab has created conditional tau transgenic mice to study subtle changes early in the disease process, long before hyperphosphorylated tau detaches entirely from microtubuli, causing them to disintegrate. While these mice are still too young to use in studying brain aging, cortical neurons cultured from the mice yielded some clues. These neurons lose their dendrites and axons, and quickly die. In normal neurons, anterograde transport of APP-containing vesicles predominates, but in the tau-overexpressing neurons, anterograde transport slows down and retrograde transport predominates. Interestingly, activating the MARKK-MARK pathway in these cells restored anterograde transport, suggesting that the increased MARK activity observed in degenerating neurons may be a protective response by neurons trying to contain tau. Mandelkow believes that even a small increase in tau may be sufficient to disrupt the flow of traffic to the synapse (Timm et al., 2003).

Stepping back to take a broader view, Goldstein even wonders if different neurodegenerative diseases could reflect divergent outcomes of a common dysfunction such as axonal transport, much like different types of cancer are all outcomes of common problems with cell cycle control. A lot of future work is needed to test this leap, some of it being a search for kinesin SNPs that cause subtle differences in kinesin activity and could, over time, impair axonal transport. You can view abstracts mentioned in this story at the SfN/ScholarOne website.—Gabrielle Strobel.

Comments on Related News
Related News: Target BACE: Better Than Ever?

Comment by:  Fred Van Leuven, ARF Advisor (Disclosure)
Submitted 10 January 2004 Posted 10 January 2004

This is exactly what we predicted (Dewachter and Van Leuven, 2002) or, as the Americans would put it, "what the doctor ordered…"

The overall message of this study is loud and clear: BACE is hereby proven to be the favorite target for drug-makers. That message rings even more clearly because γ-secretase inhibitors now prove bad not only for the brain, as we predicted, as well (Dewachter et al., 2002), but also in vivo for the immune system, the intestine, and likely for any, or even all, biological subsystems in our complex bodies that depend on intramembranous proteolysis for essential functions (Wong et al., 2004).

Some points remain somewhat worrying or startling in this study. First, why not use the "classic" cognitive test, i.e., the water maze? Second, why not measure "classic" LTP instead of the somewhat exotic cholinergic AHP? Third, and most important, is the lack of any data on APP biochemistry. I, for one, would want to know what happens to APPs-α and to the α-CTF; the discussion circumvents this issue. Indeed, the lowering of Aβ by BACE-deficiency is spectacular and likely to be a major contributor to the "rescue." Nevertheless, APPs-α is claimed by many to be beneficial for brain, but only circumstantially demonstrated to be essential for "neuronal well-being."

Here was a chance to increase the experimental proof for that action.

References:
Dewachter I, Van Leuven F. Secretases as targets for the treatment of Alzheimer's disease: the prospects. Lancet Neurol. 2002 Nov;1(7):409-16. Review. Abstract

Dewachter I, Reverse D, Caluwaerts N, Ris L, Kuiperi C, Van den Haute C, Spittaels K, Umans L, Serneels L, Thiry E, Moechars D, Mercken M, Godaux E, Van Leuven F. Neuronal deficiency of presenilin 1 inhibits amyloid plaque formation and corrects hippocampal long-term potentiation but not a cognitive defect of amyloid precursor protein [V717I] transgenic mice. J Neurosci. 2002 May 1;22(9):3445-53. Abstract

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Comment by:  Karen ChenDione Kobayashi (Disclosure)
Submitted 10 January 2004 Posted 10 January 2004

By Dione Kobayashi and Karen Chen The paper by Disterhoft et al. reporting cognitive and cholinergic rescue with their BACE1 knockout mice on a mutant hAPP background is extremely exciting and is a strong validation of BACE inhibitory strategies for Alzheimer's disease therapeutic efforts. Other recent works over the past three years have also reported on the behavioral effects of complete genetic removal of BACE1 from mice (Harrison et al., 2003; Kobayashi et al., in SFN abstracts 2002, 2003). In addition to their novel cholinergic function results, Disterhoft et al. found mild phenotypes in exploration in BACE1 -/- mice similar to other groups, although there is some discrepancy regarding the ability of BACE1 deletion to rescue cognitive deficits due to overexpression of mutant hAPP.

It must be emphasized that not only do the various BACE1 -/- mice differ in their hAPP mutations, level of APP overexpression, and thus their subsequent cognitive deficits, but these mice also have been subjected to widely divergent behavioral tasks. While the Y maze and social recognition tasks used by Disterhoft et al. are both nonaversive and rely on hippocampal function, these tasks also depend on the motivational state of the animals, which is admittedly impaired in spontaneous exploration.

In studies done by our group, BACE1 -/- PDAPP mice were tested in an aversive serial spatial memory water maze paradigm that utilizes working memory (Chen et al., 2000). This modified water maze protocol was in effect designed to detect subtle spatial impairments in the PDAPP mouse that could be missed when using other spatial memory tasks, including the classic reference memory task described by Morris in 1981. While we do report significant progressive spatial memory deficits in our BACE1 -/- PDAPP mice, their impairments can also be viewed as subtle and specific. Thus, our seemingly opposing BACE1 -/- hAPP data may simply represent the dynamic range of changes in BACE1 -/- hAPP mice tested with different cognitive tasks. Alternatively, these results may be entirely independent, underlining the murkiness inherent in working with transgenic animal models.

It will be interesting to watch this promising line of research develop, as I agree with the authors wholeheartedly that further study with other transgenic mouse lines, as well as other behavioral assessments, will be illuminating, particularly if a conditional BACE1 -/- is developed like that reported with presenilin-1 (Yu, 2001). In addition, the mild behavioral phenotypes consistently reported with BACE1 -/- alone should not be overlooked from a perspective of understanding the role of the constituents of the APP processing pathway in normal learning and memory.

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Comment by:  Michael Irizarry
Submitted 10 January 2004 Posted 10 January 2004

This elegant report further supports BACE1 as a rational therapeutic target for treating the cerebral amyloidosis of Alzheimer's disease (AD). Ohno and colleagues eliminated BACE1 function in a mouse model of AD by crossing Tg2576 mice—which overexpress the Swedish mutant of amyloid precursor protein (APPSwe)—with BACE1 knockout mice. They found that genetic elimination of BACE1 blocked cerebral amyloid β-protein (Aβ) production, ameliorated the cognitive deficits of the APP-transgenic mice in hippocampal-based learning tasks, and improved the cholinergic electrophysiologic deficits in hippocampal slice preparations.

The Tg2576 APPSwe mouse model of Alzheimer's disease develops cerebral amyloid deposits by the age of nine to 11 months [1]. In the current study, soluble Aβ in brain was increased by 25-fold relative to nontransgenic mice at four to six months—the age at which cognitive deficits and electrophysiologic deficits were detected. The findings that certain cognitive [2] and electrophysiologic deficits occur prior to cerebral amyloid deposition suggest that soluble species of Aβ adversely affect physiologic processes in the brain. The rapid amelioration of behavioral deficits in APP-transgenic mice by passive immunization with anti-Aβ antibodies [3,4] further supports soluble forms of Aβ as a functionally toxic species in these mice.

Ohno and colleagues tested the effects of eliminating brain Aβ in the Tg2576 APPSwe mice by knockout of BACE1, which is the principle enzyme responsible for the β-secretase cleavage of APP, the initial step of Aβ synthesis. Overexpression of BACE1 accelerates Aβ production in mouse brain [5,6], and BACE1 protein levels and enzymatic activity are increased in the AD brain [7-9]. Targeting BACE1 therapeutically is potentially less toxic than reducing γ-secretase activity since BACE1 knockout mice do not exhibit overt neurological or medical problems [10]. (However, BACE1 null mice alone did exhibit impaired performance in a spatial working memory task, a deficit that resolved in the APPSwe/BACE1 null mice [1]). This paper demonstrates that behavioral and electrophysiologic deficits in APPSwe mice can be ameliorated by elimination of Aβ production in the APPSwe/BACE1 null mice, implicating Aβ (or, less likely, β-cleaved APP fragments) as the source of these deficits.

While very encouraging for BACE1 therapeutic strategies, the usual caveats regarding translating behavioral tests in mice to the cognitive deficits in human AD apply. Cognitive deficits in AD are most consistently associated with the development of neuronal loss and neurofibrillary tangle formation in corticolimbic regions, pathological features which are not reproduced in the Tg2576 APPSwe mice. Prolonged exposure to high levels of toxic forms of Aβ may initiate distinct downstream effects in mice (behavioral deficits, cholinergic electrophysiological deficits) and humans (neuronal and synaptic loss, cholinergic deficits, neurofibrillary tangle formation). The amyloid hypothesis postulates that reducing Aβ would prevent these downstream effects; the results presented in this paper support this idea in the case of certain deficits in the APPSwe transgenic mice.

References
1. Hsiao K, Chapman P, Nilsen S, Eckman C, Harigaya Y, Younkin S, Yang F, Cole G. Correlative memory deficits, Abeta elevation, and amyloid plaques in transgenic mice. Science. 1996 Oct 4;274(5284):99-102. Abstract

2. Westerman MA, Cooper-Blacketer D, Mariash A, Kotilinek L, Kawarabayashi T, Younkin LH, Carlson GA, Younkin SG, Ashe KH. The relationship between Abeta and memory in the Tg2576 mouse model of Alzheimer's disease. J Neurosci. 2002 Mar 1;22(5):1858-67. Abstract

3. Dodart JC, Bales KR, Gannon KS, Greene SJ, DeMattos RB, Mathis C, DeLong CA, Wu S, Wu X, Holtzman DM, Paul SM. Immunization reverses memory deficits without reducing brain Abeta burden in Alzheimer's disease model. Nat Neurosci. 2002 May;5(5):452-7. Abstract

4. Kotilinek LA, Bacskai B, Westerman M, Kawarabayashi T, Younkin L, Hyman BT, Younkin S, Ashe KH. Reversible memory loss in a mouse transgenic model of Alzheimer's disease. J Neurosci. 2002 Aug 1;22(15):6331-5. Abstract

5. Bodendorf U, Danner S, Fischer F, Stefani M, Sturchler-Pierrat C, Wiederhold KH, Staufenbiel M, Paganetti P. Expression of human beta-secretase in the mouse brain increases the steady-state level of beta-amyloid. J Neurochem. 2002 Mar;80(5):799-806. Abstract

6. Mohajeri MH, Saini KD, and Nitsch RM. Transgenic BACE expression in mouse neurons accelerates amyloid plaque pathology. J Neural Transm 2003.

7. Holsinger RM, McLean CA, Beyreuther K, Masters CL, Evin G. Increased expression of the amyloid precursor beta-secretase in Alzheimer's disease. Ann Neurol. 2002 Jun;51(6):783-6. Abstract

8. Fukumoto H, Cheung BS, Hyman BT, Irizarry MC. Beta-secretase protein and activity are increased in the neocortex in Alzheimer disease. Arch Neurol. 2002 Sep;59(9):1381-9. Abstract

9. Yang LB, Lindholm K, Yan R, Citron M, Xia W, Yang XL, Beach T, Sue L, Wong P, Price D, Li R, Shen Y. Elevated beta-secretase expression and enzymatic activity detected in sporadic Alzheimer disease. Nat Med. 2003 Jan;9(1):3-4. No abstract available. Abstract

10. Luo Y, Bolon B, Kahn S, Bennett BD, Babu-Khan S, Denis P, Fan W, Kha H, Zhang J, Gong Y, Martin L, Louis JC, Yan Q, Richards WG, Citron M, Vassar R. Mice deficient in BACE1, the Alzheimer's beta-secretase, have normal phenotype and abolished beta-amyloid generation. Nat Neurosci. 2001 Mar;4(3):231-2. No abstract available. Abstract

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Comment by:  Hui Zheng
Submitted 12 January 2004 Posted 12 January 2004

Ohno et al. bred the BACE1 knockout (BACE1-/-) mice onto the Tg2576 APP transgenic background and tested the effects of BACE1 deficiency on Aβ production, behavioral performance, and cholinergic function at a young age (4-6 months), prior to amyloid plaque deposition. The authors showed, quite convincingly, that inhibition of Aβ production, as a result of BACE1 deficiency, rescued the behavioral deficit and cholinergic impairment present in Tg2576 transgenic mice.

This result has several important implications: 1) It lends strong support to the amyloid hypothesis; 2) it strengthens the notion that BACE1 is a valid therapeutic target for AD intervention; and 3) it establishes that the behavioral abnormality seen in Tg2576 mice is caused by APP processing/Aβ production rather than APP overexpression.

However, as the authors pointed out, BACE1 deficiency leads not only to inhibition of Aβ, but also to changes in other APP fragments (e.g., β-CTF). Therefore, a definitive link between Aβ and functional deficits cannot be established. In addition, the therapeutic potential of BACE1 inhibitors has to be interpreted with caution since BACE1 knockout mice alone show impaired performance in the Y maze test (Fig. 1B). Although this impairment is neutralized on the APP-overexpressing background, it represents an artificial condition as AD individuals do not overexpress APP. In this regard, it is prudent to test the BACE1 knockout and BACE1-/- Tg2576 animals in other behavioral paradigms, such as the Morris water maze or fear conditioning.

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Comment by:  Jie Shen
Submitted 12 January 2004 Posted 12 January 2004

This is an interesting paper, and these mice are very useful for addressing a number of issues.

The behavioral paradigms the authors chose to use are not the strongest learning and memory tests available; more robust and better established hippocampal-dependent learning and memory paradigms, such as the Morris water maze and the contextual fear conditioning tests, might have been preferable. This could be the reason that in the spontaneous alternation Y maze, even the Tg2576 APP-transgenic mice did not perform that poorly compared to the control. More importantly, the Y maze results require more explanation: I wonder how the double-mutant mice could have behaved "normally" while BACE-/- and APP-Tg mice performed poorly (Figure 1B)? It seems a bit premature to conclude "rescue" from such results.

Without going into details of the physiology result, Figure 2C seems to show lower values in the double-mutant group compared to the control, as well. Nevertheless, it is interesting and welcome that the authors looked at the cholinergic input.

Overall, from the data shown in the paper, it appears that the story is more complicated, and more thought-provoking, than a simple rescue story. BACE-/- mice appear to exhibit a memory deficit (due to loss of Aβ or other BACE substrates?) in one behavioral test but not the other, whereas BACE-/-xTg2586 bigenic mice appear to perform better than BACE-/- mice (due to ???). If this result can be confirmed by other behavioral tests, it warrants further investigation to characterize the underlying mechanism.

Together with APP-transgenic mice crossed into the PS1 conditional KO background, the Ohno et al. mice stand to be great models to tease out the different contributions of various fragments of APP in brain function. This would require crossing the same APP transgenic line into either PS1 cKO or BACE null background. More importantly, a battery of robust learning and memory tests should be used to test these groups of mice together using identical protocols; only then we can compare results and make meaningful conclusions.

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Comment by:  Philip Wong
Submitted 12 January 2004 Posted 13 January 2004

Previous studies showed that the deletion of BACE1 abolished the production of Aβ and BACE1 knockout mice are apparently normal. In this current paper, Ohno et al tested whether cognitive deficits occurring in the mutant APP mice (Tg2576) can be ameliorated in the absence of BACE1, results that have important implication for the potential therapeutic value of BACE1 in AD. Since developmental cognitive (as assessed by either social recognition task or spontaneous alternation in Y maze) and electrophysiological (hippocampal cholinergic dysfunction) abnormalities occur prior to Ab deposition in 4-6 months old Tg2576 mice, Ohno et al. elected to examine whether such memory deficits can be rescued in Tg2576 mice lacking BACE1. Their results demonstrating that the deletion of BACE1 prevented these early onset behavioral abnormalities strongly support their conclusion that increased levels of Aβ (as opposed to increased APP levels) causes the cognitive deficits occurring in Tg2576 animals.

These authors also interpreted their findings to support the view that the inhibition of BACE1 has therapeutic value in reversing AD-associated cognitive deficits. However, it will be critical to test whether age-associated spatial memory deficits (as assessed by Morris water maze) occurring in aged Tg2576 mice can be rescued in the absence of BACE1. It is unclear at present whether Tg2576 mice lacking BACE1 will display age-associated spatial memory abnormalities; if they don't, such a positive outcome would strongly favor the idea that BACE1 inhibitors have the potential to ameliorate age-associated cognitive deficits occurring in AD.

It is interesting to note that young (4-6 months of age) BACE1 knockout mice exhibit poor performance in spontaneous alternation in the Y maze, a deficit that is also observed in young Tg2576 mice. The reasons for this deficit are unclear. Because Tg2576 mice apparently can rescue this cognitive abnormality in BACE1 null mice and the levels of Aβ peptides in Tg2576;BACE1-/- mice were claimed to be similar to wild-type levels, these authors infer that the lack of Aβ in BACE1 null mice presumably is responsible for the behavioral deficits in the Y maze. This interpretation would raise the critical issue as to the origins of Ab peptides in the Tg2576;BACE1-/- mice. One uncertainty is whether the Ab detected from brain extracts by the sandwich ELISA came from Aβ peptides derived from the processing of APP, or from APP-related fragments containing epitopes recognized by the antibodies used. That no Ab peptides can be detected even when APP wild-type or APPSwe is expressed highly in BACE1-/- neurons, as previously demonstrated, would support the latter possibility.

In this case, the lack of Aβ may not be sufficient to explain the behavioral deficits observed in these young BACE1 knockout mice. It is plausible that the lack of Aβ could affect other substrates of BACE1 to elicit the poor Y maze performance in the BACE1 null mice. However, because the behavioral abnormality observed in the BACE1 knockout mice can be rescued by the expression of APP in Tg2576 mice, this deficit is more likely related to the APP pathway rather than due directly to other BACE1 substrates. At any rate, further studies are necessary to clarify the behavioral abnormalities observed in the BACE1 null mice.

These results raise the possibility that the therapeutic inhibition of BACE1 may not necessarily be free of mechanism-based toxicities, particularly if age-associated behavioral abnormalities are observed in BACE1-deficient mice. Thus, it would be critical to determine whether age-associated spatial memory deficits are observed in aged BACE1 null animals. Furthermore, the behavioral analysis of conditional BACE1 knockout mice should further clarify this important issue.

In summary, while the paper by Ohno et al provides compelling evidence that early-onset cognitive and cholinergic abnormalities occurring in young Tg2576 mice can be rescued by deleting BACE1, critical issues regarding the impact of BACE1 on age-associated cognitive deficits in aged mice remain to be established, as these results will have important implications for the development of potential therapeutics designed to inhibit BACE1 and ameliorate Aβ amyloidosis in AD.

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Comment by:  Remi Quirion
Submitted 14 January 2004 Posted 14 January 2004

This new report by Ohno et al. demonstrates further that BACE1, an enzyme involved in the maturation of the APP precursor and the generation of amyloid peptides, is a potential therapeutic target toward the treatment of Alzheimer's disease. In mice in which the BACE1 gene was deleted, the overexpression of the human APP-695 Swedish familial mutation failed to result in memory deficits and altered cholinergic functions. Hence, the expression of BACE1 resulting in the production of pathogenic amyloid peptides is apparently key to inducing cognitive and neurochemical deficits in the model studied. Together, these data suggest that BACE1 inhibitors could prove useful in the treatment of AD by reducing the production of amyloid peptides and ensuing cholinergic deficits and learning impairments. Of course, the safety of such inhibitors would have to be established, but data obtained in the mouse model are promising. Moreover, these data link some of the key features of the AD brain, including amyloid peptides, cholinergic dysfunction, and memory deficits. It would now be of interest to investigate the effects of clinically used acetylcholinesterase inhibitors in this animal model, as well as subtype selective nicotinic and muscarinic receptor ligands.

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Related News: Target BACE: Better Than Ever?

Comment by:  Mary Reid
Submitted 17 January 2004 Posted 20 January 2004

Jeon et al. (1) suspect that the pyrogallol moiety on C-2 and/or C-3 of the catechin skeleton is responsible for the increased inhibition of BACE1 by these green tea catechins.

It seems of interest that Bain et al. (2) have found that epigallocatechin-3-gallate inhibits DYRK1A, one the the genes considered responsible for the mental retardation of Down's syndrome.

Could we expect that therapeutic intervention with epigallocatechin 3-gallate may be beneficial for those with Down's syndrome?

Basi et al. (3) find that BACE2 suppresses Abeta production in cells that also express BACE1.

Motonaga et al. (4) report increased BACE2 levels in those with Down's syndrome with Alzheimer's-type pathology and suggest that BACE2 is involved in this neuropathology.

May there be reason to expect that the increased BACE2 may actually be beneficial?

References:
1. Jeon SY, Bae K, Seong YH, Song KS. Green tea catechins as a BACE1 (beta-secretase) inhibitor. Bioorg Med Chem Lett. 2003 Nov 17; 13(22): 3905-8. Abstract

2. Bain J, McLauchlan H, Elliott M, Cohen P. The specificities of protein kinase inhibitors: an update. Biochem J. 2003 Apr 1; 371(Pt 1): 199-204. Abstract

3. Basi G, Frigon N, Barbour R, Doan T, Gordon G, McConlogue L, Sinha S, Zeller M. Antagonistic effects of beta-site amyloid precursor protein-cleaving enzymes 1 and 2 on beta-amyloid peptide production in cells. J Biol Chem. 2003 Aug 22; 278(34): 31512-20. Epub 2003 Jun 11. Abstract

4. Motonaga K, Itoh M, Becker LE, Goto Y, Takashima S. Elevated expression of beta-site amyloid precursor protein cleaving enzyme 2 in brains of patients with Down syndrome. Neurosci Lett. 2002 Jun 21; 326(1): 64-6. Abstract

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Related News: MARK Homologue Sparks Tau Terror in Fruit Fly

Comment by:  Gerard Drewes
Submitted 7 March 2004 Posted 8 March 2004

This paper describes an intriguing Drosophila model of tau phosphorylation causing tau neurotoxicity. So far, therapeutic approaches to tau pathology in AD did not progress beyond the preclinical stage and were mainly directed at the inhibition of the CDK5 and GSK3 kinases. However, the MARK pathway may offer more promising targets. We and others have recently shown that MARKs are activated by LKB1/Par-4 [1,2]. This may represent a neurotoxic signal which is not specific for AD pathology, since it was just shown that both LKB1 and MARK4 become rapidly upregulated in a murine stroke model [3].

Since confirmation of the Drosophila model by mouse knockouts may be difficult due to the presence of four MARK genes—whereas flies possess only a single gene—we may need to await the development of specific MARK inhibitors, and see whether these are able to inhibit P-tau (and Aβ-?) induced neuronal cell death.

References:
1. Brajenovic M, Joberty G, Kuster B, Bouwmeester T, Drewes G. Comprehensive proteomic analysis of human Par protein complexes reveals an interconnected protein network. J Biol Chem. 2003 Dec 15 [Epub ahead of print] Abstract

2. Lizcano JM, Goransson O, Toth R, Deak M, Morrice NA, Boudeau J, Hawley SA, Udd L, Makela TP, Hardie DG, Alessi DR. LKB1 is a master kinase that activates 13 kinases of the AMPK subfamily, including MARK/PAR-1. EMBO J. 2004 Feb 25;23(4):833-43. Abstract

3. Schneider A. et al. Identification of regulated genes during permanent focal cerebral ischaemia: characterization of the protein kinase 9b5/MARKL1/MARK4. J Neurochem. 2004 Mar 1; 88 (5)1114-26.

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Related News: MARK Homologue Sparks Tau Terror in Fruit Fly

Comment by:  Fred Van Leuven, ARF Advisor (Disclosure)
Submitted 12 March 2004 Posted 12 March 2004

This excellent paper draws renewed attention to the (other) central problem in neurodegeneration in general and AD in particular: How does the tau pathology originate? This essentially boils down to the question of what is the initial kinase, i.e., the kinase that triggers the phosphorylation that eventually results in hyperphosphorylation of tau and instigates the deadly cascade ending in paired helical filaments, neurofibrillary tangles and cell death. In that respect, tau is definitely the prime suspect and candidate "executer" of neurons in many neurodegenerative disorders, including AD. The pathological definition of AD as "plaques + tangles" does not allow or permit the AD field to escape this problem, despite the fact that amyloid attracts 10 times (my wild guess) more attention than tau.

Through the work of the Mandelkow lab and many others, the functions of MARK kinase have been defined in some detail, in terms of phosphorylating tau and other MAPs, and in terms of neurite outgrowth and polarization. What was missing was a definite link to pathology, and that is provided by this paper. The authors define PAR1 kinase as responsible for phosphorylation of serines 262 and 356 in tau, thereby causing cells to die. Many studies have indirectly implicated MARK, GSK-3, PKA, and CaMKII in phosphorylating these sites, but no animal study is yet available to validate these kinases as the physiological kinase for these sites.

So, are "S262 and S356" going to be magical for tau pathology as "β and γ" are for amyloid pathology? At the least, these serine residues are located in the region of tau that matters most, i.e., the microtubule-binding domain, which, incidentally, is also the region that is littered with mutations giving rise to the family of tauopathies known as FTD, or frontotemporal dementia! Antibody 12E8 specifically detects pS262 and pS356 in the MTBD of tau (Seubert et al., 1995), and it is definitely going to be popular and in demand among tauists and perhaps baptists. As always, many questions and some caveats remain. For one, the authors use not wild-type human tau, but the FTD mutant tau-R406W. This might explain why the final outcome is cell death but no tau aggregates in whatever form. Moreover, the choice of this mutant might have been fortuitous, since it is the most C-terminal of all known clinical mutations, closely positioned to the AD2/PHF1 epitope that is important in binding to MT and in tau aggregation (Spittaels et al., 2000; Vandebroek et al., 2004,). Further along the path to understand it all remains the question why no mice have yet been produced (or reported) with overexpression or deficiency of MARK? Those who have such mice available should come forward and inform the community what and how and where …

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