Molecular Biology of Neurodegenerative
Disorders |
ALZHEIMER'S DISEASE
(AD)
A major focus of research in our laboratory
is aimed at elucidating the molecular pathogenesis
of Alzheimer's disease (AD), the most common
form of dementia worldwide. The majority of
AD cases occur sporadically and begin in elderly
individuals over 65-70 years of age. Some AD
cases, however, are familial and transmitted
in an autosomal dominant fashion. Familial AD
(FAD) generally develops at a much earlier age
of onset compared to sporadic AD. For instance,
some FAD cases begin as early as 16 years of
age! Other than the age of onset, both forms
are quite similar pathologically and clinically.
At the neuropathological level, the AD brain
is characterized by two hallmark lesions, amyloid
plaques and neurofibrillary tangles, that occur
in selective brain regions such as the temporal
lobe (see figure below).
Histological section of postmortem AD
brain illustrating the two hallmark
neuropathological lesions of this neurodegenerative
disorder: plaques and tangles. The plaques
appear as amorphous extracellular deposits
(brown brillo-pad like structures).
Plaques are comprised of a small peptide
called beta-amyloid. Flame-shaped neurons
containing neurofibrillary tangles are
also apparent (silver stained cells).
Tangles are comprised of hyperphosphorylated
forms of the tau protein.
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APP
The beta -amyloid protein is derived from
a much larger precursor protein called APP.
The gene encoding this protein is located on
chromosome 21. Liberation of the beta-amyloid
protein from its precursor requires two proteolytic
events to cleave beta-amyloid at its amino and
carboxyl termini ; these are referred to as
the beta- and gamma- secretase sites, respectively.
Gamma-secretase mediated cleavage of APP yields
also yields an intracellular fragment called
the APP intracellular domain (AICD) that forms
a transcriptively active complex.
Our lab has shown that AICD plays a physiologic
role in regulating phosphoinositide-mediated
calcium signaling. We showed that genetic ablation
or pharmacological inhibition of gamma-secretase
activity (and thereby AICD production) attenuated
calcium signaling in a dose-dependent and reversible
manner. This effect is manifested through the
modulation of calcium stores in the endoplasmic
reticulum. Likewise, we showed that cells lacking
APP (and hence also AICD) exhibited similar
calcium signaling deficits. Notably, these disturbances
could be reversed by transfection with APP constructs
containing an intact AICD, but not by constructs
lacking this domain. Therefore, we believe that
AICD regulates phosphoinositide-mediated calcium
signaling through a gamma-secretase dependent
signaling pathway, suggesting that the intramembranous
proteolysis of APP may play a signaling role
analagous to that of Notch.
Presenilins
The vast majority of early onset, autosomal
dominant FAD cases are due to mutations in the
presenilin-1 (PS1) gene, located on chromosome
14. Mutations in a closely related homolog,
called presenilin-2 (PS2), found on chromosome
1 can also lead to FAD. Certain FAD mutations
in PS1 cause AD as young as 16 years of age!
The presenilins mediate an unusual intramembranous
proteolytic activity known as gamma-secretase,
of which two substrates are the Notch receptor
and APP. FAD-linked mutations in the PS1 and
PS2 genes produce well documented effects on
gamma-secretase activity, leading to increased
production of the longer, more pathologic forms
of beta-amyloid.
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Mutations
in the presenilin genes result in greater
calcium release from the endoplasmic
reticulum. Here we show Xenopus
oocytes that were transfected with wild
type or mutant PS1 (M146V) and then
imaged with using a computer enhanced
line scanning confocal microscope. Note
that the calcium release in the mutant
cells is greatly enhanced in the mutant
cells (black wire) compared to the wild
type controls (pseudocolor). |
Calcium
signaling studies
In addition to their effects on gamma-secretase
activity, mutations in the presenilins also
produce highly consistent alterations in intracellular
calcium signaling pathways. The following key
findings have emerged from research in our lab:
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TRIPLE TRANSGENIC
AD MICE
The neuropathological correlates of Alzheimer’s
disease (AD) include amyloid-ß (Aß)
plaques and tau-laden neurofibrillary tangles.
Although it has been possible to develop transgenic
mice that develop one of these lesions, it has
proven to be quite challenging to develop mice
with both histopathological lesions in the same
mouse, in AD-relevant brain regions such as
the hippocampus and cortex. To better model
AD neuropathology, my lab utilized a novel approach
to create a triple transgenic model of AD (3xTg-AD).
Rather than crossing independent lines, we microinjected
two transgenes (ßAPP and tau) into single-cell
embryos from homozygous PS1M146V knockin mice,
generating mice with the same genetic background.
Compared to crossbreeding, the approach we used
offers several major advantages. The integration
of the ßAPP and tau transgenes at the
same genetic locus renders it unlikely that
either transgene will independently assort in
subsequent generations. Therefore, this tight
linkage coupled to the ‘knockin’
of the PS1 mutation indicates that the 3xTg-AD
mice breed as readily as any single transgenic
line, particularly because these mice have also
been bred to homozygosity. Thus, deriving a
large colony is straightforward, cost-effective,
and does not require extensive genotyping of
the progeny. Moreover, the easy propagation
of this transgenic line facilitates their crossing
to other transgenic or gene-targeted mice to
assess the impact of other genotypes on the
neuropathological or physiological phenotype.
Lastly, another advantage to this approach is
that multiple transgenes are introduced into
an animal without altering or mixing the background
genetic constitution. Thus, an important confounding
variable is avoided, which may be a crucial
parameter for behavioral, electrophysiological,
and vaccine-based experiments
The 3xTg-AD mice develop both plaque and tangle
pathology in AD-relevant brain regions. The
3xTg-AD mice develop extracellular Aß
deposits prior to tangle formation, consistent
with the amyloid cascade hypothesis. Despite
equivalent overexpression of the human ßAPP
and human tau transgenes, Aß deposition
develops prior to the tangle pathology, consistent
with the amyloid cascade hypothesis. In addition,
these mice exhibit deficits in synaptic plasticity,
including long-term potentiation (LTP) that
occurs prior to extracellular Aß deposition
and tau pathology, but is associated with intracellular
Aß immunoreactivity. These studies support
the view that synaptic dysfunction is a proximal
defect in the pathobiology of AD, preceding
extracellular plaque formation and neurofibrillary
pathology. As these 3xTg-AD mice phenocopy critical
aspects of AD neuropathology, this model will
be useful in pre-clinical intervention trials,
particularly because the efficacy of anti-AD
compounds in mitigating the neurodegenerative
effects mediated by both signature lesions can
be evaluated.
INCLUSION
BODY MYOSITIS (IBM)
IBM is the most common muscle disease in individuals
over the age of 55. It is an incurable disorder
that leads to severe disability. IBM can occur
sporadically or can be inherited. Most IBM
cases occur sporadically, with an unknown etiology.
Surprisingly, IBM exhibits many shared pathogenic
features with Alzheimer's disease. Although
IBM patients are not cognitively impaired, their
muscle fibers are characterized by the accumulation
of many "dementia"-related proteins, most notably
the beta-amyloid peptide. In IBM, the beta-amyloid
peptide clearly accumulates intracellularly
. Our lab has provided evidence that beta-amyloid
can accumulate intraneuronally in the AD brain
as well, although this still remains a controversial
topic.
The role of beta-amyloid in the pathogenesis
of IBM is still unresolved. There is clear evidence
that expression of APP is elevated in IBM muscle
fibers. To develop a transgenic mouse model
of this common, age-related muscle disorder,
we selectively targeted APP overexpression to
skeletal muscle through use of the muscle creatine
kinase gene promoter. We showed that the overexpression
of APP led to the development of a histopathological
and clinical features characteristic of human
IBM, including motor deficits in aged-mice.
Our findings were reported in PNAS. (Click here
for the PDF).
This figure
compares the motor performance of normal
control mice and the low expressing (A2)
and high expressing (A6) transgenic MCK-APP
lines on the accelerating rotarod. Note
that the controls show no substantial
age-related deficit but both the A2 and
A6 transgenic lines exhibit deficits beginning
around 10 months of age. |
Now that we have generated a mouse model that
exhibits some of the major features of IBM,
future research is aimed at addressing the following
questions:
TARGETED NEURONAL
ABLATION
Lesioning experiments represent a common experimental
paradigm in neurobiology, based on the premise
that changes in behavior and/or physiological
function can be elucidated after eliminating
or inactivating a specific brain region. This
is essentially the same premise that underlies
the creation of gene knockout mice. Most brain
lesioning experiments involve disruptive invasive
procedures such as the physical removal or damage
to particular brain regions or the use of pharmacological
agents. My lab has been investigating whether
transgenic mice can be derived to express cytotoxic
genes in selective neuronal populations in an
inducible fashion, thereby avoiding the untoward
consequences of expression during developmental
periods. We have had much success with this
procedure and are able to selectively obliterate
neuronal populations in particular brain regions
without adversely affecting neighboring structures.
We are utilizing these novel transgenic mice
to study the effect of cell loss on behavior
and synaptic physiology.
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