Presenilin Proteins
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4.2 Familial Alzheimer's Disease
In the majority of cases AD occurs sporadically with an increasing risk
during aging (Selkoe 1996; Price and Sisodia 1998). However, rare
mutations have been found to cause autosomal-dominant early-onset
familial AD (FAD; Selkoe 1996; Price and Sisodia 1998). Mutations
were found within the genes encoding ~APP, presenilin-l (PS), and PS2
(summarized in Selkoe 1996; Price and Sisodia 1998). The analysis of
these mutations in primary fibroblasts derived from FAD patients, transfected cells, and transgenic animals revealed that they all alter the
production of A~ (Selkoe 1996; Price and Sisodia 1998). Interestingly,
these mutations affect a common pathological mechanism by increasing
the production of the long 42 amino acid version of A~ (A~42). This
peptide is known to aggregate much faster as compared to the more
abundant A~40 (Jarret and Lansbury 1993) and is therefore predominantly found within senile plaques (Lemere et al. 1996; Mann et al.
1996).
4.3 The Presenilin Complex
PS proteins are membrane proteins, which most likely contain eight
transmembrane domains (Doan et al. 1996; De Strooper 1997). Human
presenilins are proteolytic ally processed to an N-terminal-30 kDa fragment (NTF) and a C-terminal -20 kDa fragment (CTF; Thinakaran et al.
1996; Fig. 1). In vivo, these fragments accumulate and almost no fulllength PS can be observed (Thinakaran et al. 1996). PS fragments are
bound to each other (Capell et al. 1998; Thinakaran et al. 1998) and
form a high molecular weight complex (Capell et al. 1998). This complex, consisting of NTF and CTF, and probably other binding proteins as
well (Yu et al. 1998; Zhang et al. 1998), may be the biologically active
unit. Recent evidence indicates that recombinant NTF containing FADassociated mutations does not stimulate A~42 production (Steiner et al.
1998; Citron et al. 1998; Tomita et al. 1998). Furthermore, such recombinant NTFs are also inactive in facilitating Notch signaling (Baumeister et al. 1997; see below) and coimmunoprecipitation experiments
demonstrated that these fragments are not incorporated into the PS
complex (Steiner et al. 1998). This raises the possibility that the PS
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