Abstract

Introduction: β-Amyloid protein (Aβ) putatively plays a seminal role in synaptic loss in Alzheimer's disease (AD). While there is no consensus regarding the synaptic-relevant species of Aβ, it is known that Aβ oligomers (AβOs) are noticeably increased in the early stages of AD, localizing at or within the synapse. In cell and animal models, AβOs have been shown to attach to synapses and instigate synapse dysfunction and deterioration. To establish the pathological mechanism of synaptic loss in AD, it will be important to identify the synaptic targets to which AβOs attach.Methods: An unbiased approach using far western ligand blots has identified three synaptic proteins to which AβOs specifically attach. These proteins (p100, p140, and p260) were subsequently enriched by detergent extraction, ultracentrifugation, and CHT-HPLC column separation, and sequenced by LC-MS/MS. P100, p140, and p260 were identified. These levels of AβOs targets in human AD and aging frontal cortexes were analyzed by quantitative proteomics and western-blot. The polyclonal antibody to AβOs was developed and used to block the toxicity of AβOs. The data were analyzed with one-way analysis of variance.Results: AβOs binding proteins p100, p140, and p260 were identified as Na/K-ATPase, synGap, and Shank3, respectively. α3-Na/K-ATPase, synGap, and Shank3 proteins showed loss in the postsynaptic density (PSD) of human AD frontal cortex. In short term experiments, oligomers of Aβ inhibited Na/K-ATPase at the synapse. Na/K-ATPase activity was restored by an antibody specific for soluble forms of Aβ. α3-Na/K-ATPase protein and synaptic β-amyloid peptides were pulled down from human AD synapses by co-immunoprecipitation. Results suggest synaptic dysfunction in early stages of AD may stem from inhibition of Na/K-ATPase activity by Aβ oligomers, while later stages could hypothetically result from disrupted synapse structure involving the PSD proteins synGap and Shank3.Conclusion: We identified three AβO binding proteins as α3-Na/K-ATPase, synGap, and Shank3. Soluble Aβ oligomers appear capable of attacking neurons via specific extracellular as well as intracellular synaptic proteins. Impact on these proteins hypothetically could lead to synaptic dysfunction and loss, and could serve as novel therapeutic targets for AD treatment by antibodies or other agents.

Highlights

  • Alzheimer’s disease (AD) is a progressive neurodegenerative disorder that is the leading cause of dementia

  • Because α3-Na/K-ATPase appeared to be isoform that acted as an Aβ oligomers (AβOs) binding protein, we further investigated the possible α3-Na/KATPase protein loss in post-synaptic density (PSD) of human AD brains

  • We identified three AβO binding proteins p100, p140, and p260, which we observed by ligand overlays in a previous paper [4], as α3-Na/K-ATPase, synGap, and Shank3

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Summary

Introduction

Alzheimer’s disease (AD) is a progressive neurodegenerative disorder that is the leading cause of dementia. Multiple unsuccessful clinical trials have generated skepticism regarding the pathogenic role of Aβ found in amyloid plaques. As an alternative to amyloid plaques, considerable attention has become focused on soluble Aβ oligomers (AβOs), which appear to a more toxic and disease-relevant form of Aβ [4,5,6,7,8,9]. Experimental antibodies specific for AβOs rescue memory and reduce AD neuropathology [17], while AβOs and AD neuropathology sans amyloid plaques manifest in individuals with certain FAD mutations [18, 19] and transgenic mouse models [20]. Evidence overall supports the opinion that the AβO hypothesis has all but supplanted the amyloid cascade [21] and the conclusion that progressive accumulation of AβOs is a central toxic event in AD [21, 22]

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