Abstract

BackgroundAlthough APP and its proteolytic metabolites have been well examined in the central nervous system, there remains limited information of their functions outside of the brain. For example, amyloid precursor protein (APP) and amyloid beta (Aβ) immunoreactivity have both been demonstrated in intestinal epithelial cells. Based upon the critical role of these cells in absorption and secretion, we sought to determine whether APP or its metabolite amyloid β (Aβ), had a definable function in these cells.Methodology/Principal FindingsThe human colonic epithelial cell line, Caco-2 cells, were cultured to examine APP expression and Aβ secretion, uptake, and stimulation. Similar to human colonic epithelium stains, Caco-2 cells expressed APP. They also secreted Aβ 1-40 and Aβ 1-42, with LPS stimulating higher concentrations of Aβ 1-40 secretion. The cells also responded to Aβ 1-40 stimulation by increasing IL-6 cytokine secretion and decreasing cholesterol uptake. Conversely, stimulation with a sAPP-derived peptide increased cholesterol uptake. APP was associated with CD36 but not FATP4 in co-IP pull down experiments from the Caco-2 cells. Moreover, stimulation of APP with an agonist antibody acutely decreased CD36-mediated cholesterol uptake.Conclusions/SignificanceAPP exists as part of a multi-protein complex with CD36 in human colonic epithelial cells where its proteolytic fragments have complex, reciprocal roles in regulating cholesterol uptake. A biologically active peptide fragment from the N-terminal derived, sAPP, potentiated cholesterol uptake while the β secretase generated product, Aβ1-40, attenuated it. These data suggest that APP is important in regulating intestinal cholesterol uptake in a fashion dependent upon specific proteolytic pathways. Moreover, this biology may be applicable to cells beyond the gastrointestinal tract.

Highlights

  • The high numbers of elderly, 30–40%, who experience increased constipation with age may be suffering from a decrease in myenteric acetycholine levels that normally occur with age [1]

  • Since amyloid β (Aβ) 1–40 was the more abundantly secreted form of the peptide, we examined whether Caco-2 cells could be stimulated by the peptide, as might happen in an autocrine fashion

  • Human colon epithelium demonstrated robust amyloid precursor protein (APP) immunoreactivity similar to what has been observed by our group and others suggesting that APP and its metabolites have a function in the gastrointestinal tract

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Summary

Introduction

The high numbers of elderly, 30–40%, who experience increased constipation with age may be suffering from a decrease in myenteric acetycholine levels that normally occur with age [1]. Because elderly, including Alzheimer’s disease (AD) patients [2,3], often experience gastrointestinal dysfunction it is reasonable to assume that it may not be a coincidence that weight loss is closely linked, and likely a consequence of Alzheimer’s disease [4]. An immunostaining study of AD intestines ranging from the esophagus to the rectum demonstrated no tangle-like pathology within enteric plexus neurons as assessed by Alz 50 immunoreactivity [8]. APP and its proteolytic metabolites have been well examined in the central nervous system, there remains limited information of their functions outside of the brain. Amyloid precursor protein (APP) and amyloid beta (Aβ) immunoreactivity have both been demonstrated in intestinal epithelial cells. Based upon the critical role of these cells in absorption and secretion, we sought to determine whether APP or its metabolite amyloid β (Aβ), had a definable function in these cells

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