Abstract

BackgroundAccumulation of amyloid β-peptide (Aβ) in the plaques is one of the major pathological features in Alzheimer's disease (AD). Sequential cleavage of amyloid precursor protein (APP) by β-site APP cleaving enzyme 1 (BACE-1) and γ-secretase results in the formation of Aβ peptides. Preventing Aβ formation is believed to attenuate AD progression and BACE-1 and γ-secretase are thus attractive targets for AD drug development.MethodsCombining BACE-1 and γ-secretase inhibition on Aβ secretion from human neuroblastoma SH-SY5Y cells was evaluated in this study. Secreted Aβ40 and Aβ42 levels were measured from SH-SY5Y cells stably transfected with APPwt or APPswe genes. A selective BACE inhibitor and the γ-secretase inhibitor LY450139 (semagacestat) were used to inhibit respective secretase.ResultsLY450139 increased Aβ40 and Aβ42 secretion from SH-SY5Y APPwt cells at low concentrations (by 60% at 3 nM) followed by subsequent inhibition at higher concentrations (IC50 90 nM). Washout studies showed that the Aβ increase evoked by 3 nM LY450139 was not due to enhanced cleavage following substrate accumulation but rather to activation of Aβ formation. By contrast, LY450139 inhibited Aβ formation from SH-SY5Y APPswe in a monophasic manner (IC50 18 nM). The BACE inhibitor per se inhibited Aβ secretion from both SH-SY5Y APPwt and SH-SY5Y APPswe cells with IC50s ranging between 7 - 18 nM and also prevented the increased Aβ secretion evoked by 3 nM LY450139. Combining the BACE inhibitor with higher inhibitory concentrations of LY450139 failed to demonstrate any clear additive or synergistic effects.ConclusionBACE-1 inhibition attenuates the Aβ increase evoked by LY450139 while not providing any obvious synergistic effects on LY450139-mediated inhibition.

Highlights

  • Accumulation of amyloid b-peptide (Ab) in the plaques is one of the major pathological features in Alzheimer’s disease (AD)

  • Considering that 1) g-secretase inhibitors have possible safety issues which may reduce the doses regarded as safe and 2) most g-secretase inhibitors appear to cause increases of Ab levels at low concentrations and 3) central efficacy with BACE inhibitors is difficult to achieve, the aim of the present study was to evaluate if b-site APP cleaving enzyme 1 (BACE-1) inhibition could prevent the Ab rebound/rise evoked by a g-secretase inhibitor and if synergistic efficacy on Ab secretion could be achieved by combining BACE and gsecretase inhibitors

  • amyloid precursor protein (APP) expression and Ab secretion from APPwt- and APPswe-transfected SH-SY5Y cells Transfection of APPwt and especially APPswe genes into SH-SY5Y cells increased APP expression compared to non-transfected cells (Figure 2A)

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Summary

Introduction

Accumulation of amyloid b-peptide (Ab) in the plaques is one of the major pathological features in Alzheimer’s disease (AD). Sequential cleavage of amyloid precursor protein (APP) by b-site APP cleaving enzyme 1 (BACE-1) and g-secretase results in the formation of Ab peptides. Preventing Ab formation is believed to attenuate AD progression and BACE-1 and g-secretase are attractive targets for AD drug development. Amyloid precursor protein (APP) is cleaved by b-site APP cleaving enzyme-1 (BACE-1) followed by subsequent cleavage by the g-secretase complex to form Ab peptides. It is still not clear what the assumed neurotoxic agent is, recent data suggest Ab dimers. Two subsequent g-secretase inhibitors, begacestat [7] and BMS708163 [8], with improved selectivity towards Notch have reached clinical development. Notch liabilities may limit the doses that can be given safely

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