Abstract

Excessive cerebral accumulation of the 42-residue amyloid beta-protein (Abeta) is an early and invariant step in the pathogenesis of Alzheimer's disease. Many studies have examined the cellular production of Abeta from its membrane-bound precursor, including the role of the presenilin proteins therein, but almost nothing is known about how Abeta is degraded and cleared following its secretion. We previously screened neuronal and nonneuronal cell lines for the production of proteases capable of degrading naturally secreted Abeta under biologically relevant conditions and concentrations. The major such protease identified was a metalloprotease released particularly by a microglial cell line, BV-2. We have now purified and characterized the protease and find that it is indistinguishable from insulin-degrading enzyme (IDE), a thiol metalloendopeptidase that degrades small peptides such as insulin, glucagon, and atrial natriuretic peptide. Degradation of both endogenous and synthetic Abeta at picomolar to nanomolar concentrations was completely inhibited by the competitive IDE substrate, insulin, and by two other IDE inhibitors. Immunodepletion of conditioned medium with an IDE antibody removed its Abeta-degrading activity. IDE was present in BV-2 cytosol, as expected, but was also released into the medium by intact, healthy cells. To confirm the extracellular occurrence of IDE in vivo, we identified intact IDE in human cerebrospinal fluid of both normal and Alzheimer subjects. In addition to its ability to degrade Abeta, IDE activity was unexpectedly found be associated with a time-dependent oligomerization of synthetic Abeta at physiological levels in the conditioned media of cultured cells; this process, which may be initiated by IDE-generated proteolytic fragments of Abeta, was prevented by three different IDE inhibitors. We conclude that a principal protease capable of down-regulating the levels of secreted Abeta extracellularly is IDE.

Highlights

  • Converging lines of evidence support the hypothesis that progressive cerebral accumulation of the 40 – 42-residue amyloid ␤-proteins (A␤s)1 is an early, invariant, and necessary step in the pathogenesis of Alzheimer’s disease (AD)

  • The A␤-degrading Metalloprotease Released into Microglial Conditioned Medium Has the Properties of Insulin-degrading Enzyme—We recently reported that the clearance of secreted A␤ peptides from the media of several neural and nonneural cell lines was principally mediated by a nonmatrix metalloprotease released by these cells [1]

  • Because the properties of the enzyme we described were similar to those of insulin-degrading enzyme, we further examined the metalloprotease with several reagents known to inhibit IDE

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Summary

The abbreviations used are

A␤, amyloid ␤-protein; IA␤, 125I-A␤; in the pathogenesis of Alzheimer’s disease (AD). AD, Alzheimer’s disease; APP, ␤-amyloid precursor protein; IDE, insulin-degrading enzyme; CSF, cerebrospinal fluid; FBS, fetal bovine serum; CM, conditioned media; CHO, Chinese hamster ovary; PAGE, polyacrylamide gel electrophoresis; Tricine, N-[2-hydroxy-1,1-bis(hydroxymethyl)ethyl]glycine; NEM, N-ethylmaleimide. In addition to a role for IDE in degrading secreted A␤, we find that a time-dependent oligomerization of synthetic A␤ in the conditioned media of cultured cells is completely blocked by three different inhibitors of IDE activity This finding suggests that IDE is capable of regulating the level of monomeric A␤ by both degradation and oligomerization. The implications of these findings for the fate of A␤ monomers and the role of A␤ accumulation in AD are discussed

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