Abstract

Interfering with the activity of β-secretase to reduce the production of Aβ peptides is a conceivable therapeutic strategy for Alzheimer’s disease. However, the development of efficient yet safe inhibitors is hampered by secondary effects, usually linked to the indiscriminate inhibition of other substrates’ processing by the targeted enzyme. Based on the spatial compartmentalization of the cleavage of the amyloid precursor protein by β-secretase, we hypothesized that by exploiting the endocytosis receptor low-density lipoprotein receptor-related protein it would be possible to direct an otherwise cell-impermeable inhibitor to the endosomes of neurons, boosting the drug’s efficacy and importantly, sparing the off-target effects. We used the transport peptide Angiopep to build an endocytosis-competent conjugate and found that although the peptide facilitated the inhibitor’s internalization into neurons and delivered it to the endosomes, the delivery was not efficient enough to potently reduce β-secretase activity at the cellular level. This is likely connected to the finding that in the cell lines we used, Angiopep’s internalization was not mediated by its presumed receptor to a significant extent. Additionally, Angiopep exploited different internalization mechanisms when applied alone or when conjugated to the inhibitor, highlighting the impact that drug conjugation can have on transport peptides.

Highlights

  • This page was generated automatically upon download from the ETH Zurich Research Collection

  • Since the distance between the targeting and inhibitor moieties has been shown to affect the efficacy of secretase inhibitory complexes[32], we introduced between ANG and SI an inert linker of poly(ethylene glycol) (PEG) of a specific length that was previously reported to be functional in a similar system[14]

  • The development of efficient secretase inhibitors with the capacity to decrease the neurotoxic aggregates of Aβpeptide characteristic of Alzheimer’s disease has been hindered by their lack of specificity, which often leads to inadmissible off-target consequences

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Summary

Introduction

This page was generated automatically upon download from the ETH Zurich Research Collection. The conjugate was successfully processed by cells and inhibited BACE1 in vivo, showing the enzyme’s trafficking could be exploited for therapeutic purposes In this case the administration route used was stereotaxic injection, which is not clinically translatable, the promising results obtained suggested that modifying an inhibitor molecule to target it for endocytosis constituted a valid approach to promote its cellular activity. This prompted us to explore other strategies that could boost the intracellular dose achieved, and do so in a compartmentalized fashion (i.e. in the endosomes), so that the side effects associated with unspecific inhibition of the cleavage of other BACE1’s substrates elsewhere in the cell would be reduced. The expression pattern of the LRP1 receptor in neurons and brain endothelial cells could potentially enable the delivery of the drug across the BBB

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