Abstract
Alzheimer's disease (AD) is characterized by the accumulation of amyloid plaques, which are predominantly composed of amyloid β-peptide (Aβ)1. Two principal physiological pathways either prevent or promote Aβ generation from its precursor (amyloid precursor protein; APP) in a competitive manner1. Modulation of the amyloidogenic pathway is currently exploited by anti-Aβ therapeutic strategies2. Although APP processing has been studied in great detail, unknown proteolytic events appear to hinder stoichiometric analyses of APP metabolism in vivo3. We now identified higher molecular weight C-terminal fragments of APP (CTF-η) in addition to the long-known α- and β-secretase (a disintegrin and metalloproteinase; ADAM10 and β-site APP cleaving enzyme 1; BACE1) generated CTF-α and CTF-β. Generation of CTF-η is mediated in part by membrane bound matrix-metalloproteinases such as MT5-MMP, referred to as η-secretase activity. η-Secretase cleavage occurs primarily at amino acids 504/505 of APP695 releasing a truncated, soluble APP ectodomain (sAPP-η). Upon shedding of sAPP-η CTF-η is further processed by ADAM10 and BACE1 to release long and short Aη peptides (Aη-α and Aη-β). Aη peptides are therefore distinct from N-terminally extended Aβ variants4,5, since they do not extend to the γ-secretase cleavage sites. η-Secretase produced CTFs are enriched in dystrophic neurites in an AD mouse model and human AD brains6. Genetic and pharmacological inhibition of BACE1 activity results in a robust accumulation of CTF-η and Aη-α. In mice treated with a potent BACE1 inhibitor hippocampal long-term potentiation (LTP) was reduced. Strikingly, when recombinant or synthetic Aη-α was applied on hippocampal slices ex vivo, LTP was lowered. Furthermore, in vivo single cell two-photon calcium imaging revealed that hippocampal neuronal activity was attenuated by Aη-α. These findings not only demonstrate a major physiologically relevant APP processing pathway but may also suggest potential translational relevance for therapeutic strategies targeting APP processing.
Keywords: Alzheimer’s disease, Amyloid β-peptide, APP, BACE1, MMP, Neurodegeneration, Secretase
Intensive efforts are on the way to develop therapeutic strategies targeting Aβ, the major component of the Alzheimer's disease amyloid plaques1. Aβ is generated from APP by proteolytic processing. First, β-secretase, identified as BACE1, cleaves at the Met-Asp bond of the Aβ domain and generates CTF-β, which is further processed to Aβ by intramembrane cleavage by γ-secretase7. Liberated Aβ forms soluble synaptotoxic oligomers, which are believed to be the major culprits of the disease1. Thus targeting the production of synaptotoxic Aβ species by β-secretase inhibition is a promising therapeutic strategy and clinical studies with high affinity BACE1 inhibitors are currently evaluated8,9. Decreasing BACE1 activity leads to an increase of non-amyloidogenic processing of APP by ADAM1010. Similarly, enhancing α-secretase activity reduced Aβ production and plaque formation11. However, stable isotope labeling kinetics upon in vivo inhibition of BACE1 in monkeys revealed 83% decrease of sAPP-β with only 35% increase of sAPP-α3. Thus, the fate of almost 50% of the initially labeled APP remains unclear. In addition to the two major and well-studied proteolytic processing pathways, APP is also cleaved in minor processing pathways utilizing different proteases12. Furthermore, 17-35 kDa N-APP fragments are generated during early development and upon trophic-factor deprivation13–15. However, such alternative APP metabolites were not observed to accumulate upon BACE1 inhibition. To identify novel proteolytic pathways of APP we searched for C-terminal fragments (CTFs) different from those giving rise to p3 (CTF-α) or Aβ (CTF-β)16–18 mouse brains. A novel CTF with an approximate molecular weight of 30 kDa was revealed which was recognized by an antibody to the C-terminus of APP (Y188) and was absent in the brains of APP knockout mice (APP KO)19 (Fig. 1a; antibodies used are described in supplementary Tab. S1). The molecular weight of the novel CTF suggests an additional physiological cleavage of APP N-terminal to the known cleavage sites of β-, and α-secretases, which we named accordingly η-cleavage of APP (supplementary Fig. S1). In the soluble fraction we detected the N-terminal cleavage product (sAPP-η; see supplementary Fig. S2), with a molecular weight of approximately 80 kDa that clearly distinguishes it from alternative N-terminal APP fragments described previously13–15. In addition, we observed lower molecular weight soluble peptides (Aη), which presumably derived from BACE1 (Aη-β) or ADAM10 (Aη-α) mediated processing of CTF-η or alternatively from cleavage of sAPP-α/-β (Fig. 1b). Aη was identified in the soluble fraction of mouse brains as several closely spaced peptides by antibody M3.2 (Fig. 1b), demonstrating that some of these fragments contain the N-terminal part of the Aβ domain and are most likely ending at the α-secretase cleavage site. Aη fragments were further validated by antibody 9478D directed against an epitope N-terminal to the Aβ domain (Fig. 1b).
The presence of endogenous CTF-η as well as Aη in the mouse brain suggests that Aη generation occurs by a physiological APP processing pathway similar to Aβ production20,21. Consistent with physiological η-secretase cleavage of APP in wild type mice, we observed increased CTF-η and Aη production in brain homogenates of APPPS1-21 transgenic mice which express the APP Swedish mutation as well as the presenilin 1 L166P mutation22 (Fig 1c & d). Additionally, antibody 192swe23 selectively identified the Aη-β species truncated at the BACE1 cleavage site in brain homogenates of APPPS1-21 transgenic mice (Fig. 1d). Consistent with the increased BACE1 cleavage of Swedish mutant APP, only minor amounts of Aη-α were detected in this mouse model with the antibody 2D8 (Fig 1d). Physiological η-secretase processing was further confirmed in cerebrospinal fluid (CSF) from humans with and without the Swedish mutation (APPswe)24 (Fig. 1e). Using antibody 192swe Aη–β was selectively detected in CSF of patients with the Swedish mutation, whereas antibody 2D8 detected Aη–α in all analyzed samples (Fig. 1e). Thus Aη–α and Aη–β are both produced under physiological conditions in humans. Moreover, while these peptides are generated by η-secretase cleavage N-terminal to the Aβ-domain, they do not reach the γ-secretase site (see also mass spectrometric analysis in Fig. 1f), demonstrating that they are different to the previously described N-terminally extended Aβ variants4,5.
Membrane bound matrix-metalloproteinases like MT1-MMP and MT5-MMP were shown to cleave APP in vitro at a site consistent with the molecular weight of η-secretase processing products25,26. We therefore produced a neo-epitope specific antibody (10A8; supplementary Fig. S2), to identify the η-secretase cleavage site. Antibody 10A8 detected a protein corresponding to sAPP-η with an approximate molecular weight of 80 kDa in mouse brain lysates, which is absent in the APPKO brain (supplementary Fig. S2). Of note, antibody 10A8 failed to detect sAPP-α/β (supplementary Fig. S2), confirming its selectivity for the η-cleavage site. Thus η-secretase cleavage of APP may occur in vivo at least in part at amino acids 504/505 of APP695. To finally elucidate the N- and C- terminal cleavage sites of Aη peptides, we performed immunoprecipitation with antibodies 9476, 9480, 2D8 and 2E9 (supplementary Fig S3 a and b). Isolated Aη peptides were digested with three different proteases to produce multiple overlapping peptides and analyzed by high-resolution Quadrupole Orbitrap mass spectrometry27. We identified multiple peptides covering the entire sequence between the cleavage site N(504)/M(505) of APP695 starting with the sequence MISEPRISY after the η-secretase cleavage site (Fig. 1f). Mass spectrometry also supports the C-terminal cleavages at the β- and α-secretase sites. Following immunoprecipitation with 2D8 N-terminal extended peptides similar to those described by Portelius et al.4 were also observed besides the novel Aη peptides (Fig. 1f and supplementary Fig. S3c).
As the above-described identification of a major η-secretase cleavage site at amino acid 505 of APP is consistent with the previously described in vitro cleavage sites of APP by MT1-MMP and MT5-MMP25,26, we investigated brains from MT5- and MT1-MMP KO mice (supplementary Fig. S4)28,29. Whereas a knockout of MT1-MMP had no significant effect on Aη-α levels (supplementary Fig. S4c), the generation of Aη-α was somewhat reduced in brains from MT5-MMP KO mice (supplementary Fig. S4b). Furthermore, upon overexpression of MT-5 MMP in murine N2a cells, a selective increase in Aη–α peptide of approximately 16 kDa was observed (data not shown). Thus, MT5-MMP displays η-secretase activity in intact mouse brains although contribution of additional η-secretases must be considered.
While investigating protease inhibitors capable of blocking η-secretase, we observed that pharmacological BACE1 inhibition led to a pronounced accumulation of the long Aη-α species in CHO 7PA2 cells (Fig. 2a). This indicates that upon blockade of β-secretase activity, processing by α-secretase leads to enhanced production of the long Aη-α species to the expense of shorter BACE1 generated Aη-β. Similarly, BACE1 inhibition also led to an accumulation of endogenous CTF-η and enhanced production of endogenous Aη-α in primary mouse hippocampal neurons (Fig. 2b-c) as well as human neurons differentiated from embryonic pluripotent stem cells (hEPSC; H930; Fig. 2d-g). Furthermore, in human neurons we not only detected a 65% increase of the slightly longer Aη-α species upon BACE inhibition, but also a concomitant decrease of Aη-β peptides (Fig. 2e, upper panel). Importantly η-secretase processing significantly exceeded amyloidogenic processing (9,5 ± 1,87 times Aη over Aβ estimated for human neurons; p> 0,001; Student`s t-test). Pharmacological intervention in vivo with a single oral dose of the BACE1 inhibitor RO550888731 caused a significant and time dependent increase of CTF-η and Aη-α in APPV717I transgenic mice32 (Fig. 2h), an effect that was fully reversible presumably due to clearance of the inhibitor after 24 h of administration. In agreement with this, increased CTF-η and Aη-α was also observed upon genetic ablation of the BACE1 encoding gene in vivo 33(Fig. 2i).
To identify a potential contribution of η-secretase processing to AD pathology, immuno-histochemical analyses were performed with brains derived from 6 months old APPPS1-2134 mice. This revealed co-labeling of antibody Y188 with antibody 2E9 in dystrophic neurites. No signal for the Aη domain was obtained in plaque cores where aggregated Aβ was detected by 6E10 staining (supplementary Fig. S5a; similar data were obtained in human AD brains (supplementary Fig. S6)). This suggests that CTF-η may accumulate together with full-length APP and CTF-αβ in dystrophic neurites surrounding neuritic plaques of APPPS1-21 mice. To verify directly the accumulation of CTF-η in dystrophic neurites, we used laser capture microdissection (LCM) to differentially enrich for proteins accumulating in dystrophic neurites and plaque cores. Indeed, Western blot analysis revealed not only CTF-β and lower levels of CTF-α, but also CTF-η within the halo of dystrophic neurites and not within the plaque core area or regions devoid of plaques (supplementary Fig. S5b; upper panel). As expected, Aβ was observed within the plaque core as well as in the surrounding halo (supplementary Fig. S5b; lower panel).
Since cleavage products of Aη processing of APP accumulate upon BACE1 inhibition (Fig. 2) and are enriched in dystrophic neurites (see supplementary Fig. S5 and Fig. S6), we examined if soluble Aη peptides interfere with neuronal function, similar to soluble Aβ oligomers1. LTP is considered as a synaptic correlate of memory35 and is widely used as a model for investigating the neurotoxic effects of Aβ oligomers on synaptic function36–38. A single oral dose of BACE1 inhibitor SCH168249639 increased the levels of CTF-η and the level of Aη-α was increased by almost twofold in soluble brain extracts prepared from animals 3 h after treatment (Fig. 3a). When hippocampal slices were exposed to the BACE1 inhibitor SCH168249639, a significant reduction of hippocampal LTP was evident (Fig. 3b and 3c). These findings may suggest an involvement of Aη-α in LTP deficit under acute blockade of β-secretase activity39. To directly validate potential effects of Aη peptides on synaptic transmission and plasticity, we expressed Aη-β and Aη-α in CHO cells (Fig. 3d). Concentrated conditioned media were further enriched for Aη by size exclusion chromatography (SEC) and applied to hippocampal slices prior to LTP induction in CA1 pyramidal neurons. Neither Aη-β nor Aη-α influenced the baseline synaptic transmission (supplementary Fig. S7). Comparison of LTP 60 min after its induction in the presence of Aη-β or Aη-α with control conditions (Fig. 3e-h) revealed that Aη-α lowered the LTP to a degree comparable to synthetic AβS26C38 (supplementary Fig. S8 a and b) while truncated Aη–β had no effect (Fig. 3f and 3h). In support to this observation a synthetic peptide corresponding to the primary sequence of Aη-α reduced LTP to a similar extent at a concentration of 100 nM (supplementary Fig. S8 c and d).
To examine direct effects of Aη peptides on neuronal activity within the intact brain in vivo, we utilized two-photon calcium imaging at single cell resolution40,41. Figure 4a-d illustrates results from experiments in which the activity of neurons in the CA1 pyramidal cell layer was monitored before and after superfusion of the exposed hippocampus41 with Aη peptides or the respective control peptides. Aη-α strongly suppressed the activity of hippocampal neurons in vivo, an effect not observed with recombinant Aη-β or the control peptide (Fig. 4a-d; see also supplementary Fig S9). By using local application of synthetic Aη-α peptides to hippocampal neurons, we demonstrate that the inhibitory effect of Aη-α on neurons was readily reversible upon wash-out (Fig. 4e). Figures 4f and 4g summarize the results from all experiments. Taken together, these data establish that, in addition to LTP inhibition in vitro (Fig. 3), Aη-α has major dampening effects on neuronal activity in vivo, supporting the relevance of this newly identified APP derived peptide for neuronal function.
Aβ production occurs under physiological conditions by β- and γ-secretase mediated processing of APP20,21. Strong genetic evidence led to the formulation of the amyloid cascade hypothesis and subsequently to Aβ directed therapeutic approaches42. However, these early investigations already indicated the presence of additional unknown processing pathways. This was recently highlighted by elegant studies in rhesus macaques, which revealed an 83% decrease of sAPP-β but only a 35% increase of sAPP-α3 upon BACE1 inhibition. We have likely identified this pathway and demonstrate that η-secretase processing products even exceed amyloidogenic processing in cultured cells, rat hippocampal neurons, hEPSC derived human neurons, mouse and human brains, as well as human CSF. Similar to Aβ production, the alternative proteolytic processing pathway occurs under physiological conditions but may be altered during AD pathogenesis. In this novel pathway, APP695 is cleaved at amino acids 504/505. The remaining APP CTF-η is then a substrate for α- or β-secretase cleavage, which liberates soluble Aη-α or Aη-β. In addition sAPPα/β may also serve as a precursor for Aη generation. Of note, these peptides do not extend to the γ-secretase cleavage site and are therefore distinct from previously described N-terminally extended Aβ species4,5. It is important to note that low-n Aβ oligomer preparations from 7PA2 supernatants contain significant amounts of Aη (data not shown). Thus the previously observed inhibition of LTP with such fractions may also be attributed to the presence of Aη.
The physiological functions of endogenous Aη still need to be evaluated, but it is tempting to speculate that it may be involved in modulation of neuronal activity and synaptic plasticity. The reason for the differential bioactivity of recombinant Aη-α and Aη-β is currently unclear. One may speculate that the longer Aη-α is more stable probably due to unknown post-translational modifications. This would be consistent with our observation that in contrast to cell produced Aη-β, 100 nM of synthetic Aη-β inhibits LTP (data not shown).
Accumulation of η-secretase6 and CTF-η within dystrophic neurites in close vicinity to neuritic plaques may also support its potential contribution to AD pathology. Obviously, all APP and presenilin familial AD mutations affect Aβ production and aggregation (reviewed by Haass7), whereas the Icelandic mutation (APPA673T) prevents AD and dementia by moderately reducing the Aβ production43. Indeed, the Swedish mutation decreased Aη-α by strongly enhancing BACE1 mediated APP processing, as shown in APPPS1-21 transgenic mice. However, when considering that Aβ accumulation may stimulate η-secretase activity and eventually disturb neuronal plasticity, increased η-secretase activity near amyloid plaques6 (see supplementary Fig. S5 and supplementary Fig. S6) is in line with the amyloid-cascade hypothesis and a central pathological role of Aβ in AD. Our findings should be considered in the context of ongoing clinical trials with BACE1 inhibitors, since accumulation of Aη-α may dampen neuronal activity and synaptic plasticity. Together with the finding of numerous brain specific substrates of BACE144,45 our data therefore imply that therapeutic inhibition of BACE1 activity requires careful titration to prevent unwanted adverse effects at multiple levels46.
Material and methods
Biochemical methods
Soluble proteins were extracted from brain hemispheres with DEA buffer47, membrane proteins were extracted with RIPA buffer or by applying a membrane preparation protocol as described48. All Western blot procedures were done essentially as described49.
BACE1 inhibitor treatment in vivo
Three-month-old heterozygous female transgenic mice FVB/N x C57Bl/6J expressing APPV717I32 were used for BACE1 inhibition studies. Gavage mediated administration of BACE1 inhibitor RO5508887 (90 mg/kg, 14.06 ml/kg) or vehicle (14.06 ml/kg) was performed once50.
Slice preparation and electrophysiological recordings
OPTIMEM was used to collect CHO cell supernatants. SEC was performed with concentrated CHO supernatants using a FPLC (ÄKTA purifier) equipped with a Superdex75 column (GE Healthcare). 1 ml samples were collected with a mobile phase flow rate set at 0.5 ml/min in standard ACSF. Acute hippocampal slices were prepared from Swiss mice (PND20-30) and kept in ACSF51. Extracellular field excitatory post-synaptic potentials (fEPSPs) were obtained from CA1 pyramidal neurons. After 15-20 minutes of bath application of SEC fractions52, LTP was induced by high frequency stimulation. LTP was recorded for 45-60 minutes and statistical analysis was performed on the last 15-20 minutes of recording compared to the baseline fEPSP values.
In vivo two-photon calcium imaging
Two-photon calcium imaging was carried out as described previously 41. To obtain access to the hippocampus, we carefully removed cortical tissue covering the CA1 region41,53–55. The exposed CA1 region was stained with the calcium indicator fluo-8 AM (0.6 mM) using the multi-cell bolus loading technique56. Imaging was performed with a custom-built two-photon microscope equipped with a Ti:sapphire laser system. To assess the effects of Aη peptides on neuronal activity in vivo, the peptides or the respective controls were added to the normal Ringer´s solution used for perfusion of the recording chamber (bath-application technique; 45 to 60 min each wash-in). In a subset of experiments, synthetic Aη-α was applied locally by gentle pressure injection through a glass pipette that was placed close to the neurons of interest (local application technique; 40 s each pressure injection).
Supplementary Material
Acknowledgement
The authors thank Dr. Sven Lammich and Dr. Harald Steiner for critical comments. We thank Alice Sülzen, Nagore Astola, Stephanie Diederich, Eric Grießinger and Julia Gobbert for excellent technical help. The APPPS1-21 colony was established from a breeding pair kindly provided by Dr. Mathias Jucker (Hertie Institute University of Tübingen and DZNE-Tübingen). MT1-MMP-/- mouse brains were gratefully obtained from Dr. Zhongjun Zhou (University of Hong Kong). MT5-MMP-/- mouse brains were gratefully obtained from Dr. Isabel Farinas (University of Valencia, Spain). We thank Dr. Helmut Jacobsen (Hoffmann-La Roche Pharma Research & Early Development, DTA Neuroscience, Basel, Switzerland) for the BACE1 inhibitor RO5508887. This work was supported by the European Research Council under the European Union’s Seventh Framework Program (FP7/2007–2013)/ERC Grant Agreement No. 321366-Amyloid (advanced grant to C.H.). The work of D.R.T. was supported by AFI (Grant #13803). The research leading to these results has received funding (F.M., D.H.) from the European Research Council under the European Union's Seventh Framework Programme (FP7/2007-2013) / ERC grant agreement No. 318987 [TOPAG]. We also acknowledge support by grants from Deutsche Forschungsgemeinschaft (MU 1457/9-1, 9-2 to U.M.) and the ERA-Net Neuron (01EW1305A to U.M.). Further support came from the ATIP/AVENIR program (Centre national de la recherche scientifique -CNRS) to H.M.; the French Fondation pour la Coopération Scientifique – Plan Alzheimer (Senior Innovative Grant 2010) to M.C. and H.M. and the French Government (National Research Agency, ANR) through the "Investments for the Future" LABEX SIGNALIFE: program reference #ANR-11-LABX-0028-01 to S.K.. M.A.B was supported by the Langmatz Stiftung. F.J.L. is a Wellcome Trust Investigator. In vivo BACE1 inhibition experiment with APP transgenic mice were performed together with reMYND (Bio-Incubator, 3001 Leuven-Heverlee, Belgium).
Abbreviations
- AD
Alzheimer´s disease
- ADAM
a disintegrin and metalloproteinase
- APP
amyloid precursor protein
- Aβ
Amyloid β-peptide
- BACE1
beta-site APP cleaving enzyme 1
- CSF
cerebrospinal fluid
- CTF
C-terminal fragment
- Aη
η-secretase cleavage product of APP
- η-secretase
eta-site APP cleaving enzyme
- MMP
matrix metalloproteinase
- fEPSPs
field excitatory post-synaptic potentials
- LCM
laser capture micro-dissection
- LTP
long-term potentiation
Footnotes
Author contributions
M.W. and C.H. designed the study and interpreted the results. M.W. generated all biochemical data together with H.H., V.M, B.N. and C.G.. S.T. supported by A.W.-W. provided primary neuronal cultures, performed and analyzed immunohistological stainings and together with A.D. performed LCM. D.R.T. provided and analyzed human brain sections. M.T.H. provided CSF samples. U.M. provided APP KO mice. E.K. produced new monoclonal antibodies. D.H. and F.M. designed and conducted mass spectrometry and data analysis. L.D.B.E, S.M. and F.J.L. carried out BACE1 inhibition of human neurons. H.M. together with M.C. and S.K. performed all electrophysiological recordings (LTP) in vitro and analysis in relation to application of peptides. S.V.O. together with J.H. performed all electrophysiological recordings (LTP) in vitro in relation to the BACE1 inhibitor tests. M.A.B together with A.K. performed all Ca2+-Imaging experiments in vivo and analysis. M.W. and C.H. wrote the manuscript with input from the other authors. Correspondence and requests for materials should be addressed to M.W. and C.H.
Competing financial interests
The authors declare no competing financial interests. A patent is pending.
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