Gamma-secretase activating protein is a therapeutic target for Alzheimer's disease

G He, W Luo, P Li, C Remmers, WJ Netzer, J Hendrick… - Nature, 2010 - nature.com
G He, W Luo, P Li, C Remmers, WJ Netzer, J Hendrick, K Bettayeb, M Flajolet, F Gorelick
Nature, 2010nature.com
Accumulation of neurotoxic amyloid-β is a major hallmark of Alzheimer's disease. Formation
of amyloid-β is catalysed by γ-secretase, a protease with numerous substrates,. Little is
known about the molecular mechanisms that confer substrate specificity on this potentially
promiscuous enzyme. Knowledge of the mechanisms underlying its selectivity is critical for
the development of clinically effective γ-secretase inhibitors that can reduce amyloid-β
formation without impairing cleavage of other γ-secretase substrates, especially Notch …
Abstract
Accumulation of neurotoxic amyloid-β is a major hallmark of Alzheimer’s disease. Formation of amyloid-β is catalysed by γ-secretase, a protease with numerous substrates,. Little is known about the molecular mechanisms that confer substrate specificity on this potentially promiscuous enzyme. Knowledge of the mechanisms underlying its selectivity is critical for the development of clinically effective γ-secretase inhibitors that can reduce amyloid-β formation without impairing cleavage of other γ-secretase substrates, especially Notch, which is essential for normal biological functions,. Here we report the discovery of a novel γ-secretase activating protein (GSAP) that drastically and selectively increases amyloid-β production through a mechanism involving its interactions with both γ-secretase and its substrate, the amyloid precursor protein carboxy-terminal fragment (APP-CTF). GSAP does not interact with Notch, nor does it affect its cleavage. Recombinant GSAP stimulates amyloid-β production in vitro. Reducing GSAP concentrations in cell lines decreases amyloid-β concentrations. Knockdown of GSAP in a mouse model of Alzheimer’s disease reduces levels of amyloid-β and plaque development. GSAP represents a type of γ-secretase regulator that directs enzyme specificity by interacting with a specific substrate. We demonstrate that imatinib, an anticancer drug previously found to inhibit amyloid-β formation without affecting Notch cleavage, achieves its amyloid-β-lowering effect by preventing GSAP interaction with the γ-secretase substrate, APP-CTF. Thus, GSAP can serve as an amyloid-β-lowering therapeutic target without affecting other key functions of γ-secretase.
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