Molecular Neurodegeneration BioMed Central Review Open Access Neurodegeneration in Alzheimer's disease: caspases and synaptic element interdependence Dale E Bredesen1,2 Address: 1Buck Institute for Age Research, 8001 Redwood Blvd., Novato, CA USA 94945 and 2Department of Neurology, University of California, San Francisco, CA USA 94143 Email: Dale E Bredesen -
[email protected] Published: 26 June 2009 Received: 4 March 2009 Accepted: 26 June 2009 Molecular Neurodegeneration 2009, 4:27 doi:10.1186/1750-1326-4-27 This article is available from: http://www.molecularneurodegeneration.com/content/4/1/27 © 2009 Bredesen; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Extensive genetic, biochemical, and histological evidence has implicated the amyloid-β peptide (Aβ) in Alzheimer's disease pathogenesis, and several mechanisms have been suggested, such as metal binding, reactive oxygen species production, and membrane pore formation. However, recent evidence argues for an additional role for signaling mediated by the amyloid precursor protein, APP, in part via the caspase cleavage of APP at aspartate 664. Here we review the effects and implications of this cleavage event, and propose a model of Alzheimer's disease that focuses on the critical nature of this cleavage and its downstream effects. Review: programmed cell death, cell death revealed a more active, and more plastic, role for the cell signaling, and neurodegenerative disease in its own life/death decision than was previously appre- Many of the diseases that affect the nervous system feature ciated.