Modelling aspects of neurodegeneration in Saccharomyces cerevisiae
A thesis presented for the degree of Doctor of Philosophy by
Mathew Danger Traini
School of Biotechnology and Biomolecular Sciences University of New South Wales 2009
i Contents
ABSTRACT...... V ACKNOWLEDGEMENTS...... VII ABBREVIATIONS...... VIII 1: INTRODUCTION...... 1
1.1: NEURODEGENERATION AND PROTEIN AGGREGATION ...... 1 1.2: ALZHEIMER'S DISEASE (AD) ...... 2 1.2.2: Tangles are composed of hyperphosphorylated tau ...... 2 1.2.3: Plaques are composed of amyloid beta ...... 3 1.2.4: Proteolytic processing of APP and production of amyloid beta...... 4 1.2.5: The amyloid cascade hypothesis of Alzheimer's Disease...... 6 1.2.6: Refining the amyloid hypothesis: soluble A oligomers versus plaques ...... 8 1.2.7: Intracellular and extracellular pools of A ...... 10 1.3: PARKINSON'S DISEASE ...... 11 1.3.1: Clinical symptoms of Parkinson's Disease...... 11 1.3.2: alpha-synuclein is the major component of Lewy Bodies...... 12 1.3.3: Environmental factors and Parkinson's Disease ...... 13 1.3.4: Pesticides and Parkinson’s Disease ...... 16 1.3.5: Paraquat...... 16 1.3.6: Rotenone...... 17 1.3.7: Organochlorines ...... 18 1.3.8: Multiple hit models of Parkinson's Disease ...... 21 1.4: SACCHAROMYCES AS A MODEL ORGANISM ...... 22 1.4.1: Yeast models of neurodegeneration ...... 24 1.4.2: Yeast models of Parkinson's Disease: -synuclein...... 25 1.4.3: Yeast models of Alzheimer's Disease: APP, tau and A ...... 26 1.5: AIMS OF THIS STUDY...... 29 CHAPTER 2: MATERIALS AND METHODS...... 31
2.1: GENERAL MATERIALS ...... 31 2.2: ESCHERICHIA COLI MEDIA, STRAINS, SELECTION AND STORAGE ...... 31 2.3: S. CEREVISIAE MEDIA AND STORAGE...... 32 2.4: S. CEREVISIAE STRAINS ...... 33 2.5: SYNTHETIC OLIGONUCLEOTIDES...... 33 2.6: GENERAL LAB PROCEDURES ...... 34 2.7: GENERAL MOLECULAR BIOLOGY PROCEDURES ...... 34 2.7.1: Small scale plasmid DNA miniprep purification...... 34 2.7.2: Large scale plasmid DNA preparation...... 34 2.7.3: Agarose gel electrophoresis...... 35 2.7.4: Determination of DNA concentration...... 35 2.7.5: Polymerase Chain Reaction (PCR)...... 35 2.7.6: Restriction digestion ...... 36 2.7.8: Ligation of DNA ...... 36 2.7.9: Creation of chemically competent E. coli ...... 36 2.7.10: Transformation of E. coli ...... 37 2.8: CONSTRUCTION OF PLASMIDS ...... 37 2.8.1: Construction of pUG34-GFP and pUG36-GFP ...... 39 2.8.2: Construction of pUG23GAL1 and pUG35GAL1...... 39 2.8.3: Construction of pUG23GAL1/A 1-42 and pUG35GAL1/A 1-42...... 39 2.8.4: Construction of pUG35GAL1/A 1-42-EP ...... 39 2.8.5: Construction of pUG35GAL1/A 1-40 ...... 40 ii 2.8.6: Construction of pUG34-GFP/A 1-42...... 41 2.8.7: Construction of pUG35GAL1/wt-tau and pUG35GAL1/P301L-tau...... 42 2.9: TRANSFORMATION OF S. CEREVISIAE ...... 42 2.9.1: Transformation of individual S. cerevisiae strains...... 42 2.9.2: Transformation of 96-well plate arrays of S. cerevisiae strains...... 42 2.10: SCREENING OF 96-WELL PLATE ARRAYS FOR A -GFP FLUORESCENCE AND LOCALISATION ...... 43 2.11: BIOINFORMATIC ANALYSIS OF S. CEREVISIAE MUTANT GENES ...... 44 2.12: PROTEIN EXTRACTION FROM S.CEREVISIAE ...... 44 2.13: DETERMINATION OF PROTEIN CONCENTRATION ...... 45 2.14: POLYACRYLAMIDE GEL ELECTROPHORESIS ...... 45 2.15: ELECTROBLOTTING OF SDS-PAGE GELS...... 45 2.16: WESTERN BLOTTING AND ENHANCED CHEMILUMINESCENCE (ECL) DETECTION ...... 45 2.17: FLUORESCENCE MICROSCOPY AND STAINING ...... 46 3: A FLUORESCENCE-BASED REPORTER OF INTRACELLULAR AMYLOID-BETA AGGREGATION IN SACCHAROMYCES CEREVISIAE ...... 48
3.1: INTRODUCTION AND AIM...... 48 3.2: RESULTS ...... 49 3.2.1: An A 1-42-GFP fusion protein is not fluorescent in yeast...... 49 3.2.2: A less amyloidogenic mutant form of A 1-42-GFP is fluorescent...... 52 3.2.3: An A 1-40-GFP fusion protein exhibits fluorescence...... 55 3.2.4: Fluorescence levels of GFP, A 1-40-GFP and A 1-42-GFP are distinguishable via flow cytometry...... 56 3.2.5: Lack of A 1-42-GFP fluorescence is not due to lack of translation, cleavage, or destruction of the fusion protein ...... 58 3.2.6: Expression of A 1-40-GFP or A 1-42-GFP is not detrimental to the growth of yeast ...62 3.2.7: Expression of unfused A 1-42 does not inhibit growth, and the peptide can not be detected...... 63 3.2.8: Exposure to guanidine hydrochloride results in appearance of A 1-42-GFP fluorescence ...... 64 3.2.9: The anti-amyloidogenic effect of guanidine hydrochloride acts through a Hsp104p- independent mechanism ...... 65 3.3: DISCUSSION ...... 67 3.3.1: Comparison with other Saccharomyces cerevisiae-based models of A aggregation...68 3.3.1.1: An A -GFP fusion S. cerevisiae model ...... 68 3.3.1.2: A -Sup35p fusion S. cerevisiae models...... 70 3.3.1.3: Aggregation of A 1-42/Sup35p compared to A 1-42-GFP ...... 71 3.3.1.4: Aggregation of A 1-40/Sup35p and A 1-40-GFP fusions...... 72 3.3.1.5: Guanidine hydrochloride, Hsp104 and A 1-42...... 72 3.3.1.6: Toxicity of A 1-42/Sup35p and A 1-42-GFP fusions...... 74 3.3.1.7: Comparative strengths and weaknesses of A 1-42/Sup35 and A 1-42-GFP fusion systems ...... 75 4: A GENOME-WIDE SCREEN FOR MODIFIERS OF A 1-42 AGGREGATION AND LOCALISATION ...... 76
4.1: INTRODUCTION AND AIMS...... 76 4.2: RESULTS ...... 78 4.2.1: Transformation of the Saccharomyces genome knockout collection ...... 78 4.2.2: Screening for A 1-42-GFP fluorescence and localisation...... 78 4.2.3: Tricarboxylic acid cycle and oxidative phosphorylation...... 82 4.2.4: Chromatin remodelling and transcriptional regulation ...... 84 4.2.5: Regulation of phospholipid metabolism: ino2 , ino4 and scs2 ...... 85 4.2.6: Phosphatidylcholine synthesis: cho2 and opi3 ...... 88 4.2.7: icy2 ...... 100
iii 4.2.8: slg1 and osmolarity sensing...... 102 4.2.9: Dubious ORFs...... 103 4.3: DISCUSSION ...... 105 4.3.1: Comparison to genome-wide screens in S. cerevisiae ...... 106 4.3.2: Screens in Drosophila: involvement of chromatin remodelling and transcriptional regulation...... 107 4.3.3: Mitochondrial dysfunction and A 1-42-GFP fluorescence ...... 110 4.3.4: Phospholipid metabolism and lipid droplets ...... 111 4.3.5: A single protease results in A 1-42-GFP fluorescence...... 116 4.3.6: Future directions...... 116 5: EFFECTS OF ENVIRONMENTAL RISK FACTORS ASSOCIATED WITH PARKINSON’S DISEASE ON A SACCHAROMYCES MODEL OF -SYNUCLEIN PATHOBIOLOGY ...... 121
5.1: INTRODUCTION AND AIMS...... 121 5.2: RESULTS ...... 122 5.2.1: ROS generating chemicals enhance -synuclein toxicity ...... 122 5.2.2: Expression of -synuclein leads to an increase in endogenous production of ROS....123 5.2.3: Treatment with the antioxidant compounds ascorbate and -tocopherol does not reduce -synuclein toxicity...... 125 5.2.4: The pesticide rotenone does not enhance -synuclein toxicity...... 127 5.2.5: The pesticide dieldrin enhances -synuclein toxicity ...... 129 5.2.6: Aluminium enhances -synuclein toxicity ...... 130 5.2.7: Mutants of the phosphatidylcholine biosynthesis pathway display altered -synuclein- GFP localisation ...... 132 5.3: DISCUSSION ...... 139 5.3.2: Enhancement of -synuclein toxicity by aluminium ...... 139 5.3.3: Environmental factors: enhancement of -synuclein toxicity via metals and pesticides ...... 142 5.3.4: Phospholipid synthesis, lipid droplets and -synuclein ...... 144 6: APPENDIX...... 148 REFERENCES...... 156
iv Abstract
The neurodegenerative disorders Alzheimer’s Disease (AD) and Parkinson’s Disease (PD) are characterised by the accumulation of misfolded amyloid beta 1-42 peptide (A 1-42) or -synuclein, respectively. In both cases, there is extensive evidence to support a central role for these aggregation-prone molecules in the progression of disease pathology. However, the precise mechanisms through which A 1-42 and -synuclein contribute to neurodegeneration remain unclear. Organismal, cellular and in vitro models are under development to allow elucidation of these mechanisms.
A cellular system for the study of intracellular A 1-42 misfolding and localisation was developed, based on expression of an A 1-42-GFP fusion protein in the model eukaryote Saccharomyces cerevisiae. This system relies on the known inverse relationship between GFP fluorescence, and the propensity to misfold of an N-terminal fusion domain. To discover cellular processes that may affect the misfolding and localisation of intracellular A 1-42, the A 1-42-GFP reporter was transformed into the S. cerevisiae genome deletion mutant collection and screened for fluorescence. 94 deletion mutants exhibited increased A 1-42-GFP fluorescence, indicative of altered A 1-42 misfolding. These mutants were involved in a number of cellular processes with suspected relationships to AD, including the tricarboxylic acid cycle, chromatin remodelling and phospholipid metabolism. Detailed examination of mutants involved in phosphatidylcholine synthesis revealed the potential for phospholipid composition to influence the intracellular aggregation and localisation of A 1-42.
In addition, an existing S. cerevisiae model of -synuclein pathobiology was extended to study the effects of compounds that have been hypothesized to be environmental risk factors leading to increased risk of developing PD. Exposure of cells to aluminium, dieldrin and compounds generating reactive oxygen species enhanced the toxicity of - synuclein expression, supporting suggested roles for these agents in the onset and development of PD. Expression of -synuclein-GFP in phosphatidylcholine synthesis
v mutants identified in the A 1-42-GFP fluorescence screen resulted in dramatic alteration of -synuclein localisation, indicating a common involvement of phospholipid metabolism and composition in modulating the behaviours of these two aggregation-prone proteins.
vi Acknowledgements
Firstly I must thank my supervisor Ian Dawes for allowing me to work in his lab on what must have seemed like some slightly insane ideas, and for encouraging those ideas through to fruition (even if the fruit was occasionally rotten). Also many thanks for providing financial support where the university could not, or would not.
Enormous thanks also go to my co-supervisor Gabriel Perrone. His encyclopaedic knowledge of Saccharomyces, penchant for all-encompassing A0-sized biochemical models and limitless supply of dirty jokes have all been essential supervisorial qualities. There was never a time when I felt that I couldn’t walk into your office and discuss any part of my research with you…except immediately after the consumption of a tuna sandwich. I think it’s time to open that bottle of pineapple juice now.
Thank you to the laboratories of Susan Lindquist, Ian Macreadie, Ben Herbert, Joel Goodman and Jurgen Gotz for providing technical assistance, reagents and useful discussions.
Thank you to the members of the “Dawes Lab Massive” for all the advice, troubleshooting, coffee, larfs and centrifuge tube cocktails, especially Chong Han, Shixiong, Duncan, and Nadia. Also a special thanks to Suresh Nair for all the hard work and permanent eye damage incurred during the knockout screen.
Thank you to my parents for not only encouraging my misguided interests in science from as early an age as I can remember, but also for enduring thousands of hours of ranting about anything and everything related to this project. I promise I’ll stop now.
Finally, I reserve my deepest gratitude for my wife Christina. Without your limitless encouragement, patience, good humour and love, this would have all been utterly impossible. This work is as much yours as it is mine, and it is to you that I dedicate this thesis. Looking forward to our “post-PhD” life together!
vii Abbreviations
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viii &. &7 ( &# &% &+ &' ( )+ ( 8$ ( ( 9 :
Designations of Saccharomyces cerevisiae genes follow standard naming conventions. These may be summarised as:
ABC1 The dominant allele for the ABC1 gene abc1 The recessive allele for the ABC1 gene abc1 Deletion of all or part of the ABC1 gene Abc1p The ABC1 protein
ix 1: Introduction
1.1: Neurodegeneration and protein aggregation The correct folding of proteins is essential to avoid the loss of wild-type function and the gain of unintended, potentially toxic functions. Cells have evolved complex mechanisms to allow the efficient folding of nascent proteins, and where this is not possible, to enable the rapid recognition, refolding, or degradation of misfolded proteins.
The cells of the brain appear to be particularly sensitive to the deleterious effects of misfolded proteins. An emerging understanding of the molecular basis of a diverse range of neurodegenerative diseases has identified misfolded proteins as being central to their pathologies (reviewed in Soto and Estrada, 2008; Morimoto, 2008).
Table 1.1 lists some neurodegenerative diseases associated with protein aggregation. Alzheimer's Disease and Parkinson's Disease represent the most commonly occurring forms of dementia and movement disorders, respectively, and it is these disorders which are addressed below.
Table 1.1: Summary of key clinical, epidemiological and molecular features of neurodegenerative diseases linked to misfolded proteins. Adapted from (Soto and Estrada, 2008).
Disease Clinical features Misfolded/aggregated protein(s) - ; 0 %- # # %- & ( , - ) ) (
1 1.2: Alzheimer's Disease (AD) Alzheimer's Disease (AD), named after the psychiatrist Alois Alzheimer who first described its symptoms in 1907, is a progressive, irreversible neurodegenerative disorder. It is the most commonly occurring neurodegenerative disorder, affecting approximately 2.32 million US citizens, with the risk of developing AD doubling every five years beyond 65 years of age (Brookmeyer, et al., 1998). The most prominent symptoms of the disease are memory loss (particularly of more recent events) and cognitive impairment, which affects reasoning skills, judgement, personality and language. The appearance and progression of these symptoms is debilitating, inevitably leading to the patient becoming totally dependent on a carer's assistance. Histopathologically, AD is characterized by the appearance of two types of proteinaceous lesions, which are the hallmarks of the disease: neurofibrillary tangles and senile plaques (reviewed in LaFerla and Oddo, 2005).
1.2.2: Tangles are composed of hyperphosphorylated tau One of the two distinctive brain lesions originally used by Alois Alzheimer to classify AD are the neurofibrillary tangles (NFTs) (Figure 1.1a). NFTs may be observed in the brains of aged healthy individuals, but their prevalence is greatly increased in AD patients. NFTs consist of a mixture of paired helical filaments (PHF) and straight filaments, and may occur throughout affected neurons including the dendrites, axons and synaptic terminals. The major component of the helical filaments is the protein tau, encoded by the MAPT (microtubule-associated protein) gene. In healthy tissue, tau remains soluble and is involved in the stabilization of microtubules and in regulating their assembly. In AD, hyperphosphorylation of tau by a range of kinases causes tau to lose its affinity for microtubules, and promotes formation of insoluble PHFs and insoluble, fibrous neurofibrillary tangles (Grundke-Iqbal, et al., 1986; Goedert, et al., 1992, and reviewed in Wang and Liu, 2008).
Abnormal aggregation of tau into filaments also occurs in a number of other neurodegenerative disorders, including frontotemporal dementia, Pick disease and progressive supranuclear palsy and its role in the progression of AD has been extensively studied (reviewed in Iqbal and Grundke-Iqbal, 2008). While not discounting the
2 importance of tau in the pathology of AD, this introduction will focus on the role of amyloid plaques and amyloid beta in this disease (see below).
a
b
Figure 1.1: Senile plaques and tangles from the brain of an AD patient. Amyloid plaques (a) and neurofibrillary tangles (b) visualised immunohistochemically via staining with anti-A 1-42 or anti-PHF1 antibodies, respectively. Scale bar represents 62.5 μm. Figure adapted from LaFerla and Oddo, 2005).
1.2.3: Plaques are composed of amyloid beta Along with neurofibrillary tangles, the appearance of dense extraneuronal senile plaques is the other major histopathological hallmark of AD (see Figure 1.1b). A major step towards understanding the molecular pathology of AD came with the biochemical characterization of these extraneuronal plaques, and the elucidation of the amino acid sequence of their major proteinaceous component, the amyloid- peptide (Glenner and Wong, 1984). 3 Amyloid- (A ) is a hydrophobic polypeptide, with a length ranging between 39 to 42 amino acids. The newly discovered sequence of A , and the realization that this was the same polypeptide present in the vascular amyloid deposits of Downs Syndrome brains (Glenner and Wong, 1984), rapidly led to the identification of the amyloid precursor protein (APP) gene and its mapping to chromosome 21 (Goldgaber, et al., 1987; Tanzi, et al., 1987; Kang, et al., 1987).
APP is a large 753 amino acid transmembrane protein, trafficked through the secretory pathway and localized predominantly to the plasma membrane. APP has also been found in the endosomal compartments, ER and Golgi, depending on cell type (Benowitz, et al., 1989; McGeer, et al., 1992; Jung, et al., 1996). The function of APP and the products of its proteolytic processing in normal, healthy cells are not yet completely understood. Viable knockout mice strains lacking the APP gene and its homologues APLP1 and APLP2 have been created. However, the offspring of double knockout mice lacking APLP2 and either APLP1 or APP suffer early postnatal lethality, indicating a functionally redundant, yet essential role for the APP family (Heber, et al., 2000; von Koch, et al., 1997). APP knockout mice exhibited reduced locomotor activity and forelimb grip strength, later developing reactive gliosis. Cultured neurons from APP knockout mice also showed dysregulated axonal outgrowth compared to wild-type cells (Perez, et al., 1997). These phenotypes all suggest a role for APP in normal neural function, particularly with regard to neurite outgrowth.
1.2.4: Proteolytic processing of APP and production of amyloid beta The majority of APP in healthy tissue is processed by members of a family of proteases termed -secretases (reviewed in Wolfe and Guenette, 2007). The proteolytic processing of APP is summarised in Figure 1.2. APP may be initially cleaved by an -secretase, which is a member of a disintegrin and metalloproteinase (ADAM) family. Three -secretase candidates have been identified to date; these are ADAM9, ADAM10 or ADAM17; these enzymes cleave APP at a point 83 amino acids from the C-terminus. This cleavage releases the large N-terminal ectodomain of APP (sAPP ) into the extracellular environment, and leaves the shorter C-terminal fragment (C83) embedded in the plasma membrane. The C83 fragment may be subsequently processed by -secretase, a multi-subunit protease complex. 4 Although not completely defined, the minimal components required for an active - secretase are the proteins presenilin (encoded by PSEN1 or PSEN2), nicastrin (NCTH), anterior pharyx-defective 1 (APH-1) and presenilin-enhancer 2 (PEN-2). The proteolytic activity of -secretase is catalyzed by the PS subunit, which is an aspartyl protease. The sAPP and p3 products of the sequential processing of APP by - and -secretases are soluble and non-amyloidogenic. As the recognition site of -secretase occurs within the A region of APP, -secretase processing of APP precludes production of the A peptide. This pathway is often referred to as the non-amyloidogenic pathway of APP processing.
Alternatively, the initial proteolytic cleavage of APP may be performed by another member of the secretase family, -secretase. -secretase, also referred to as -site APP-cleaving enzyme 1 (BACE1), is a type I integral membrane protein which cleaves APP 99 amino acids from its C-terminus. This cleavage releases a slightly smaller APP ectodomain into the extracellular environment (sAPP ), leaving a larger C-terminal fragment (C99) embedded in the membrane. The newly created N-terminal amino acid of C99 corresponds to the N-terminus of A . C99 is then processed by the -secretase complex to produce A . The cleavage site recognized by -secretase in C99 is variable, ranging between residue 38 to 43. While this variable cleavage leads to the production of a heteregenous population of A peptides, in healthy tissues the predominant species produced is 40 amino acids long (A 1-40). A smaller proportion (approximately 10%) is of the longer, more hydrophobic 42 amino acid species (A 1-42). A 1-42 has a much higher tendency to aggregate versus A 1-40, and is the form of A that is the major component of the extracellular plaques found in the brains of Alzheimer's Disease patients. Processing of APP via the and - secretases is referred to as the amyloidogenic pathway.
5
Figure 1.2: Proteolytic processing of the amyloid precursor protein (APP). Proteolytic cleavage of APP by -secretase in the non-amyloidogenic pathway precludes the production of A . However, a small proportion of APP may be initially processed by -secretase, leading to production of the A peptide (Section 1.2.4)
1.2.5: The amyloid cascade hypothesis of Alzheimer's Disease The discovery that the A peptide was a major component of senile plaques suggested a role for the peptide in the pathogenesis of AD. This suggestion focused attention on the APP gene itself, and several lines of genetic evidence now link A and APP to the development of AD. Genetic analysis of families and individuals suffering from hereditary cerebrovascular amyloidosis (Levy, et al., 1990) and early onset and familial forms of AD (Chartier-Harlin, et al., 1991; Goate, et al., 1991; Hendriks, et al., 1992; Mullan, et al., 1992) revealed the presence of a number of mutations in the APP gene. APP mutations have been discovered both within the A region, and externally to it. Mutations occurring
6 within the A coding region result in differing pathologies. Examples include an increased occurrence of intracerebral heamorrhages (due to massive amyloid accumulation in cerebral blood vessels) in the case of the "Dutch" E693Q mutation (Levy, et al., 1990), and early- onset AD with the "Arctic" E693G mutation (due to an enhanced rate of A protofibril formation) (Nilsberth, et al., 2001). The "Swedish" APP mutation occurs outside the A coding region and results in the production of higher amounts of A (Haass, et al., 1995), by reducing the availability of APP to -secretase cleavage, thus increasing flux through the amyloidogenic pathway (Sahlin, et al., 2007).
Mutations have also been discovered in the components of the secretase complexes. Studies on patients suffering from familial AD with raised plasma levels of the A 1-42 peptide revealed mutations in the PSEN1 and PSEN2 presenilin genes, as well as confirming the presence of a number of mutations in APP itself (Scheuner, et al., 1996). These mutations are associated with increased production of A 1-42, an increased proportion of A 1-42 versus A 1-40, or enhanced aggregation of the A 1-42 peptide. Mutations in the PSEN1 and PSEN2 presenilin genes, which form the active proteolytic component of the -secretase complex, also lead to altered APP processing and the generation of a higher ratio of A 1-42 versus A 1-40.
A number of transgenic mice models of Alzheimer's Disease provide additional evidence in support of a central role for the A in the development of the disease. Mice strains bearing the P301L mutant of the human tau gene, a form associated with early-onset AD, display significantly increased formation of neurofibrillary tangles after injection of synthetic A 1- 42 peptide directly into the brain (Götz, et al., 2001) or coexpression of a mutant human APP gene (Lewis, et al., 2001). These transgenic mice models were later extended with the construction of the triple transgenic mouse (3xTg-AD), which in addition to mutant human tau and APP genes, bears an early-onset mutant form of the human presenilin 1 gene (Oddo, et al., 2003). The 3xTg-AD mouse displays a number of features which are consistent with those observed in human AD patients, such as loss of long-term synaptic plasticity, and the appearance of extracellular amyloid plaques and intracellular tau tangles in an age-related manner. It is important to note that in the 3xTg-AD model, deposition of
7 amyloid occurs well before the appearance of tau tangles, despite both APP and tau genes being expressed at comparable levels (Oddo, et al., 2003). Taken together, these transgenic mice models support an upstream role for A in the appearance and progression of hallmark AD features.
Compelling evidence for the key involvement of A in the pathogenesis has also come from anti-A immunization trials in model animals. Immunization of APP transgenic mice protected them from cognitive decline (Janus, et al., 2000; Morgan, et al., 2000; Dodart, et al., 2002), and achieved a similar result in a limited human trial (Hock, et al., 2003). Critically, disappearance of tau pathology (Section 1.2.2) in 3xTg-AD mice occurred after the clearance of extracellular and intracellular A deposits, and was re-detected only after the re-appearance of A deposits when the immunization regimen was halted for an extended interval (Oddo, et al., 2004). These findings demonstrate that tau pathology, such as the formation of NFTs, is likely to be a downstream event of the accumulation of A .
Thus, cumulative evidence indicating a central role for A in the pathogenesis of AD has led to the proposal of the "amyloid-cascade" hypothesis (Selkoe, 1991; Hardy and Higgins, 1992). This hypothesis states that the complex sequence of molecular, cellular and physiological events which eventually leads to onset and progression of fully developed AD is the product of events initiated by the A peptide . The amyloid cascade hypothesis has undergone constant refinement in response to criticisms and to incorporate emerging experimental evidence. These refinements are discussed in more detail below.
1.2.6: Refining the amyloid hypothesis: soluble A oligomers versus plaques Early attention was focused on the appearance of extracellular amyloid plaques as being the causative agent of the neuronal loss in AD. However, there is a poor correlation between postmortem plaque counts and psychometric measures of dementia and mental function assessed ante mortem. (Terry, et al., 1991). Conversely, significant amyloid deposits can be found in the brains of subjects showing no clinical signs of dementia (Lue, et al., 1999). Such evidence precludes a causal role for insoluble amyloid plaques in AD. Alternatively, strong correlations have been detected between the levels of a soluble, oligomeric form of
8 A and clinical markers of AD progression, such as synaptic loss (Lue, et al., 1999) and cognitive decline (Näslund, et al., 2000). More recent studies using ultra-high sensitivity nanoparticle-based detection systems have confirmed that levels of soluble A in cerebrospinal fluid samples are significantly higher from patients diagnosed with AD (via standardized neuropathological tests), versus healthy age-matched controls (Georganopoulou, et al., 2005).
A diverse range of soluble and insoluble A assembly states have been described in the literature, ranging from monomers and so-called low-n oligomers (dimers and trimers), through to larger soluble oligomers (such as dodecamers) and protofibrils, fibrils and the classical insoluble extracellular plaques (reviewed in Haass and Selkoe, 2007). There is still debate as to which of these A assembly states, especially those which are soluble, represent the primary pathogenic agent in AD. SDS-stable dimeric and trimeric forms of A have been described in cell culture models, occurring both intracellularly and secreted into the growth media (Podlisny, et al., 1995; Walsh, et al., 2000). Similar low-n oligomers have also been detected prior to tau NFT formation in CA1 hippocampal samples (Funato, et al., 1999). This is of particular note, as the accepted temporal ordering of senile plaque formation followed by the appearance of tau NFTs is normally reversed in this area of the brain. The detection of small SDS-stable A oligomers before the formation of NFTs provides further support for the amyloid cascade hypothesis.
Recent studies have identified a soluble dodecameric assembly of A with a molecular mass of 56 kDa (referred to as A *56) as a possible pathogenic candidate. In a transgenic mouse model expressing a mutant human APP, concentrations of A *56 correlated inversely with memory performance more so than any other A assembly state examined. Furthermore, A *56 was purified from transgenic mice brain samples, and administered via cannula into the brains of young rats, and this treatment reduced memory performance in standardized tests of spatial memory (Lesné, et al., 2006). Soluble A *56 levels were also inversely correlated more strongly with memory and cognitive performance versus plaque load in transgenic mice (Cheng, et al., 2007). That some mouse strains showed high plaque loads, but performed at normal levels in cognitive tests further reinforces the importance of
9 soluble A species in AD progression, and that the appearance of plaques may even represent a defense mechanism, sequestering pathogenic A oligomers into relatively non- toxic aggregated deposits.
1.2.7: Intracellular and extracellular pools of A In addition to the extracellular pools of A , which include insoluble plaques and fibrils, as well as soluble monomers and oligomers, A may also be found intracellularly. The authenticity of early identifications of intracellular A could be doubted as being false positives due to the potential for antibody cross-reactivity with intact or partially processed APP. However, the development of monoclonal antibodies which specifically recognize the proteolytically processed N- and C-termini of A 1-40 and A 1-42 has resolved any ambiguity regarding the existence of intracellular A peptides (Gouras, et al., 2000; Takahashi, et al., 2002). There is now a substantial body of reliable experimental evidence to support the existence of intracellular A in human brains and several experimental models (reviewed in Laferla, et al., 2007).
A number of studies have proposed a primary role for intracellular A in the development of AD. Intracellular A is detected in the post mortem brains of Down's Syndrome patients many years (decades, in some cases) before the appearance of extracellular A deposits in older patients (Gyure, et al., 2001). The primacy of intracellular A appearance is recapitulated in commonly used transgenic mouse models of AD. Intracellular A is detected prior to the appearance of extracellular A deposits in mice expressing mutant APP and presenilin (Wirths, et al., 2001). Intraneuronal A accumulation also precedes the appearance of tau pathology in 3xTg-AD mice (Oddo, et al., 2003). Results from this study also suggest that intraneuronal A may be the species responsible for the appearance of AD-related phenotypes. Levels of intraneuronal A in 3xTg-AD mice were correlated with the severity of synaptic plasticity defects, and the development of these defects preceded the appearance of both senile plaques and NFTs (Oddo, et al., 2003).
Intracellular A has been detected in various areas of the cell, including compartments of the endosomal/lysosomal system (Koo and Squazzo, 1994), multivesicular bodies (MVB)
10 (Takahashi, et al., 2002) and the organelles of the secretory pathway (Busciglio, et al., 1993). Some of these locations, such as the ER/Golgi, may reflect sites of intracellular A production. Others, such as the endosomes and MVBs may indicate uptake from the extracellular environment. The accumulation of A in MVBs has been shown to be deleterious, resulting in disrupted MVB sorting and proteasomal inhibition (Almeida, et al., 2006). Proteasomal inhibition is also observed in other models of intracellular A accumlation such as 3xTg-AD mice (Tseng, et al., 2008), suggesting a mechanism through which intracellular A leads to downstream pathologies. As the proteasome is located in the cytosol, it also implies there may be a cytosolic pool of A , possibly destined for destruction by the proteasome (Laferla, et al., 2007).
1.3: Parkinson's Disease Parkinson's Disease (PD), named after James Parkinson who first described the symptoms of the disease in 1817, is the most commonly occurring neurodegenerative disease affecting movement. The disease has an incidence of approximately 1% in persons over 60 years of age, and is superceded only by AD as the most common neurodegenerative disease overall. As with AD, the prevalence of PD increases significantly with age, rising from 0.6% for 65 year olds to 3.5% for 89 year olds (Fahn and Sulzer, 2004). This number does not include the large population of asymptomatic sufferers who may be undiagnosed, as physical symptoms of PD are not apparent until 70-80% loss of the dopaminergic neurons has occurred (Schapira, 1999).
1.3.1: Clinical symptoms of Parkinson's Disease The physical symptoms of PD are characterized by a number of deficits of motor control, including a resting tremor, shuffling gait, rigid mask-like facial expressions, bradykinesia (slowness of movement), and akinesia (lack of ability to initiate movement). In many instances there may also be non-physical symptoms, such as cognitive, sensory and sleep disturbances. These appearance of these symptoms may precede diagnosis of PD by years. The clinical symptoms of PD are due to a loss of striatal dopamine, a key neurotransmitter involved in initiating and controlling signaling in motor neurons. This loss is due to the selective loss of dopaminergic neurons from a pigmented region of the midbrain known as the substantia nigra pars compacta (reviewed in Fahn and Sulzer, 2004).
11 1.3.2: alpha-synuclein is the major component of Lewy Bodies A prominent histological feature present in neurons of the substantia nigra from PD patients are the spherical, cytoplasmic proteinaceous aggregates known as Lewy Bodies (LBs). As with the extracellular amyloid plaques found in the brains of AD patients (Section 1.2.3), it is not known whether Lewy Bodies represent a toxic entity themselves, or are the endpoint of cellular efforts to sequester and detoxify other deleterious protein species. Lewy Bodies are heterogenous in composition, and are heavily polyubiquitinated (Kuzuhara, et al., 1988; Iwatsubo, et al., 1996), hinting at the involvement of the proteasomal degradation pathway in PD.
A major advance in the understanding of PD at a molecular level came with the discovery via immunohistochemistry that the protein -synuclein was the major component of LBs (Spillantini, et al., 1997). -Synuclein is a 140 amino acid protein normally localized to the synaptic terminals of neurons. The role of -synuclein in healthy tissue is still uncertain. Deletion of the -synuclein homologue in mice is non-lethal, and mutant mice exhibit wild- type neuroanatomy and dopaminergic release and re-uptake in response to simple stimuli (Abeliovich, et al., 2000). However, altered dopamine release in response to multiple stimuli and amphetamine administration was observed, suggesting a role for -synuclein in the activity-dependent regulation of presynaptic dopamine pools. This is reinforced by findings that knockdown of -synuclein expression in neural cell culture results in depletion of the distal pool of presynaptic vesicles (Murphy, et al., 2000). The biophysical properties of -synuclein, such as its propensity for membrane association and the changes in its structure which are induced when this occurs (Davidson, et al., 1998; Perrin, et al., 2000), involvement in lipid metabolism (Sharon, et al., 2003; Golovko, et al., 2005) correlate with these proposed functions.
Immunohistochemical data hinting at the involvement of -synuclein in PD is strongly supported by genetic evidence. A number of point mutants of -synuclein have been identified which led to early-onset PD, including A53T (Polymeropoulos, et al., 1997), A30P (Krüger, et al., 1998) and E46K (Zarranz, et al., 2004). Increases in -synuclein copy number led to an earlier age of onset of PD. Three copies of the -synuclein gene lead to
12 appearance of PD symptoms in the fifth decade of life (Chartier-Harlin, et al., 2004); four copies of -synuclein result in appearance in the third decade (Singleton, et al., 2003). The deleterious effects of high -synuclein gene dosage are recapitulated in animal models. Targeted overexpression of human -synuclein in the dopaminergic neurons of the substantia nigra of mice resulted in the appearance of cytoplasmic, -synuclein-positive inclusions, selective dopaminergic cell death, decreases in striatal dopamine, and development of motor impairment (Kirik, et al., 2002).