Summary
AD is a neurodegenerative disease characterized by the formation of neuronal inclusions, termed NFT, and extracellular amyloid deposits surrounded by dystrophic neuntes, collectively referred to as NP. NP are specific to AD, whereas NFT are found in many other neurodegenerative diseases. The purpose of this report is to present a hypothesis regarding the biochemical basis for these pathologic features of AD — neurodegeneration and NFT and NP formation.
Among the three AD pathologies, neurodegeneration is central to the disease. The reason for the premature death of neurons in AD brains is unknown. Because neuronal survival requires the combined effect of growth factors, it is possible that one or more growth factors are missing in the AD brain. Alternatively, the intracellular machinery responsible for the function of growth factors may be deficient in the disease. One form of machinery important for growth factor-mediated cell maintenance is the battery of protein kinases, in particular, PKC. PKC mediates many functions of nerve growth factor, the best-characterized neurotrophic factor. Both the kinases, including PKC, and the phosphorylation levels are altered in AD brains, whereas levels of nerve growth factor are not.
There are questions to be answered. Is aberrant phosphorylation in AD specific to this disease? Is aberrant phosphorylation intrinsic to AD or secondary to neurodegeneration? Is PKC reduction relevant to NFT and NP formation? Why is phosphorylation aberrant in AD?
The abnormality in phosphorylation may be related to the expression of some biochemical characteristics that correlate with NFT formation. Furthermore, phosphorylation may be involved in the regulation of the processing of ABPP, which constitutes a major portion of the NP core. Conversely it is possible that ABPP is involved in the regulation of phosphorylation in neurons. Because ABPP is aberrantly processed in AD brain, this protein may be a candidate as the cause of abnormal phosphorylation and eventual neurodegeneration in AD.
This work was supported by grants from the Alzheimer’s Disease and Related Disorders Association, the McKnight Foundation, the California State Department of Health Services, the Sandoz Foundation for Gerontological Research, and the National Institutes of Health (AG 05386, AG 05131, and AG 08205). D.S.I, is the recipient of a Pathological Training Grant (NS07078–12).
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Saitoh, T., Iimoto, D.S. (1989). Altered Protein Kinase and Amyloid ß-Protein Precursor in Alzheimer’s Disease: Which Comes First?. In: Boller, F., Katzman, R., Rascol, A., Signoret, JL., Christen, Y. (eds) Biological Markers of Alzheimer’s Disease. Research and Perspectives in Alzheimer’s Disease. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-46690-8_10
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