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Molecular and Cellular Biology, July 2006, p. 4982-4997, Vol. 26, No. 13
0270-7306/06/$08.00+0 doi:10.1128/MCB.00371-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Department of Physiology and Biophysics, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106-4970
Received 1 March 2006/ Returned for modification 4 April 2006/ Accepted 18 April 2006
| ABSTRACT |
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| INTRODUCTION |
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APP has a complicated life cycle. A large portion of the newly synthesized APP is degraded by the lysosomal pathway (11). However, a fraction of APP is processed intracellularly by two mutually exclusive pathways, which generate polypeptides that are secreted, degraded, or released into the cytosol (43). The two pathways use either
-secretase or ß-secretase activities to cleave APP at distinct sites (close to the transmembrane domain) and release into the vesicle lumen large, soluble amino-terminal polypeptides (sAPP-
or sAPP-ß) of unknown function that are ultimately secreted (see Fig. 1H). The membrane-bound, carboxy-terminal fragments (CTFs) that result from this cleavage (i.e., CTF-
or CTF-ß) have a relatively long half-life and are either degraded or further processed by an intramembrane proteolytic activity,
-secretase. This proteolytic processing releases the short polypeptides p3 or Aß into the vesicle lumen and CTF-
into the cytoplasm. Some of the Aß and p3 peptides are secreted into the extracellular space and either enter the circulation or are cleared in some other way. Under the pathological conditions of AD, Aß (in particular Aß42) aggregates and becomes incorporated into neuritic plaques, processes thought to initiate the cascade that leads to neuronal loss and dementia (19). Although APP is ubiquitously expressed, accumulation, oligomerization, and aggregation of Aß, followed by its incorporation into plaques, occur only in specific regions of the brains of AD patients, under circumstances that are not understood.
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In this study, we asked whether neuronal cells maintained in culture may preferentially accumulate Aß peptide and form large deposits. As an experimental system, we chose the central nervous system-derived, catecholaminergic cell line CAD. In our previous work, we characterized CAD cells with regard to intracellular transport and posttranslational processing of APP (37-39). We showed that, as in primary neurons, in these cells APP is processed by secretase activities to generate CTFs that are translocated into the nucleus (37). We also showed that both full-length APP and the CTFs become phosphorylated at a critical threonine residue (corresponding to Thr668 in APP695) and that this phosphorylation regulates transport of a fraction of APP into neuronal processes (38), and of CTFs into the nucleus (37). Phosphorylation of APP in CAD cells is extensive and normally occurs via a specific signaling pathway that requires the activity of c-Jun NH2-terminal kinase (JNK) (38). Since increased APP phosphorylation was recently linked to the overproduction of Aß (29), CAD cells may represent a good system to study whether intracellular generation of Aß could lead to formation and accumulation of Aß aggregates similar to those characteristic of AD. Oligomerization of Aß has been recently reported for neuronal cells overexpressing human APP with the Swedish mutation (49), but few studies investigated cells expressing normal levels of endogenous APP (46).
We found that a small fraction of the CAD cells normally exhibit Aß deposits throughout their neurites. These deposits were largely concentrated at neurite terminals, where they colocalized with ß-secretase. Surprisingly, the Aß-depositing cells appeared in isolated islets, suggesting their clonal origin. We conclude that a small number of neuronal cells normally show biochemical and neuropathological features of degenerating neurons present in AD brains. Our data suggest that intracellular determinants, in addition to genetic and extracellular environmental factors, may contribute to the onset of Aß deposition and AD.
| MATERIALS AND METHODS |
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Cell cultures. The mouse central nervous system-derived, catecholaminergic cell line CAD (obtained from Dona Chikaraishi [Duke University Medical School, Durham, NC] and James Wang [Cogent Neuroscience, Inc., Durham, NC]) (40) was grown in 1:1 F-12-Dulbeccos modified Eagle medium, supplemented with 8% fetal bovine serum and penicillin-streptomycin. Cell differentiation was induced by removal of serum from the culture medium. Mouse (embryonic day 16.5) cortical neurons were grown in neurobasal medium with B-27 supplement, L-glutamine, and penicillin-streptomycin for 5 days, with a change of medium on day 4. Neurons were maintained in growth medium until fixation for immunocytochemistry.
CAD cell populations enriched in cells that accumulate Aß were obtained by selecting small groups of cells in microtiter wells and screening the obtained cultures for Aß accumulating cells by immunocytochemistry with antibody 6E10 (after differentiation). Occasionally, the procedure was repeated, using cultures that appeared to be enriched in such cells after the first round of selection.
Transfection. CAD cells were transfected with human APP695 by using FuGene 6 (Roche Diagnostics, Indianapolis, IN). A construct in pcDNA3 of APP695 was obtained from Li-Huei Tsai (Harvard Medical School, Howard Hughes Medical Institute, Boston, MA).
Immunoblotting. Differentiated CAD cells were rinsed twice with phosphate-buffered saline (PBS) and extracted in sodium dodecyl sulfate sample buffer for 5 min at 95°C. Extracts were separated in 16.5% Tris-Tricine gels (Bio-Rad, Hercules, CA) or 14% Tris-glycine gels, followed by transfer to polyvinylidene difluoride membranes. Aß was detected by immunoblotting using alkaline phosphatase-coupled secondary antibodies and colorimetric visualization of the reaction product (36). Peptides with a molecular size corresponding to Aß (monomers and oligomers) were detectable only in wet membranes, probably because the peptides had penetrated the membrane. Therefore, membranes were scanned while wet.
Immunocytochemistry. Transfected or nontransfected CAD cells and primary cultures of cortical neurons were fixed for 20 min in PBS containing 4% formaldehyde and 4% sucrose, then permeabilized with 0.3% Triton X-100 (20 min, 20°C), and processed for single or double antigen labeling as previously described (35). Double labeling with antibodies 6E10 and A11 or 6E10 and anti-Aß carboxy-terminal-end antibodies were done by coincubation of the specimens with the two primary antibodies. Successive incubation usually led to preferential labeling of the neuritic deposits with the antibody applied first. This was likely due to steric hindrance between antibodies detecting the same or vicinal epitopes. Occasionally, detergent extraction was omitted, or cells were extracted with Triton X-100 prior to fixation. Secondary antibodies coupled to Alexa dyes were from Molecular Probes (Eugene, OR). Actin filaments were stained with a fluorescein-phalloidin conjugate (Molecular Probes). Nuclear DNA was stained with 4,6-diamidino-2-phenylindole (DAPI; Pierce Biotechnology, Rockford, IL). Digital images were obtained with an Olympus IX81 or a Nikon Optiphot microscope (100x oil, 20x, 40x objectives) equipped with cooled charge-coupled device cameras and collected using Image-Pro Plus (Media Cybernetics, Inc., Silver Spring, MD) or Optronics Magnafire image analysis software. Images were processed for contrast and brightness by Adobe Photoshop. Colocalization of 6E10-labeled deposits with ß-secretase or oligomers at neurite terminals was quantified using Image-Pro Plus (32).
Antibody uptake experiments and detection of necrotic cells. To detect cell surface APP that becomes endocytosed, CAD cells were incubated for 30 min at 37°C in the presence of anti-rodent Aß antibody, then rinsed 3 times with cold PBS, and fixed. Endocytosed antibody, bound to the Aß region of APP, was detected by immunocytochemistry with fluorescently labeled anti-rabbit immunoglobulin G (IgG). In control experiments, cells were incubated in the absence of anti-rodent Aß antibody. To estimate fluid phase uptake of antibody, cells were incubated with nonimmune rabbit IgG. Under the conditions of the uptake experiment and immunostaining procedure, the amount of fluid-phase endocytosed IgG was negligible.
Necrotic CAD cells were detected by staining with propidium iodide (PI; Sigma-Aldrich, St. Louis, MO). Briefly, cells were incubated for 5 min with culture medium containing 0.5 mg/ml PI prior to rinsing and fixation.
| RESULTS |
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, and CTF-ß; 6E10 and anti-rodent Aß: APP, CTF-ß, and sAPP-
[Fig. 1H]), accumulations of Aß, if present, should be easily detected by fluorescence microscopy as bright, intense spots (49). In Western blots of CAD cell lysates, all anti-Aß antibodies faintly detected a polypeptide band corresponding to Aß (our unpublished results). This result was expected, since the Aß peptide is notoriously difficult to detect by Western blotting of cell lysates.
Using immunocytochemistry, we investigated the overall staining pattern given by the above listed antibodies in differentiated CAD cells. Antibody 4G8 revealed a continuous distribution of APP in CAD cell processes, which made the detection of any sporadic Aß accumulations difficult (our unpublished results). By contrast, the anti-rodent Aß antibody identified a small number of cells that showed accumulations of immunoreactive material within neurites, and especially at neurite terminals (Fig. 2A and B). This intense staining was detected over the background labeling that most likely represented total APP, which made it difficult to identify and assess the distribution of these deposits. We therefore turned to antibody 6E10, which detects poorly endogenous levels of mouse APP but is reactive towards APP and Aß, if these are present at high concentrations (Signet data sheet 9320 of 2001 for antibody 6E10 and our unpublished results).
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To determine whether the 6E10-immunoreactive material within the neurite terminals represents full-length APP or cleavage products of APP, we performed double-labeling experiments with 6E10 and with several antibodies that detect other APP epitopes (Fig. 1H and 3). First, we used an antibody that recognizes the carboxy-terminal domain within the full-length APP or within the CTFs generated by the action of secretases. This antibody labeled the cell bodies more intensely than the neurites and did not particularly stain the 6E10-immunoreactive material (Fig. 3A to C). This result suggests that these deposits do not contain significant amounts of full-length APP or CTFs.
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Neuritic Aß accumulations develop in a selected population of CAD cells that are neither apoptotic nor necrotic. Since CAD cells that contained Aß accumulations usually appeared in clusters, we reasoned that they may have additional common features. One of the possibilities might be that these cells undergo neurodegeneration and death. A close examination of the cells showing Aß accumulations did not reveal any detachment of their processes from the cell bodies, thus eliminating the possibility that these cells were undergoing a wallerian-type degenerative process.
Next, we examined whether these cells show signs of plasmalemmal disintegration typical for necrosis. Cell cultures were incubated with PI prior to fixation and immunolabeling with the antibody 6E10. Only a few cells showed nuclear PI staining (indicative of plasma membrane damage and intracellular penetration), even in the areas that contained many cells with Aß accumulations (Fig. 5A to C). Only rarely, we found groups of several necrotic, PI-positive cells, but these cells did not contain Aß accumulations (Fig. 5D to F). Examination of CAD cell cultures also indicated that cells rich in Aß deposits did not show signs of apoptosis: they showed neither blebbing of the cell membrane nor fragmentation of nuclei, as revealed by DAPI staining (Fig. 5G to N). Taken together, these results indicate that CAD cells containing Aß accumulations do not show signs of degeneration or cell death.
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At high resolution, Aß, as detected by the antibody 6E10, appeared to be associated with a heterogeneous population of vesicle-like particles of various dimensions throughout the neurites (Fig. 7A to C), or localized at the neurite terminals (Fig. 7D to L). A similar particulate, vesicle-like labeling pattern was seen with anti-Aß carboxy-terminal-end (Fig. 4K and M) and antioligomer (Fig. 4R) antibodies. Based on their size, we think that most of the larger vesicular structures are of endosomal or autophagosomal origin.
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To further confirm that the detected Aß is not associated with early endosomes within neurites, we tested for colocalization of the 6E10-detectable accumulations with bona fide, endocytosed APP. Since cell surface APP is known to become partially taken up by endocytosis (54), we traced the internalized APP by incubating CAD cells for 30 min with a rabbit antibody to rodent Aß (recognizing an extracellular epitope in APP), followed by washing and fixation of the cells. We then detected the bound and internalized antibody with fluorescent anti-rabbit IgG. As shown in Fig. 7M to P, the anti-rodent Aß antibody that was internalized during the 30-min time interval became concentrated in the cell body, in a perinuclear region, thus marking the early endosomal compartment. Little of this antibody was detected within processes and at their terminals (Fig. 7O). Importantly, the Aß deposits detected with antibody 6E10 were largely segregated from the internalized anti-rodent Aß antibody and accumulated within neurites (Fig. 7M and N). Taken together, these results suggest that a large fraction of the Aß detected with antibody 6E10 is localized in a post-early-endosomal compartment, outside the cell body. They also exclude the possibility that the detected intracellular Aß might originate from the endocytosis of an extracellular, soluble Aß pool at neurite terminals. Double-immunolabeling experiments with antibody 6E10 and Rab7, a marker for late endosomes (12) and autophagic vacuoles (18), suggested that a significant fraction of the Aß detected at neurite terminals resides in late-endosomal or autophagic compartments (Fig. 7T to W). These results suggest that, while the process of generation of Aß from APP might, in principle, begin in membrane-bound compartments in the cell body, concentration of Aß occurs only within neurites, most likely in late endosomes and autophagic vacuoles.
To begin to understand what factors might favor increased generation of Aß in a selected population of cells, we investigated whether CAD cells showing Aß accumulations express more APP. As shown in Fig. 3A to C, Aß-containing cells did not show increased levels of APP (compared to neighboring, normal cells), as detected with an antibody recognizing an epitope within the cytoplasmic domain of APP. Moreover, exogenous expression of APP at high levels did not lead to the accumulation of significantly increased amounts of 6E10-stainable material within neurites of transfected cells (our unpublished results). These results indicate that accumulation of Aß is not necessarily a consequence of increased levels of APP; more likely, it is the result of increased production of Aß through the action of secretases.
Next, we asked whether cells that accumulate Aß show increased levels of secretases, the proteases responsible for Aß generation. We focused on the major ß-secretase, BACE1 (22, 30, 44, 51, 55), using immunocytochemical detection. In most cells, BACE1 was localized primarily within the cell bodies and to a lesser extent within processes (Fig. 8). While BACE1 levels did not appear to be significantly increased in the cell bodies of Aß-producing cells, in over 80% of cells that contained large neuritic Aß accumulations, increased levels of BACE1 were detected within the neurites, where it colocalized with Aß (detected with 6E10 antibody; colocalization coefficient, 87 ± 8 [mean ± standard deviation]) (Fig. 8). This remarkable result suggests that accumulation of Aß within neurites of CAD cells is coincident with pools of ß-secretase, abnormally localized within neurites.
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First, we examined the overall integrity of the cytoskeletal networks that support vesicular transport, the microtubules, and the actin filaments. As shown in Fig. 9A to F, staining of CAD cells with antibodies to tubulin and with phalloidin detected normal distributions of microtubules and actin filaments in the processes that contained large accumulations of Aß (labeled with the antibody 6E10). Next, we examined the localization of pAPP and JNK-interacting protein 1 (JIP-1), two vesicular cargoes of the microtubule motor kinesin-1 (34, 39). We and others previously showed that the accumulation of pAPP (39) and JIP-1 (52) at neurite endings is a direct consequence of their transport by kinesin-1, and that abnormal transport leads to decreased accumulation of these proteins at the terminals. As shown in Fig. 9G to J, the levels of pAPP and JIP-1 that accumulated at the terminals of processes in CAD cells that contained extensive amounts of Aß were similar to those detected in nonaffected cells. In addition, we found no correlation between the amount of pAPP and Aß deposits present at neurite terminals. This result indicates that transport of vesicular cargoes into neurites is not generally perturbed by the presence of large amounts of accumulated Aß. It also suggests that increased generation of Aß can occur in the absence of detectable signs of abnormal axonal transport.
Aß accumulations appear in a distinct subpopulation of CAD cells. As described above, cells with increased accumulations of Aß in their processes represent a small fraction of the total cells and appear in islet-like clusters, segregated from the dominant, conventional cells (Fig. 2). Since CAD cells divide when cultured in the presence of serum, it seems likely that the cells within each separate cluster originate from one or a few cells that are prone to increased generation of Aß. If this is true, then one could obtain, by dilution cloning, a population of CAD cells that is enriched in cells exhibiting the Aß deposition phenotype. Indeed, using such a procedure, we obtained cultures that contained increased numbers of cells with 6E10-positive Aß accumulations within neurites (Fig. 10). Cells showing this phenotype were detected very early after differentiation was induced, as soon as they started to extend processes (Fig. 10B and C). When maintained for longer periods of time under differentiation conditions, some of these cells extended long processes, loaded with Aß (Fig. 10A). Western blots of concentrated lysates of CAD cells from such cultures showed the presence of monomeric and polymeric Aß, as detected with an antibody to rodent Aß and the 6E10 antibody (Fig. 10D). Notably, the 6E10 antibody detected oligomeric species of Aß with higher sensitivity than the anti-rodent Aß antibody. Future studies will be aimed at using such CAD cell cultures to investigate the determinant factors and the mechanism of Aß generation and accumulation within neurites.
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| DISCUSSION |
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Animal models and cell culture systems manipulated to express human versions of mutant, disease-prone APP or components of the APP processing machinery (e.g., presenilin-1, BACE1) remain important tools for the identification of molecular mechanisms that operate in familial forms of AD. In contrast, the availability of neuronal lines that show a propensity to form intraneuritic Aß deposits at endogenous levels of APP and secretases may provide insight into the pathogenic mechanisms that alter Aß metabolism in sporadic AD forms that may not have a genetic basis. Such cell lines are the previously reported human NT2N neurons (46) and the mouse cell line CAD, used in this study. Initially established by targeted oncogenesis in transgenic mice, CAD cells have spontaneously lost the original oncogene, that encoding simian virus 40 T antigen. They are diploid, chromosomally stable cells that exhibit biochemical and morphological characteristics of primary neurons (40). In previous work, we demonstrated that the resolution achieved by fluorescence microscopy in the thin processes of CAD cells allows the resolution of individual transport packages even without the use of confocal microscopy (39). CAD cells are a promising model system for studying neurodegenerative diseases, including torsion dystonia (20, 25), Parkinson's disease (2), and AD (29). As we show here, CAD cells are particularly suited for the investigation of APP metabolism in conjunction with its transport into processes. This is important, in view of the recent evidence that transport and processing of APP are intimately entangled (24, 28, 41, 47). CAD cells, which are likely derived from the locus coeruleus in the brain stem (40, 48), are relevant to the neuropathology of AD. Indeed, neurons in the locus coeruleus aberrantly express cell cycle proteins (8) and are largely affected by cell death in AD (6, 14, 59), in spite of the fact that this brain region lacks high densities of neuritic plaques and tangles.
The first important result of this study is that CAD cells, expressing endogenous levels of APP, normally develop deposits of Aß that are detergent resistant, indicative of oligomerized Aß. Results of immunocytochemistry done with an antioligomer antibody that does not recognize monomeric or fibrillar Aß confirm that at least a fraction of the Aß detected in CAD cells is in an oligomeric form. We also note that the Aß accumulations reported in this study are best detected with antibody 6E10, which binds to Aß oligomers and fibrils, in addition to the monomers (26; see also the BioSource International product data sheet for the antioligomer antibody AHB0052). This result is in line with the known fact that antibodies that recognize amino-terminal regions in Aß (e.g., 6E10) detect oligomerized Aß more efficiently than antibodies that bind to internal regions (such as 4G8) (4). The fact that under our experimental conditions the 6E10 antibody indeed detects Aß deposits was confirmed by colocalization with two antibodies to rodent Aß (Fig. 4A to D and our unpublished results) and the absence of immunoreactivity to antibodies to APP regions outside Aß (Fig. 3). Finally, experiments using Aß carboxy-terminal-end antibodies (Fig. 4E to L) indicate that both Aß40 and Aß42 are presentto various extentsin CAD cells. While these deposits likely also contain CTFs, in addition to Aß, these may either be below the detection limit of our assays or have their carboxy-terminal epitopes masked. In this respect, we note that the exact composition and the aggregation state of the Aß polypeptides present in these accumulations cannot be revealed by immunocytochemistry and biochemistry alone. Indeed, the accessibility of antibodies to the various Aß epitopes is certainly differentially affected by the aggregation state of the Aß polypeptide. For example, some epitopes that are accessible in Aß oligomers might not be accessible in Aß fibrils. This likely explains why double-labeling experiments with antibodies to distinct epitopes in Aß showedin many casesonly partial colocalization. Studies to further characterize these deposits with regard to composition and aggregation state of the polypeptides are under way.
The second important result is that Aß accumulates in the distal portion of CAD cell neurites, in particular at their terminals, a process thought to occur in early stages of AD (5, 16). Oligomerization of Aß within processes and synapses of cultured neurons expressing human APP with the Swedish mutation (derived from Tg2576 mice) has been recently described (49). However, unlike Tg2576 neurons, where Aß gradually accumulates within processes over time in culture (49), CAD cells show preferential neuritic deposits of Aß starting very early during differentiation. Eventually, all processes of affected CAD cells become filled with deposits, irrespective of neurite length and neurite number per cell. Whether and how these intracellular Aß accumulations can become extracellular (likely by cell disintegration or a form of exocytosis) remains to be established in future studies.
A third important result of our study is that cells that accumulate Aß can still differentiate and function normally, at least for some time in culture. Importantly, these cells still appear to normally transport to neurite terminals vesicular cargoes, such as those containing pAPP and JIP-1. Moreover, cells with Aß accumulations do not show signs of abnormal cytoskeleton, neurodegeneration, or cell death. These results suggest that while a deficient axonal transport may cause neurodegeneration (41, 47), accumulation of Aß within neurites can certainly occur in the absence of any detectable abnormal intraneuritic transport. We are currently conducting a more detailed investigation of vesicle transport in CAD cells that accumulate Aß.
A fourth important result is that cells that contain Aß accumulations within neurites also contain BACE1, the major ß-secretase, at the same location, coincident with Aß. The extent of BACE1 accumulation within the neuronal processes of these cells is abnormal, since this enzyme is normally localized to Golgi compartments and early endosomes in the cell body (27, 56). This result suggests that mislocalization of BACE1 may cause the production and accumulation of Aß within processes and synaptic regions. This result is in line with a recent report that proposes that BACE1 localizationin addition to its expression level (13, 21, 57)determines the amount of generated Aß and its accumulation in plaques (28).
The colocalization of Aß with secretases within neurites and at terminals suggests that Aß may be generated during transport through the processes. This does not necessarily mean that this Aß is contained in Golgi-derived secretory vesicles, particularly because BACE1 is active only in the acidic environment provided by endosomes. Our results of colocalization with early endosomal markers and uptake experiments clearly show that the neuritic Aß does not accumulate in early endosomes, which are concentrated in the cell body region. It is likely that the Aß is contained in late endosomes, such as multivesicular bodies, that may originate by maturation from early endosomes generated in the cell body and are then transported anterogradely, down the processes. This hypothesis is supported by our data on colocalization with late endosomal markers and is consistent with recent reports that identify the intraneuritic compartments that contain Aß in neurons as multivesicular bodies (50). Alternatively, the Aß could be contained in autophagic vesicles that form within the neurites. Indeed, a recent study showed that macroautophagy may be an important pathway for Aß generation in AD (58). Although not yet detected in CAD cells, macroautophagy might be selectively triggered in some of these cells, ultimately leading to the abnormal generation and accumulation of Aß. Further studies are required to identify the exact pathway of vesicular transport that results in accumulation of Aß at the distal end of neurites.
An important result of our study is that cells that accumulate Aß within neurites appear to originate by division from a small number of cells, present in the culture, that possess the propensity to form Aß accumulations. Thus, intracellular determinants conferring the Aß phenotype would be clonally transmitted to the progenitors of a few cells that exhibit the biochemical and neuropathological features of degenerating neurons present in the brains of AD patients. These intracellular determinants are not necessarily genetically inherited. As recently shown, expression of neuronal genes can be spontaneously altered by retrotransposition, resulting in neuronal somatic mosaicism, a phenomenon seen both in cultured neurons and in the brains of adult mice, in vivo (33). Thus, events triggering Aß oligomerization and accumulation may be initiated randomly within single cells (16). Overall, our data suggest that intracellular determinants present in a small number of neurons may contribute to the onset of Aß deposition in AD.
It is intriguing that while other studies done with cultured cortical and hippocampal neurons from APP transgenic mice occasionally identified neuritic staining for Aß (49), preferential accumulation at neurite terminalsas found by us in CAD cellshas not been reported. We think that this may be due to differences between neurons from different brain regions. In this respect, neurons derived from the brain stem, such as the CAD cells, may hold the key to explaining the onset of plaque formation in AD. The locus coeruleus neurons innervate many brain regions, including the cerebral cortex and the hippocampus (3, 31), where neuritic plaques are abundant in AD. Plaque formation in the cerebral cortex and hippocampus could be seeded by oligomerized Aß that accumulates at the terminals of projections of neurons with their cell bodies in the brain stem. As our results clearly show, the locus coeruleus-derived CAD cells accumulate oligomerized Aß primarily at the terminals of their processes, which become swollen and contain varicosities. Similarly, tyrosine hydroxylase-containing nerve terminalsextending from the locus coeruleusare markedly enlarged in the proximity of neuritic plaques in AD brains and in mouse models of AD (15). We propose that spontaneous accumulations of Aß at the terminals of brain stem neurons that project into the cortex and hippocampus may nucleate the formation of the neuritic deposits. Thus, the neuropathology of AD may actually begin in subcortical regions and then spread to the cortex and hippocampus. This hypothesis remains to be tested.
In conclusion, we propose a novel cell culture system for the study of AD-like early events in the generation and accumulation of Aß in neuronal cells. We show how this system can be used to address questions of processing and transport of APP and to potentially identify molecular determinants relevant to AD pathology. Finally, we provide support for the hypothesis that redistribution of BACE1, which may spontaneously occur in a small population of neurons, may lead to abnormal generation and regional accumulation of Aß. These accumulations may in time become extracellular and serve as seeds for development of neuritic plaques. Our results thus suggest a clonal origin of abnormal Aß metabolism and plaque formation. Further studies, possibly using CAD cell cultures enriched in cells that accumulate Aß, are required to test this hypothesis.
| ACKNOWLEDGMENTS |
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We thank Dona Chikaraishi and James Wang for kindly providing the CAD cell line; Samantha Cicero and Karl Herrup for kindly providing the cortical neuron cultures; and Li-Huei Tsai, Ming-Sum Lee, Bruce Lamb, and Riqiang Yan for kindly providing cDNA constructs and antibodies. We also thank Karl Herrup and Bruce Lamb for many fruitful discussions on topics covered in this paper.
| FOOTNOTES |
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