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Department of Neuropathology 
Professor Yasuo Ihara, M.D. 
Lecturer Maho Morishima, Ph.D. 
Associate Satoru Funamoto, Ph.D. 
Tomohiro Miyasaka, Ph.D. 
 
The long-term goal of the research in our department is to determine the 
molecular events that lead to the development of Alzheimer's disease (AD). For 
this purpose, we are analyzing two proteins, amyloid s-protein (As) and tau, and 
their related molecules that have been implicated in the AD pathogenesis:. 
 
Current goals include: 
1 Characterization of the enzymatic properties of ?-secretase 
[Background] We and other groups found that APP is cleaved by ?-secretase, not 
only in the middle of the transmembrane domain (?-cleavage), but also near the 
membrane-cytoplasm boundary (referred to as ?-cleavage). This ?-cleavage site is 
located a few residues inside the membrane from the boundary, and is very close 
to site 3 for cleavage of Notch. The major product of ?-cleavage is an APP 
intracellular domain (AICD) that begins at Val-50, while the minor one is 
AICD49-99. 
Most importantly, there is a link between AICD50-99 and As40 production, and a 
link between AICD49-99 and As42 production. A potential link between As40/42 and 
AICD50-99/49-99 raises further questions. Which cleavage, ?- or ?-cleavage, 
comes first, and how is one related to the other? Because we failed to detect a 
particular AICD, longer than AICD49-99, one possibility is that sCTF (s-stub of 
APP, an immediate substrate for ?-secretase) is first cleaved at the ?-sites, 
and the products generated (As1-48 and 1-49) undergo ?-cleavage, generating 
As40/42.  
A number of substrates for ?-secretase thus far identified are type 1 membrane 
proteins, and appear to be cleaved at a very similar site to that of ?-cleavage. 
This suggests that the ?-site is the primary cleavage position for a fraction of 
type 1 membrane proteins. The water molecules absolutely required for 
proteolysis may be facilitated to gain entry into this peripheral region of the 
membrane. We hypothesized that ?-cleavage comes first, and ?-cleavage follows, 
generating As40 and 42. To test this hypothesis, we seek to address the 
following issues. 
a) Do those longer Ass exist in the cell lysate? 
Here the longer Ass indicate As43-As49. If this is the case, it has important 
implications for understanding the mechanism of intramembranous cleavage for 
APP, and probably for the degradation of many type 1 membrane proteins (see 
above). 
b) Catalytic properties of the ?-secretase 
According to our recent observations, DAPT (a potent, dipeptidic ?-secretase 
inhibitor) leads to suppression of As40 production and an accumulation of As43. 
Its increasing doses cause suppression of As43 production, which is associated 
with an accumulation of As46. Although the mode of action of DAPT remains 
unknown, this observation strongly suggests that As46 is a precursor for As43, 
As43 is a precursor for As40, and that the cleavages progress in a 
unidirectional and successive manner from the carboxyl side of the transmembrane 
domain of sCTF to the middle of the membrane. 
The transmembrane domain of sCTF is postulated to adopt an ?-helix that needs 
3.6 residues for one complete turn. According to this model, the cleavage sites 
for As49, As46, As43, and As40 are aligned on the ?-helical surface of the sCTF 
molecule, while those for As48, As45, and As42 are aligned on the other 
?-helical surface. Thus, we suggest that As40 may be produced from As49 by 
cleaving at every three residues, while As42 is produced similarly from As48. 
As40-producing secretase and As42-producing secretase may be topographically 
distinct from each other. 
2 Alternate mechanisms of As accumulation in the brain 
[Background] At present, the pathogenesis of Familial AD can be understood by 
altered enzyme-substrate relationship: Mutations in enzyme (presenilin) or 
substrate (APP) cause an (small) increase in the As42 production, which 
eventually leads to AD. Patients with presenilin or APP mutants usually show 
higher levels of As42 in the plasma. This altered relationship can be detected 
by increased levels of As42 in the plasma. The majority of AD patients do not 
appear to have increased levels of As42 in the plasma, thus suggesting another 
pathway(s) to the formation of senile plaques and the development of AD. In 
particular, the ?4 allele that brings earlier deposition of As42 in the brain is 
probably mediated through other pathways. One possibility is altered 
environments induced by aging: Altered lipid composition and/or generation of a 
certain factor may promote As aggregation. In this regard, it may be important 
to investigate the significance of As accumulation in the raft. 
3 The mechanisms of neuronal cell death in AD  
[Background] FTDP-17 (Frontotemporal dementia and parkinsonism linked to 
chromosome 17) is caused by a number of mutations in the tau gene, and 
characterized neuropathologically by tauopathy and neuronal loss. Currently, the 
most important question about tau is why and how tau kills the neuron, rather 
than why and how it aggregates into neurofibrillary tangles (NFT). 
We have constructed C. elegans model of tauopathy. When wild-type tau is 
expressed in the mechanosensory neuron of the worm, its touch response decreases 
in an age-dependent manner. Furthermore, the expression of P301L and R406W (two 
representative FTDP-17 tau mutations) aggravated the symptoms. Morphological 
investigations showed that tau accumulates age-dependently, and importantly, 
degeneration of the neuron appear to start without accumulation of tau. This 
observation is consistent with our view that the initial step to neuronal death 
may be shared by the pathway to NFT formation, and but that neuronal death 
occurs without tau accumulation. 
a) Microarray analysis of mutant worms 
Using those transgenic worms, we would like to proceed to microarray study. Now 
we have a couple of lines which panneuronally express wild-type, P301L or R406W 
tau, and show unc phenotypes. By comparing the these lines of transgenic worms, 
we would pick up abnormally up- or down-regulated genes, which may be involved 
in tau-mediated neuronal degeneration. Particular genes that are involved in the 
neuronal degeneration should be shared by all three kinds of transgenic worms, 
and most aberrantly expressed in the worms developing the phenotype earlier. 
 
References
	- Lee S, Kim JH, Lee CS, Kim JH, Kim Y, Heo K, Ihara Y, Goshima Y, Suh PG, 
	Ryu SH: Collapsin response mediator protein-2 inhibits neuronal 
	phospholipase D2 activity by direct interaction. J Biol Chem 277: 6542-6549, 
	2002
 
	- Qi Y, Morishima-Kawashima M, Sato T, Mitsumori R, lhara Y: Distinct 
	mechanisms by mutant presenilin 1 and 2 leading to increased intracellular 
	levels of amyloid s-protein 42 in Chinese hamster ovary cells. Biochemistry 
	42: 1042-1052, 2003
 
	- Sato T, Dohmae N, Qi Y, Kakuda N, Misonou H, Mitsumori R, Maruyama H, 
	Koo EH, Haass C, Takio K, Morishima-Kawashima M, Ishiura S, Ihara Y: 
	Potential link between amyloid s-protein 42 and C-terminal fragment ?49-99 
	of s-amyloid precursor protein. J Biol Chem 278: 24294-24301, 2003
 
	- Kanamori T, Nishimaki K, Asoh S, Ishibashi Y, Takata I, Kuwabara T, 
	Taira K, Yamaguchi H, Sugihara S, Yamazaki T, Ihara Y, Nakano K, Matuda S, 
	Ohta S. Truncated product of the bifunctional DLST gene involved in 
	biogenesis of the respiratory chain. EMBO J 22: 2913-2923, 2003
 
	- Wada S, Morishima-Kawashima M, Qi Y, Misono H, Shimada Y, Ohno-Iwashita 
	Y, Ihara Y: ?-Secretase activity is present in rafts, but not 
	cholesterol-dependent. Biochemistry 42: 13977-13986, 2003
 
	- Watanabe N, Araki W, Chui DH, Makifuchi T, Ihara Y, Tabira T: Glypican-1 
	as an As binding HSPG in the human brain: Its localization in DIG domains 
	and possible roles in the pathogenesis of Alzheimer's disease. FASEB J in 
	press
 
	- Oyama F, Kotliarova S, Harada A, Ito M, Miyazaki H, Ueyama Y, Hirokawa 
	N, Nukina N, Ihara Y: Gem GTPase and tau: morphological changes induced by 
	Gem GTPase in CHO cells are antagonized by tau. J Biol Chem in press
 
 
 
Annual Report of the Graduate School of Medicine and The Faculty of Medicine
The University of Tokyo Reports for the Period April 2002 - March 2004
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