Elsevier

Experimental Neurology

Volume 167, Issue 2, February 2001, Pages 385-392
Experimental Neurology

Regular Article
α2-Macroglobulin-Mediated Degradation of Amyloid β1–42: A Mechanism to Enhance Amyloid β Catabolism

Dedicated to Prof. G Kopperschläger on the occasion of his 65th birthday.
https://doi.org/10.1006/exnr.2000.7569Get rights and content

Abstract

Peptides derived from proteolytic degradation of the amyloid precursor protein, e.g., amyloid β (Aβ), are considered to be central to the pathology of Alzheimer's disease (AD). Soluble Aβ is present in measurable concentrations in cerebrospinal fluid and blood. There are indications that soluble Aβ present in circulation can cross the blood–brain barrier via transcytosis mediated by brain capillary endothelial cells. It implies that Aβ originating from circulation may contribute to vascular and parenchymal Aβ deposition in AD. Enhancing of Aβ catabolism mediated by proteolytic degradation or receptor-mediated endocytosis could be a key mechanism to maintain low concentrations of soluble Aβ. To launch Aβ clearance we have exploited the Aβ-degrading activity of diverse α2-macroglobulin (α2-M)–proteinase complexes. Complexes with trypsin, α-chymotrypsin, and bromelain strongly degrade 125I-Aβ1–42 whereas complexes with endogenous proteinases, e.g., plasmin and prostate-specific antigen, were not effective. Aβ degradation by the complexes was not inhibited by α1-antichymotrypsin and soybean trypsin inhibitor which normally would inactivate the free serine proteinases. A prerequisite for Aβ degradation is its binding to specific binding sites in α2-M that may direct Aβ to the active site of the caged proteinase. Ex vivo, enhanced degradation of 125I-Aβ1–42 in blood could be achieved upon oral administration of high doses of proteinases to volunteers. These results suggest that up-regulation of Aβ catabolism could probably reduce the risk of developing AD by preventing Aβ accumulation in brain and vasculature.

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