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(The FASEB Journal. 2000;14:1255-1263.)
© 2000 FASEB

Protein aging hypothesis of Alzheimer disease

JOZEF ORPISZEWSKI*1, NORBERT SCHORMANN{dagger}, BARBARA KLUVE-BECKERMAN{dagger}, JURIS J. LIEPNIEKS{dagger} and MERRILL D. BENSON{dagger},{ddagger}

* Aprot Corporation, Carmel, Indiana 46082-3813, USA;
{dagger} Department of Pathology and Laboratory Medicine, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA; and
{ddagger} Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana 46202, USA

1Correspondence: Aprot Corporation, P.O. Box 3813, Carmel, IN 46082-3813, USA. E-mail: aprot{at}excite.com


   ABSTRACT
TOP
ABSTRACT
INTRODUCTION
PROTEIN AGING HYPOTHESIS OF...
FORMATION OF SUCCINIMIDE FROM...
SUCCINIMIDE AND ISOASPARTATE...
STRUCTURAL EFFECT OF ASPARTATE...
{beta}-TURN PREFERENCE OF...
POTENTIAL NEUROTOXICITY OF...
SUCCINIMIDE CONTRIBUTION TO...
TESTING OF PROTEIN AGING...
REFERENCES
 
Alzheimer disease (AD), the most common form of aging-related neurodegenerative disorders, is associated with formation of fibrillar deposits of amyloid ß-protein (Aß). While the direct involvement of Aß in AD has been well documented, the relations between Aß production, amyloid formation, and neurodegeneration remain unknown. We propose that AD is initiated by a protein aging-related structural transformation in soluble Aß. We hypothesize that spontaneous chemical modification of aspartyl residues in Aß to transient succinimide induces a non-native conformation in a fraction of soluble Aß, rendering it amyloidogenic and neurotoxic. Conformationally altered Aß is characterized by increased stability in solution and the presence of a non-native ß-turn that determines folding of Aß in solution and the structure of Aß subunits incorporated into amyloid fibrils. While the soluble ‘non-native’ Aß is both the factor triggering the neurodegenerative cascade and the precursor of amyloid plaques, these two events result from interaction of Aß with different sets of cellular components and need not coincide in space and time. Extensive literature data and experimental evidence are provided in support of this hypothesis.—Orpiszewski, J., Schormann, N., Kluve-Beckerman, B., Liepnieks, J. J., Benson, M. D. Protein aging hypothesis of Alzheimer disease.


Key Words: amyloid ß-protein • succinimide • isoaspartate • amyloidosis


   INTRODUCTION
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ABSTRACT
INTRODUCTION
PROTEIN AGING HYPOTHESIS OF...
FORMATION OF SUCCINIMIDE FROM...
SUCCINIMIDE AND ISOASPARTATE...
STRUCTURAL EFFECT OF ASPARTATE...
{beta}-TURN PREFERENCE OF...
POTENTIAL NEUROTOXICITY OF...
SUCCINIMIDE CONTRIBUTION TO...
TESTING OF PROTEIN AGING...
REFERENCES
 
ALZHEIMER DISEASE (AD) is the most common type of aging-related neurodegenerative disorder and is characterized by the presence of extracellular neuritic amyloid plaques, cerebrovascular amyloid deposits, and intraneuronal neurofibrillary tangles. The identification by Glenner and Wong in 1984 (1) of amyloid ß-protein (Aß) as the major component of neuritic amyloid plaques opened a new era of intensive research on neurodegenerative diseases dominated by the view that this 40–42 amino acid long peptide is the causative agent in AD (Fig. 1 ). Subsequent research confirmed the primary function of Aß in the development of the disease, but the exact role played by this peptide has remained enigmatic (2 , 3) .



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Figure 1. Amino acid sequence of amyloid ß-protein 1–42 (Aß42). Aß contains three aspartyl residues (highlighted), two of which have been demonstrated to be highly isomerized and racemized in amyloid plaques (underlined).

For over a decade, the neurodegenerative character of Aß protein has been attributed to its propensity to oligomerize and form amyloid fibrils. The ‘amyloid cascade hypothesis’, which still dominates the field, postulates that Aß amyloid formation is the primary event in AD triggering a series of cellular events that lead to formation of neurofibrillary tangles, neurodegeneration, and dementia (3 , 4) . Although several alternative hypotheses have been proposed over the years, none has approached the completeness and universality of the amyloid hypothesis. However, the controversy over amyloid as a mediator of Aß neurotoxicity intensified in the last 2 years in light of several reports that transgenic animals overproducing Aß peptide show neurodegeneration that preceded or occurred completely without amyloid formation (5 6 7) . Ironically, these studies also provided additional strong evidence for direct involvement of Aß in AD. These contradictory observations underscore an urgent need for a new hypothesis that would address the association between Aß production and neurodegeneration, one that would explain formation of Aß amyloid plaques and their correlation with the progression of AD in humans, and most important, one that could be tested.

Potential contributions of posttranslational modifications of aspartyl residues to Aß amyloidosis have been addressed in several studies initiated after the work of Shapira et al. (8) and Roher et al. (9 , 10) showed that Aß isolated from amyloid deposits has an unusually high content of racemized and isomerized Asp. Roher and co-workers (9 , 11) comprehensively discussed the potential consequences of Asp modifications, suggesting they may affect Aß production and resistance to proteolysis, complement cascade activation, and amyloid nucleation and stabilization. They suggested that the accumulation of modified aspartyl residues may result from decreased protein turnover or from its sequestration from cytoplasmic isoAsp repair enzyme, suggestive that the majority of modifications may occur after the initial deposition of amyloid in the extracellular space. Subsequent studies by other research groups have built on this excellent work and addressed specific questions raised by Roher et al. The work of Fukuda et al. (12) and the research groups of Drs. Roher (13) , Otvos (14 15 16) , and Tenner (17) showed that formation of isoAsp could have a tremendous impact on Aß conformation, toxicity, and fibrillogenicity. In addition, other groups showed that racemization of aspartate might contribute to Aß amyloidosis (18 , 19) . Even though these studies indisputably demonstrated that modifications of aspartyl residues could affect development of AD, they have not led to any consistent conclusions or tenable hypothesis on the mechanism of Aß pathogenicity. We proposed that a comprehensive evaluation of the effect of posttranslational modifications on Aß toxicity and amyloidogenicity required expanding the research on succinimide, which is the product of Asp dehydration and the direct precursor of isomerized and racemized residues (20) . Our model studies and a careful analysis of the literature have led to the conclusion that an effect of succinimide on AD may far exceed that expected and observed in vitro for isoAsp, D-Asp, or D-isoAsp, and have prompted us to propose a testable mechanism of succinimide-induced pathogenicity of Aß. We believe that the contribution of succinimide may form the basis for a rational design of novel therapeutics aimed at early events in AD.

The ‘Protein Aging Hypothesis of Alzheimer Disease’ presented below is based on recent advances in the fields of Alzheimer Aß protein, protein aging, and protein structure and folding. It is aimed at explaining and linking many contradictory observations made in the field of AD by various research groups. It significantly extends the current concept of Aß involvement in AD and is not intended to contradict existing hypotheses, but rather to provide a strong alternative point of view for analysis and interpretation (and possibly reinterpretation) of experimental results.


   PROTEIN AGING HYPOTHESIS OF ALZHEIMER DISEASE
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ABSTRACT
INTRODUCTION
PROTEIN AGING HYPOTHESIS OF...
FORMATION OF SUCCINIMIDE FROM...
SUCCINIMIDE AND ISOASPARTATE...
STRUCTURAL EFFECT OF ASPARTATE...
{beta}-TURN PREFERENCE OF...
POTENTIAL NEUROTOXICITY OF...
SUCCINIMIDE CONTRIBUTION TO...
TESTING OF PROTEIN AGING...
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At the heart of the Protein Aging Hypothesis are widely accepted notions that Aß protein plays a central role in AD and that the conformational changes in Aß protein determine its pathogenicity (2) . We postulate that a fraction of total soluble Aß undergoes spontaneous chemical modification of aspartyl residues as a result of protein aging, and such modifications increase the probability of structural transition in soluble Aß to a pathogenic conformation with potentially neurotoxic and amyloidogenic properties. Specifically, we make the following new postulates:

1. Spontaneous cyclization of an aspartyl residue to a succinimide in soluble Aß protein is the initial event in AD.

2. Succinimide changes conformational preferences of Aß, destabilizing the existing tertiary structure and increasing the likelihood of a non-native conformation through stabilization of a non-native ß-turn. Although only a portion of succinimide-containing soluble Aß undergoes such structural transition, the non-native conformer of Aß shows increased solubility (likely as a dimer or a tetramer) and lower vulnerability to nonspecific aggregation. The concentration of the non-native conformer is directly proportional to the total concentration of Aß.

3. Soluble non-native Aß is the actual factor triggering the cascade leading to neurodegeneration and is also a precursor of amyloid plaques. However, neurodegeneration and amyloidogenesis occur independently and do not need to coincide in space and time, because they result from interaction of soluble non-native Aß with different sets of cellular components. Neurodegeneration is the result of cellular mis-recognition of non-native structural elements such as a type II' ß-turn or a ß-hairpin. Fibrillogenesis is likely facilitated by well-defined and very specific ß-sheets geometry determined by the succinimide-induced type II' ß-turn.


   FORMATION OF SUCCINIMIDE FROM ASPARTYL RESIDUE
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ABSTRACT
INTRODUCTION
PROTEIN AGING HYPOTHESIS OF...
FORMATION OF SUCCINIMIDE FROM...
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As AD is associated with advanced age, several known aging-related protein modifications such as oxidation, glycation, isomerization, and racemization have been studied intensively in relation to AD and amyloid formation. In most cases, they have been shown to increase ß-sheet content and/or in vitro fibrillogenesis. Nonetheless, proteins isolated from amyloid deposits, although highly proteolyzed, do not generally show signs of any extensive modifications and seem to be chemically identical to precursor proteins. An important exception is the high level of isomerization and racemization of aspartate detected in Aß protein isolated from Alzheimer cerebral plaques and vascular deposits (9 , 10) .

Isomerization and racemization of aspartate as well as deamidation of asparagine constitute the most common types of aging-related protein damage. These reactions proceed through a common pathway involving formation of a transient cyclic succinimide intermediate (Fig. 2 ) (for review, see refs 21 , 22 ). Formation of the succinimide from aspartate is a result of an intramolecular nucleophilic attack of the peptide amide-nitrogen on the side chain carbonyl group of Asp. Hydrolysis of succinimide leads to accumulation of stable isoaspartyl sites (isoAsp) in which the peptide bond is formed by the side chain carboxyl of aspartic acid. As this is the only known reaction leading to isoAsp, every time an isoaspartyl site is detected in proteins it provides direct evidence that cyclization of aspartate to succinimide has occurred. In an alternative pathway, succinimide may undergo racemization prior to hydrolysis, resulting in formation of D-Asp or D-isoAsp residues.



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Figure 2. Formation of succinimide through spontaneous cyclization of aspartyl residue and products of its hydrolysis. Succinimide is formed by intramolecular reaction between protonated carboxyl group of Asp and unprotonated amide-nitrogen. Hydrolysis of succinimide yields a mixture of L-Asp and L-isoAsp usually in the ratio of 1:3. In addition, racemization of succinimide at the {alpha}-carbon can lead to formation of D-Asp and D-isoAsp. L-isoAsp can undergo intracellular methylation by protein L-isoaspartyl methyltransferase to unstable methyl ester, which readily cyclizes to succinimide.

Several unique features of aspartate cyclization support its involvement in the pathogenic processes in AD. As an intramolecular reaction, it is independent of protein concentration and the presence of other cellular components (as long as they do not influence the structure of the polypeptide). Moreover, it is only slightly dependent on pH and buffer composition, which means that cyclization of Asp to succinimide can occur in any environment, both intra- and extracellularly.

In vivo, intracellularly formed L-isoaspartyl sites are subject to repair mediated by the widely distributed enzyme, protein L-isoaspartyl methyltransferase (PIMT), which is particularly abundant in brain tissue (21 , 23) . In the first step of the repair pathway, L-isoAsp is enzymatically methylated to form isoaspartyl methyl ester, which readily cyclizes to the succinimide and is further metabolized as described above (Fig. 2) . Repeated action of PIMT leads eventually to restoration of the original aspartyl residue. However, proteins located in the extracellular space escape this repair and several brain extracellular proteins have been shown to accumulate high levels of isoAsp in vivo (24 25 26) .

The soluble fraction of aged human brain cortex contains an average of 490 pmol isoAsp/mg of protein (27) , most of which is located in soluble extracellular chondroitin sulfate proteoglycans (CSPG), predominantly phosphacan (24) , which do not undergo the repair process. Assuming that half of isoAsp is derived from aspartyl residues, as has been observed in bovine calmodulin (28) , one can estimate that ~4% of all aspartyl residues in soluble bovine phosphacan have undergone succinimide formation in adult brain. Studies in rats showed that the newborn brain already contained close to 10 pmol of isoAsp/mg of protein and the content of damaged CSPG increased dramatically with age (24) . Intact succinimide has been demonstrated in a neuropeptide N-acetylaspartylglutamine (NAAG) isolated from the murine and bovine central nervous system (29) . In rat spinal cord, the succinimide-NAAG accumulated progressively with age, increasing from below detectable level in newborn to 5 pmol/mg of wet tissue at the age of 12 months.

Purified proteins and peptides also undergo aging and spontaneous succinimide formation at appreciable rates (21 , 30 , 31) . For example, the very labile Asp101 of hen egg-white lysozyme cyclizes at a rate of ~1%/h at 40°C in solution and 7%/wk at 20°C in the crystalline state (31) . Brain-derived proteins such as tubulin (32) and synapsin (33) accumulate isoaspartyl sites from both aspartate and asparagine at the rate of 2.4–8 mol % per day on incubation in vitro at near-physiological conditions (pH 7.2–7.4, 37°C). A significant rate of succinimide formation can also be expected in Aß peptides ‘aged’ in vitro (34) .

Succinimide also forms during solid phase peptide synthesis, particularly when strong acids are used to cleave side chain-protecting groups in Boc chemistry (35) . Under typical cleavage conditions using HF-anisole (9:1) at 0°C, the rate constant of succinimide formation from aspartyl ß-benzyl ester in a model tetrapeptide is 73.6 x 10-6 s-1, consistent with 5–8% of succinimide by-product after deprotection (35) . Even though chromatographic separation of the main synthetic product from succinimide by-product is usually straightforward for short peptides, it may be quite difficult in the case of long and hydrophobic peptides such as Aß (J. Orpiszewski and M. D. Benson, unpublished observations). Variation in the relative amounts of succinimide Aß and unmodified Aß may be responsible for irreproducibility of some experimental results that show high dependence on the source and lot number of synthetic Aß (for example, see ref 36 ).


   SUCCINIMIDE AND ISOASPARTATE RESIDUES IN Aß
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INTRODUCTION
PROTEIN AGING HYPOTHESIS OF...
FORMATION OF SUCCINIMIDE FROM...
SUCCINIMIDE AND ISOASPARTATE...
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SUCCINIMIDE CONTRIBUTION TO...
TESTING OF PROTEIN AGING...
REFERENCES
 
Although the presence of succinimide in soluble Aß in vivo is yet to be shown, the high level of isomerization and racemization of Asp in amyloid plaques has been well documented (9 , 10 , 37) . Roher and co-workers (9) proved that aspartates at positions 1 and 7 were isomerized and racemized. They showed that the hydrolysate of cortical Aß contained 25% of D-Asp (9 , 11) . In addition, chromatographic separation of tryptic peptides in conjunction with enzymatic detection of isoAsp revealed that ~75% of Asp1 and Asp7 were isomerized. Considering that the succinimide intermediate is usually hydrolyzed to a mixture of Asp and isoAsp at a ratio of 1:3 and that formation of D-Asp results predominantly from racemization of succinimide intermediate, one can reasonably estimate that all Asp residues at positions 1 and 7 must have undergone succinimide formation during the lifetime of Aß protein found in Alzheimer plaques.

A high degree of isomerization and racemization of Asp7 detected in amyloid plaques proves that this residue is particularly vulnerable to cyclization. In fact, the Asp-Ser peptide bond is the second most prone to cyclization in synthetic peptides, next only to Asp-Gly (for review, see ref 21 ). This makes it highly probable that cyclization of Asp7 occurs in soluble Aß, and that the content of isomerized sites in Aß and soluble extracellular CSPG is comparable.

Contrary to Asp1 and Asp7, isomerization of Asp23 of Aß protein has not been reported. However, the relative flexibility of Aß in the region of Glu22-Asp23, detected by nuclear magnetic resonance (NMR) (38) , and the direct proximity to the Glu22Gln mutation associated with familial amyloidosis (39) indicate that the possibility and importance of succinimide formation at residue Asp23 cannot be ignored. In any case, the concentration of succinimide containing peptide will be directly proportional to the total concentration of Aß.


   STRUCTURAL EFFECT OF ASPARTATE CYCLIZATION
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ABSTRACT
INTRODUCTION
PROTEIN AGING HYPOTHESIS OF...
FORMATION OF SUCCINIMIDE FROM...
SUCCINIMIDE AND ISOASPARTATE...
STRUCTURAL EFFECT OF ASPARTATE...
{beta}-TURN PREFERENCE OF...
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Cyclization of an aspartyl residue to succinimide introduces dramatic changes in the polypeptide chain: 1) neutralization of the negative charge of the carboxyl group, 2) change in the volume of the residue, and 3) tremendous steric constraint similar to the effect of a proline residue. It is likely that formation of succinimide in an unstructured or temporarily refolded part of Aß would prevent formation of hydrogen bonds or salt bridges necessary for ‘normal’ folding and would prevent formation of secondary structure elements normally occurring in such a polypeptide fragment. Wood and co-workers (40) showed that substituting proline for any residue in the 17–23 fragment of Aß led to complete loss of fibril formation and excellent peptide solubility. A restriction in peptide flexibility as imposed by the cyclic ring of Pro can also be expected in the case of the flat and rigid succinimide ring.

The structural effect of succinimide on Aß may extend far beyond restricting ‘normal’ folding. In fact, there are multiple examples of mutations of acidic residues in amyloidogenic proteins leading directly to amyloidosis. Several of these mutations introduce very minor chemical modifications to acidic residues (Table 1 ), such as replacement of aspartic acid with asparagine in gelsolin and prion protein or glutamic acid with glutamine in transthyretin and Aß (41 , 42) . Although the exact mechanism of amyloidogenicity of these mutations is not understood, it is likely they both destabilize the ‘native’ fold and increase the probability of an alternative folding either through a kinetic or thermodynamic effect, or both. Studies using synthetic dodecapeptides showed that any kind of chemical modification of aspartyl residues can change folding preferences and fibrillogenic properties of the polypeptide chain (20) . In the case of succinimide, in addition to its strong structure-destabilizing effect, there is a well-defined steric preference that may affect folding of the whole protein.


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Table 1. Mutations of acidic residues in hereditary amyloidoses


   ß-TURN PREFERENCE OF SUCCINIMIDE RESIDUE AND ITS EFFECT ON PROTEIN FOLDING
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The flat structure of the succinimide ring imposes strict constraints on the torsion angles of adjoining bonds, which disfavor extended conformation of the polypeptide chain. In fact, the geometry of succinimide residue is identical to that predicted for the second residue of a type II' ß-turn in a polypeptide chain (22) . This theoretical prediction has been widely supported by molecular simulation and by NMR and crystallographic data obtained for short succinimide-peptides that assume type II' ß-turn conformation even in the absence of long-range stabilizing interactions (Fig. 3 ; see, for example, refs 43 44 45 ).



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Figure 3. Crystallographic structure of a succinimide-containing tetrapeptide in type II' ß-turn conformation. Succinimide residue (Asu) strongly favors type II' ß-turn with Asu in the second position of the turn and an intramolecular hydrogen bond between amide groups after the first and third residues. The crystal structure of the tetrapeptide Boc-Pro-Asu-Gly-Ala-OMe is shown. The drawing was prepared using crystallographic data from ref 44 .

The unusual conformation and the effect of type II' ß-turns on protein structure have been well reviewed in the literature (46 47 48) . This rare turn is a ‘mirror image’ of type II turn, which along with type I are the most common turns in globular proteins. The rare occurrence of the type II' ß-turn is due to the fact that natural L-amino acids strongly destabilize it. However, the mirror image turns II' and I' have a unique advantage of promoting a two-residue tight ß-hairpin structure due to their conformation, which is fully compatible with the natural right-handed twist of ß-sheet (Fig. 4 ) (46 , 48 49 50 51) . Systematic survey of protein crystal structures revealed that two residue ß-hairpins in fact contain almost exclusively the mirror image turns, and half of all identified type II' ß-turns were found in ß-hairpins (46 , 47) .



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Figure 4. A ß-hairpin with type II' ß-turn in aspartic proteinase. Type II' ß-turn stabilizes the ß-hairpin formed by residues 256–268 of Endothia aspartic proteinase (PDB entry 2ER7). The conformation of type II' ß-turn is fully compatible with natural twist of antiparallel ß-sheet in two-residue ß-hairpins. In contrast, the most common ß-turns, types I and II, destabilize such tight ß-hairpins.

The propensity of succinimide to form type II' ß-turn has strong implication for Aß folding or refolding. First, cyclization of Asp to succinimide changes local folding preferences of the polypeptide chain and can induce a ß-turn where it would not be expected in the unmodified peptide. Second, formation of type II' ß-turn highly increases the probability of a ß-hairpin structure even if the flanking residues do not create a perfect match for an antiparallel ß-sheet (52 , 53) . Third, locally formed ß-turn and ß-hairpin structures may serve as nucleation sites for Aß folding/refolding. The strong propensity of ß-hairpins to nucleate cooperative folding of proteins has already been well documented (54 55 56 57) .

The potential effect of succinimide formation on Aß folding is enormous due to high structural plasticity of Aß protein. Whereas typical globular proteins fold into one well-defined native structure even in the presence of different mutations (57) , Aß is known to exist in various structures ranging from prone-to-aggregation ß-sheet, to random coil, to {alpha}-helix. Due to low activation energy for structural transition and thermodynamic equivalence of different folding states, Aß easily interconverts between different folds on slight changes in environmental conditions. However, such high plasticity means that the population of well-defined ß-turn and ß-hairpin structures in succinimide-containing Aß will not be high and may remain unnoticed when secondary structure is monitored in solution by circular dichroism or NMR, which provide averaged structural information (52 , 53) . In fact, even specifically designed ß-hairpin peptides do not assume a single fold and are in equilibrium with random coil-like conformations in aqueous solutions (52 , 58 , 59) .

On the other hand, in the presence of favorable tertiary and possibly quaternary structural interactions, weakly defined ß-turns and ß-hairpins become dominant structural elements dictating the folding of longer polypeptide chains (54 , 59 , 60) . In the case of Aß, such interactions may include dimerization or tetramerization, which have been shown to exist in vivo and improve peptide stability (13 , 61 , 62) . The presence of succinimide-induced non-native ß-turn and ß-hairpin may also contribute to peptide stability by discouraging aggregation (ref 54 ; J. Orpiszewski and M. D. Benson, unpublished observations), similar to the effect of proline substitutions in Aß (40) .


   POTENTIAL NEUROTOXICITY OF SUCCINIMIDE-CONTAINING SOLUBLE Aß
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INTRODUCTION
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The presence of a succinimide-induced, non-native structure in Aß opens the possibility that the neurodegenerative cascade in AD is triggered by mis-interaction of modified soluble Aß with other cellular components. The precise mechanism of such mis-interaction is difficult to predict, since little is known about events leading to neurodegeneration. In fact, both extracellular and intracellular signal transduction pathways have been proposed and candidate Aß binding proteins of diverse nature have been identified (2 , 63 64 65) . The extracellular receptor RAGE of the immunoglobulin superfamily is one of these proteins that mediate oxidative stress and neurotoxicity (63) . As antigen protein–immunoglobulin interactions often include ß-turn and loop epitopes (66) , it is likely that formation of non-native ß-turn and ß-hairpin in Aß may significantly alter its antigenic properties and lead to mis-recognition by immunoglobulin-type cellular receptors. Moreover, conformationally altered Aß may contain additional non-native epitopes recognizable by other types of extra- or intracellular receptors.


   SUCCINIMIDE CONTRIBUTION TO AMYLOID FORMATION
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While Aß amyloid plaques are the hallmark of AD, several studies including those with transgenic animals indicate that plaque formation does not need to correlate with neurotoxicity either in space or in time (5 6 7) . Although succinimide-containing Aß in non-native conformation may be both the cause of neurodegeneration and precursor for amyloid plaques, it is likely that different conformational features of Aß and different environmental factors contribute to these two processes.

We used synthetic dodecapeptides derived from H2N-VTVKVDAVKVTV-CONH2 to study the effect of modifications of the centrally located aspartyl residue on peptide secondary structure and fibrillogenicity (ref 20 ; J. Orpiszewski and M. D. Benson, unpublished observations). We demonstrated that substitution of the aspartyl residue with succinimide, asparagine, glutamic acid, aspartyl methyl ester, or glutamyl methyl ester lead to increased ß-sheet structure detectable by circular dichroism and to increased fibrillogenicity, although to different degrees. Aspartyl and glutamyl methyl esters showed the highest ß-sheet content, lowest solubility, and highest tendency for aggregation at neutral pH (20) . Well-defined fibrils prepared from these peptides were relatively short and thick, corresponding to an extended conformation of the polypeptide chain within fibrils. In contrast, the peptide containing succinimide in place of aspartic acid was much more soluble and stable in aqueous solution, showed a lower tendency to nonspecific aggregation, and showed a lower ß-sheet content (J. Orpiszewski and M. D. Benson, unpublished observations). However, it also formed well-defined fibrils under the same experimental conditions (Fig. 5 ). Moreover, fibrils prepared from the succinimide peptide were narrow and very long, suggesting that the polymerization process was rapid, specific, and uninterrupted. Although CD measurements did not reveal any significant content of ß-turn in solution, fibril diameter measured on electron micrographs was consistent with a ß-hairpin structure of the peptide. It seems likely that the succinimide-induced, two-residue ß-hairpin with a rigorously determined twist of antiparallel ß-sheet strictly defined the surface geometry of the growing fibril. This prevented nonspecific interaction between ß-sheets and early termination of fibril polymerization.



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Figure 5. Electron micrograph of amyloid-like fibrils formed by a succinimide-containing designed peptide. A dodecapeptide (H2N-Val-Thr-Val-Lys-Val-Asu-Ala-Val-Lys-Val-Thr-Val-CONH2) formed long and narrow fibrils on incubation at pH 7.3 at 37°C. The diameter of the fibrils (1.7–3.2 nm) was consistent with a dimer of the peptide in a ß-hairpin conformation as the smallest fibril-building unit. Scale bar represents 200 x 4 nm.

We propose that succinimide has the same effect on the polymerization of Aß protein. The presence of a non-native type II' ß-turn induces a right-handed twist of ß-sheet with a well-defined angle between the strands of ß-hairpin (Fig. 4) . Such a strictly defined non-native geometry of ß-sheet would likely prevent its nonspecific interaction with other proteins, which could lead to early termination of fibril growth; however, it would constitute a very specific nucleus for uninterrupted polymerization of Aß protein.

In addition to initiation of amyloidogenesis, the non-native ß-turns and ß-hairpins within amyloid fibrils or, more likely, within protein subunits resolublized from amyloid (67 68 69) , could be responsible for recruiting microglia and initiating the inflammations often associated with amyloid in Alzheimer brains.


   TESTING OF PROTEIN AGING HYPOTHESIS OF ALZHEIMER DISEASE
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INTRODUCTION
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FORMATION OF SUCCINIMIDE FROM...
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{beta}-TURN PREFERENCE OF...
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TESTING OF PROTEIN AGING...
REFERENCES
 
The hypothesis presented here is not intended to contradict existing hypotheses on the origin of AD and amyloidosis. We believe that AD is a complex disease that is manifested only when multiple cellular, conformational, and metabolic factors come into play at the same time, allowing a small fraction of an otherwise normal protein to escape its metabolic fate and become pathogenic. Moreover, there are probably many different ways to make Aß protein pathogenic due to its high structural plasticity, and the question is not which pathway is the right one, but rather which dominates in a particular case.

There are many excellent approaches developed by different researchers studying the pathogenesis of Aß protein and hereditary amyloidoses that can be used directly to test the involvement of succinimide in AD. However, due to the high propensity of aspartyl residue to succinimide formation both in vitro and in vivo, particular care must be taken in designing experiments and choosing reagents to be able to clearly distinguish between effects caused by unmodified and by succinimide-containing Aß peptides. Moreover, for the same reasons it may sometimes be more appropriate to ask whether succinimide-induced pathogenesis actually forms the main pathological pathway rather than trying to prove or disprove that succinimide contributes to AD.

In addition to AD, protein aging and succinimide formation may also underlie other disorders associated with conformational changes in protein including prion diseases. However, at this time there are not enough data available to justify extending the Protein Aging Hypothesis beyond Alzheimer disease.


   FOOTNOTES
 
Received for publication July 20, 1999. Revised for publication January 10, 2000.


   REFERENCES
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ABSTRACT
INTRODUCTION
PROTEIN AGING HYPOTHESIS OF...
FORMATION OF SUCCINIMIDE FROM...
SUCCINIMIDE AND ISOASPARTATE...
STRUCTURAL EFFECT OF ASPARTATE...
{beta}-TURN PREFERENCE OF...
POTENTIAL NEUROTOXICITY OF...
SUCCINIMIDE CONTRIBUTION TO...
TESTING OF PROTEIN AGING...
REFERENCES
 

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