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Originally published In Press as doi:10.1074/jbc.M003154200 on May 19, 2000

J. Biol. Chem., Vol. 275, Issue 35, 27110-27116, September 1, 2000
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Substitutions at Codon 22 of Alzheimer's Abeta Peptide Induce Diverse Conformational Changes and Apoptotic Effects in Human Cerebral Endothelial Cells*

Leticia MiravalleDagger , Takahiko TokudaDagger , Roberto ChiarleDagger , Giorgio Giaccone§, Orso Bugiani§, Fabrizio Tagliavini§, Blas FrangioneDagger , and Jorge GhisoDagger

From the Dagger  Department of Pathology, New York University School of Medicine, New York, New York 10016 and the § Istituto Nazionale Neurologico Carlo Besta, Milano 20133, Italy

Received for publication, April 13, 2000, and in revised form, May 16, 2000

    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Cerebral amyloid angiopathy is commonly associated with normal aging and Alzheimer's disease and it is also the principal feature of hereditary cerebral hemorrhage with amyloidosis Dutch type, a familial condition associated to a point mutation G to C at codon 693 of the amyloid beta  (Abeta ) precursor protein gene resulting in a Glu to Gln substitution at position 22 of the Abeta (E22Q). The patients carrying the Abeta E22Q variant usually present with lobar cerebral hemorrhages before 50 years of age. A different mutation described in several members of three Italian kindred who presented with recurrent hemorrhagic strokes late in life, between 60 and 70 years of age, also associated with extensive cerebrovascular amyloid deposition has been found at the same position 22, this time resulting in a Glu to Lys substitution (E22K). We have compared the secondary structure, aggregation, and fibrillization properties of the two Abeta 40 variants and the wild type peptide. Using flow cytometry analysis after staining with propidium iodide and annexin V, we also evaluated the cytotoxic effects of the peptides on human cerebral endothelial cells in culture. Under the conditions tested, the E22Q peptide exhibited the highest content of beta -sheet conformation and the fastest aggregation/fibrillization properties. The Dutch variant also induced apoptosis of cerebral endothelial cells at a concentration of 25 µM, whereas the wild type Abeta and the E22K mutant had no effect. The data suggest that different amino acids at position 22 confer distinct structural properties to the peptides that appear to influence the onset and aggressiveness of the disease rather than the phenotype.

    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Parenchymal and vascular amyloid-beta (Abeta )1 deposits and neurofibrillary tangles composed of hyperphosphorylated tau assembled into paired helical filaments are the hallmarks of Alzheimer's disease (AD), the most frequent form of amyloidosis in humans. Amyloid peptides Abeta 40 and Abeta 42, proteolytically derived from their precursor protein Abeta PP, are the main components of the fibrils found in the vessel walls and in the neuropil, respectively (1). Missense mutations in the Abeta PP gene either outside or inside the Abeta -coding region usually associate with early onset familial forms of the disease (2-25). Within the Abeta 40/42 segment, ten distinct nucleotide changes have been reported at eight different positions (Table I) (2-13). Of the ten mutations, three are silent, whereas the rest are translated into amino acid substitutions; four of them, concentrated in the middle of the Abeta sequence (positions 21-22, corresponding to codons 692-693 of Abeta PP), have been found associated with extensive cerebrovascular pathology (3-8). They are (i) the Flemish mutation (C to G at codon 692, Ala to Gly at position 21) (3), (ii) the Arctic mutation (A to G at codon 693, Glu to Gly at residue 22) (5, 6), (iii) the Dutch mutation (G to C at codon 693, Glu to Gln at position 22) (4), and (iv) the Italian mutation (G to A at codon 693, Glu to Lys at residue 22) (7, 8).

                              
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Table I
Mutations in the Abeta PP gene

The autosomal dominant form of cerebrovascular amyloidosis in Dutch patients designated hereditary cerebral hemorrhage with amyloidosis-Dutch Type (HCHWA-Dutch) was the first mutation identified in the Abeta PP gene (4). These patients develop cerebral hemorrhage because of the severe CAA, whereas parenchymal amyloid deposits are rare, and neurofibrillary tangles are consistently absent, features that clearly distinguish the Dutch phenotype from those related to the Flemish and Arctic mutations. A different amino acid substitution also related to familial cerebral hemorrhage has been recently found at the same position in several members of three unrelated Italian kindred (HCHWA-Italian). Neuropathologic examination of one patient revealed extensive Abeta deposits in leptomeningeal and cortical vessels and, to a lesser extent, amyloid plaques in the neuropil of the cerebral cortex (7, 8). Vascular deposits were primarily labeled by anti-Abeta 40 antibody, whereas parenchymal deposits were predominantly revealed by anti-Abeta 42 antibody, as in AD. However, neurofibrillary changes were very mild and restricted to the archicortex. Moreover, despite the large amount of Abeta in the vessel walls, thioflavine S fluorescence was rarely detected, suggesting a nonfibrillar Abeta organization.

In the present work, we analyzed the secondary structure and fibril formation properties of both mutants, compared these parameters with those of the WT Abeta 40, and correlated the results with the ability of the peptides to induce cell death in human cerebral endothelial cells. The data suggest that: (i) different amino acids confer distinct structural properties to the Abeta peptide, which, in turn, is translated to distinct fibrillogenic propensities and cytotoxic effects, correlating with the phenotypic expression, and (ii) the charge of the amino acids appears to be a factor for the cytotoxic effects and vascular localization of the amyloid.

    MATERIALS AND METHODS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Patients-- A comparative histological and immunohistochemical study was carried out on a brain tissue samples from one patient with sporadic CAA, one patient with HCHWA Dutch-type, and one patient from an Italian kindred with familial occurrence of recurrent strokes, linked to a G to A transition at the first position of codon 693 of the APP gene resulting in Glu to Lys substitution. The patient with SCAA was a 82-year-old woman who suffered from minor strokes from age 70 leading to intellectual deterioration and parkinsonism. The patient with HCHWA Italian-type experienced the first cerebral bleeding at age 45, followed by minor strokes with transient neurological symptoms and a fatal cerebral hemorrhage at age 62.

Neuropathologic Study-- Samples of cerebrum and cerebellum were fixed in 4% formaldehyde and embedded in paraplast. Seven-µm-thick serial sections were stained with hematoxylin-eosin, Congo red, and thioflavine S, or immunostained with anti-Abeta antibodies. These included anti-SP28 (1:300 dilution), a rabbit antiserum to the 28 residue synthetic peptide homologous to the N-terminal region of Abeta , and anti-Abeta 40 (1:2000 dilution), a rabbit antiserum that specifically recognizes the carboxyl end of the short forms of Abeta . Before immunostaining, the sections were treated with 98% formic acid for 30 min. The immunoreactions were revealed using the EnVision Plus-horseradish peroxidase system for rabbit immunoglobulins (Dako) and diaminobenzidine as chromogen.

Peptide Preparation-- Synthetic Abeta 40 peptides (wild type (WT) and mutants Abeta E22K and Abeta E22Q) were synthesized by the W. M. Keck Foundation (Yale University, CT). All peptides were purified by reverse-phase high performance liquid chromatography (HPLC), and their purity was evaluated by amino acid sequence analysis and laser desorption mass spectrometry. Peptide concentration was accurately calculated by amino acid analysis.

Aggregation Studies-- Lyophilized aliquots of the peptides were dissolved at a concentration of 250 µM in 5 mM Tris, pH 7.4, 150 mM NaCl (TS), and incubated at room temperature for up to 20 days. After incubation, samples were centrifuged at 10,000 rpm for 15 min, and protein concentration of the supernatant was determined spectrophotometrically (Beckman DU640 spectrophotometer) using standards of the same peptide that had been previously calibrated by quantitative amino acid analysis.

Electron Microscopy-- For fibril formation, peptides were incubated in TS for up to 20 days at room temperature. After incubation, a 5-µl aliquot was absorbed onto 300 mesh carbon-coated copper grids (Ted Pella) and negatively stained with 5 µl of a saturated solution of uranyl acetate in water. Specimens were examined with a transmission electron microscopy (Philips CM 12).

Circular Dichroism Spectra-- For CD spectroscopy, peptides dissolved in TS were centrifuged at 10,000 rpm for 15 min to eliminate large aggregates. The supernatant was loaded into a 0.1-mm-path length quartz cell, and the CD spectra was recorded in the far ultraviolet light using a JASCO 720 spectropolarimeter (JASCO Corporation). Forty scans/experimental conditions were obtained at 0.2-nm intervals over the wavelength range 190-260 nm. Final spectra were obtained after the subtraction of background readings of buffer only blanks.

Transmission-Fourier Transform Infrared Spectroscopy (T-FTIR)-- For T-FTIR spectroscopy, peptides dissolved in TS at a concentration of 250 µM, freshly prepared or after 20 days of incubation, were lyophilized and resuspended at a concentration of 10 mg/ml in D2O. Infrared spectra of the suspensions were collected in a FTS 6000 FT-IR spectrometer (Bio-Rad) equipped with a deuterated tri-glycine sulfate detector. Traces of trifluoroacetic acid remaining from the HPLC purification of the peptides were removed as described by Janek et al. (26). Aliquots (20 µl) were placed in demountable cells containing CaF2 windows separated by 50-µm Teflon spacers. The solvent spectrum was recorded under identical conditions and subtracted from the peptide spectra. For each sample, 256 interferograms were coadded and Fourier-transformed to generate a spectrum with a nominal resolution of 4 cm-1. Residual water vapor was interactively subtracted as described (27). Band narrowing of the spectra by Fourier self-deconvolution, which leads to a better visualization of the overlapping bands, was carried out using a half-bandwidth of 16 cm-1 and a band narrowing factor of k = 2.

Attenuated Total Reflection (ATR)-FTIR-- For ATR-FTIR spectroscopy, peptides were incubated in TS for 20 days. After incubation, samples were centrifuged at 10,000 rpm for 15 min, and the pellets were loaded on the surface of a horizontal Golden Gate single reflection diamond ATR cell (Specac, Smyrma, GA). Dry films of protein obtained after slow evaporation of the buffer were subjected to 1-h deuteration as described (28), and ATR-FTIR spectra was recorded at room temperature on a Bio-Rad FTS 6000 infrared spectrophotometer continuously purged with dry air obtained from a Whatman 74-5041 FT-IR purge gas generator. Two hundred fifty-six scans were accumulated to improve the signal/noise ratio and spectra recorded at a nominal resolution of 0.5 cm-1. An interactive difference routine was used to subtract the buffer spectrum from that of the sample. Correct subtraction of residual H2O was judged to yield an approximately flat baseline at 2100 cm-1. Fourier self-deconvolution of the spectra in the amide I region was performed using Bessel apodization function with a resolution enhancement factor of k = 2 and peak half-width of 12 cm-1, in the Win-IR Pro system (Bio-Rad). Individual components of the amide I mode were resolved from the deconvolved spectra by least squares iterative curve fitting using Lorentzian-Gaussian curves and Grams/32 software (Galactic, Salem, NH). Assignment of the different components of the amide I after Fourier self-deconvolution to secondary structure was performed as described (29).

Cell Culture, Apoptosis Induction, and Flow Cytometry Assay-- SV40 large T antigen-immortalized human brain microvascular endothelial cells (HCEC) were kindly provided by Dr. Stanimirovic (National Research Council of Canada). Cells were grown on 0.5% gelatin-coated dishes (Costar, NY) in M199 medium containing 10% fetal bovine serum and supplements (30). Cultured cells were identified as HCEC based on the typical morphology, factor VIII immunofluorescence, and uptake of acetylated low density lipoproteins and low density lipoproteins (30). HCEC (passage 34-36) were grown to confluence on 60-mm polystyrene-coated dishes (Corning) in culture medium. Just before the addition of the peptides, the medium was replaced with fresh depleted medium (devoid of serum and supplements). Cell viability was examined by Trypan Blue exclusion (Sigma). For apoptosis induction, synthetic peptides were suspended in sterile Dulbecco-phosphate-buffered saline (Sigma) at a concentration of 500 µM. Peptides solutions freshly prepared were added directly to the culture-depleted medium to a final concentration of 0.5, 5, 10, 25, and 50 µM on day 3 after plating. As controls, cells were incubated in the absence of peptide, with reverse Abeta 40-1 (Sigma) and with 1 µg/ml actinomycin-D (Sigma). Cells were incubated for 24 h in a humidified CO2 incubator at 37 °C, harvested by trypsinization, and pooled with culture medium so that cells that had lost their adherent properties during apoptosis ("floaters") were included in the analysis. The collected target cells were washed in Dulbecco-phosphate-buffered saline, resuspended in 100 µl of annexin-V binding buffer containing annexin-V-fluorescein and propidium iodide (Roche Molecular Biochemicals), incubated for 15 min at room temperature in the dark, and analyzed by flow cytometer (FACScan, Becton Dickinson).

    RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Histochemical Stainings

Abeta -immunohistochemistry of brain tissue samples from sporadic CAA, HCHWA-Dutch type, and HCHWA-Italian type cases yielded similar immunostaining patterns. In all cases, a large number of leptomeningeal and parenchymal vessels were strongly labeled by the anti-Abeta antibodies anti-SP28 and anti-Abeta 40 (Fig. 1, a, c, and e). By contrast, a remarkable difference was observed following either Congo red staining (not shown) or thioflavine S treatment (Fig. 1, b, d, and f). Whereas in sporadic CAA and HCHWA Dutch-type virtually all Abeta -immunoreactive vessels showed amyloid burden as revealed by specific staining methods, in HCHWA Italian-type only ~10% of Abeta -immunoreactive vessels were birefringent after Congo red or fluorescent after thioflavine S, suggesting a rather amorphous organization of Abeta aggregates.


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Fig. 1.   Comparison between Abeta deposition and amyloid burden in leptomeningeal and cortical vessel walls of patients with HCHWA Dutch-type (a and b), HCHWA Italian-type (c and d) and sporadic CAA (e and f) as revealed by immunohistochemistry with anti-SP28 antibody (a, c, and e) and staining with the amyloid binding fluorochrome thioflavine S (c, d, and f). a and b are adjacent sections, as are c, d, e, and f. Magnification bar, 50 µm.

Aggregation and Fibril Formation Experiments

The capability of Abeta 40 WT and mutant peptides to aggregate was followed spectrophotometrically. As indicated in Fig. 2, more than 25% of E22Q peptide became insoluble during the first 24 h of incubation, whereas WT and E22K peptides exhibited a lower aggregation rate. Only after day 5, these peptides began to aggregate forming a visible pellet after centrifugation. At day 20 (the end point of the experiment), only around 50% of the E22Q mutant peptide remained in solution in comparison with WT (65%) and E22K (80%). Because the decrease in the absorbance indicated aggregation but not necessarily fibril formation, we used transmission electron microscopy to evaluate the ability of the peptides to form amyloid-like fibrils in vitro. After 24 h of incubation in TS, only the preparation containing the E22Q peptide revealed the presence of short filaments with a ribbon-like structure, whereas the WT and E22K peptides did not show any fibrous material (not shown). Amyloid-like fibrils started to appear after 10 days of incubation for the WT peptide and after 15 days of incubation for the E22K mutant. Fibrillar material was clearly evident for all the peptides after 20 days of incubation although with different morphology (Fig. 3). Whereas the E22Q fibrils were long and twisted, the E22K peptide formed straight fibrils with no observable twisting; these fibrils were shorter and unbranched when compared with those formed by the E22Q. The WT peptide formed fibrils that were similar to those formed by the E22Q mutant, although the E22Q peptide produced fibrils at a higher rate than the other peptides. Strong green birefringence under polarized light after Congo red staining was observed in all peptide preparations at day 20 (data not shown).


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Fig. 2.   Comparative study of the solubility properties of Abeta 40WT and mutant peptides. Peptides were dissolved at a concentration of 250 µM in TS and incubated at room temperature for up to 20 days. After incubation periods, samples were centrifuged at 10,000 rpm for 15 min, and the protein concentration of the supernatant was determined spectrophotometrically. Results are expressed in percentage of aggregated peptide as a function of the time of incubation.


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Fig. 3.   Electron micrographs of negatively stained fibrils from an aqueous solution of Abeta 1-40WT, E22K, and E22Q peptides.

Structural Analysis

Circular Dichroism Spectrometry-- Freshly dissolved WT peptides exhibited a CD spectra characteristic of a predominantly unordered structure with a strong negative peak at 198 nm (Fig. 4A). Under identical conditions, the E22K variant exhibited a similar predominantly unordered secondary structure (Fig. 4A). On the contrary, the E22Q mutation induced beta -sheet structure to the peptide; a characteristic CD spectra with a negative peak at 220 nm and a positive peak at 195 nm was evident (Fig. 4A). After 24 h of incubation, the intensity of the CD signal started to decrease as a consequence of the formation of aggregates and the disappearance of the peptide in solution. The signal continued to decrease up to the end of the experiment although no changes in the spectra were seen in any of the peptides (data not shown).


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Fig. 4.   A, CD spectroscopy analysis of fresh preparations of Abeta 40WT, E22K, and E22Q peptides. Data represent means of 40 scans after the subtraction of background readings of buffer only blanks. B, T-FTIR spectrum of freshly prepared suspensions of Abeta 40WT, E22K, and E22Q peptides in D2O. Data represent the curve fitting result of the amide I band of Abeta 40WT and mutant peptides after Fourier self-deconvolution with a resolution enhancement factor k = 2. C, T-FTIR spectrum of suspensions of Abeta 40WT, E22K, and E22Q peptides incubated for 20 days in TS. Peptides were dissolved in TS, incubated for 20 days at room temperature, lyophilized, and resuspended at a concentration of 10 mg/ml in D2O before being analyzed by T-FTIR. D, ATR-FTIR spectrum of deuterated films of Abeta 40WT, E22K, and E22Q peptides pellets obtained after 20 days of incubation of the peptides in TS. In all the samples, curve fitting result of the amide I band of the peptides in the aggregated form after Fourier self-deconvolution with a resolution enhancement factor k = 2. Abeta 40WT (solid line), E22K (dotted line), and E22Q (dashed line).

T-FTIR and ATR-FTIR Measurements-- Peptides, freshly dissolved or after 20 days of incubation in TS, were resuspended at a concentration of 10 mg/ml in D2O and analyzed by T-FTIR. As indicated in Fig. 4B, the deconvolved amide I profile spectra of a freshly prepared suspension of the WT peptide exhibited a principal component at 1648 cm-1 characteristic of random coil conformations, which contributed ~40% of the final structure. Other contributions were associated with alpha -helix (22%), beta -sheet/aggregated strands (21%), and beta -turn (17%) structures. Similarly, the E22K peptide suspension freshly prepared exhibited a comparable spectra, with a main component at 1652 cm-1 and a final structure composed of 50% random coil, 10% alpha -helix, 30% beta -sheet/aggregated strands, and 10% beta -turn conformations (Fig. 4B). Detectable spectral changes were noted in E22Q mutant peptide, showing two predominant components at 1652 cm-1 (26% random coil) and 1630 cm-1 (55% beta -sheet/aggregated strands). These results correlated with those obtained by CD spectroscopy and depicted in Fig. 4A. When peptides were incubated for 20 days, an increase in the intensity of the bands between 1620 and 1640 cm-1 was noticeable for all the peptides spectra (WT, E22K, and E22Q) with a proportional decrease in the intensity of the other bands, indicating an increment in the content of beta -sheet structures during the time of incubation (Fig. 4C). In comparison, E22Q presented with the highest amount of beta -structures; the contribution of beta -sheets plus beta -turns accounted for ~67% of the total conformation of the peptide when freshly prepared (Fig. 4B), raising to ~95% when incubated for 20 days in TS (Fig. 4C). The peptide pellets obtained after 20 days of incubation were analyzed by ATR-FTIR spectroscopy. Aggregated peptides were collected by centrifugation and spread evenly on the surface of a horizontal single reflection diamond ATR plate. In all cases, the deconvolved amide I profile of the spectra showed a main absorbance between 1635 and 1625 cm-1 corresponding to more than 90% beta -sheet structure, with a little contributions by the other conformations (Fig. 4D).

Apoptosis Assay

HCEC were incubated for 24 h with WT and mutant Abeta peptides at a concentration range between 0.5 and 50 µM, and induction of apoptosis was evaluated by flow cytometry after annexin V staining. Representative dot plot profiles generated by flow cytometry analysis of cells are shown in Fig. 5. Fig. 5A illustrates the negative (no addition of peptide) and positive (actinomycin D) controls, respectively. Under the conditions tested, ~80 and 4% of the cells were viable (lower left quadrants), with 17 and 94% of the cells respectively exhibiting positive staining for annexin V (both, upper and lower right quadrants). HCEC treated with WT peptide at a concentration of 0.5 and 50 µM showed 18 and 17% of the cells staining positive for annexin V, respectively (Fig. 5B), whereas cells treated with the E22K peptide at identical concentrations exhibited 15 and 13% of the cells staining positive for annexin V, respectively (Fig. 5C). In both cases, the values were similar to the value observed in the negative control. Different results were obtained when cells were treated with the E22Q peptide. Incubations at the same concentrations of 0.5 and 50 µM showed that 26 and 64% of the cells were positively stained for annexin V. HCEC treated with the reverse Abeta 40-1 peptide showed similar results to those obtained when no peptide was added to the cells (not shown). The difference in mean fluorescence intensity between the negative control and E22Q-treated cells was significant at 25 µM (p = 0.01).


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Fig. 5.   Dot plot profiles for annexin V (x axis) and propidium iodide (y axis) for each treatment group are shown. Annexin V/propidium iodide staining was performed on HCEC after being treated for 24 h with increasing concentration of Abeta 40WT, E22K, and E22Q peptides (0.5-50 µM). Flow cytometry was done to quantify the percentage of cells undergoing apoptosis. Dishes without peptide and with actinomycin D were used as negative and positive controls, respectively (A). Only cells treated with concentrations of 5 µM and 50 µM are shown: 5 and 50 µM Abeta 40WT (B); 5 and 50 µM E22K (C); and 5 and 50 µM E22Q (D). The percentage of positive cells in the individual quadrants are shown (upper left panel, necrotic cells; upper right panel, late stage apoptosis; lower right panel, early to mid state of apoptosis; lower left, viable cells).


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

CAA is a significant risk factor for hemorrhagic strokes in the elderly, is a frequent component of AD and related disorders, and is the dominant pathology in several hereditary conditions including HCHWA-Icelandic type (31), the vascular variant of PrP (32), the Hungarian and Ohio kindred of meningocerebrovascular amyloidosis (33, 34), the gelsolin-related spinal and cerebral CAA (35), familial British dementia (36), familial Danish dementia (37) and selected Abeta mutants, particularly E22Q and E22K (4, 7, 8). The E22Q mutant is associated with HCHWA-Dutch type, an autosomal dominant form of severe CAA that presents clinically between the age of 45 and 60 (mean 50.4 years). Survivors to the first stroke (~60% of the patients) have further strokes that lead to cognitive deficits. Neuropathologically, extensive Congo red positive amyloid deposits are seen in the walls of small cerebral arteries and arterioles. In these patients, parenchymal deposition is largely in the form of preamyloid lesions or diffuse plaque-like structures that are Congo red negative and lack the dense amyloid cores commonly present in AD (38, 39). Diffuse plaques are occasionally surrounded by dystrophic neurites, although neurofibrillary tangles are consistently absent (40) as described in others species such as aged dogs (41) and non-human primates (42). Several in vitro studies have demonstrated that the full-length E22Q peptide, as well as fragments containing the mutation, exhibit increased aggregation rates (38, 39), form amyloid-like fibrils at a faster rate than wild type Abeta , and are toxic to cultured human leptomeningeal smooth muscle cells (HCSM) (43, 44). We and others have studied the aggregation of the Dutch peptide and found that the presence of the mutation might not only cause quantitative differences in the kinetics of Abeta fibrillogenesis and aggregation (45) but could also influence the assembly of the wild-type Abeta peptides by providing Dutch fibril nuclei from which the wild-type or mixed fibrils could elongate (38, 39). Also, it has been demonstrated that a short peptide partially homologous to the central hydrophobic region of Abeta (residues 17-21), but containing amino acids that prevent the adoption of a beta -sheet structure (i.e. proline), binds Abeta and inhibits amyloid fibril formation in vitro, suggesting an important role of this region for the fibrillogenesis (46). The E22K mutation associated with HCHWA-Italian type has been recently described in several members of three Italian kindred who presented with recurrent hemorrhagic strokes. These patients die at 62-75 years of age, following a 10-20-year history of mild cognitive decline, recurrent strokes, and epilepsy in some cases. There are extensive Abeta deposits in leptomeningeal and cortical vessels and, to a lesser extent, in the neuropil of the cerebral cortex, in the absence of neurofibrillary tangles. Notably, despite the large amount of Abeta vascular deposits, amyloid-related thioflavine S-fluorescence was rarely detected, suggesting a rather amorphous organization of Abeta (7, 8). Studies using synthetic peptides recently showed that a change or loss of charge at position 22 of the Abeta enhances the pathogenic effects of the peptide toward HCSM cells suggesting that it may contribute to the pathogenesis of the phenotypically related HCHWA disorders (44).

Our observations clearly indicate that the E22Q peptide has an increased propensity to self-aggregate and form amyloid-like fibrils when compared with the WT and E22K variants. Fibrillogenesis with both WT and E22K progressed at a lower rate, perhaps reflecting the initial unordered conformation and the stability of the peptides in solution. The fibrils obtained from each peptide were similar in dimension; however, the morphology of the fibrils varied considerably. Among the three peptides, the E22K showed the least propensity to form fibrils; under our experimental conditions, straight fibrils with no observable twist and no distinguishable higher level order appeared only after 15 days of incubation. These findings correlate with the observation that the vascular E22K deposits found in the Italian kindred are predominantly thioflavine S-fluorescence negative, as described above, illustrated in Fig. 1, and summarized in Table II. Assessment of the secondary structure in suspension by T-FTIR revealed that the process of aggregation of the peptides during incubation was associated with a spectral change consistent with an increase in the content of beta -sheet conformation, a structure confirmed by ATR-FTIR in the precipitated peptides. However, the remaining soluble peptides that still were not aggregated and/or fibrillized conserved their original secondary structures. Because E22Q was the only one exhibiting an important amount of beta -sheet conformation from the time of dissolution, the findings certainly agree with many published reports suggesting that the progression from the soluble to the fibrillar-aggregated form requires the conversion of the peptide to a predominantly beta -sheet conformation (47).

                              
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Table II
Correlation between clinical features of AD, HCHWA-Italian, and HCHWA-Dutch types and the biophysical properties of the Abeta 1-40 WT, E22Q, and E22K synthetic peptides

In vitro WT Abeta 40 and Abeta 42 are toxic to neurons in cell culture (48, 49) and an apoptotic effect of Abeta in neurons of AD patients has been observed by in situ DNA end-labeling (50). Wild type Abeta 42, Abeta 40 E22Q, and Abeta 40 E22K at a concentration of 25 µM, but not WT Abeta 40 at the same concentration, have been reported to be toxic, after 6-12 days of incubation, to human smooth muscle cells (HCSM) (44, 51, 52). We observed that the Abeta 40 E22Q peptide produces apoptosis in cultured HCEC at a concentration of 25 µM. The WT Abeta 40 and the mutant E22K did not have an apoptotic effect even at concentrations as high as 50 µM. Perhaps this lack of effect on HCEC correlates with the inability of these peptides to aggregate and form fibrils during the 24 h of incubation with the cells. This suggests that intermediate conformers and/or the final fibrils, rather than the soluble peptide, are involved in the cytotoxic mechanisms. It has yet to be determined if longer incubation times of the peptides with the cells will increase the toxic effect of both WT and E22K mutant peptides.

Among all Abeta PP mutants, those localized within the Abeta region are preferentially vasculotropic, whereas the rest mainly produce deposition of wild type Abeta peptide in the form of parenchymal plaques (Table I). The structural changes induced by the amino acid substitutions appear to influence the onset and duration of the disease rather than the phenotype. Although further studies are needed to unveil the final mechanism of fibrillization of these mutants, unknown tissue factors may well be responsible for the preferential vascular deposition. The fact that the positively charged E22K mutant peptide produces thioflavine S negative deposits correlates with the observation that high isoelectric point values have been associated with nonfibrillar light chain deposition disease cases rather than light chain amyloidosis (53). Defining the precise steps in the apoptotic pathway, the factors that could be involved and the possible regulatory targets, may allow for the development of strategies that will delay the progression of neurovascular degeneration of AD.

    ACKNOWLEDGEMENT

We thank Dr. Danica Stanimirovic (National Research Council, Ottawa, Canada) for the SV40 immortalized human cerebral endothelial cells.

    FOOTNOTES

* This work was supported by National Institutes of Health Grants AG08721, NS38777, and AG05891 and by the Italian Ministry of Health, Department of Social Services.The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

Recipient of the New Investigator Development Award from the American Heart Association New York City affiliate. To whom correspondence should be addressed: Dept. of Pathology, TH432, New York University School of Medicine, New York, NY 10016. Tel.: 212-263-5775; Fax: 212-263-6751; E-mail: ghisoj01@popmail.med.nyu.edu.

Published, JBC Papers in Press, May 19, 2000, DOI 10.1074/jbc.M003154200

    ABBREVIATIONS

The abbreviations used are: Abeta , amyloid beta ; AD, Alzheimer's disease; Abeta PP, Abeta precursor protein; HCHWA, hereditary cerebral hemorrhage with amyloidosis; CAA, cerebral amyloid angiopathy; WT, wild type; HPLC, high pressure liquid chromatography; T-FTIR, transmission-Fourier transform infrared spectroscopy; ATR, attenuated total reflection.

    REFERENCES
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

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