![]()
|
|
||||||||
J. Biol. Chem., Vol. 275, Issue 41, 31770-31777, October 13, 2000
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
, and
From the Scios Inc., Sunnyvale, California 94085 and
Gladstone Institute of Cardiovascular Disease,
University of California, San Francisco, California 94141-9100
Received for publication, March 31, 2000, and in revised form, July 27, 2000
| |
ABSTRACT |
|---|
|
|
|---|
Amyloid A Increasing evidence indicates that inflammation is involved in the
pathogenesis in Alzheimer's disease
(AD)1 with microglia playing
a central role (1-4). Microglia found in the normal adult brain are
highly ramified quiescent cells, but they become reactive during brain
injury. Activation of microglia is thought to induce an inflammatory
response in the brain and to mediate the amyloid-associated
neurodegeneration in AD. For instance, microglial response to A Emerging data support a role for microglia in plaque progression in AD
(2, 10, 11). Response of quiescent microglia to A Glial-neuronal interactions also contribute to plaque progression. For
example, overexpression of interleukin-1 Although microglia have been implicated in the pathogenesis of senile
plaques and apoE has been shown to co-localize with specific plaque
types (19), implying a role in plaque progression, it is unclear
whether microglia can modulate the progression of AD through de
novo synthesis and secretion of apoE. Since apoE is a major risk
factor for AD (20-22), this is an important issue. Analyses using
reverse transcriptase-polymerase chain reaction and in situ
hybridization indicate that microglia express apoE mRNA (23, 24).
Since peripheral macrophages secrete apoE (25), we asked whether
microglia synthesize and secrete apoE protein and/or
apolipoprotein-containing lipoprotein particles. As an initial step to
answering this question, we investigated the immortalized microglial
cell line, BV2, which possesses many of the features of primary
microglia (5, 26-28). Using size exclusion chromatography, electrophoretic separation, electron microscopy, and native gel electrophoresis, we have found that BV-2 cells secrete apoE and apoJ,
as well small spherical LDL-like lipoproteins. We also demonstrate that
this microglial LDL-like lipoprotein can function in delivering cholesterol to neurons and can associate with A Preparation of BV-2 Microglial Serum-free Media--
The BV2
immortalized murine microglial cell line was generated by Dr. Virginia
Bocchini (26) and has been described previously (5, 9). Briefly, BV2
cells were maintained in Dulbecco's modified Eagle's medium with high
glucose (Life Technologies, Inc.) supplemented with 5%
heat-inactivated fetal bovine serum (HyClone Inc, Logan, UT), 4 mM L-glutamate, 0.2 mM penicillin, 0.05 mM streptomycin, and 20 mM HEPES at
37 °C in a humidified incubator under 95%/5% (v/v) mixture of air
and CO2. Once confluent, typically 1 day after initial
seeding at ~105/ml, cells were washed once and grown in
serum-free medium for 12, 24, or 48 h. Conditioned medium was
collected and centrifuged at 700 × g. The medium was
stored under argon at 4 °C until use. For both purification of
lipoprotein particles, neuronal rescue, and A Isolation of Lipoprotein Particles Using Size Exclusion
Chromatography--
To preserve the protein composition of
lipoproteins during fractionation, size exclusion chromatography (SEC)
was chosen over salt density centrifugation to isolate native
microglial lipoprotein particles. Serum-free BV2 microglial medium
conditioned for 24 h was concentrated using Centricon-10 (Amicon,
Beverly, MA) before fractionation using Superose 6 HR 10/30 columns in
tandem (Amersham Pharmacia Biotech), operated by a HP1050 Chemstation
(Hewlett Packard, Palo Alto, CA). The columns were equilibrated in
elution buffer consisting of 0.02 M sodium phosphate, pH
7.2, 0.05 M NaCl, and 0.03% EDTA (29-31). Two milliliters
of concentrated medium (originally ~1400 ml) at roughly 5 mg/ml were
injected via a 2-ml sample loop and fractionated in elution buffer at a
flow rate of 0.25 ml/min. Fractions were collected 48 min after sample
injection at 0.4 ml/fraction until free proteins were eluted from the
columns. The protein elution was monitored by UV absorbance at
275 nm. To characterize BV2 microglial particles, the column system was calibrated using fresh human plasma (Pacific Blood Center, San Francisco, CA) and mouse plasma (Harland Bioproducts for Science, Indianapolis, IN) to determine the elution of very low density lipoproteins (VLDL), low density lipoproteins (LDL), high density lipoprotein (HDL), and free protein. Positioning of free protein peak
was based on the albumin elution profile determined by Coomassie Blue
staining following SDS-polyacrylamide gel electrophoresis (PAGE). All
experiments involving gel filtration chromatography were performed at
room temperature. Fractionated samples were stored under argon at
4 °C until use.
Analytical Gel Electrophoresis and Western Analysis--
Two gel
systems, including reducing SDS-PAGE and non-denaturing PAGE, were
employed. For protein analysis in reducing SDS-PAGE, proteins in
conditioned media or fractions after SEC were denatured in reducing
SDS-PAGE buffer consisting of 50 mM Tris-HCl, pH 6.8, 0.4%
SDS, 6% sucrose, 10 mM dithiothreitol, and 0.01%
bromphenol blue and resolved on 12% SDS-PAGE. For protein analysis in
native PAGE, proteins were electrophoresed on non-denaturing 4-20%
polyacrylamide gels (Invitrogen, Carlsbad, CA) in 25 mM
Tris, pH 8.3, and 192 mM glycine. To determine relative
particle size, a mixture of protein standards of known radii was loaded
(Amersham Pharmacia Biotech), including thyroglobulin (8.5 nm),
ferritin (6.1 nm), catalase (4.6 nm), lactate hydrogenase (4.1 nm), and
albumin (3.55 nm) (29). After electrophoretic separation, proteins in
reducing SDS-PAGE gels were electroblotted on to polyvinylidine
difluoride membranes (Amersham Pharmacia Biotech) in 20% methanol, 20 mM Tris, and 50 mM glycine. To electroblot the
proteins after native PAGE, the gel was soaked with 0.1% SDS, 10 mM Tris, pH 7.5, for 15 min. Afterward, the polyvinylidine
difluoride membranes were split; a portion of the membrane was stained
with Coomassie Blue to position protein standards, and the remainder of
the blot was used for Western analysis. Rabbit anti-murine apoE, apoAI,
apoAII, and apoC antibodies (with apoCIII as a major determinant) were purchased from Biodesign International (Kennebunk, ME), and sheep anti-rat apoJ was purchased from Quidel (San Diego, CA). The
antigen-antibody reaction was visualized by using a secondary antibody
conjugated with horse-radish peroxidase and enhanced
chemiluminescence detection reagents (Amersham Pharmacia Biotech).
Western blots were quantified by densitometric analysis (Molecular
Dynamics, Sunnyvale, CA).
Immunoprecipitation and N-terminal Amino Sequence
Analysis--
Immunoprecipitation of apoE was performed using 5 ml of
conditioned BV2 microglial medium in the presence of 50 µl of 10% protein A-Sepharose (Amersham Pharmacia Biotech) and 5 µl of rabbit anti-rat apoE serum with an overnight incubation at 4 °C. After immunoprecipitation, protein A-Sepharose pellets were washed three times with 50 mM Tris-HCl, pH 7.5, 500 mM NaCl,
5 mM EDTA, and 0.5% nonidet P-40 and twice with 10 mM Tris-HCl, 5 mM EDTA, and 0.5% Nonidet P-40.
Protein A-Sepharose pellets were rinsed twice with 10 mM
Tris-HCl, pH 7.5. The sample was heat-denatured in SDS-PAGE buffer
consisting of 50 mM Tris-HCl, pH 6.8, 0.4% SDS, 6%
sucrose, 10 mM dithiothreitol, and 0.01% bromphenol blue.
Immunoprecipitated proteins were electrophoretically separated, blotted
to polyvinylidine difluoride membranes, and stained with Coomassie
Blue. The polyvinylidine difluoride membranes were destained with 50%
methanol and rinsed with deionized water. N-terminal sequence analysis
was performed on an Applied Biosystems sequencer (Foster City, CA).
Lipid Determination--
Two hundred-microliter aliquots of
fractionated plasma or BV2 microglial medium were used to determine
total cholesterol and phospolipid. Total cholesterol in fractionated
samples was measured after enzymatic reactions by cholesterol oxidase
in the presence of cholesterol esterase using a commercially available
kit (Roche Molecular Biochemicals). Phospholipid levels were determined
enzymatically using a commercially kit (Wako, Richmond, VA).
Analysis of Particles by Negative Stain Electron
Microscopy--
For electron microscopy, fractions originating from
microglial-conditioned medium was dialyzed against a volatile buffer
composed of 0.125 M ammonium acetate, 2.6 mM
ammonium carbonate, 0.26 mM EDTA at a pH of 7.6 overnight
at 4 °C in a 10-kDa cutoff Slide-A-lyzer cassette (Pierce). This
volatile buffer causes disc-like particles to form rouleaux, a
desirable alignment that allows unequivocal discrimination from
spheres. Selected fractions were concentrated 8-10-fold using 10-kDa
cutoff Microcon concentrator (Amicon, Beverly, MA) and then negatively
stained on carbon-filmed grids using 2% neutral sodium
phosphotungstate. Carbon films were freshly made and particle
suspensions were allowed to adsorb to these for one minute before being
"wicked" off. Just before air drying was complete, negative stain
was applied, left in place for 30 s, and then wicked off, leaving
enough residue to create clear negative contrast. Grids were
immediately examined, and electron micrographs taken in a JEM 100CX
transmission electron microscope (JEOL Inc., Tokyo, Japan) operated at
80 kV. Prints at a final magnification of 100,000× were prepared and
captured via video camera into an Image1/AT image analyzer (Universal
Imaging Corp, West Chester, PA). After thresholding the particles, size
frequencies and particle counts were made by automated quantitative
morphometry. Samples of 500-1000 particles were routinely analyzed.
Primary Rat Cortical Neuronal Culture and Toxicity
Studies--
Primary cortical neurons were prepared from embryonic day
17 Harlan Sprague-Dawley rats as described previously (32, 33). Briefly, the uteri were removed from the gravid rat under anesthesia. Cortices were dissected and diced into small pieces. Cells were dissociated and maintained in minimum essential medium (Sigma) supplemented with 10% fetal bovine serum. For mevastatin-induced neuronal toxicity assays, cells were seeded on polylysine-coated 96-well plates at 5 × 104 cells/well in a growth
medium. One day after the initial plating, the growth medium was
replaced with minimum essential medium supplemented with 3% fetal
bovine serum. Triplicate wells of neuronal cells were then treated with
50 µM mevastatin (Sigma) with or without additions of
isolated BV2 microglial particles for 48 h. Quantification of apoE
levels in BV2 apoE-containing particles was performed by Western
analysis against purified mouse apoE. Neuronal cell viability was
assayed 48 h after the start of the treatments using an MTS assay
kit from Promega (Madison, WI). Loss of cell viability was quantified
by the decrease in the ability of cells to metabolize the dye 3-(4,
5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium (MTS). In this system, MTS is bioreduced by living cells into soluble
formazan. The quantity of formazan product is directly proportional to
the number of living cells in culture. Scios is certified with the
American Association for Accreditation of Laboratory Animal Care;
hence, these experiments were reviewed by an Institutional Animal Use
Care Committee to ensure justification of animal use and proper
handling of animals.
A Secretion of ApoE and ApoJ by BV2 Microglial Cells--
The BV2
cell line was established by immortilization of murine microglia by
infection with the J2 retrovirus (25) and has been shown to retain
properties of microglia (5, 26-28). To determine if BV2 microglia
synthesize and secrete any apolipoproteins, serum-free media were
harvested after conditioning for 12, 24, and 48 h and subjected to
Western blot analysis using an anti-murine apoE antibody and an
anti-rat apoJ antibody as well as immunological probes for other
apolipoproteins. Western blot analysis revealed that there was a
time-dependent accumulation of a 33-kDa apoE in the medium
from BV-2 cells incubated from 12 to 24 h (Fig. 1). Prolonged conditioning up to 48 h resulted in a slight increase in 33-kDa apoE, but with prominent
accumulation of apoE fragments, most notable at 21 kDa, which we
presume to be degradative products of the 33-kDa protein. The size of
the immunoreactive 33-kDa protein is consistent with the molecular mass
of apoE. To ensure anti-murine apoE antibodies recognize authentic apoE
synthesized and released from BV2 cell cultures, immunoprecipitation
was performed, and the protein species at 33 kDa corresponding to the
apparent molecular mass of mature apoE was subjected to N-terminal
amino acid sequencing. The sequence analysis revealed that the 33-kDa
species had an N terminus, 1EGEPEVT, that matched the
terminus of the mature apoE sequence. Western blotting the same amount
of medium with anti-apoJ antibody detected a protein species with
apparent molecular mass at 70 kDa, the size of uncleaved apoJ
holoprotein (36) (also called clusterin, SP40, 40, or sulfated
glycoprotein-2). Similar to apoE, there was a
time-dependent accumulation of apoJ in the medium (Fig. 1).
Interestingly, the majority of apoJ remained stable, in contrast to
apoE, which showed degradation in the 48-h-conditioned medium.
Additional Western analyses failed to detect other apolipoproteins, including apoAI, apoAII, or apoCIII (data not shown). Thus, apoE and
apoJ appear to constitute the major apolipoproteins synthesized and
released by the BV2 murine microglial cells. This observation is
supported and extended by results with human primary microglia from
both AD and non-demented elderly individuals, which were also shown to
synthesize and secrete apoE and
apoJ.2
Discrete Apolipoproteins and Lipid Peaks after Fractionation of BV2
Medium--
To fractionate the BV2 microglial medium in a manner that
would allow for the isolation of intact lipoproteins, we adapted SEC
utilizing tandem Superose-6 columns. The columns were first evaluated
for their ability to fractionate defined sizes of lipoproteins present
in mouse and human plasma. To determine the distribution of defined
sizes of lipoproteins, aliquots of isolated fractions were assayed for
phospholipid and total cholesterol across the elution profile, whereas
albumin, a marker for free protein elution, was monitored by Coomassie
Blue staining. As seen in Fig. 2, this SEC system clearly separates the various classes of lipoproteins in
both human and mouse plasma from free protein. These profiles are
comparable with previous reports for the distribution of plasma lipoproteins (37).
To isolate and identify lipoprotein particles released by BV2
microglial cells, we chose to use 24-h-conditioned medium that we
previously determined to have an accumulation of intact
apolipoproteins. Concentrated serum-free conditioned medium was
fractionated using the above-described system, and selected samples
were separated on reducing SDS-PAGE for probing with apoE and apoJ
antibodies across the elution profile (Fig.
3A). Elution of albumin,
indicative of free protein, peaked around fraction 53 (data not shown).
Although apoE was detectable as early as fraction 9, the majority of
apoE immunoreactivity eluted in fractions 43-51, which corresponds to
an HDL-like size particle. In contrast, apoJ eluted from fractions 25-47, with the peak located at fraction 35, which corresponds to a
small LDL-like size particle. Elution of these discrete apolipoprotein peaks ahead of the free protein peak suggests that apoJ and apoE are
associated with lipoprotein particles. It has been shown that apoJ is
often associated with HDL-like particles in human plasma (38) and rat
astrocyte-conditioned medium (30). The early elution of apoJ observed
here suggests that the apoJ released from BV2 microglial cells might be
associated with particles larger than HDL.
To further characterize these lipoprotein species, the fractions used
for Western blot analysis were assayed for total cholesterol and
phospholipid (Fig. 3B). Levels of lipid peaked around
fractions 9 and 31, corresponding in size to VLDLs and small LDLs
plasma particle, respectively. Since the VLDL-like lipid peak contained low levels of apolipoproteins (Fig. 3A), it was not analyzed
further. The small LDL-like lipid peak (eluting ahead of the major apoJ and apoE peaks and highly enriched for apoJ relative to apoE) contained
cholesterol and phospholipid (Fig. 3A). In contrast, the
HDL-like material rich in apoE was found to have only modest amounts of
lipid (Fig. 3A). These data suggested that BV2 microglial cells release two different particles with distinct lipid and apolipoproteins.
Spherical Particles in LDL-like ApoJ-rich ApoE-poor Lipid
Peak--
To study the morphology of the particles secreted by BV2
microglial cells, three discrete fractions released by BV2 microglial cells and fractionated by SEC were negatively stained for analysis by
electron microscopy. Abundant lipoprotein particles were observed in
the LDL-like apoJ-rich apoE-poor lipid-containing peak (Fig. 4A). Since there was no
evidence of disc rouleaux, these BV2 microglia-derived particles
appeared to be spherical, in contrast to rat astrocyte-derived discoidal particles (30). Careful examination of electron micrographs at low magnifications from either fractionated samples or
non-fractionated medium that was dialyzed against a volatile buffer
revealed no disc structures. Size-frequency analysis showed that the
LDL-like particles have an average diameter at 18.28 nm (S.D. = 7.38 nm) (Fig. 4B), consistent with the elution of these
particles at small LDL size upon SEC (Fig. 3). A bimodal distribution
of particles is suggested from the histogram in Fig. 4B.
Whether this represents two distinct populations or merely a broad size
distribution for the particle is unclear. There were significantly
fewer particles in the HDL-like apoJ-rich apoE-poor fraction and none
in the HDL-like apoE-rich fraction (data not shown), suggesting that
these species may be composed largely of protein aggregates.
ApoJ as a Major Apolipoprotein Associated with LDL-like
Particles--
To further investigate the nature of the microglial
LDL-like particles from BV2 cultures, the material was fractionated on a 4-20% native PAGE in comparison with proteins of defined radii, other BV2 fractions, mouse HDL lipoprotein, and purified mouse apoE
(Fig. 5). Coomassie Blue staining of size
standards demonstrated that a 4-20% gradient native gel is adequate
to separate particles with radii of 3.5 to 8.5 nm. We found that the
majority of the LDL-like particles migrated with a size most similar to
murine HDL particles. These small LDL-like particles contained
primarily apoJ immunoreactivity and small, yet significant amounts of
apoE immunoreactivity. The co-migration of apoE and apoJ
immunoreactivity suggests that BV2 microglial cells may secrete
LDL-like particles containing both apoE and apoJ, although it is
possible that two discrete particles exist in this population, one
composed of apoJ and one with only apoE. The broad electrophoretic
mobility suggests heterogeneity in these microglial LDL-like particles.
Such heterogeneity is a typical feature for HDL-like apoJ-containing
lipoprotein in plasma and astrocyte-derived particles (30, 38).
LDL-like BV2 Particles Rescue Primary Cortical Neurons from
Mevastatin-induced Toxicity--
To determine whether the isolated
spherical LDL-like BV2 particles are functional, we examined the
ability of these particles to rescue mevastatin-induced neuronal
toxicity in embryonic primary rat cortical neurons. Mevastatin, an
inhibitor of 3-hydroxyl-3-methylglutaryl-CoA dehydrogenase, suppresses
de novo cholesterol synthesis and has been shown to induce
neuronal cell death in a dose- and time-dependent manner
(33).3 The addition of 50 µM mevastatin to the rat cortical neuronal cultures
effectively induced ~90% loss of neuronal viability by 48 h as
measured by MTS assay (Fig. 6). The
addition of purified BV2 LDL-like particles (containing 0.3 µg/ml
apoE) to the neuronal culture in the presence of 50 µM
mevastatin restored 55% neuronal viability relative to the mevastatin
treatment (Fig. 6). Under the same conditions, the addition of equal
amounts of control buffer in which the LDL-like apoJ-rich apoE-poor
particles were stored did not significantly modulate neuronal
viability, as expected. Further analysis indicated that the HDL-like
apoE-rich BV2 fraction was ineffective in blocking mevastatin-induced
neuronal toxicity (data not shown). Taken together, effective rescue of
mevastatin-induced neuronal toxicity by the small LDL-like BV2
particles clearly demonstrates that these native microglial particles
can function in supplying cholesterol to the compromised
neurons.
BV2 Lipoprotein Particles Associate with A The availability of the BV2 microglial cell line provides a
valuable tool with which to elucidate the role of microglia in the
evolution of AD pathology. Our analysis is the first demonstration that
BV2 microglial cells synthesize and secrete apoE and apoJ as well as
lipoprotein particles. These murine microglial cells are capable of
releasing small spherical LDL-like apoJ-rich apoE-poor lipoprotein
particles. Although both apoE and apoJ bind A BV2 microglial LDL-like particles are dissimilar to astrocyte- and
cerebrospinal fluid-derived particles in size, shape, and apolipoprotein abundance (30, 31, 45). The microglial particles are
more lipid-dense, giving rise to their spherical shape, and larger than
the discoidal HDL-like particles released by astrocytes. BV2 microglial
LDL-like apoJ-rich apoE-poor particles have an average of diameter of
18.28 nm. In comparison, the astrocyte-derived HDL-like lipoproteins
are 15.4 nm in diameter and contain apoE and apoJ as the predominant
protein components (30). The lipoproteins present in the cerebrospinal
fluid are also spherical; however, they contain other apolipoproteins,
such as apoAI and apoAII, in addition to apoE and apoJ.
Effective rescue of primary neuronal cells from mevastatin-induced
neurotoxicity by the LDL-like microglial particles demonstrates that
these particles, over other types of particles released by the BV2
microglial cells, are biologically active. Mevastatin, an inhibitor of
3-hydroxyl-3-methylglutaryl-CoA reductase, induces neuronal cell
death by depleting de novo cholesterol synthesis (33). Since
the viability of neuronal cells, unlike nonneuronal cells, depends on
intracellular cholesterol and not on the intermediate nonsterol
isoprenoid products, the LDL-like microglial particles are able to
function in delivering the required cholesterol, attenuating the
mevastatin-induced neurotoxicity. In view of the functions of apoE and
apoJ in lipid transport and recycling (38, 46), the microglial LDL-like
particles, in this scenario, may simply provide a cholesterol source to
support neuronal viability. Alternatively, the LDL-like particles may
attenuate neuronal apoptosis that is caused by mevastatin exposure
(33). ApoJ, the major apolipoprotein in these particles, has been
implicated in cell death, particularly apoptotic cell death (47).
Following injury, apoJ expression is up-regulated at sites undergoing
tissue remodeling occurring in conjunction with apoptosis (47-50). The
apoJ carried on these microglial particles might subserve a function to
protect against neuronal injury.
Release of distinct particles varying in apolipoprotein composition and
lipid abundance by BV2 microglial cells raises an interesting question
regarding lipoprotein assembly. The two lipid-poor HDL-like microglial
particles might result from incomplete particle assembly. It seems
possible that these particles could be modified post-secretion by the
addition of lipids and lipoproteins in the local environment. For
example, remodeling of nascent apoJ-lipoproteins occurs in plasma and
in HepG2 cell medium (51). Furthermore, apoE and cholesterol have been
reported to be independently secreted from macrophages and, after
release, associate to generate HDL particles (25). Hence, both of these
HDL-like BV2 particles may be the recipients of exogenous lipid and/or protein.
Current data support the involvement of apoE in A
deposition is a neuropathologic
hallmark of Alzheimer's disease. Activated microglia are intimately
associated with plaques and appear to facilitate A
deposition, an
event believed to contribute to pathogenesis. It is unclear if
microglia can modulate pathogenesis of Alzheimer's disease by
secreting lipoprotein particles. Here we show that cultured BV2 murine
microglial cells, like astrocytes, secrete apolipoprotein E (apoE) and
apolipoprotein J (apoJ) in a time-dependent manner. To
isolate and identify BV2 microglial particles, gel filtration
chromatography was employed to fractionate BV2-conditioned medium.
Analyses by Western blot, lipid determination, electron microscopy, and
native gel electrophoresis demonstrate that BV2 microglial cells
release spherical low density lipoprotein (LDL)-like lipid-containing
particles rich in apoJ but poor in apoE. These microglial particles are
dissimilar in size, shape, and lipoprotein composition to
astrocyte-derived particles. The microglial-derived particles were
tested for functional activity. Under conditions of suppressed de
novo cholesterol synthesis, the LDL-like particles effectively
rescued primary rat cortical neurons from mevastatin-induced
neurotoxicity. The particles were also shown to bind A
. We speculate
that the LDL-like apoJ-rich apoE-poor microglial lipoproteins
preferentially bind the lipoprotein receptor, recognizing apoJ, which
is abundant in the choroid plexus, facilitating A
clearance from the
brain. BV2 cells also secrete an apoE-rich lipid-poor species that
binds A
. Consistent with the role of apoE in A
fibril formation
and deposition, this microglial species may promote plaque formation.
![]()
INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES
leads to expression of important inflammatory mediators: interleukin-1,
interleukin-6, tumor necrosis factor-
, and granulocyte macrophage
colony-stimulating factor (5-8). Microglia themselves are one of the
A
-generating cell types in the brain (9) and are likely to
contribute to the total cerebral A
burden.
appears to
represent the first step of an activation cascade (12-15). Since A
has been demonstrated to act as a chemotactic stimulus for microglia
in vitro (16), it may signal to recruit microglia to the
vicinity of extracellular A
in vivo. This is supported by
the observation that reactive microglia co-localize with diffuse
nonfibrillar A
only in brain regions that are involved in AD
pathology (17). The acquisition of a tertiary fibrillar structure by
A
and the development of neuritic plaques can be correlated with the
intimate association of activated microglia. This is in contrast to the
appearance of reactive astrocytes, which encircle but are not in
immediate physical proximity to neuritic plaques (2). The close
physical association of reactive microglia with the different stages of
plaque formation strongly suggests that activation of microglia
facilitates conversion of diffuse A
to fibrillar A
. It has been
proposed that once proto-fibrils have formed, endosomal compartments in
microglia could serve as efficient sites for the growth of amyloid
fibrils (18).
by plaque-associated microglia may contribute to plaque development by increasing production of astrocyte-derived S100
. This neurite growth-promoting cytokine has been implicated as contributing to the formation of dystrophic neurites within plaques (2, 4, 12). Neuronal injury arising from these
cytokine-induced neuronal insults can further activate microglia with
increased expression of interleukin-1, thus producing feedback
amplification of this cytokine cycle (2).
.
![]()
EXPERIMENTAL PROCEDURES
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES
binding experiments, a
total of 1400 ml of conditioned medium was used.
Binding--
A
association with lipoproteins was
assessed using previously published procedures (34, 35). Briefly, 250 µM synthetic A
1-40 (Bachem, Torrance, CA) was
incubated with BV2-conditioned medium for 2 h at 27 °C, after
which the material was fractionated by SEC as described above. Equal
volumes of fractions eluting from the column were analyzed by Western
blot using a human A
-specific monoclonal antibody (Senetek, Maryland
Heights, MO). Twelve percent reducing Tricine urea SDS-PAGE and
non-reducing Tricine urea SDS-PAGE (not equivalent to native PAGE) were
employed to electrophoretically separate the proteins in each fraction.
![]()
RESULTS
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

View larger version (28K):
[in a new window]
Fig. 1.
Time-dependent release and stable
accumulation of apoE and apoJ by BV2 microglial cells. Serum-free
media were collected from BV2 microglial cells at a cell density of
5 × 105 cells/well in a 6-well plate after
conditioning for 12, 24, and 48 h. Ninety microliters of the
conditioned medium was subjected to electrophoretic separation under
reducing SDS-PAGE for Western blot analysis with either an anti-murine
apoE antibody or anti-rat apoJ antibody.

View larger version (23K):
[in a new window]
Fig. 2.
Standardization of SEC columns relative to
size of plasma lipoprotein particles. Fresh human plasma (100 µl) and mouse plasma (500 µl) were fractionated using size
exclusion chromatography. Aliquots of 200 µl taken from across the
elution profile were used for determination of total cholesterol and
phospholipid. OD, optical density. Chylo VLDL,
chylomicron VLDL (Chylo VLDL).

View larger version (49K):
[in a new window]
Fig. 3.
ApoE and apoJ immunoreactivity and lipid
composition upon SEC fractionation of BV2-conditioned medium.
A, apoE and apoJ immunoreactivity across elution profile.
Selective fractions collected by size exclusion chromatography were
separated on a 12% reducing SDS-PAGE. Aliquots of 90 µl taken across
the elution profile were used for Western blot analysis with an
anti-murine apoE antibody or an anti-rat apoJ antibody. Chylo
VLDL, chylomicron VLDL. B, lipid composition
across elution profile. Selective fractions collected by size exclusion
chromatography were used for lipid analysis. Aliquots of 200 µl taken
across the elution profile were used to determine total cholesterol and
phospholipid. OD, optical density.

View larger version (95K):
[in a new window]
Fig. 4.
Electron micrographs and size-frequency
analysis of negatively stained BV2 LDL-like apoJ-rich and apoE-poor
particles. A, electron micrograph of negatively-stained
LDL-like lipoprotein particles. The isolated LDL-like apoJ-rich
apoE-poor fractions were concentrated and negatively stained with
neutral sodium phosphotungstate for particle analysis by electron
microscopy (56). B, size-frequency distribution of the
LDL-like lipoprotein particles. Measurement was made across a range
from 0 to 40 nm with n = 964. Bin, 2-nm size
intervals.

View larger version (74K):
[in a new window]
Fig. 5.
Native and non-denaturing gradient gel
electrophoresis of BV2 microglial lipoprotein particles followed by
Western blot analysis. LDL-like apoJ-rich and apoE-poor fraction
29, HDL-like apoJ-rich and apoE-poor fraction 35, and HDL-like
apoE-rich fraction 45 were electrophoresed on a non-denaturing 4-20%
PAGE followed by Western analysis. Isolated mouse HDL and purified
mouse apoE were used as controls. Equivalent aliquots were used for
Western blot analysis with an anti-murine antibody or an anti-rat apoJ
antibody.

View larger version (16K):
[in a new window]
Fig. 6.
Effect of BV2 microglial particles on
mevastatin-induced toxicity in immature primary rat cortical
neurons. Embryonic cortical neurons were seeded onto each well of
the 96-well plate and were subjected to treatment as indicated.
Mevastatin was added at 50 µM. Cell viability was
determined 48 h later by MTS reduction assay. In the absence of
apoJ standard, the abundance of apoE was used to indicate the amounts
of BV2 microglial particles added. The results are the mean ± S.D. of a typical experiment with triplicate determinations. The figure
shows a representative experiment out of three performed with similar
results.
--
We examined
whether the lipoprotein species released by BV2 microglial cells were
competent in binding A
using established methods (34, 35). Synthetic
human A
was incubated with BV2-conditioned medium, after which the
medium was fractionated by SEC gel filtration chromatography to
separate the different lipoprotein species. Fractions eluting from the
column were analyzed on reducing and non-reducing SDS-PAGE using
Western blotting with the A
-specific monoclonal antibody, 4G8. These
non-reducing conditions are such that formerly intact particles
separated by the gel filtration step will be disrupted. A
reactivity
eluted primarily in particle-containing fractions when analyzed under
non-reducing conditions (Fig.
7B). The majority of the A
immunoreactivity was present in the high molecular mass range,
indicating that A
is complexed with large molecular mass species.
Reactivity to moderate size entities in the high molecular mass range
is presumably due to binding to contaminating serum proteins. A
immunoreactivity also eluted in the free protein fraction of the
gradient at ~60-20 kDa, suggesting protein association, as well as
at ~4 kDa, reflecting unbound A
. Upon reduction, interestingly,
the A
associated with the lipoprotein-containing fractions was found
to be primarily dimeric, whereas the A
eluting with the free protein
was monomeric (Fig. 7A). This suggests that a specific form
of A
associated with the lipoprotein particles.

View larger version (86K):
[in a new window]
Fig. 7.
Binding of A
to
proteins in BV2-conditioned medium. BV2-conditioned medium
incubated with synthetic A
1-40 was fractionated by SEC. Aliquots of
fractions were analyzed for A
by Western blot after electrophoresis
on a reducing 12% Tricine urea SDS-PAGE (A) and on a
non-reducing Tricine urea SDS-PAGE (B). Chylo
VLDL, chylomicron VLDL.
![]()
DISCUSSION
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES
and are colocalized to
both diffuse and mature plaques within the AD parenchyma (20, 39-41),
emerging data suggest distinct roles for apoE and apoJ in A
fibrillogenesis. Whereas apoE promotes A
fibrillogenesis in
vitro (41, 42) and A
deposition in vivo (20, 43),
apoJ has been shown to slow the formation of A
aggregates in
vitro (44) and may, therefore, prevent soluble A
from forming
pathological fibrils. In view of these findings and the key role
microglia appear to play in the development of senile plaques, the
lipoprotein particles released from microglia are likely to play a role
in this disease.
deposition and
clearance (43), and the particles released by BV2 cells are likely to
play a role in A
catabolism. The role may be different for the
LDL-like spherical particles carrying apoJ as the major apolipoprotein
from the role of the HDL-like apoE-rich particles. We have found that
the microglial LDL-like particles can associate with synthetic A
(dimer over monomer); hence, these particles could mediate cellular
clearance of A
through interaction with lipoprotein receptors.
Clearance of these A
-associated microglial particles may occur via
multifunctional cell surface receptors expressed in the brain,
including the LDL receptor, LDL receptor-related protein, the very low
density lipoprotein receptor, apoER2, and gp330. Although all of these
receptors bind apoE-rich lipoproteins, gp330 is identified as the only
receptor recognizing apoJ and apoJ-A
complexes (52, 53). Although it
remains unclear whether the microglial LDL-like apoJ-rich apoE-poor
particles interacts with apoE receptors, it is tempting to speculate
that these apoJ-rich particles could potentially facilitate A
clearance and degradation via gp330. It has been suggested that gp330
can mediate internalization of A
-apoJ complexes, prevent
intracellular A
aggregation, and promote A
lysosomal degradation
(55). Moreover, since the gp330 receptor distribution is highly
prominent in the choroid plexus (54), it seems possible that these
microglial particles may facilitate transport of A
out of the brain.
Since A
can bind to this microglial particle, clearance via gp330
may represent a primary mechanism for removal of A
. In contrast, the
HDL-like apoE-rich particles may contribute to the deposition of A
in AD brain. The intimate physical association of microglia with plaque
development, the required role for apoE in plaque formation (43), and
our observation that this secreted apoE-rich microglial particle can
bind A
support this concept. The relative contribution of these two
different microglial particles as well as those secreted by astrocytes
to A
deposition and clearance remains to be elucidated.
| |
ACKNOWLEDGEMENTS |
|---|
We thank Mary Jo LaDu and Asha Naidu for advice and Carmen M. Bryant for providing technical assistance.
| |
FOOTNOTES |
|---|
* This work was supported by Eli Lilly & Co.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.
§ To whom correspondence should be addressed: Scios Inc., 820 West Maude Ave., Sunnyvale CA 94085. Tel.: 408-616-8230; Fax: 408-616-8317; E-mail: Cordell@sciosinc.com.
Published, JBC Papers in Press, July 28, 2000, DOI 10.1074/jbc.M002796200
2 B. Cordell, Q. Xu, and J. Rogers, unpublished observation.
3 Q. Xu, Y. Li, and B. Cordell, unpublished observations.
| |
ABBREVIATIONS |
|---|
The abbreviations used are: AD, Alzheimer's disease; apo, apolipoprotein; SEC, size exclusion chromatography; LDL, low density lipoprotein, VLDL, very LDL; HDL, high density lipoprotein; PAGE, polyacrylamide gel electrophoresis; MTS, 3-(4, 5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium; Tricine N-[2-hydroxy-1, 1-bis(hydroxymethyl)ethyl]glycine.
| |
REFERENCES |
|---|
|
|
|---|
| 1. | Rogers, J., Webster, S., Lue, L. F., Brachova, L., Civin, W. H., Emmerling, M., Shivers, B., Walker, D., and McGeer, P. (1996) Neurobiol. Aging 17, 681-686 |
| 2. | Griffin, W. S. T., Sheng, J. G., Royston, M. C., Gentleman, S. M, McKenzie, J. E., Graham, D. I., Roberts, G. W., and Mrak, R. E. (1998) Brain Pathol. 8, 65-72 |
| 3. | Mackenzie, I. R. A., and Munoz, D. G. (1998) Neurology 50, 986-990 |
| 4. | Sheng, J. G., Ito, K., Skinner, R. D., Mrak, R. E., Rovnaghi, C., Van Eldik, L. J., and Griffin, W. S. T. (1996) Neurobiol. Aging 17, 761-766 |
| 5. | Murphy, G. M., Jr., Yan, L., and Cordell, B. (1998) J. Biol. Chem. 273, 20967-20971 |
| 6. | Araujo, D. M., and Cotman, C. W. (1992) Brain Res. 569, 141-145 |
| 7. | Chao, C. C., Hu, S., Kravitz, F. H., Tsang, M., Anderson, W. R., and Peterson, P. K. (1994) Mol. Chem. Neuropathol. 23, 159-178 |
| 8. | Meda, L., Cassatella, M. ., Szendrei, G. I., Otvos, L., Jr., Baron, P., Villalba, M., Ferrari, D., and Rossi, F. (1995) Nature 374, 647-650 |
| 9. | Bitting, L., Naidu, A., Cordell, B., and Murphy, G. M., Jr. (1996) J. Biol. Chem. 271, 16084-16089 |
| 10. | Dickson, D. W. (1999) Am. J. Pathol. 154, 1627-1630 |
| 11. | Itagaki, S., McGeer, P. L., Akiyama, H., Zhu, S., and Selkoe, D. (1989) J. Neuroimmunol. 24, 173-182 |
| 12. | Griffin, W. S. T., Sheng, J. G., Roberts, G. W., and Mark, R. E. (1995) J. Neuropathol. Exp. Neurol. 54, 276-281 |
| 13. | Rozemuller, J. M., Eikelenboom, P., Stam, F. C., Beyreuther, K., and Masters, C. L. (1989) J. Neuropathol. Exp. Neurol. 48, 674-691 |
| 14. | Sasaki, A., Yamaguchi, H., Ogawa, A., Sugihara, S., and Nakazato, Y. (1997) Acta Neuropathol. 94, 316-322 |
| 15. | Overmyer, M., Helisalmi, S., Soininen, H., Laakso, M., Riekkinen, P., and Alafuzoff, I. (1999) Acta Neuropathol. 97, 383-392 |
| 16. | Davis, J. B., McMurray, H. F., and Schubert, D. (1992) Biochem. Biophys. Res. Commun. 189, 1096-1100 |
| 17. | Sheng, J. G., Mrak, R. E., and Griffin, W. S. T. (1995) Neuropathol. Appl. Neurobiol. 21, 290-301 |
| 18. | Chung, H., Brazil, M. I., Soe, T. T., and Maxfield, F. R. (1999) J. Biol. Chem. 274, 32301-32308 |
| 19. | Sheng, F. G., Mrak, R. E., and Griffin, W. S. T. (1996) Neuropathol. Appl. Neurobiol. 22, 334-341 |
| 20. | Schmechel, D. E., Sauders, A. M., Strittmatter, W. J., Crain, B. J., Hulette, C. M., Joo, S. H., Pericak-Vance, M. A., Goldgaber, D., and Roses, A. D. (1993) Proc. Natl. Acad. Sci. U. S. A. 90, 9649-9653 |
| 21. | Corder, E. H., Saunders, A. M., Strittmatter, W. J., Schmechel, D. E., Gaskell, P. C., Jr, Rimmler, J. B., Locke, P. A., Conneally, P. M., Schmader, K. E., Tanzi, R. E., Gusella, J. F., Small, G. W., Roses, A. D., Pericak-Vance, M. A., and Haines, J. L. (1995) Neurology 45, 1323-1328 |
| 22. | Saunders, A. M., Hulette, C., Welsh-Bohmer, K. A., Schmechel, D. E., Crain, B., Burke, J. R., Alberts, M. J., Strittmatter, W. J., Breitner, J. C. S., Rosenberg, C., Scott, S. V., Gaskell, P. C., Jr., Pericak-Vance, M. A., and Roses, A. D. (1996) Lancet 348, 90-93 |
| 23. | Nakai, M., Kawamata, T., Taniguchi, T., Maeda, K., and Tanaka, C. (1996) Neurosci. Lett. 211, 41-44 |
| 24. | Stone, D. J., Rozovsky, I., Morgan, T. E., Anderson, C. P., Hajian, H., and Finch, C. E. (1997) Exp. Neurol. 143, 313-318 |
| 25. | Basu, S. K., Goldstein, J. L., and Brown, M. S. (1983) Science 219, 871-873 |
| 26. | Blasi, E., Barluzzi, R., Boccini, V., Mazzolla, R., and Bistoni, F. (1990) J. Neuroimmunol. 27, 229-237 |
| 27. | Bocchini, V., Mazzolla, R., Barluzzi, R., Blasi, E., Sick, P., and Kettenmann, H. (1992) J. Neurosci. Res. 31, 616-662 |
| 28. | Wood, P. L., Choski, S., and Bocchini, V. (1994) Neuroreport 5, 977-980 |
| 29. | Reardon, C. A., Blachowicz, L., Watson, K. M., Barr, E., and Getz, G. S. (1998) J. Lipid Res. 39, 1372-1381 |
| 30. | LaDu, M. J., Gilligan, S. M., Lukens, J. R., Cabana, V. G., Reardon, C. A., Van Eldik, L. J., and Holtzman, D. M. (1998) J. Neurochem. 70, 2070-2081 |
| 31. | Fagan, A. M., Holtzman, D. M., Munson, G., Mathur, T., Schneider, D., Chang, L. K., Getz, G. S., Reardon, C. A., Lukens, J., Shah, J. A., and LaDu, M. J. (1999) J. Biol. Chem. 274, 30001-30007 |
| 32. | Li, Y. H., Maher, P., and Schubert, D. (1997) Neuron 19, 453-463 |
| 33. | Michikawa, M., and Yanagisawa, K. (1998) J. Neurosci. Res. 54, 58-67 |
| 34. | LaDu, M. J., Falduto, M. T., Manelli, A. M., Reardon, C. A., Getz, G. S., and Frail, D. E. (1994) J. Biol. Chem. 269, 23403-23406 |
| 35. | LaDu, M. J., Pederson, T. M., Frail, Reardon, C. A., Getz, G. S., and Falduto, M. T. (1995) J. Biol. Chem. 270, 9039-9042 |
| 36. | Jordan-Starck, T. C., Lund, S. D., White, D. P., Aronow, B. J., Ley, C. A., Stuart, W. D., Swertfeger, D. K., Clayton, L. R., Sells, S. F., Paigen, B., and Harmony, J. A. (1994) J. Lipid Res. 35, 194-210 |
| 37. | Weisgraber, K. H., and Mahley, R. W. (1986) Methods Enzymol. 129, 145-166 |
| 38. | De Silva, H. V., Stuart, W. D., Duvic, C. R., Wetterau, J. R., Ray, M. J., Ferguson, D. G., Albers, H. W., Smith, W. R., and Harmony, J. A. (1990) J. Biol. Chem. 265, 13240-13247 |
| 39. | Choi-Miura, N-H, Ihara, Y., Fukuchi, K., Takeda, M., Nakano, Y., Tobe, T., and Tomita, M. (1992) Acta Neuropathol. 83, 260-264 |
| 40. | Ghiso, J., Matsubara, E., Koudinov, A., Choi-Miura, N. H., Tomita, M., Wisniewski, T., and Farngione, B. (1993) Biochem. J. 293, 27-30 |
| 41. | Sanan, D. A., Weisgraber, K. H., Russell, S. J., Mahley, R. W., Huang, D., Sauders, A., Schmechel, D, Wisniewski, T., Frangione, B., Roses, A. D., and Strittmatter, W. J. (1994) J. Clin. Invest. 94, 860-869 |
| 42. | Ma, J., Wee, A., Brewer, H. B., Das, S., and Potter, H. (1994) Nature 372, 92-94 |
| 43. | Bales, K. R., Verina, T., Dodel, R. C., Du, Y., Altstiel, L., Bender, M., Hyslop, P., Johnstone, E. M., Little, S. P., Cummins, D. J., Picaardo, P., Ghetti, B., and Paul, S. M. (1997) Nat. Genet. 17, 263-264 |
| 44. | Matsubara, E., Soto, C., Governale, S., Frangione, B., and Ghiso, J. (1996) Biochem. J. 316, 671-679 |
| 45. | Borghini, I, Barja, F., Pometta, D., and James, R. W. (1995) Biochim. Biophy. Acta 1255, 192-200 |
| 46. | Mahley, R. W. (1988) Science 240, 622-630 |
| 47. | Michel, D., Moyse, E., Trembleau, A., Jourdan, F., and Brun, G. (1997) J. Cell Sci. 110, 1635-1645 |
| 48. | May, P. C., Lampert-Etchells, M., Johnson, S. A., Poirier, J., Masters, J. N., and Finch, C. E. (1990) Neuron 5, 831-839 |
| 49. | Messmer-Joudrier, S., Sagot, Y., Mattenberger, L., James, R. W., and Kato, A. C. (1996) Eur. J. Neurosci. 8, 2652-2661 |
| 50. | Törnqvist, E., Liu, L., Aldskogius, H., Van Holst, H., and Scensson, M. (1996) Neurobiol. Aging 17, 695-705 |
| 51. | Burkey, B. F., Stuart, W., and Harmony, J. A. K. (1992) J. Lipid Res. 33, 1517-1526 |
| 52. | Cole, G. M., Beech, W., Frautschy, S. A., Sigel, J., Glasgow, C., and Ard, M. D. (1999) J. Neurosci. Res. 57, 504-520 |
| 53. | Kounnas, M. Z., Loukinova, E. B., Stefansson, S., Harmony, J. A., Brewer, B. H., Strickland, D. K., and Argraves, W. S. (1995) J. Biol. Chem. 270, 13070-13075 |
| 54. | Zlokovic, B. V., Martel, C. L., Matsubara, E., McComb, J. G., Zheng, G., McCluskey, R. T., Frangione, B., and Ghiso, J. (1996) Proc. Natl. Acad. Sci. U. S. A. 93, 4229-4234 |
| 55. | Hammad, S. M., Ranganathan, S., Loukinova, E., Twal, W. O., and Argraves, W. S. (1997) J. Biol. Chem. 272, 18644-18649 |
| 56. | Forte, T. M., and Nordhausen, R. W. (1986) Methods Enzymol. 128, 442-457 |
This article has been cited by other articles:
![]() |
Q. Xu, D. Walker, A. Bernardo, J. Brodbeck, M. E. Balestra, and Y. Huang Intron-3 Retention/Splicing Controls Neuronal Expression of Apolipoprotein E in the CNS J. Neurosci., February 6, 2008; 28(6): 1452 - 1459. [Abstract] [Full Text] [PDF] |
||||
![]() |
W. S. Kim, A. S. Rahmanto, A. Kamili, K.-A. Rye, G. J. Guillemin, I. C. Gelissen, W. Jessup, A. F. Hill, and B. Garner Role of ABCG1 and ABCA1 in Regulation of Neuronal Cholesterol Efflux to Apolipoprotein E Discs and Suppression of Amyloid-beta Peptide Generation J. Biol. Chem., February 2, 2007; 282(5): 2851 - 2861. [Abstract] [Full Text] [PDF] |
||||
![]() |
Q. Xu, A. Bernardo, D. Walker, T. Kanegawa, R. W. Mahley, and Y. Huang Profile and Regulation of Apolipoprotein E (ApoE) Expression in the CNS in Mice with Targeting of Green Fluorescent Protein Gene to the ApoE Locus. J. Neurosci., May 10, 2006; 26(19): 4985 - 4994. [Abstract] [Full Text] [PDF] |
||||
![]() |
Y. Huang Apolipoprotein E and Alzheimer disease Neurology, January 24, 2006; 66(1_suppl_1): S79 - S85. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Buttini, G.-Q. Yu, K. Shockley, Y. Huang, B. Jones, E. Masliah, M. Mallory, T. Yeo, F. M. Longo, and L. Mucke Modulation of Alzheimer-Like Synaptic and Cholinergic Deficits in Transgenic Mice by Human Apolipoprotein E Depends on Isoform , Aging, and Overexpression of Amyloid beta Peptides But Not on Plaque Formation J. Neurosci., December 15, 2002; 22(24): 10539 - 10548. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. Husemann and S. C. Silverstein Expression of Scavenger Receptor Class B, Type I, by Astrocytes and Vascular Smooth Muscle Cells in Normal Adult Mouse and Human Brain and in Alzheimer's Disease Brain Am. J. Pathol., March 1, 2001; 158(3): 825 - 832. [Abstract] [Full Text] [PDF] |
||||
| ||||||||||||||||||||||||||||||||||