Nigel Hooper. University of Manchester UK

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Prion protein as a therapeutic target in Alzheimer s disease Nigel Hooper University of Manchester UK

Prion protein and Alzheimer s a connection? - causative agent of transmissible spongiform encephalopathies (TSEs), e.g. Creutzfeldt-Jakob disease (CJD), BSE, scrapie, etc - cellular PrP C undergoes conformational change to infectious PrP Sc Metal homeostasis Anti-oxidant response Cell signalling Ligand/protein binding Cases of co-existent Alzheimer s and CJD pathology (Hainfellner et al. 1998; Voigtlander et al. 2001) Met/Val129 polymorphism in PRNP a risk factor for Alzheimer s (Dermaut et al. 2003; Riemenschneider et al. 2004) PrP C to PrP Sc conversion & Aβ production occur in cholesterol-rich lipid rafts (Cordy et al. 2003; Ehehalt et al. 2003; Taraboulos et al. 1995) APP & PrP C shed from the cell surface by the zinc metalloprotease ADAM10 (Parvathy et al. 1998; Parkin et al. 2004; Taylor et al. 2009) PrP C inhibits the β-secretase cleavage of APP (Parkin et al. 2007; Griffiths et al. 2011)

Cellular prion protein (PrP C ): a receptor for Aβ oligomers Screened expression library of 225,000 mouse brain cdnas PrP C the only specific, high-affinity receptor for Aβ oligomers (k d ~ 0.4 nm) Cisse & Mucke (2009) Nature 457, 1090-1

Neurotoxic forms of amyloid-β Fibrils Deposit in senile plaques Aβ natively unfolded monomer protofibrils fibrils Bind to neurons low-n 6mer 12mer (Aβ*56) ADDLs (>56 kda) Memory impairments Toxicity and cell death APF globulomer Alzheimer s Disease Oligomers Rushworth & Hooper (2011) Int. J. Alzheimers Dis. Article ID 603052

Biophysical and immunological characterisation of Aβ 1-42 oligomers (ADDLs) 100 nm monomer oligomer kda 170 55 26 17 5-6 nm Ø 10 } Aβ oligomers < tetramer < trimer < monomer 6E10 Tomic et al., (Aβ) 2009 OC (fibrillar epitope) A11 (pre-fibrillar epitope) Conformation-dependent antibodies (Charlie Glabe, California) A11 (pre-fibrillar oligomers) Levels of soluble fibrillar oligomers detected by OC antibody are significantly elevated in multiple brain regions of AD patients OC (fibrillar oligomers) Rushworth et al. (2013) J. Biol. Chem. 288, 8935

PrP C is required for the cellular binding of fibrillar Aβ oligomers and activation of Fyn kinase Rat hippocampal neurons Rushworth et al. (2013) J Biol Chem 288, 8935

PrP C is GPI anchored and localised in cholesterol-rich, rich, detergent-resistant resistant lipid rafts PrP C Fyn

Disruption of lipid rafts prevents Aβ oligomer binding and activation of Fyn kinase MβCD = methyl β-cyclodextrin, sequesters cholesterol Rushworth et al. (2013) J. Biol. Chem. 288, 8935

The transmembrane LRP1 is required for the binding and cytotoxicity of Aβ oligomers LRP1 = low-density lipoprotein receptorrelated protein 1 RAP = receptorassociated protein Rushworth et al. (2013) J. Biol. Chem. 288, 8935

Aβ oligomers promote the clustering of PrP C and LRP1 LRP1 Aβ oligomers Membrane PrP C lipid raft Fyn Fyn Fyn Neuroprotection? P Neurotoxic Rushworth et al. (2013) J. Biol. Chem. 288, 8935

Metabotropic glutamate receptor 5 (mglur5) is a coreceptor with PrP C for Aβ oligomers Neuron 79, 887-902

Aβ oligomer binding stimulates the clustering of specific neuronal receptors into aberrant signalling platforms at the synapse Normal Alzheimer s disease Rushworth & Hooper (2011) Int. J. Alzheimers Dis. Article ID 603052

PrP C as a therapeutic target in Alzheimer s disease?

But PrP C has several physiological roles

PrP C inhibits the amyloidogenic processing of the amyloid precursor protein (APP) PrP C α-secretase β-secretase

PrP C is reduced in sporadic Alzheimer s brain and inversely correlates with BACE1 activity, Aβ and Braak stage BACE1 activity n = 24 Soluble Aβ Insoluble Aβ Braak stage Whitehouse et al. (2013) PLoS ONE 8: e59554

Prion protein in human hippocampus declines with age Whitehouse et al. (2010) J. Alz. Dis. 22, 1023-1031

PrP C facilitates neuronal zinc uptake via AMPA receptors rt green fluorescence (relative increase) Newpor 1.2 1 0.8 0.6 0.4 0.2 0 Rat hippocampal neurons sirna - + 30 43 PrP C Actin Zn Zn + sirna 5 10 15 20 25 30 PrP C Time (min) PrP C sirna Newport green fluorescence (Relative increase) Newport green fluorescence (Relative increase) 1.2 1 0.8 0.6 0.4 0.2 1.2 1 0.8 0.6 0.4 0.2 Zn Zn + CNQX Zn + sirna 0 5 10 15 20 25 30 Time (min) Zn Zn + IEM-1460 Newport green staining Watt et al. (2012) Nat. Commun. 3:1134 0 5 10 15 20 25 30 Time (min) GluA2-lacking, Ca 2+ and Zn 2+ permeable AMPAR

Potential mechanism by which prion protein facilitates zinc uptake into cells through the AMPA receptor kda 100 Probe: GluA1 90 Probe: GluA2 30 Probe: PrP C Protein tyrosine phosphatase A pm PO 4 - release/µg/min 300 250 200 150 100 50 0 SH-SY5Y cells ** Un PrP C pm PO 4 - release/µg/min B 900 800 700 600 500 400 300 200 100 0 PrP null mice WT PrP - /- * Watt et al. (2012) Nat. Commun. 3:1134 Watt et al. (2013) Prion 7, 203-208

Impact of reduced prion protein on zinc metabolism in sporadic Alzheimer s disease and ageing 1) intracellular protein tyrosine phosphatase activity leading to neurotoxicity 2) extracellular Zn promotes Aβ oligomer formation and neurotoxicity 3) binding of Aβ oligomers to PrP C further zinc uptake Normal Zn PrP c Aβ oligomers Aβ 2 3 Alzheimer s Disease Neuronal death and dysfunction AMPA receptor Toxicity Protein tyrosine phosphatase 1 Protein tyrosine phosphatase

Prion protein in Alzheimer s disease - neuroprotective, neurotoxic or both! Benilova & De Strooper (2010) EMBO Mol. Med. 2, 289

PrP C forms multiple cell surface, raft-based complexes Watt et al. (2014) Frontiers Cell Develop. Biol. 2

EGCG and resveratrol reduce the cellular binding of Aβ oligomers and their downstream cytotoxicity EGCG [(-)-epigallocatechin gallate] Resveratrol Rushworth et al. (2013) J. Biol. Chem. 288, 8935

Prion protein as a therapeutic target in Alzheimer s disease - issues to consider Targeting disease vs normal functions of PrP C Receptors other than PrP C Type ( strains ) and concentration of Aβ oligomer Rather than exist as separate entities, several of these candidate receptor molecules may be closely linked in a multi-protein receptor complex, whose specific members may change as a result of electrophysiological activity or damage. Susan Catalano, Alzforum Benilova & DeStrooper (2013) Science 341, 1354

Acknowledgements Hooper Lab Rob Andrew Heledd Griffiths Kate Kellett Beth Noble Lizzie Glennon (Kings, London) Ed Parkin (Lancaster) Jo Rushworth (Leicester) Vicki Lewis (Melbourne) Emma Vardy (Newcastle) Nicole Watt (Leeds) Isobel Whitehouse (Leeds) Bristol Seth Love Pat Kehoe Scott Miners Edinburgh Jean Manson