The cellular prion protein (PrP C ), which is highly expressed at synapses, was identified as a receptor for the amyloid- (A) oligomers that are associated with dementia in Alzheimer disease. Here, we report that A oligomers secreted by 7PA2 cells caused synapse damage in cultured neurons via a PrP C -dependent process. Exogenous PrP C added to Prnp knock-out (0/0) neurons was targeted to synapses and significantly increased A-induced synapse damage. In contrast, the synapse damage induced by a phospholipase A 2 -activating peptide was independent of PrP C . In Prnp wild-type (؉/؉) neurons A oligomers activated synaptic cytoplasmic phospholipase A 2 (cPLA 2 ). In these cells, the addition of A oligomers triggered the translocation of cPLA 2 in synapses to cholesterol dense membranes (lipid rafts) where it formed a complex also containing A and PrP C . In contrast, the addition of A to Prnp (0/0) neurons did not activate synaptic cPLA 2 , which remained in the cytoplasm and was not associated with A. Filtration assays and non-denaturing gels demonstrated that A oligomers cross-link PrP C . We propose that it is the cross-linkage of PrP C by A oligomers that triggers abnormal activation of cPLA 2 and synapse damage. This hypothesis was supported by our observation that monoclonal antibody mediated cross-linkage of PrP C also activated synaptic cPLA 2 and caused synapse damage.
Alzheimer disease (AD)2 is a complex neurological disorder characterized by a progressive dementia resulting from synaptic failure (1, 2). The amyloid hypothesis maintains that the pivotal event in AD is the production and accumulation of amyloid- (A) peptides following the proteolytic cleavage of the amyloid precursor protein (3-5). Disease-associated mutations result in the increased production of the 42-amino acid peptide fragment (A 42 ) (6, 7), synthetic and recombinant forms of which acts as toxins. A 42 peptides self-aggregate and are found in multiple conformations ranging from small oligomers to larger fibrils and plaques. The soluble A oligomers that are considered to be the principal mediators of neurotoxicity (8 -11) demonstrate disease-specific accumulation in the brain (12) and bind to synapses (13,14). The high potency of A oligomers suggests that their effects are mediated through specific receptors. The cellular prion protein (PrP C ) that is highly expressed at synapses (15, 16) was recently identified as a receptor that mediates A-induced inhibition of synaptic plasticity and impaired memory in a model of AD (17). However, the role of PrP C in AD pathogenesis has been challenged by others who reported that A caused memory deficits in mice in the absence of PrP C (18, 19). Such apparently contradictory findings might be explained by the use of synthetic A peptides, which were combined with different models of memory formation as surrogates of dementia. Studies that use synthetic A preparations may be compromised by their propensity to self-aggregate into a wide variety of oligomer sizes and conformation...