Amyloid -protein 1-42 (A42) is believed to play a causative role in the development of Alzheimer disease (AD), although it is a minor part of A. In contrast, A40 is the predominant secreted form of A and recent studies have suggested that A40 has neuroprotective effects and inhibits amyloid deposition. We have reported that angiotensin-converting enzyme (ACE) converts A42 to A40, and its inhibition enhances brain A42 deposition (Zou, K., Yamaguchi, H., Akatsu, H., Sakamoto, T., Ko, M., Mizoguchi, K., Gong, J. S., Yu, W., Yamamoto, T., Kosaka, K., Yanagisawa, K., and Michikawa, M. (2007) J. Neurosci. 27, 8628 -8635). ACE has two homologous domains, each having a functional active site. In the present study, we identified the domain of ACE, which is responsible for converting A42 to A40. Interestingly, A42-to-A40-converting activity is solely found in the N-domain of ACE and the angiotensinconverting activity is found predominantly in the C-domain of ACE. We also found that the N-linked glycosylation is essential for both A42-to-A40-and angiotensin-converting activities and that unglycosylated ACE rapidly degraded. The domainspecific converting activity of ACE suggests that ACE inhibitors could be designed to specifically target the angiotensin-converting C-domain, without inhibiting the A42-to-A40-converting activity of ACE or increasing neurotoxic A42.
Angiotensin-converting enzyme (ACE)4 plays a key role in the renin-angiotensin system (RAS), which is involved in the long-term regulation of blood pressure and blood volume in the human body. Recent genetic, pathologic, and biochemical studies have associated ACE with onset of Alzheimer disease (AD) (1, 2). The I allele of the ACE gene, which results in a reduced serum ACE level, has been demonstrated to be associated with AD (3-5). Hypertension is a risk factor for AD and ACE inhibitors for treatment of hypertension were shown to be the only drug class among the antihypertensives to potentially be associated with a slight increased incidence of AD (adjusted hazard ratio 1.13) (6, 7). A mechanistic link between ACE and AD was suggested when ACE was shown to degrade A40 and A42 (8, 9). Overexpression of A40 in transgenic mice does not cause brain amyloid deposition, the major pathological hallmark of AD, whereas expression of A42 is shown to be essential for amyloid deposition (10, 11). In addition, A40 has an inhibitory effect on amyloid deposition in vitro and in vivo and has neuroprotective effects (12)(13)(14). These lines of evidence suggest that converting A42 to A40 may be a potential strategy for development of an AD therapy. In our previous study, we identified ACE as an A42-to-A40-converting (A-converting) enzyme and showed that ACE inhibitor enhances brain A42 deposition in transgenic mice (15). Clarifying the molecular base of ACE domain-specific enzymatic activity on A42 to A40 conversion, A degradation, and angiotensin conversion emerges to be important for development of a strategy for hypertension and AD treatment.AC...