The amyloid precursor protein (APP), whose mutations cause Alzheimer disease, plays an important in vivo role and facilitates transmitter release. Because the APP cytosolic region (ACR) is essential for these functions, we have characterized its brain interactome. We found that the ACR interacts with proteins that regulate the ubiquitin-proteasome system, predominantly with the E3 ubiquitin-protein ligases Stub1, which binds the NH 2 terminus of the ACR, and CRL4 CRBN , which is formed by Cul4a/b, Ddb1, and Crbn, and interacts with the COOH terminus of the ACR via Crbn. APP shares essential functions with APP-like protein-2 (APLP2) but not APP-like protein-1 (APLP1 The ACR facilitated in vitro ubiquitination of presynaptic proteins that regulate exocytosis, suggesting a mechanism by which APP tunes transmitter release. Other dementia-related proteins, namely Tau and apoE, interact with and are ubiquitinated via the ACR in vitro. This, and the evidence that CRBN and CUL4B are linked to intellectual disability, prompts us to hypothesize a pathogenic mechanism, in which APP acts as a modulator of E3 ubiquitin-protein ligase(s), shared by distinct neuronal disorders. The well described accumulation of ubiquitinated protein inclusions in neurodegenerative diseases and the link between the ubiquitin-proteasome system and neurodegeneration make this concept plausible.
Processing of APP2 plays an important role in the central nervous system. A polymorphism in APP that reduces APP processing protects from sporadic Alzheimer disease (AD) (1). In contrast, mutations in APP and in genes that regulate APP processing, such as PSENs and BRI2/ITM2B, cause familial dementias (2-12). APP is cleaved by -secretase/BACE1 into a soluble ectodomain (soluble APP) and the COOH-terminal fragment -CTF. Alternatively, ␣-secretase cleaves APP into soluble APP␣ and a shorter COOH-terminal fragment, ␣-CTF. -CTF and ␣-CTF can be cleaved by ␥-secretase to produce A and the APP intracellular domain (AID) or P3 and AID, respectively (13-17). AID contains the ACR plus a few amino acids derived from the trans-membrane region of APP. AID is released in the cytosol upon production. Another processing pathway involves cleavage of APP in the ACR by caspase-6, -3, and -8 (18 -24). Sequential ␥-secretase/caspase processing can potentially generate the NH 2 -and COOH-terminal cytosolic peptides JCasp and Ccas (23,24).In vivo studies have identified an essential role for the ACR in the patterning of neuromuscular junction and survival and in synaptic transmission (25)(26)(27)(28)(29). Other studies have suggested that release of AID modulates apoptosis, gene transcription, and Ca 2ϩ homeostasis (23, 30 -40). The caspase-derived APP fragments Ccas and JCasp also possess toxic activities (22)(23)(24). Overall, these data indicate that the ACR is functionally important in vivo.APP belongs to a protein family that includes APLP1 and APLP2. APLP1 and APLP2 are processed like APP (41-45) and release intracellular peptides, called ALID1 and ALID2, respectiv...