The metabolism of the amyloid precursor protein (APP) has been extensively investigated because its processing generates the amyloid--peptide (A), which is a likely cause of Alzheimer disease. Much prior research has focused on APP processing using transgenic constructs and heterologous cell lines. Work to date in native neuronal cultures suggests that A is produced in very large amounts. We sought to investigate APP metabolism and A production simultaneously under more physiological conditions in vivo and in vitro using cultured rat cortical neurons and live pigs. We found in cultured neurons that both APP and A are secreted rapidly and at extremely high rates into the extracellular space (2-4 molecules/neuron/s for A). Little APP is degraded outside of the pathway that leads to extracellular release. Two metabolic pools of APP are identified, one that is metabolized extremely rapidly (t1 ⁄ 2 ؍ 2.2 h), and another, surface pool, composed of both synaptic and extrasynaptic elements, that turns over very slowly. A release and accumulation in the extracellular medium can be accounted for stoichiometrically by the extracellular release of -cleaved forms of the APP ectodomain. Two ␣-cleavages of APP occur for every -cleavage. Consistent with the results seen in cultured neurons, an extremely high rate of A production and secretion from the brain was seen in juvenile pigs. In summary, our experiments show an enormous and rapid production and extracellular release of A and the soluble APP ectodomain. A small, slowly metabolized, surface pool of full-length APP is also identified.
Alzheimer disease (AD)2 is a progressive, neurodegenerative process characterized pathologically by accumulation of the -amyloid peptide (A) in the form of extracellular plaques (1). On the basis of genetic, cellular, and animal studies the amyloid hypothesis postulates that increased deposition of A in the brain is the primary influence in the pathogenesis of AD (2). A is part of the amyloid precursor protein (APP) that is expressed ubiquitously by neuronal and non-neuronal cells (3-5). APP is a type 1 transmembrane glycoprotein that undergoes sequential site-specific proteolytic cleavages by either ␣-or -secretase followed by ␥-secretase, which cleaves APP in the transmembrane domain to yield several secreted derivatives. Cleavage of APP by the -secretase BACE1 releases a large fragment called sAPP leaving behind a fragment that is acted upon by ␥-secretase at different sites to release several short peptides of which A40 and A42 are the major components (6). Alternatively, cleavage of APP by ␣-secretase occurs within the A domain, precluding the formation of A and resulting in the secretion of sAPP␣, a short peptide called p3, and a C-terminal domain, none of which are amyloidogenic.Both in vitro and in vivo evidence suggests that A is secreted from cells under normal physiological conditions (3, 4, 7-9) but the absolute amount, an important consideration given its proposed roles and pharmacologic interest, has not...