Abstract:Controversy exists as to the clinical importance, cause, and disease specificity of the cytochrome oxidase (CO) activity reduction observed in some patients with Alzheimer's disease (AD). Although it is assumed that the enzyme is present in normal amount in AD, no direct measurements of specific CO protein subunits have been conducted. We measured protein levels of CO subunits encoded by mitochondrial (COX I, COX II) and nuclear (COX IV, COX VIc) DNA in autopsied brain of patients with AD whom we previously reported had decreased cerebral cortical CO activity. To assess disease specificity, groups of patients with spinocerebellar ataxia type I and Friedreich's ataxia were also included. As compared with the controls, mean protein concentrations of all four CO subunits were significantly decreased (Ϫ19 to Ϫ47%) in temporal and parietal cortices in the AD group but were not significantly reduced (Ϫ12 to Ϫ17%) in occipital cortex. The magnitude of the reduction in protein levels of the CO subunits encoded by mitochondrial DNA (Ϫ42 to Ϫ47%) generally exceeded that encoded by nuclear DNA (Ϫ19 to Ϫ43%). In the spinocerebellar ataxia disorders, COX I and COX II levels were significantly decreased in cerebellar cortex (Ϫ22 to Ϫ32%) but were normal or close to normal in cerebral cortex, an area relatively unaffected by neurodegeneration. We conclude that protein levels of mitochondrial-and nuclear-encoded CO subunits are moderately reduced in degenerating but not in relatively spared brain areas in AD and that the decrease is not specific to this disorder. The simplest explanation for our findings is that CO is decreased in human brain disorders as a secondary event in brain areas having reduced neuronal activity or neuronal/synaptic elements consequent to the primary neurodegenerative process. Key Words: Cytochrome oxidase-Complex IV-Alzheimer's disease-Spinocerebellar ataxia type I-Friedreich's ataxia-Mitochondria-Oxidative phosphorylation.
J. Neurochem. 72, 700 -707 (1999).Since Parker et al.'s biochemical study (1990) in platelets of patients with Alzheimer's disease (AD), much attention continues to be devoted to the possibility that the fundamental cause of this disease, in the majority of patients with the disorder, is a defect in the key mitochondrial electron transport chain enzyme cytochrome oxidase (CO; for review, see Parker and Davis, 1997). This notion is particularly attractive as in vitro data indicate that a CO defect could alter processing of the -amyloid precursor protein (Gabuzda et al., 1994). However, most aspects of this issue still remain controversial. In this regard, it is generally assumed that decreased brain CO activity is an established feature of AD. Analysis of all of the available postmortem brain data (Colvin et al., 1991;Cooper et al., 1993;Reichmann et al., 1993;Simonian and Hyman, 1993;Parker et al., 1994;Mutisya et al., 1994;Cavelier et al., 1995;Chagnon et al., 1995;Parker and Parks, 1995;Maurer et al., 1995;Wong-Riley et al., 1997), including those of our original report...