The design of a potent amyloid-β protein (Aβ)
inhibitor
plays a pivotal role in the prevention and treatment of Alzheimer’s
disease (AD). Despite endogenous transthyretin (TTR) being recognized
as an Aβ inhibitor, the weak inhibitory and blood brain barrier
(BBB) crossing capabilities hinder it for Aβ aggregation inhibition
and transport. Therefore, we have herein designed a recombinant TTR
by conjugating a cationic cell penetrating peptide (penetratin, Pen),
which not only enabled the fusion protein, TTR-Pen (TP), to present
high BBB penetration but also greatly enhanced the potency of Aβ
inhibition. Namely, the protein fusion made TP positively charged,
leading to a potent suppression of Aβ40 fibrillization
at a low concentration (1.5 μM), while a TTR concentration as
high as 12.5 μM was required to gain a similar function. Moreover,
TP could mitigate Aβ-induced neuronal death, increase cultured
cell viability from 72% to 92% at 2.5 μM, and extend the lifespan
of AD nematodes from 14 to 18 d. Thermodynamic studies revealed that
TP, enriched in positive charges, presented extensive electrostatic
interactions with Aβ40. Importantly, TP showed excellent
BBB penetration performance, with a 10 times higher BBB permeability
than TTR, which would allow TP to enter the brain of AD patients and
participate in the transport of Aβ species out of the brain.
Thus, it is expected that the fusion protein has great potential for
drug development in AD treatment.