Aberrant Tau inclusions in the locus coeruleus (LC) are the earliest detectable Alzheimer's disease (AD)-like neuropathology in the human brain; however, why LC neurons are selectively vulnerable to developing early Tau pathology and degenerating later in disease and whether the LC might seed the stereotypical spread of Tau pathology to the rest of the brain remain unclear.Here we show that 3,4-dihydroxyphenylglycolaldehyde (DOPEGAL), which is produced exclusively in noradrenergic neurons by monoamine oxidase A (MAO-A) metabolism of norepinephrine (NE), activates asparagine endopeptidase (AEP) that cleaves Tau at residue N368 into aggregation-and propagation-prone forms, thereby leading to LC degeneration and the spread of Tau pathology. DOPEGAL triggers AEP-cleaved Tau aggregation in vitro and in intact cells, resulting in LC neurotoxicity and propagation of pathology to the forebrain. Thus, our findings reveal a novel molecular mechanism underlying the selective vulnerability of LC neurons in AD.Keywords neurodegenerative diseases; norepinephrine; neurofibrillary tangle; locus coeruleus; Tau 4 neurochemical characteristics (7, 16), the underlying molecular mechanisms have yet to be identified.Asparagine endopeptidase (AEP; gene name LGMN) is a lysosomal endopeptidase that specifically cleaves its substrates after asparagine under conditions of acidosis (17). Recently, we reported that AEP acts as a delta-secretase that cleaves both amyloid precursor protein (APP) andTau in an age-dependent manner in mouse and human AD brains (18, 19). AEP cuts APP at the N373 and N585 residues in the ectodomain and facilitates Aβ production by decreasing the steric hindrance for beta-secretase (BACE1). Depletion of AEP significantly reduces Aβ production and senile plaque formation in 5XFAD transgenic mice, leading to the restoration of synaptic activity and cognitive functions (19). In addition, AEP cleaves Tau at N255 and N368 and abolishes its microtubule assembly activity, resulting in hyperphosphorylation, aggregation, and NFT formation (18). Of note, the AEP-generated Tau 1-368 fragment is highly neurotoxic.Genetic deletion or pharmacological inhibition of AEP in transgenic mice that overexpress mutant human APP or aggregation-prone mutant human Tau prevents APP N585 and Tau N368 cleavage, ameliorates Aβ and Tau pathology, and reverses synaptic plasticity and cognitive deficits (18, 20). Thus, AEP plays a critical role in regulating Aβ and Tau pathogenesis. Most recently, we reported that AEP is activated by 3,4-dihydroxyphenylacetaldehyde (DOPAL), a highly toxic and oxidative dopamine (DA) metabolite, in the substantia nigra (21). Active AEP subsequently cleaves α-synuclein at N103 and promotes its aggregation and dopameringeric neuronal loss, leading to motor dysfunction in animal models of Parkinson's disease (PD) (22).
5Analogous to toxic DA metabolites killing substantia nigra pars compacta neurons in PD, the noradrenergic phenotype of LC neurons itself may contribute to the vulnerability of these cells in AD. NE is ...