Volume 27, Issue 7 pp. 686-695
Research Article
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Mean age-of-onset of familial alzheimer disease caused by presenilin mutations correlates with both increased Aβ42 and decreased Aβ40§

Samir Kumar-Singh

Corresponding Author

Samir Kumar-Singh

Neurodegenerative Brain Diseases Group, Department of Molecular Genetics, Flanders Interuniversity Institute of Biotechnology, University of Antwerp, Antwerpen, Belgium

Laboratory of Neurogenetics, Institute Born-Bunge, University of Antwerp, Antwerpen, Belgium

VIB8—Department of Molecular Genetics, Neurodegenerative Brain Diseases Group, University of Antwerp, Universiteitsplein 1, B-2610 Antwerp, BelgiumSearch for more papers by this author
Jessie Theuns

Jessie Theuns

Neurodegenerative Brain Diseases Group, Department of Molecular Genetics, Flanders Interuniversity Institute of Biotechnology, University of Antwerp, Antwerpen, Belgium

Laboratory of Neurogenetics, Institute Born-Bunge, University of Antwerp, Antwerpen, Belgium

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Bianca Van Broeck

Bianca Van Broeck

Neurodegenerative Brain Diseases Group, Department of Molecular Genetics, Flanders Interuniversity Institute of Biotechnology, University of Antwerp, Antwerpen, Belgium

Laboratory of Neurogenetics, Institute Born-Bunge, University of Antwerp, Antwerpen, Belgium

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Daniel Pirici

Daniel Pirici

Neurodegenerative Brain Diseases Group, Department of Molecular Genetics, Flanders Interuniversity Institute of Biotechnology, University of Antwerp, Antwerpen, Belgium

Laboratory of Neurogenetics, Institute Born-Bunge, University of Antwerp, Antwerpen, Belgium

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Krist'l Vennekens

Krist'l Vennekens

Neurodegenerative Brain Diseases Group, Department of Molecular Genetics, Flanders Interuniversity Institute of Biotechnology, University of Antwerp, Antwerpen, Belgium

Laboratory of Neurogenetics, Institute Born-Bunge, University of Antwerp, Antwerpen, Belgium

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Ellen Corsmit

Ellen Corsmit

Neurodegenerative Brain Diseases Group, Department of Molecular Genetics, Flanders Interuniversity Institute of Biotechnology, University of Antwerp, Antwerpen, Belgium

Laboratory of Neurogenetics, Institute Born-Bunge, University of Antwerp, Antwerpen, Belgium

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Marc Cruts

Marc Cruts

Neurodegenerative Brain Diseases Group, Department of Molecular Genetics, Flanders Interuniversity Institute of Biotechnology, University of Antwerp, Antwerpen, Belgium

Laboratory of Neurogenetics, Institute Born-Bunge, University of Antwerp, Antwerpen, Belgium

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Bart Dermaut

Bart Dermaut

Neurodegenerative Brain Diseases Group, Department of Molecular Genetics, Flanders Interuniversity Institute of Biotechnology, University of Antwerp, Antwerpen, Belgium

Laboratory of Neurogenetics, Institute Born-Bunge, University of Antwerp, Antwerpen, Belgium

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Rong Wang

Rong Wang

Department of Human Genetics, Mount Sinai School of Medicine, New York, New York

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Christine Van Broeckhoven

Corresponding Author

Christine Van Broeckhoven

Neurodegenerative Brain Diseases Group, Department of Molecular Genetics, Flanders Interuniversity Institute of Biotechnology, University of Antwerp, Antwerpen, Belgium

Laboratory of Neurogenetics, Institute Born-Bunge, University of Antwerp, Antwerpen, Belgium

VIB8—Department of Molecular Genetics, Neurodegenerative Brain Diseases Group, University of Antwerp, Universiteitsplein 1, B-2610 Antwerp, BelgiumSearch for more papers by this author
First published: 02 June 2006
Citations: 261

Communicated by Mark Paalman

This article is a US Government work, and, as such, is in the public domain in the United States of America.

§

Samir Kumar-Singh and Jessie Theuns are joint first authors.

Abstract

The varied ways in which mutations in presenilins (PSEN1 and PSEN2) affect amyloid b precursor protein (APP) processing in causing early-onset familial Alzheimer disease (FAD) are complex and not yet properly understood. Nonetheless, one useful diagnostic marker is an increased ratio of Ab42 to Ab40 (Ab42/Ab40) in patients' brain and biological fluids as well as in transgenic mice and cells. We studied Ab and APP processing for a set of nine clinical PSEN mutations on a novel and highly reproducible enzyme-linked immunosorbent assay (ELISA)-based in vitro method and also sought correlation with brain Ab analyzed by image densitometry and mass spectrometry. All mutations significantly increased Ab42/Ab40 in vitro by significantly decreasing Ab40 with accumulation of APP C-terminal fragments, a sign of decreased PSEN activity. A significant increase in absolute levels of Ab42 was observed for only half of the mutations tested. We also showed that age-of-onset of PSEN1-linked FAD correlated inversely with Ab42/Ab40 (r=–0.89; P=0.001) and absolute levels of Ab42 (r=–0.83; P=0.006), but directly with Ab40 levels (r=0.69; P=0.035). These changes also partly correlated with brain Ab42 and Ab40 levels. Together, our data suggested that Ab40 might be protective by perhaps sequestering the more toxic Ab42 and facilitating its clearance. Also, the in vitro method we describe here is a valid tool for assaying the pathogenic potential of clinical PSEN mutations in a molecular diagnostic setting. Hum Mutat 27(7), 686–695, 2006. Published 2006 Wiley-Liss, Inc.

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