The role of the endosomal/ lysosomal system in amyloid-beta production and the pathophysiology of Alzheimer's disease: Reexamining the spatial paradox from a lysosomal perspective

Article type: Research Article

Authors: Pasternak, Stephen Howard^{c; *} | Callahan, John William^{a; b} | Mahuran, Don Joseph^{b; c}

Affiliations: [a] Department of Biochemistry, Research Institute, The Hospital for Sick Children, University of Toronto, Toronto, Canada, M5G 1X8 | [b] Department Pathobiology and Laboratory Medicine, Research Institute, The Hospital for Sick Children, University of Toronto, Toronto, Canada, M5G 1X8 | [c] Research Institute, The Hospital for Sick Children, University of Toronto, Toronto, Canada, M5G 1X8

Correspondence: [*] Corresponding author: Stephen H. Pasternak, Metabolism Programme, Hospital for Sick Children Research Institute, Rm. 9142 Elm Wing, 555 University Avenue, Toronto Ont. Canada M5G 1X8. Tel.: +1 416 813 5761; Fax: +1 416 813 8700; E-mail: stevep@alum.mit.edu.

Abstract: One of the hallmarks of Alzheimer's disease is the cerebral deposition of plaques composed of a 37–43 amino acid amyloid-beta (Aβ) peptide. Aβ is produced by the sequential proteolytic cleavage of an integral-membrane protein, amyloid β-protein precursor (AβPP), first by β-secretase (BACE), and then by γ-secretase, a complex containing presenilin and Nicastrin. Although these cleavages were originally documented to occur in the endosomal/ lysosomal system, other lines of evidence suggest that the responsible proteins and activity reside in the ER or Golgi. This lack of intracellular co-localization of enzyme and substrate has been referred to as the spatial paradox of Alzheimer's disease. Here we will review the biology of the lysosome and the literature supporting the endosomal/ lysosomal production of Aβ. We will also examine some of the data supporting Aβ production in the biosynthetic compartments and demonstrate its compatibility with an endosomal/ lysosomal model. Finally, we will discuss the possible role of the acidic environment of the lysosome in the amyloidogenic process, and review the evidence for intracellular amyloidogenesis preceding amyloid plaque formation.

Keywords: lysosome, endosome, presenilin, Nicastrin, spatial paradox, amyloid plaques, proteasome, ER Quality Control System, Subcellular fractionation

DOI: 10.3233/JAD-2004-6107

Journal: Journal of Alzheimer's Disease, vol. 6, no. 1, pp. 53-65, 2004