[HTML][HTML] Modulation of amyloid β-protein clearance and Alzheimer's disease susceptibility by the LDL receptor–related protein pathway

DE Kang, CU Pietrzik, L Baum… - The Journal of …, 2000 - Am Soc Clin Investig
DE Kang, CU Pietrzik, L Baum, N Chevallier, DE Merriam, MZ Kounnas, SL Wagner…
The Journal of clinical investigation, 2000Am Soc Clin Investig
Susceptibility to Alzheimer's disease (AD) is governed by multiple genetic factors.
Remarkably, the LDL receptor–related protein (LRP) and its ligands, apoE and α2M, are all
genetically associated with AD. In this study, we provide evidence for the involvement of the
LRP pathway in amyloid deposition through sequestration and removal of soluble amyloid β-
protein (Aβ). We demonstrate in vitro that LRP mediates the clearance of both Aβ40 and
Aβ42 through a bona fide receptor-mediated uptake mechanism. In vivo, reduced LRP …
Susceptibility to Alzheimer’s disease (AD) is governed by multiple genetic factors. Remarkably, the LDL receptor–related protein (LRP) and its ligands, apoE and α2M, are all genetically associated with AD. In this study, we provide evidence for the involvement of the LRP pathway in amyloid deposition through sequestration and removal of soluble amyloid β-protein (Aβ). We demonstrate in vitro that LRP mediates the clearance of both Aβ40 and Aβ42 through a bona fide receptor-mediated uptake mechanism. In vivo, reduced LRP expression is associated with LRP genotypes and is correlated with enhanced soluble Aβ levels and amyloid deposition. Although LRP has been proposed to be a clearance pathway for Aβ, this work provides the first in vivo evidence that the LRP pathway may modulate Aβ deposition and AD susceptibility by regulating the removal of soluble Aβ.
The Journal of Clinical Investigation