environment- and mutation-dependent aggregation behavior of alzheimer amyloid β-protein
TRANSCRIPT
Environment- and mutation-dependent aggregation behavior of
Alzheimer amyloid b-protein
Naoki Yamamoto,* Kazuhiro Hasegawa,� Katsumi Matsuzaki,� Hironobu Naiki�and Katsuhiko Yanagisawa*
*Department of Dementia Research, National Institute for Longevity Sciences, Obu, Japan
�Division of Molecular Pathology, Department of Pathological Sciences, Faculty of Medical Sciences, University of Fukui,
Fukui, Japan
�Graduate School of Pharmaceutical Sciences, Kyoto University, Kyoto, Japan
Abstract
The deposition of amyloid b-protein in the brain is a funda-
mental process in the development of Alzheimerı́s disease;
however, the mechanism underlying aggregation of amyloid
b-protein remains to be determined. Here, we report that a
membrane-mimicking environment, generated in the pres-
ence of detergents or a ganglioside, is sufficient per se for
amyloid fibril formation from soluble amyloid b-protein. Fur-
thermore, hereditary variants of amyloid b-protein, which are
caused by amyloid precursor protein gene mutations, inclu-
ding the Dutch (E693Q), Flemish (A692G) and Arctic (E693G)
types, show mutually different aggregation behavior in these
environments. Notably, the Arctic-type amyloid b-protein, in
contrast to the wild-type and other variant forms, shows a
markedly rapid and higher level of amyloid fibril formation in
the presence of sodium dodecyl sulfate or GM1 ganglioside.
These results suggest that there are favorable local environ-
ments for fibrillogenesis of amyloid b-protein.
Keywords: Alzheimer’s disease, amyloid, amyloid b-protein,
detergent, ganglioside, membrane.
J. Neurochem. (2004) 90, 62–69.
One of the questions about the molecular pathophysiology
of Alzheimer’s disease (AD) is how the soluble, non-toxic
amyloid b-protein (Ab) is converted to its aggregated, toxicform. In the case of familial AD caused by mutations of the
amyloid precursor protein (APP) gene outside the Absequence (London and Swedish types) and presenilin
(presenilin 1 and presenilin 2) genes, it is likely that Abdeposition in the brain is induced by the accelerated and/or
altered generation of Ab, particularly Ab42, an aggregation-prone form of Ab (Selkoe 1997). However, in the case ofsporadic AD, a major form of the disease, no evidence has
ever been reported to indicate that Ab generation is altered. Itmay therefore be possible to assume that Ab deposition inthe brain is facilitated not only by its accelerated and/or
altered generation but also by as yet unknown aggregation-
promoting local environmental factor(s). This possibility is
supported by the evidence that Ab deposits in preferred areasin an AD brain. The environment-dependent acceleration of
Ab aggregation may be particularly significant for the
development of hereditary cerebral amyloidosis, which is
caused by APP gene mutations within the Ab sequence(Levy et al. 1990; Hendriks et al. 1992; Rozemuller et al.
1993; Nilsberth et al. 2001), for the following reasons: first,
the levels of secreted Ab42 are not increased but ratherdecreased by these mutations, including the Dutch (E693Q),
Italian (E693K) and Arctic (E693G) types but not the
Flemish (A692G) type (Nilsberth et al. 2001); second, the
Dutch-type Ab predominantly deposits in the blood vesselsof the brain (Rozemuller et al. 1993) whereas the Arctic-type
Abwas suggested to deposit preferentially in the parenchymaof the brain (Nilsberth et al. 2001).
The presence of detergents, including octyl-b-glucopyr-anoside (OG) and sodium dodecyl sulfate (SDS), or solvents,
including trifluoroethanol and hexafluoroisopropanol, alters
Received January 9, 2004; accepted February 13, 2004.
Address correspondence and reprint requests to Katsuhiko
Yanagisawa, MD, Department of Dementia Research, National Institute
for Longevity Sciences, 36–3 Gengo, Morioka, Obu, Japan 474–8522.
E-mail: [email protected]
Abbreviations used: Ab, amyloid b-protein; AD, Alzheimer’s disease;APP, amyloid precursor protein; CD, circular dichroism; CMC, critical
micelle concentration; EM, electron microscopy; OG, octyl-b-gluco-pyranoside; SDS, sodium dodecyl sulfate; TBS, Tris-buffered sulfate;
ThT, thioflavin T; ZW, Zwittergent 3–14.
Journal of Neurochemistry, 2004, 90, 62–69 doi:10.1111/j.1471-4159.2004.02459.x
62 � 2004 International Society for Neurochemistry, J. Neurochem. (2004) 90, 62–69
the secondary structure of soluble Ab (Hollosi et al. 1989;Barrow and Zagorski 1991; Barrow et al. 1992; Burdick
et al. 1992; Laczko-Hollosi et al. 1992; Otvos et al. 1993;
Shao et al. 1999). Moreover, it was recently reported that
trifluoroethanol could accelerate Ab fibrillogenesis throughits partial unfolding (Fezoui et al. 2002).
The aims of the present study were twofold: first, to
determine whether membrane-mimicking environments are
sufficient per se for amyloid fibril formation from soluble Aband, second, to investigate how hereditary Ab variantsbehave in these environments. The results of the present
study suggest that the interaction of Abwith lipids is crucialfor the initiation of Ab aggregation in the brain and that thereare preferred environments for the aggregation of each
hereditary Ab variant.
Experimental procedures
Materials
OG, SDS, cholesterol and sphingomyelin were purchased from
Sigma-Aldrich (St Louis, MO, USA). Zwittergent 3–14 (n-tetra-
decyl-N,N-dimethyl-3-ammonia-1-propanesulfonate) (ZW) was
obtained from Calbiochem (San Diego, CA, USA). Bovine brain
GM1 ganglioside was obtained from Wako (Osaka, Japan).
Synthetic Ab (wild-type and variant forms of Ab40 and wild-typeAb42) were purchased from the Peptide Institute (Osaka, Japan).
Preparation of ‘de-seed’ Ab solutions
‘De-seed’ Ab solutions were prepared essentially as we previouslyreported (Naiki and Gejyo. 1999). Briefly, synthetic Ab40 (wildtype and variant forms) was dissolved in 0.02% ammonia solution at
500 lM and Ab42 (wild type) at 250 lM, and the solutions werecentrifuged at 540 000 g for 3 h using an Optima TL ultracentrifuge
(Beckman, Fullerton, CA, USA). The supernatant was collected and
stored in aliquots at ) 80�C until use. Immediately before use,aliquots were thawed and diluted with Tris-buffered saline (TBS)
(150 mM NaCl, 10 mM Tris-HCl, pH 7.4).
Determination of critical micelle concentrations (CMCs)
The critical micelle concentrations (CMCs) of detergents (OG, ZW
and SDS) were determined using the fluorescence probe 8-anilino-1-
naphtalene (ANS) as previously reported (Ortner et al. 1979). Briefly,
solutions of detergents were incubated with ANS, and fluorescence
intensity in the incubation mixtures was determined using a
spectrofluorophotometer (RF-5300PC, Shimadzu, Japan); the exci-
tation wavelength was 385 nm with a slit width of 5 nm, and the
emission intensity was recorded at 475 nmwith a slit width of 10 nm.
Thioflavin T (ThT) assay
The ThT assay was performed as described elsewhere (Naiki and
Gejyo. (1999), using a spectrofluorophotometer (RF-5300PC). The
Ab (Ab40 and Ab42) solution described above was incubated at37�C at a concentration of 50 lM. Optimum fluorescence intensitymeasurements of amyloid fibrils were obtained at excitation and
emission wavelengths of 446 nm and 490 nm respectively, with
the reaction mixture (1.0 mL) containing 5 lM ThT and 50 mM
glycine-NaOH buffer, pH 8.5. Fluorescence intensity was measured
immediately after preparing the mixture.
Circular dichroism (CD) spectroscopy
Ab40 at a concentration of 50 lM in TBS was used in CD
spectroscopy. CD spectra were measured on a Jasco J-720 apparatus
interfaced to an NEC PC9801 microcomputer (Tokyo, Japan), using
a 1-mm path-length quartz cell to minimize the absorbance owing to
buffer components. The instrumental outputs were calibrated with
non-hygroscopic ammonium d-camphor-10-sulfonate as reported
previously (Takakuwa et al. 1985). Four scans were averaged for
each sample. The averaged blank spectra of TBS with or without
detergents (ZW or SDS) were subtracted.
Preparation of liposomes
Cholesterol, sphingomyelin and GM1 ganglioside were dissolved in
chloroform/methanol (1 : 1) at a molar lipid ratio of 40 : 40 : 20,
42.5 : 42.5 : 15, and 45 : 45 : 10 to generate GM1-containing
liposomes. GM1-lacking liposomes were prepared by mixing
cholesterol and sphingomyelin at a molar lipid ratio of 1 : 1. The
mixtures were stored at ) 80�C until use. Immediately before use,the lipids were resuspended in TBS at a GM1 ganglioside
concentration of 2.5 mM, and suspensions were subjected to
freezing and thawing. The lipid suspension was centrifuged once
at 15 000 g for 15 min and the resulting pellet was resuspended in
TBS. Finally, the suspension was subjected to sonication on ice.
Electron microscopy (EM)
Samples (2 lL) were diluted with 38 lL distilled water. These dilutedsamples were spread on carbon-coated grids, allowing the solution to
stand for 1–2 min before removing any excess with filter paper. After
evaporating the residual solution, the grids were negatively stained
with 1% phosphotungstic acid (pH 7.0). Again, the solution on the
grids was removed with filter paper and the residual solution evapor-
ated. These samples were examined under a Hitachi H-7000 electron
microscope (Tokyo, Japan) with an acceleration voltage of 75 kV.
Congo red staining
Congo red staining was performed as described elsewhere (Naiki
and Nakakuki. 1996). Briefly, a part of the sample was centrifuged
at 4�C for 2 h at 20 000 g. Pellets were spread on glass slides, driedovernight, stained with Congo red, and examined under a polarized
light microscope for orange–green birefringence.
Data analysis
Data were expressed as mean ± SD of five independent experi-
ments. Statistical analysis was performed by two-way ANOVA
combined with Scheffe’s test for all paired comparisons. p < 0.05
was interpreted to be statistically significant.
Results
Detergent-induced aggregation of wild-type Ab40 and
Ab42
To perform a kinetic study of the aggregation of synthetic
wild-type and variant forms of Ab40 and wild-type Ab42,we prepared ‘de-seed’ solutions of Ab as reported previously
Ab aggregation in membrane-mimicking environment 63
� 2004 International Society for Neurochemistry, J. Neurochem. (2004) 90, 62–69
(Naiki and Gejyo. (1999) to avoid spontaneous Ab aggre-gation in the presence of pre-existent seeds (Walsh et al.
1997; Naiki et al. 1998; Hasegawa et al. 1999). ThT
fluoresence intensity in the ‘de-seed’ Ab solutions at
50 lM did not increase during the incubation period of48 h and 6 h for Ab40 and Ab42 respectively (Figs 1 and 2).We then incubated Ab with detergents at various concentra-tions. ThT fluoresence intensity in Ab40 solution increasedin the presence of the detergents OG, ZW and SDS (Fig. 1).
The increase in ThT fluorescence intensity was dependent on
the detergent concentration in the incubation mixture. We
determined the CMC of each detergent in the solution
conditions used in the present study. The CMCs were 0.5%,
0.005% and 0.0375% for OG, ZW and SDS respectively.
Peak ThT fluorescence intensity in the incubation mixtures
containing Ab40 and detergents was obtained at the CMCsfor OG and SDS and at a higher concentration than the CMC
for ZW (Fig. 1). Interestingly, profiles of the increase in ThT
fluorescence intensity were different from each other; that is,
there was a lag phase of 8 h before ThT fluoresence intensity
started to increase in Ab40 solution in the presence of SDS(Fig. 1c).
We also examined whether ThT fluorescence intensity in
Ab42 solutions was increased in the presence of detergents atconcentrations that provided peak ThT fluorescence intensity
in the Ab40 solutions. ThT fluorescence intensity in Ab42solution was increased in the presence of detergents. Peak
ThT fluorescence intensity in Ab42 solutions in the presenceof OG or ZW was essentially similar to that in Ab40solutions. However, ThT fluorescence intensity in Ab42solution in the presence of SDS reached a plateau at a much
lower level than those obtained in the the presence of OG and
ZW (Fig. 2a).
We then examined the possibility that Ab42 aggregationwas induced by SDS at lower concentrations. Surprisingly, in
contrast to the incubation of Ab40, Ab42 aggregation wasmarkedly accelerated in the presence of SDS below the CMC
without a lag phase (Fig. 2b).
Aggregation behavior of Ab variants in the presence
of detergents
We then investigated how hereditary Ab variants, includingthe Dutch-, Flemish- and Arctic-type Ab (Ab40), behave in
Fig. 1 Kinetics of Ab fibrillogenesis in the presence of detergents.
Soluble Ab40 was incubated in the presence of OG (a), ZW (b) and
SDS (c) at various concentrations indicated in the figures, or in the
absence of detergent (control). Fluorescence intensity of ThT was
obtained by excluding background activity in the absence of Ab40 and
detergent. Values are representative of three experiments.
Fig. 2 Kinetics of Ab fibrillogenesis in the presence of detergents. (a)
Soluble Ab42 was incubated in the presence of OG, ZW and SDS at
concentrations that provided peak values of ThT fluorescence intensity
in Ab40 solutions, or in the absence of detergent (control). (b) Soluble
Ab42 was incubated in the presence of SDS at various concentrations,
or in the absence of SDS (control). Fluorescence intensity of ThT was
obtained by excluding background activity in the absence of Ab42 and
detergent. Values are representative of three experiments.
64 N. Yamamoto et al.
� 2004 International Society for Neurochemistry, J. Neurochem. (2004) 90, 62–69
membrane-mimicking environments. In the presence of OG
or ZW the Dutch-type Ab solution showed a more rapidincrease in ThT fluorescence intensity, with a higher peak,
than the Flemish- and Arctic-type Abs (Figs 3a and b). Incontrast, in the presence of SDS, the solution of Arctic-type
Ab, but not those of Dutch- and Flemish-type Abs, showed asteep increase in ThT fluorescence intensity without a lag
phase (Fig. 3c).
To morphologically characterize aggregates of Ab variantsformed in the presence of detergents, we employed EM. In
the presence of ZW, the wild-type Ab formed fibrils with adiameter of 8–10 nm and helical structures, whereas the
Dutch- and Flemish-type Abs formed rather thin fibers with adiameter of 6–7 nm (Fig. 4a). In contrast, Arctic-type Abformed short and curved thin fibers with a diameter of
6–7 nm, which can be defined as protofibrils (Walsh et al.
1997) (Fig. 4a). In the presence of SDS, the wild-,
Dutch- and Flemish-type Abs formed fibrils with similarcharacteristics to those formed in the presence of ZW.
However, surprisingly, the Arctic-type Ab formed fibrilsdistinct from those formed in the presence of ZW. These
fibrils were indistinguishable from those of wild-type Ab(Fig. 4b). We attempted to perform EM of fibrils formed in
the presence of OG; however, we failed to fix Ab aggregateson carbon-coated grids for unknown reasons (data not
shown).
To further characterize the Arctic-type Ab aggregation inthe presence of ZW or SDS, we performed CD spectroscopy.
In the experiment with wild-type Ab, an immediate transitionfrom a random coil to a b-sheet was observed in the presenceof SDS; however, it was incomplete in the presence of ZW
(Fig. 5a). A typical curve for a b-sheet was obtained with Absolution preincubated for 24 h in the presence of ZW before
CD measurements (data not shown). The Arctic-type Abmade the transition from random coil to b-sheet both in the
Fig. 3 Kinetics of Ab fibrillogenesis. Different types of soluble Ab40
(wild type, d; Dutch type, j; Flemish type, m; Arctic type, r) were
incubated in the presence of 0.5% OG (a), 0.02% ZW (b), 0.0375%
SDS (c) or in the absence of detergents (respective open symbol for
each Ab). Fluorescence intensity of ThT was obtained by excluding
background activity in the absence of Ab40 and detergent. Values are
representative of three experiments.
Fig. 4 Electron micrographs of the solutions of Ab (Ab40), including
wild-, Dutch-, Flemish- and Arctic-type Abs, incubated for 24 h in the
presence of 0.02% ZW (a) or 0.0375% SDS (b). Bar, 50 nm.
Ab aggregation in membrane-mimicking environment 65
� 2004 International Society for Neurochemistry, J. Neurochem. (2004) 90, 62–69
presence of SDS and ZW immediately after preparation of
solutions (Fig. 5b). A previous study showed that protofi-
brils have a secondary structure characteristic of amyloid
fibrils (Walsh et al. 1999); this result also suggests that the
Arctic-type Ab fibrils formed in the presence of ZW are
protofibrils.
Aggregation behavior of Ab variants in the presence
of GM1 ganglioside
The results of the present study (Figs 3 and 4) led us to
examine whether the aggregation of Ab variants is acceler-ated in the presence of GM1 ganglioside because we
previously identified a GM1 ganglioside-bound Ab in ADbrains; on the basis of its unique molecular characteristics,
we hypothesized that ganglioside-bound Ab accelerates the
aggregation of soluble Ab by acting as a seed (Yanagisawaet al. 1995, 1997; Yanagisawa and Ihara. 1998). Indeed,
results of previous in vitro studies support this possibility
(Choo-Smith et al. 1997; McLaurin et al. 1998; Kakio et al.
2001, 2002). In our present experiment, the ThT fluorescence
intensity was highest in a mixture of Arctic-type Ab andGM1 ganglioside-containing liposomes (Fig. 6a). Notably,
the difference in increase in ThT fluorescence intensity
between the Arctic-type and other Abs was more marked inthe mixture of Ab and liposomes with a lower concentrationof GM1 ganglioside (Fig. 6a). To confirm that the increase in
ThT fluorescence intensity in the Arctic-type Ab solution in
the presence of GM1 ganglioside was caused by amyloid
fibril formation, we performed EM and also Congo red
staining of precipitates obtained from the incubation mix-
tures. Fibrils with typical morphological features of amyloid
were observed by EM (Fig. 6b). The fibrils also showed
typical birefringency under polarized microscopy (Fig. 6b,
inset).
Discussion
In the present study, we report that membrane-mimicking
environments, generated in the presence of detergents or
GM1 ganglioside, are sufficient per se for amyloid fibril
formation from soluble Ab. The effect of detergents on theinduction of Ab aggregation was dependent on detergent
Fig. 5 Secondary structures of wild-type (a) and Arctic-type (b) Ab40.
CD spectra of the Ab40 solutions were measured in the absence of
detergents (control) or in the presence of 0.02% ZW or 0.0375% SDS.
WildDutchFlemishArctic
a
a
bc
c
0
50
100
150
50/50/0 45/45/10 42.5/42.5/15 40/40/20
CH/SM/GM1
fluor
esce
nce
(arb
itrar
y un
it)
Fig. 6 Ab (Ab40) fibrillogenesis in the presence of GM1 ganglioside.
(a) Fluorescence intensity of ThT in mixtures of Ab, including wild-,
Dutch-, Flemish- and Arctic-type Abs, incubated for 24 h in the pres-
ence of liposomes with various concentrations of GM1 ganglioside.
Molar ratios of cholesterol (CH), sphingomyelin (SM) and GM1 gan-
glioside (GM1) are indicated in the figure. Values in each column are
mean ± SD of five values. ap < 0.01, bp < 0.02, cp < 0.001 (two-way
ANOVA combined with Scheffe’s test). (b) Electron micrograph of the
Arctic-type Ab solution incubated for 24 h in the presence of liposomes
containing cholesterol, sphingomyelin and GM1 ganglioside at a lipid
molar ratio of 40 : 40 : 20. Bar, 50 nm. Inset, birefringency of fibrils
observed under a polarized microscope.
66 N. Yamamoto et al.
� 2004 International Society for Neurochemistry, J. Neurochem. (2004) 90, 62–69
concentration. In general, the detergents were most potent
either at or above their CMCs, suggesting that the interface
between water and the surface of detergent micelles is a
preferred space for the initiation of Ab aggregation. Thispossibility is supported by recent studies using insulin and
tau (Sharp et al. 2002; Chirita et al. 2003). Thus, one of the
possible mechanisms underlying the aggregation of soluble
proteins, including Ab, in vivo is the adsorption of a given
protein to the lipid membrane surface, followed by the
unfolding of the protein to induce the subsequent aggregation
of soluble proteins. At this point, it remains to be elucidated
why the effects on Ab aggregation induction differ fromdetergent to detergent. It might be assumed that the presence
or absence of a negative charge (e.g. SDS) and sugar
molecule (e.g. OG) modulates the hydrophobic micro-
environment on the surface of detergent micelles (Sundari
and Balasubramanian 1997; Kuroda et al. 2003).
Another question that should be clarified in future studies
is why Ab40 and Ab42 showed different features ofaggregation in the presence of SDS. Although further studies
are needed, the preference of adsorption to the membrane
surface and unfolding on the membrane surface may be
different between Ab40 and Ab42 in a given environment;for example, Ab42 may adopt a stable a-helical structure thatprevents fibril formation on SDS micelles, as recently
demonstrated in a study using a peptide from human
complement receptor 1 (Pertinhez et al. 2002).
Several mutations inside the Ab sequence have beenidentified as being responsible for hereditary Ab amyloido-sis, including AD and cerebral hemorrhage (Levy et al.
1990; Hendriks et al. 1992; Nilsberth et al. 2001). Unlike
APP gene mutations outside the Ab sequence, the pheno-types of these mutations inside the Ab sequence are ratherdiverse but not uniform. Interestingly, the Dutch- and Arctic-
type mutations, which involve the substitution of a different
amino acid at the same position, show distinct phenotypes of
Ab amyloidosis (Rozemuller et al. 1993; Nilsberth et al.
2001). To date, many efforts have been made to elucidate the
pathological effects of the mutations inside the Ab sequenceon the induction of Ab deposition in the brain. We cannotexclude a possibility that these mutations accelerate Abdeposition through alteration of APP processing; however,
previous studies demonstrated a high aggregation rate of Abfor the Dutch- and Iowa-type mutations (Wisniewski et al.
1991; Van Nostrand et al. 2001; Fraser et al. 1992; Clements
et al. 1993), the formation of more toxic oligomeric and
fibrillar species of Ab by Dutch- and Arctic-type mutations(Dahlgren et al. 2002), and alteration in sensitivities to
peptidase degradation for these mutations (Morelli et al.
2003; Tsubuki et al. 2003).
In the present study, Ab variants, including the Dutch-,Flemish- and Arctic-type Abs, behaved differently in a givenmembrane-mimicking environment; the Dutch-type Abshowed the highest aggregation rate in the presence OG and
ZW, whereas the Arctic-type Ab had the highest aggregationrate in the presence of SDS. Consistent with previous studies
(Clements et al. 1993; Van Nostrand et al. 2001; Murakami
et al. 2002), the Flemish-type Ab showed the lowest
tendency to aggregate under any conditions. Furthermore,
we report, for the first time, that the Arctic-type Ab shows amarkedly accelerated aggregation in the presence of GM1
ganglioside. Although ZW is an ionic detergent, the total
charge of ZW is neutral because it has both positive and
negative charges at the head group. In contrast, SDS and GM1
ganglioside have only a negative charge at the head group.
Thus, negative charges on the surface of micelles or
liposomes are favorable for the Arctic-type Ab, but not forother variant forms of Ab, to initiate aggregation.Recently, it has been reported that the Arctic-type Ab
potentially forms protofibrils, in contrast to the wild-type Ab.It was suggested that the accelerated formation of protofibrils
is related to neurotoxicity of the Arctic-type Ab (Nilsberthet al. 2001). In agreement with this previous finding, we
found in the present study that the Arctic-type Ab indeedformed fibrils, of a type that can be defined as protofibrils, in
the presence of ZW. Interestingly, however, the Arctic-type
Ab formed fibrils with morphological features of amyloidfibrils in the presence of SDS or GM1 ganglioside. Notably,
the aggregation of Arctic-type Ab to form amyloid fibrils inthese environments occurred at a higher rate than that of the
wild-type Ab. Because affected subjects with the Arctic-typemutation have clinical features of early-onset AD (Nilsberth
et al. 2001), it is intriguing to speculate that the Arctic-type
Ab has a greater tendency to aggregate than the wild-type Abin an environment in which the wild-type Ab also formsfibrils. This possibility may be supported by the result of the
present study; that is, the Arctic-type Ab has a potency toaggregate even in the presence of liposomes with a lower
concentration of GM1 ganglioside. Taken together, these data
suggest that the negatively charged membrane surface is
likely to be a preferred environment for the Arctic-type Abaggregation.
The preferred environment for Dutch-type Ab aggrega-tion may be different from those of the wild- and Arctic-
type Abs. This possibility is supported by the results of thepresent study and also by evidence that clinical and
pathological features of affected individuals with the
Dutch-type mutation contrast with those of sporadic and
Arctic-type AD. In this context, we have to pay particular
attention to previous reports indicating that the Dutch-type
Ab rapidly aggregates in cultures of smooth muscle cellsprepared from human leptomeningeal blood vessels (Davis
and Van Nostrand 1996; Van Nostrand et al. 1998),
suggesting that blood vessels, but not cerebral parenchyma,
provide a particularly favorable environment for Dutch-type
Ab aggregation.In conclusion, the results of the present study suggest that
local environments are important for Ab aggregation in the
Ab aggregation in membrane-mimicking environment 67
� 2004 International Society for Neurochemistry, J. Neurochem. (2004) 90, 62–69
brain. Indeed, a recent transplantation study using a mouse
model for AD has highlighted the significance of local
environments for extracellular amyloid formation (Meyer-
Luehmann et al. 2003). A challenge for future studies is to
elucidate whether local environments, including lipid com-
position and/or distribution in neuronal membranes, can be
altered with risk factors for the development of AD.
Acknowledgements
We thank Dr W. E. Van Nostrand and Ms Y. Hanai for critical
reading and preparation of the manuscript. This work was supported
by a Grant-in-Aid for Scientific Research on Priority Area (C) from
the Ministry of Education, Culture, Sports, Science and Technology,
Japan and a grant from the Organization for Pharmaceutical Safety
and Research of Japan.
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