title: Inhibition of acyl-coenzyme A: cholesterol acyl transferase modulates amyloid precursor protein trafficking in the early secretory pathway.
abstract: Amyloid beta-peptide (Abeta) has a central role in the pathogenesis of Alzheimer's disease (AD). Cellular cholesterol homeostasis regulates endoproteolytic generation of Abeta from the amyloid precursor protein (APP). Previous studies have identified acyl-coenzyme A: cholesterol acyltransferase (ACAT), an enzyme that regulates subcellular cholesterol distribution, as a potential therapeutic target for AD. Inhibition of ACAT activity decreases Abeta generation in cell- and animal-based models of AD through an unknown mechanism. Here we show that ACAT inhibition retains a fraction of APP molecules in the early secretory pathway, limiting the availability of APP for secretase-mediated proteolytic processing. ACAT inhibitors delayed the trafficking of immature APP molecules from the endoplasmic reticulum (ER) as shown by metabolic labeling and live-cell imaging. This resulted in partial ER retention of APP and enhanced ER-associated degradation of APP by the proteasome, without activation of the unfolded protein response pathway. The ratio of mature APP to immature APP was reduced in brains of mice treated with ACAT inhibitors, and strongly correlated with reduced brain APP-C99 and cerebrospinal fluid Abeta levels in individual animals. Our results identify a novel ACAT-dependent mechanism that regulates secretory trafficking of APP, likely contributing to decreased Abeta generation in vivo.
authors.affiliation: Neurobiology of Disease Laboratory, Genetics and Aging Research Unit, Massachusetts General Hospital, Harvard Medical School, 114 16th Street, Charlestown, MA 02129, USA.
authors.forename: Henri J
authors.initials: HJ
authors.lastname: Huttunen
authors.forename: Camilla
authors.initials: C
authors.lastname: Peach
authors.forename: Raja
authors.initials: R
authors.lastname: Bhattacharyya
authors.forename: Cory
authors.initials: C
authors.lastname: Barren
authors.forename: Warren
authors.initials: W
authors.lastname: Pettingell
authors.forename: Birgit
authors.initials: B
authors.lastname: Hutter-Paier
authors.forename: Manfred
authors.initials: M
authors.lastname: Windisch
authors.forename: Oksana
authors.initials: O
authors.lastname: Berezovska
authors.forename: Dora M
authors.initials: DM
authors.lastname: Kovacs
mesh_terms: D000081:Acetamides; D000085:Acetates / Q000494:pharmacology; D016229:Amyloid beta-Peptides / Q000378:metabolism; D016564:Amyloid beta-Protein Precursor / Q000378:metabolism*; D000818:Animals; D016466:CHO Cells; D006224:Cricetinae; D003412:Cricetulus; D006801:Humans; D051379:Mice; D008822:Mice, Transgenic; D021381:Protein Transport / Q000187:drug effects; D011725:Pyridines / Q000494:pharmacology; D055571:Secretory Pathway; D002785:Sterol O-Acyltransferase / Q000037:antagonists & inhibitors*; D013449:Sulfonamides; D013451:Sulfonic Acids / Q000494:pharmacology
chemical_list: D000081:Acetamides; D000085:Acetates; D016229:Amyloid beta-Peptides; D016564:Amyloid beta-Protein Precursor; D011725:Pyridines; D013449:Sulfonamides; D013451:Sulfonic Acids; C087132:CP 113818; C423185:avasimibe; D002785:Sterol O-Acyltransferase