Cited by 73Alzheimer's disease research and treatmentsProtease and Inhibitor MechanismsDementia and Cognitive Impairment Research

Cathepsin D regulates cerebral Aβ42/40 ratios via differential degradation of Aβ42 and Aβ40

Open access
Suire, Caitlin N., Abdul-Hay, Samer O., Sahara, Tomoko, Kang, Dongcheul, Brizuela, Monica K., Saftig, Paul, Dickson, Dennis W., Rosenberry, Terrone L. +1 more·2020·Alzheimer's Research & Therapy

Abstract

Background: Cathepsin D (CatD) is a lysosomal protease that degrades both the amyloid β-protein (Aβ) and the microtubule-associated protein, tau, and has been genetically linked to late-onset Alzheimer disease (AD). Here, we sought to examine the consequences of genetic deletion of CatD on Aβ proteostasis in vivo and to more completely characterize the degradation of Aβ42 and Aβ40 by CatD. Methods: We quantified Aβ degradation rates and levels of endogenous Aβ42 and Aβ40 in the brains of CatD-null (CatD-KO), heterozygous null (CatD-HET), and wild-type (WT) control mice. CatD-KO mice die by ~ 4 weeks of age, so tissues from younger mice, as well as embryonic neuronal cultures, were investigated. Enzymological assays and surface plasmon resonance were employed to quantify the kinetic parameters ( K M , k cat ) of CatD-mediated degradation of monomeric human Aβ42 vs. Aβ40, and the degradation of aggregated Aβ42 species was also characterized. Competitive inhibition assays were used to interrogate the relative inhibition of full-length human and mouse Aβ42 and Aβ40, as well as corresponding p3 fragments. Results: Genetic deletion of CatD resulted in 3- to 4-fold increases in insoluble, endogenous cerebral Aβ42 and Aβ40, exceeding the increases produced by deletion of an insulin-degrading enzyme, neprilysin or both, together with readily detectable intralysosomal deposits of endogenous Aβ42—all by 3 weeks of age. Quite significantly, CatD-KO mice exhibited ~ 30% increases in Aβ42/40 ratios, comparable to those induced by presenilin mutations. Mechanistically, the perturbed Aβ42/40 ratios were attributable to pronounced differences in the kinetics of degradation of Aβ42 vis-à-vis Aβ40. Specifically, Aβ42 shows a low-nanomolar affinity for CatD, along with an exceptionally slow turnover rate that, together, renders Aβ42 a highly potent competitive inhibitor of CatD. Notably, the marked differences in the processing of Aβ42 vs. Aβ40 also extend to p3 fragments ending at positions 42 vs. 40. Conclusions: Our findings identify CatD as the principal intracellular Aβ-degrading protease identified to date, one that regulates Aβ42/40 ratios via differential degradation of Aβ42 vs. Aβ40. The finding that Aβ42 is a potent competitive inhibitor of CatD suggests a possible mechanistic link between elevations in Aβ42 and downstream pathological sequelae in AD.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1186/s13195-020-00649-8

Cites

8 of 8 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • At least five other PD-associated genes (LRRK2, UCHL2, VCP35, DJ-1, and SNCA) affect CMA.

    “At least five other genes that are associated with PD (but not LSDs) also affect CMA: LRRK2, UCHL2, VCP35, DJ-1, and SNCA, which encodes alpha-synuclein.149–153”

    From The lysosome and proteostatic stress at the intersection of pediatric neurological disorders and adult neurodegenerative diseases (2025) · cites this paper as [150]

    The Discussion addresses cathepsin D and amyloid-β in Alzheimer’s disease, while the References include work on lysosomal processing; neither addresses whether the five named Parkinson’s disease genes affect CMA. Searches for the gene names and for chaperone-mediated autophagy found no passage supporting the attributed claim. (LLM, conf=0.76)

    Experimental — accuracy not yet measured

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 52

  1. [1]Cataldo AM Hamilton DJ Barnett JL Paskevich PA Nixon RA Properties of the endosomal-lysosomal system in the human central nervous system: disturbances mark most neurons in populations at risk to degenerate in Alzheimer’s disease J Neurosci 1996 16 1 186 199 8613784 PMC6578706
  2. [3]Haass C Hung AY Schlossmacher MG Oltersdorf T Teplow DB Selkoe DJ Normal cellular processing of the beta-amyloid precursor protein results in the secretion of the amyloid beta peptide and related molecules Ann N Y Acad Sci 1993 695 109 116 8239267
  3. [5]Caballero B, Wang Y, Diaz A, Tasset I, Juste YR, Stiller B, Mandelkow EM, Mandelkow E, Cuervo AM. Interplay of pathogenic forms of human tau with different autophagic pathways. Aging Cell. 2018;17(1):e12692. 10.1111/acel.12692. PMC5770880 29024336 · DOI · Paper page
  4. [7]McDermott JR Gibson AM Degradation of Alzheimer’s beta-amyloid protein by human cathepsin D Neuroreport. 1996 7 13 2163 2166 8930981
  5. [8]Hamazaki H Cathepsin D is involved in the clearance of Alzheimer’s beta-amyloid protein FEBS Lett 1996 396 2–3 139 142 8914975
  6. [9]Kenessey A Nacharaju P Ko LW Yen SH Degradation of tau by lysosomal enzyme cathepsin D: implication for Alzheimer neurofibrillary degeneration J Neurochem 1997 69 5 2026 2038 9349548
  7. [10]Vashishta A Ohri SS Vetvicka V Pleiotropic effects of cathepsin D Endocr Metab Immune Disord Drug Targets 2009 9 4 385 391 19807669
  8. [11]Steinfeld R Reinhardt K Schreiber K Hillebrand M Kraetzner R Bruck W Cathepsin D deficiency is associated with a human neurodegenerative disorder Am J Hum Genet 2006 78 6 988 998 16685649 PMC1474096
  9. [13]Davidson Y Gibbons L Pritchard A Hardicre J Wren J Tian J Genetic associations between cathepsin D exon 2 C→T polymorphism and Alzheimer’s disease, and pathological correlations with genotype J Neurol Neurosurg Psychiatry 2006 77 4 515 517 16543533 PMC2077521
  10. [14]Papassotiropoulos A Lewis HD Bagli M Jessen F Ptok U Schulte A Cerebrospinal fluid levels of β-amyloid(42) in patients with Alzheimer’s disease are related to the exon 2 polymorphism of the cathepsin D gene Neuroreport. 2002 13 10 1291 1294 12151789
  11. [15]Riemenschneider M Blennow K Wagenpfeil S Andreasen N Prince JA Laws SM The cathepsin D rs17571 polymorphism: effects on CSF tau concentrations in Alzheimer disease Hum Mutat 2006 27 6 532 537 16652347
  12. [16]Leissring MA Saido TC Sisodia S Tanzi R Aβ degradation Alzheimer’s disease: advances in genetics, molecular and cellular biology 2007 New York Springer Publishing Company 157 178
  13. [17]Nalivaeva NN Turner AJ Targeting amyloid clearance in Alzheimer’s disease as a therapeutic strategy Br J Pharmacol 2019 176 18 3447 3463 30710367 PMC6715594
  14. [18]Iwata N Tsubuki S Takaki Y Watanabe K Sekiguchi M Hosoki E Identification of the major Abeta1-42-degrading catabolic pathway in brain parenchyma: suppression leads to biochemical and pathological deposition Nat Med 2000 6 2 143 150 10655101
  15. [19]Iwata N Tsubuki S Takaki Y Shirotani K Lu B Gerard NP Metabolic regulation of brain Aβ by neprilysin Science. 2001 292 5521 1550 1552 11375493
  16. [20]Farris W Schutz SG Cirrito JR Shankar GM Sun X George A Loss of neprilysin function promotes amyloid plaque formation and causes cerebral amyloid angiopathy Am J Pathol 2007 171 1 241 251 17591969 PMC1941603
  17. [21]Farris W Mansourian S Chang Y Lindsley L Eckman EA Frosch MP Insulin-degrading enzyme regulates the levels of insulin, amyloid beta-protein, and the beta-amyloid precursor protein intracellular domain in vivo Proc Natl Acad Sci U S A 2003 100 7 4162 4167 12634421 PMC153065
  18. [22]Miller BC Eckman EA Sambamurti K Dobbs N Chow KM Eckman CB Amyloid-beta peptide levels in brain are inversely correlated with insulysin activity levels in vivo Proc Natl Acad Sci U S A 2003 100 10 6221 6226 12732730 PMC156353
  19. [23]Leissring MA Farris W Chang AY Walsh DM Wu X Sun X Enhanced proteolysis of beta-amyloid in APP transgenic mice prevents plaque formation, secondary pathology, and premature death Neuron. 2003 40 6 1087 1093 14687544
  20. [24]Meilandt WJ Cisse M Ho K Wu T Esposito LA Scearce-Levie K Neprilysin overexpression inhibits plaque formation but fails to reduce pathogenic Aβ oligomers and associated cognitive deficits in human amyloid precursor protein transgenic mice J Neurosci 2009 29 7 1977 1986 19228952 PMC2768427
  21. [25]Ahmed Z Sheng H Xu YF Lin WL Innes AE Gass J Accelerated lipofuscinosis and ubiquitination in granulin knockout mice suggest a role for progranulin in successful aging Am J Pathol 2010 177 1 311 324 20522652 PMC2893674
  22. [26]Saftig P Hetman M Schmahl W Weber K Heine L Mossmann H Mice deficient for the lysosomal proteinase cathepsin D exhibit progressive atrophy of the intestinal mucosa and profound destruction of lymphoid cells EMBO J 1995 14 15 3599 3608 7641679 PMC394433
  23. [27]Ketscher A Ketterer S Dollwet-Mack S Reif U Reinheckel T Neuroectoderm-specific deletion of cathepsin D in mice models human inherited neuronal ceroid lipofuscinosis type 10 Biochimie. 2016 122 219 226 26232697
  24. [28]McDermott JR Gibson AM Degradation of Alzheimer’s beta-amyloid protein by human and rat brain peptidases: involvement of insulin-degrading enzyme Neurochem Res 1997 22 1 49 56 9021762
  25. [30]Eckman EA Watson M Marlow L Sambamurti K Eckman CB Alzheimer’s disease β-amyloid peptide is increased in mice deficient in endothelin-converting enzyme J Biol Chem 2003 278 4 2081 2084 12464614
  26. [31]Golde TE Eckman CB Younkin SG Biochemical detection of Aβ isoforms: implications for pathogenesis, diagnosis, and treatment of Alzheimer’s disease Biochim Biophys Acta 2000 1502 1 172 187 10899442
  27. [32]Citron M Westaway D Xia W Carlson G Diehl T Levesque G Mutant presenilins of Alzheimer’s disease increase production of 42-residue amyloid β-protein in both transfected cells and transgenic mice Nat Med 1997 3 1 67 72 8986743
  28. [34]Duchen LW Eicher EM Jacobs JM Scaravilli F Teixeira F Hereditary leucodystrophy in the mouse: the new mutant twitcher Brain. 1980 103 3 695 710 7417782
  29. [35]Igisu H Shimomura K Kishimoto Y Suzuki K Lipids of developing brain of twitcher mouse. An authentic murine model of human Krabbe disease Brain. 1983 106 Pt 2 405 417 6850275
  30. [36]Taniike M Mohri I Eguchi N Beuckmann CT Suzuki K Urade Y Perineuronal oligodendrocytes protect against neuronal apoptosis through the production of lipocalin-type prostaglandin D synthase in a genetic demyelinating model J Neurosci 2002 22 12 4885 4896 12077186 PMC6757748
  31. [37]Saftig P Peters C von Figura K Craessaerts K Van Leuven F De Strooper B Amyloidogenic processing of human amyloid precursor protein in hippocampal neurons devoid of cathepsin D J Biol Chem 1996 271 44 27241 27244 8910296
  32. [38]Mueller-Steiner S Zhou Y Arai H Roberson ED Sun B Chen J Antiamyloidogenic and neuroprotective functions of cathepsin B: implications for Alzheimer’ disease Neuron. 2006 51 6 703 714 16982417
  33. [39]Nichols MR Moss MA Reed DK Lin WL Mukhopadhyay R Hoh JH Growth of β-amyloid(1-40) protofibrils by monomer elongation and lateral association. Characterization of distinct products by light scattering and atomic force microscopy Biochemistry. 2002 41 19 6115 6127 11994007
  34. [40]Rangachari V Moore BD Reed DK Sonoda LK Bridges AW Conboy E Amyloid-β (1-42) rapidly forms protofibrils and oligomers by distinct pathways in low concentrations of sodium dodecylsulfate Biochemistry. 2007 46 43 12451 12462 17910477
  35. [41]Case A Huskey WP Stein RL Enzymatic reaction of silent substrates: kinetic theory and application to the serine protease chymotrypsin Biochemistry. 2003 42 16 4727 4732 12705836
  36. [42]Leissring MA Lu A Condron MM Teplow DB Stein RL Farris W Kinetics of amyloid beta-protein degradation determined by novel fluorescence- and fluorescence polarization-based assays J Biol Chem 2003 278 39 37314 37320 12867419
  37. [43]Nhan HS Chiang K Koo EH The multifaceted nature of amyloid precursor protein and its proteolytic fragments: friends and foes Acta Neuropathol 2015 129 1 1 19 25287911 PMC4282969
  38. [44]De Strooper B Vassar R Golde T The secretases: enzymes with therapeutic potential in Alzheimer disease Nat Rev Neurol 2010 6 2 99 107 20139999 PMC2879045
  39. [45]Leissring MA Saido TC Selkoe DJ Mandelkow E Holtzman DM Degradation of amyloid-β protein The biology of Alzheimer disease 2011 Cold Spring Harbor, New York Cold Spring Harbor Laboratory Press 387 404
  40. [48]Zhang Y McLaughlin R Goodyer C LeBlanc A Selective cytotoxicity of intracellular amyloid β peptide1-42 through p53 and Bax in cultured primary human neurons J Cell Biol 2002 156 3 519 529 11815632 PMC2173346
  41. [49]Cheng S Wani WY Hottman DA Jeong A Cao D LeBlanc KJ Haplodeficiency of cathepsin D does not affect cerebral amyloidosis and autophagy in APP/PS1 transgenic mice J Neurochem 2017 142 2 297 304 28429406 PMC5499660
  42. [50]Su Y Chang PT Acidic pH promotes the formation of toxic fibrils from beta-amyloid peptide Brain Res 2001 893 1–2 287 291 11223020
  43. [51]Hong S Quintero-Monzon O Ostaszewski BL Podlisny DR Cavanaugh WT Yang T Dynamic analysis of amyloid β-protein in behaving mice reveals opposing changes in ISF versus parenchymal Aβ during age-related plaque formation J Neurosci 2011 31 44 15861 15869 22049429 PMC3227224
  44. [52]Hama E Shirotani K Iwata N Saido TC Effects of neprilysin chimeric proteins targeted to subcellular compartments on amyloid β peptide clearance in primary neurons J Biol Chem 2004 279 29 30259 30264 15100223
  45. [53]Khurana V Elson-Schwab I Fulga TA Sharp KA Loewen CA Mulkearns E Lysosomal dysfunction promotes cleavage and neurotoxicity of tau in vivo PLoS Genet 2010 6 7 e1001026 20664788 PMC2904797
  46. [54]Qureshi YH, Patel VM, Berman DE, Kothiya MJ, Neufeld JL, Vardarajan B, Tang M, Reyes-Dumeyer D, Lantigua R, Medrano M, Jiménez-Velázquez IJ, Small SA, Reitz C. An Alzheimer's Disease-Linked Loss-of-Function CLN5 Variant Impairs Cathepsin D Maturation, Consistent with a Retromer Trafficking Defect. Mol Cell Biol. 2018;38(20):e00011-18. 10.1128/MCB.00011-18. PMC6168984 30037983 · DOI
  47. [55]Touitou I Capony F Brouillet JP Rochefort H Missense polymorphism (C/T224) in the human cathepsin D pro-fragment determined by polymerase chain reaction--single strand conformational polymorphism analysis and possible consequences in cancer cells Eur J Cancer 1994 30A 3 390 394 8204364
  48. [56]Bertram L McQueen MB Mullin K Blacker D Tanzi RE Systematic meta-analyses of Alzheimer disease genetic association studies: the AlzGene database Nat Genet 2007 39 1 17 23 17192785
  49. [57]Zheng H Jiang M Trumbauer ME Sirinathsinghji DJ Hopkins R Smith DW β-Amyloid precursor protein-deficient mice show reactive gliosis and decreased locomotor activity Cell. 1995 81 4 525 531 7758106
  50. [58]Luo Y Bolon B Kahn S Bennett BD Babu-Khan S Denis P Mice deficient in BACE1, the Alzheimer’s β-secretase, have normal phenotype and abolished β-amyloid generation Nat Neurosci 2001 4 3 231 232 11224535
  51. [59]Chen F Eckman EA Eckman CB Reductions in levels of the Alzheimer’s amyloid beta peptide after oral administration of ginsenosides FASEB J 2006 20 8 1269 1271 16636099
  52. [60]Kramer SD Wohrle J Rath C Roth G Anabel: an online tool for the real-time kinetic analysis of binding events Bioinform Biol Insights 2019 13 1177932218821383 30670920 PMC6328958

Cited by

Sorted by citations

Authors
Suire, C. N., Abdul-Hay, S. O., Sahara, T., Kang, D., Brizuela, M. K., Saftig, P., Dickson, D. W., Rosenberry, T. L., & Leissring, M. A.
Affiliations
  • University of California, Irvine (US)
  • Mayo Clinic in Florida (US)
Corresponding author
Leissring, Malcolm A.
Venue
Alzheimer's Research & Therapy
Published
2020-07-06
Volume
12
Issue
1
Pages
80-80
ISSN
1758-9193 (ISSN-L)
OpenAlex
W3039837585
Cited by
73
References
8
Citations by year
2026: 7 · 2025: 17 · 2024: 15 · 2023: 20 · 2022: 4 · 2021: 9 · 2020: 1
FWCI
5.11
Type
journal article
Language
en
Open access
Locations
  • Alzheimer s Research & Therapy (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • eScholarship (California Digital Library) (submittedVersion, cc-by)
Funders
  • National Institute on Aging (AG052718)
  • National Institute of General Medical Sciences (GM115617)
  • American Health Assistance Foundation (A2009-013)
  • Alzheimer's Association (IIRG-07-59693)
  • Deutsche Forschungsgemeinschaft (SFB877)
Topics
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Protease and Inhibitor Mechanisms
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Keywords
cathepsin D, amyloid-beta, Aβ42/Aβ40 ratio, amyloid beta degradation, lysosomal proteolysis, Alzheimer's disease, protease kinetics, competitive inhibition, tau protein, neprilysin, insulin-degrading enzyme, presenilin mutations
MeSH terms
Alzheimer Disease, Animals, Cathepsin D, Peptide Fragments, Amyloid beta-Peptides, Mice

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review