Cited by 89Alzheimer's disease research and treatmentsProtease and Inhibitor MechanismsDementia and Cognitive Impairment Research

The DOI matches its Crossref record; 222 of the 225 references it cites were found in a registry or an index; 48 of the 237 sources its claims cite were checked for support.

Emerging Alternative Proteinases in APP Metabolism and Alzheimer’s Disease Pathogenesis: A Focus on MT1-MMP and MT5-MMP

Open access
García-González, Laura, Pilat, Dominika, Baranger, Kévin, Rivera, Santiago·2019·Frontiers in Aging Neuroscience

Abstract

Processing of amyloid beta precursor protein (APP) into amyloid-beta peptide (Aβ) by β-secretase and γ-secretase complex is at the heart of the pathogenesis of Alzheimer's disease (AD). Targeting this proteolytic pathway effectively reduces/prevents pathology and cognitive decline in preclinical experimental models of the disease, but therapeutic strategies based on secretase activity modifying drugs have so far failed in clinical trials. Although this may raise some doubts on the relevance of β- and γ-secretases as targets, new APP-cleaving enzymes, including meprin-β, legumain (δ-secretase), rhomboid-like protein-4 (RHBDL4), caspases and membrane-type matrix metalloproteinases (MT-MMPs/η-secretases) have confirmed that APP processing remains a solid mechanism in AD pathophysiology. This review will discuss recent findings on the roles of all these proteinases in the nervous system, and in particular on the roles of MT-MMPs, which are at the crossroads of pathological events involving not only amyloidogenesis, but also inflammation and synaptic dysfunctions. Assessing the potential of these emerging proteinases in the Alzheimer's field opens up new research prospects to improve our knowledge of fundamental mechanisms of the disease and help us establish new therapeutic strategies.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This review argues that APP proteolysis remains central to Alzheimer’s disease pathogenesis and highlights emerging APP-cleaving proteinases, especially MT1-MMP and MT5-MMP, as modulators of amyloidogenesis, inflammation, and synaptic dysfunction. It synthesizes evidence that MT5-MMP/η-secretase and MT1-MMP can promote amyloidogenic APP processing while also showing Aβ-degrading or BACE-1-surrogate activities.

Key findings

  • Canonical β- and γ-secretase targeting has failed clinically, but new APP-cleaving enzymes—meprin-β, legumain/δ-secretase, RHBDL4, caspases, and MT-MMPs/η-secretases—support APP processing as a continuing AD mechanism. Meprin-β can cleave at the β-site and generate Aβ2–X; legumain cleaves APP at positions 373 and 585 (APP695 numbering), producing APP1–373 and APP586–695; RHBDL4 decreases Aβ38, Aβ40, and Aβ42; caspases cleave APP mainly between V664–D665 in the intracytoplasmic domain.
  • MT5-MMP was identified as an η-secretase cleaving APP at VLAN504–M505ISEPR (APP695 numbering), generating sAPPη/sAPP95 and η-CTF/CTF-30. In 5xFAD/MT5–/– mice, soluble Aβ40 and Aβ42, oligomers, plaques, and C99 were strikingly lower, with fewer reactive microglia/astrocytes, reduced IL-1β and TNF-α, and prevention of LTP and spatial/working memory deficits; some benefits persisted at 16 months.
  • MT1-MMP can cleave APP and degrade Aβ, but in HEKswe cells it also increases Aβ, sAPP95, CTF-30, and C99; about 50% of sAPP95 release is estimated to involve MMP-2. MT1-MMP can restore basal Aβ levels when BACE-1 is inhibited, suggesting a possible surrogate β-secretase role, and MT1-MMP is upregulated in cortex and hippocampus of 6-month-old 5xFAD mice.
  • TIMPs regulate MT-MMPs: TIMP-2, -3, and -4 inhibit MT1-MMP, while MT5-MMP is targeted only by TIMP-2; TIMP-1 is a very poor inhibitor of MT-MMPs. Clinical TIMP-2 data in AD are inconsistent, with no change, no difference, or increased levels reported across studies.

Methods

  • Design: narrative review, not a primary experimental study.
  • Data or sample: published literature on APP metabolism, secretases, emerging proteinases, MT-MMPs, TIMPs, and AD models; no new human or animal sample was collected.
  • Main analysis: qualitative synthesis of cited in vitro, mouse-model, human biomarker/postmortem, and inhibitor studies, organized around APP cleavage sites, emerging APP-processing enzymes, MT1-/MT5-MMP biology, and therapeutic implications.

Limitations

  • Stated by the paper: many findings remain correlative or speculative; in vivo validation is needed for MT1-MMP and RHBDL4; the exact nature of sAPP95 remains to be established; functional evidence for MT5-MMP/γ-secretase interaction is lacking; studies on TIMP regulation of ADAMs in AD are lacking; substrate lists for emerging proteinases may grow.
  • Evident from the text: as a review, it provides no systematic search, meta-analysis, or new data, and conclusions depend on cited cell-line, mouse-model, and human observational studies, some with inconsistent clinical inhibitor findings.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.3389/fnagi.2019.00244

Cites

222 of 223 references verified1 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Figures

FIGURE 1 Illustrative outline of the different APP cleavage sites. The scheme shows the canonical (β-, α- and γ-secretases) and non-canonical APP-cleavages that result in the different APP fragments. Meprin-β cleaves APP in five sites, possibly generating soluble APP fragments of different size, sAPPβ or sAPPβ-like (sAPPβ with one or two additional amino acids) and its complementary C-terminal β-CTF or β-CTF-like (β-CTF with one or two amino acids less), which is further processed by γ-secretase, thus producing Aβ1–X, Aβ2–X or Aβ3–X. Legumain cleaves in two sites, giving rise to two soluble fragments and one C-terminal transmembrane fragment than can be further processed by the canonical enzymes. Caspase can cleave in the N-terminal domain, generating truncated APP-species, and within the intracytoplasmic domain, generating an APP-Ncas fragment and a C-terminal residual peptide of 31 amino acids. RHBDL4 cleavages within the ectodomain at several sites are not yet identified (represented with a star), generating different N- and C-terminal fragments. Cleavage by η-secretase generates a soluble fragment (sAPPη/sAPP95) and a paired transmembrane product η-CTF/CTF-30 that can be further processed by β- or α-secretase to release Aη-β and Aη-α, respectively. MT3-MMP can cleave APP in 4 sites, including the η-secretase site and also within the Aβ sequence. The scheme below represents the Aβ sequence with multiple cleavage sites for various soluble MMPs and MT1-MMP, for meprin-β and for canonical secretases. All the residues are termed using APP695 numbering.
FIGURE 1 Illustrative outline of the different APP cleavage sites. The scheme shows the canonical (β-, α- and γ-secretases) and non-canonical APP-cleavages that result in the different APP fragments. Meprin-β cleaves APP in five sites, possibly generating soluble APP fragments of different size, sAPPβ or sAPPβ-like (sAPPβ with one or two additional amino acids) and its complementary C-terminal β-CTF or β-CTF-like (β-CTF with one or two amino acids less), which is further processed by γ-secretase, thus producing Aβ1–X, Aβ2–X or Aβ3–X. Legumain cleaves in two sites, giving rise to two soluble fragments and one C-terminal transmembrane fragment than can be further processed by the canonical enzymes. Caspase can cleave in the N-terminal domain, generating truncated APP-species, and within the intracytoplasmic domain, generating an APP-Ncas fragment and a C-terminal residual peptide of 31 amino acids. RHBDL4 cleavages within the ectodomain at several sites are not yet identified (represented with a star), generating different N- and C-terminal fragments. Cleavage by η-secretase generates a soluble fragment (sAPPη/sAPP95) and a paired transmembrane product η-CTF/CTF-30 that can be further processed by β- or α-secretase to release Aη-β and Aη-α, respectively. MT3-MMP can cleave APP in 4 sites, including the η-secretase site and also within the Aβ sequence. The scheme below represents the Aβ sequence with multiple cleavage sites for various soluble MMPs and MT1-MMP, for meprin-β and for canonical secretases. All the residues are termed using APP695 numbering.CC BY · PubMed Central

Verification

Claims the paper makes

97 Not checked yet · 42 No full text of the sources · 21 Own interpretation · 18 Partly supported · 16 Sources not found · 14 Supported · 6 Supported so far · 3 No basis given · 1 Not supported · 1 Own result · accuracy not yet measured

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Show all 139 claims

  • Probably not a substantial claim. 31
  • It may state two separate claims as one. 58
  • The quote only partly states this claim. 1
80 of 80
  • The paper relies on this without support.

    Targeting the APP proteolytic pathway effectively reduces or prevents pathology and cognitive decline in preclinical experimental models of Alzheimer's disease.

    “Targeting this proteolytic pathway effectively reduces/prevents pathology and cognitive decline in preclinical experimental models of the disease”
  • The paper relies on this without support.

    Therapeutic strategies based on secretase activity modifying drugs have so far failed in clinical trials.

    “but therapeutic strategies based on secretase activity modifying drugs have so far failed in clinical trials.”
  • The paper relies on this without support.

    Aβ is the main driving force behind AD pathology.

    “Aβ, which remains the main driving force behind AD pathology”
  • The paper relies on this without support.

    Findings from mouse models and cultured cells about meprin-β and legumain APP processing can be extrapolated to human AD pathogenesis.

    “In support of these in vitro data, legumain deficiency in the 5xFAD transgenic mouse model of AD (Oakley et al., 2006) causes a drop of Aβ40, Aβ42 and amyloid plaque burden”
  • The paper relies on this without support.

    Aβ oligomers are highly toxic.

    “truncated Aβ species may promote the formation of highly toxic Aβ oligomers.”
  • The paper relies on this without support.

    Tau hyperphosphorylation is a major hallmark of AD pathogenesis.

    “which is a major hallmark of AD pathogenesis.”
  • The authors state this as an assumption.

    Reducing Aβ levels below a physiological threshold could have adverse consequences.

    “if it is assumed that reducing Aβ levels below a physiological threshold could have adverse consequences.”
  • The authors state this as an assumption.

    Control of proteolytic activities is an important component of the final proteolytic balance.

    “assuming that the control of proteolytic activities is an important component of the final proteolytic balance”
  • The paper relies on this without support.

    Aging is by far the main risk factor for AD and other degenerative disorders of nervous and non-nervous tissues.

    “aging is by far the main risk factor for AD and other degenerative disorders of nervous and non-nervous tissues.”
  • The paper relies on this without support.

    The way APP and its metabolites circulate in the cell or between cells affects their functions and their availability for proteolytic processing.

    “Mounting evidence indicates that the way these molecules circulate in the cell (or between cells) affects their functions and their availability for proteolytic processing.”
10 of 10

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Metadata

Authors
García-González, L., Pilat, D., Baranger, K., & Rivera, S.
Affiliations
Centre National de la Recherche Scientifique (FR)
Corresponding author
  • Baranger, Kévin
  • Rivera, Santiago
Venue
Frontiers in Aging Neuroscience
Published
2019-09-24
Volume
11
Pages
244-244
ISSN
1663-4365 (ISSN-L)
OpenAlex
W2969928181
Cited by
88
References
225
Citations by year
2026: 8 · 2025: 10 · 2024: 11 · 2023: 12 · 2022: 15 · 2021: 20 · 2020: 8 · 2019: 3
FWCI
1.20
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Aging Neuroscience (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • HAL (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Aix-Marseille Université
  • Agence Nationale de la Recherche (ANR-15-CE16-0006, ANR-16-COEN-0005)
  • Centre National de la Recherche Scientifique
Topics
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › 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
Alzheimer's disease, amyloid precursor protein, APP processing, MT1-MMP, membrane-type matrix metalloproteinases, beta-secretase, gamma-secretase, meprin beta, legumain, caspases, amyloidogenesis, neuroinflammation, synaptic dysfunction, therapeutic target

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