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Cholesterol as a key player in amyloid β-mediated toxicity in Alzheimer’s disease

Rudajev, Vladimir, Novotny, Jiri·2022·Frontiers in Molecular Neuroscience

Abstract

Alzheimer’s disease (AD) is a neurodegenerative disorder that is one of the most devastating and widespread diseases worldwide, mainly affecting the aging population. One of the key factors contributing to AD-related neurotoxicity is the production and aggregation of amyloid β (Aβ). Many studies have shown the ability of Aβ to bind to the cell membrane and disrupt its structure, leading to cell death. Because amyloid damage affects different parts of the brain differently, it seems likely that not only Aβ but also the nature of the membrane interface with which the amyloid interacts, helps determine the final neurotoxic effect. Because cholesterol is the dominant component of the plasma membrane, it plays an important role in Aβ-induced toxicity. Elevated cholesterol levels and their regulation by statins have been shown to be important factors influencing the progression of neurodegeneration. However, data from many studies have shown that cholesterol has both neuroprotective and aggravating effects in relation to the development of AD. In this review, we attempt to summarize recent findings on the role of cholesterol in Aβ toxicity mediated by membrane binding in the pathogenesis of AD and to consider it in the broader context of the lipid composition of cell membranes.

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Figure 1 Amyloid β-membrane interactions. Amyloid β interacts with the plasma membrane in different ways, leading to disruption of cell homeostasis. Aβ exists in a disordered state (in the center) or can change its conformation to an α-helical or β-sheet containing form after contact with membrane lipids (especially cholesterol-rich lipid rafts), Aβ binds to the surface of the bilayer and destabilizes the membrane by a carpeting effect (1), or it may act as a detergent (2). In addition, the membrane may serve as a platform for aggregation of Aβ in its most harmful β-sheet-rich conformation (3). Under certain conditions, with or without the help of cholesterol, Aβ self-organizes into an α-helical (4) or β-barrel (5) transmembrane pore that is often selective for calcium ions. Changing cholesterol content and leaflet distribution may cause Aβ to transition from the surface-bound to the transmembrane form and vice-versa (not shown). Red—amyloid β, yellow—membrane lipids, purple—cholesterol. The scheme was prepared according to Eckert et al. (2001); Yip et al. (2002); D’Errico et al. (2008); Abramov et al. (2011); Zhao et al. (2011); Drolle et al. (2012); Yu and Zheng (2012); Fantini et al. (2014); Seghezza et al. (2014); Brown and Bevan (2016); Press-Sandler and Miller (2018); Staneva et al. (2018); Fabiani and Antollini (2019); Qu et al. (2019); and Banerjee et al. (2021).
Figure 1 Amyloid β-membrane interactions. Amyloid β interacts with the plasma membrane in different ways, leading to disruption of cell homeostasis. Aβ exists in a disordered state (in the center) or can change its conformation to an α-helical or β-sheet containing form after contact with membrane lipids (especially cholesterol-rich lipid rafts), Aβ binds to the surface of the bilayer and destabilizes the membrane by a carpeting effect (1), or it may act as a detergent (2). In addition, the membrane may serve as a platform for aggregation of Aβ in its most harmful β-sheet-rich conformation (3). Under certain conditions, with or without the help of cholesterol, Aβ self-organizes into an α-helical (4) or β-barrel (5) transmembrane pore that is often selective for calcium ions. Changing cholesterol content and leaflet distribution may cause Aβ to transition from the surface-bound to the transmembrane form and vice-versa (not shown). Red—amyloid β, yellow—membrane lipids, purple—cholesterol. The scheme was prepared according to Eckert et al. (2001); Yip et al. (2002); D’Errico et al. (2008); Abramov et al. (2011); Zhao et al. (2011); Drolle et al. (2012); Yu and Zheng (2012); Fantini et al. (2014); Seghezza et al. (2014); Brown and Bevan (2016); Press-Sandler and Miller (2018); Staneva et al. (2018); Fabiani and Antollini (2019); Qu et al. (2019); and Banerjee et al. (2021).CC BY · PubMed Central
Figure 2 Mechanisms of cholesterol-mediated protection against amyloid β toxicity. (A) Left: under cholesterol-deficient conditions, amyloid β (Aβ) penetrates the membrane and aggregates in calcium-selective pores, leading to calcium dyshomeostasis and cytotoxicity. Right: cholesterol-induced rigidization of the membrane prevents amyloid peptide from entering the bilayer. (B) Another mechanism designates cholesterol as a lipid that reduces the ability of Aβ to bind the membrane. (C) A cholesterol-rich membrane (which may also contain oxysterols) retains Aβ peptides in a transmembrane (TM), non-toxic form. At low cholesterol levels, Aβ can self-organize into toxic aggregates at the membrane surface. (D) Aβ forms calcium-selective TM channels when the bilayer has low cholesterol content, whereas high cholesterol concentration induces the formation of non-toxic, anion-selective pores. Red—amyloid β, yellow—membrane lipids, purple—cholesterol, pink—oxysterol, blue—calcium influx into the cytosol. The scheme was prepared according to Arispe and Doh (2002); Curtain et al. (2003); Micelli et al. (2004); Qiu et al. (2009); Qiu et al. (2011); Meleleo et al. (2013); Evangelisti et al. (2014); Phan et al. (2014); Phan et al. (2018); Bode et al. (2017); Fernandez-Perez et al. (2018); and Meleleo et al. (2019).
Figure 2 Mechanisms of cholesterol-mediated protection against amyloid β toxicity. (A) Left: under cholesterol-deficient conditions, amyloid β (Aβ) penetrates the membrane and aggregates in calcium-selective pores, leading to calcium dyshomeostasis and cytotoxicity. Right: cholesterol-induced rigidization of the membrane prevents amyloid peptide from entering the bilayer. (B) Another mechanism designates cholesterol as a lipid that reduces the ability of Aβ to bind the membrane. (C) A cholesterol-rich membrane (which may also contain oxysterols) retains Aβ peptides in a transmembrane (TM), non-toxic form. At low cholesterol levels, Aβ can self-organize into toxic aggregates at the membrane surface. (D) Aβ forms calcium-selective TM channels when the bilayer has low cholesterol content, whereas high cholesterol concentration induces the formation of non-toxic, anion-selective pores. Red—amyloid β, yellow—membrane lipids, purple—cholesterol, pink—oxysterol, blue—calcium influx into the cytosol. The scheme was prepared according to Arispe and Doh (2002); Curtain et al. (2003); Micelli et al. (2004); Qiu et al. (2009); Qiu et al. (2011); Meleleo et al. (2013); Evangelisti et al. (2014); Phan et al. (2014); Phan et al. (2018); Bode et al. (2017); Fernandez-Perez et al. (2018); and Meleleo et al. (2019).CC BY · PubMed Central
Figure 3 Cholesterol-dependent GM1 clustering and Aβ-membrane binding. Ganglioside GM1 was found to form membrane clusters in a cholesterol-dependent manner. Aggregated GM1 exists in a different spatial configuration that favors Aβ binding. With its -OH group, cholesterol forms a hydrogen bond with a sugar moiety of the polar group of the ganglioside, which positions it parallel to the membrane. When not bound to cholesterol, the polar head of the lipid is less able to interact with the amyloid peptide (dashed arrow). Red—amyloid β, yellow—membrane lipids, purple—cholesterol, blue—sugars in GM1 polar head, green—sialic acid. The scheme was prepared according to Yahi et al. (2010) and Matsuzaki (2014).
Figure 3 Cholesterol-dependent GM1 clustering and Aβ-membrane binding. Ganglioside GM1 was found to form membrane clusters in a cholesterol-dependent manner. Aggregated GM1 exists in a different spatial configuration that favors Aβ binding. With its -OH group, cholesterol forms a hydrogen bond with a sugar moiety of the polar group of the ganglioside, which positions it parallel to the membrane. When not bound to cholesterol, the polar head of the lipid is less able to interact with the amyloid peptide (dashed arrow). Red—amyloid β, yellow—membrane lipids, purple—cholesterol, blue—sugars in GM1 polar head, green—sialic acid. The scheme was prepared according to Yahi et al. (2010) and Matsuzaki (2014).CC BY · PubMed Central

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Metadata

Authors
Rudajev, V., & Novotny, J.
Venue
Frontiers in Molecular Neuroscience
Published
2022-08-25
Volume
15
ISSN
1662-5099
Cited by
94
References
30
Funders
Přírodovědecká Fakulta, Univerzita Karlova

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