Aggregation and accumulation of the 42-residue amyloid β peptide (Aβ42) in the extracellular matrix of neurons and within these cells is considered a major cause of neuronal cell toxicity in Alzheimer`s disease (AD) patients. It is hypothesized that extra- and intracellular Aβ42 respectively interacts and disrupt the plasma and mitochondrial membranes fluidity, permeate these membranes and form pores enabling dysregulated calcium signaling and amyloid toxicity in AD. We have recently showed that a non-aggregating Aβ42 double mutant (Aβ42DM) strongly binds Aβ42 and modifies both extra- and intracellular Aβ42-aggregation pathway resulting in low order Aβ42 oligomers with reduced neuronal cell uptake and toxicity.
In the current study, we show that Aβ42DM protects neuronal cells from Aβ42-induced accumulation of intracellular toxic levels of calcium and apoptosis. Aβ42DM also inhibits Aβ42- induced mitochondrial membrane potential depolarization in intact neuronal cells and abolishes Aβ42 mediated decrease in cytochrome C oxidase activity in isolated mitochondria.
These results can be explained by the reduction in Aβ42-mediated changes in fluidity by Aβ42DM that was observed in DOPC and CL/DOPC phospholipid vesicles mimicking the plasma and mitochondrial membranes, respectively. These observations are also in agreement with the phospholipid-induced conformational changes in Aβ42 that are inhibited by Aβ42DM, and with the fact that Aβ42DM, not like Aβ42, could not permeate cells and remained membrane localized.
Overall, we provide here a mechanistic explanation for the Aβ42DM inhibitory activity against Aβ42-induced membranolytic activity and cell toxicity and give further evidence for its protective function in neuronal cells. We strongly believe that Aβ42DM should be evaluated in-vivo for its potential use as a therapeutic lead for treating AD.