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ABSTRACT: Background
Selective modulation of different A? products of an intramembrane protease ?-secretase, could be the most promising strategy for development of effective therapies for Alzheimer's disease. We describe how different drug-candidates can modulate ?-secretase activity in cells, by studying how DAPT affects changes in ?-secretase activity caused by gradual increase in A? metabolism.Results
A? 1-40 secretion in the presence of DAPT shows biphasic activation-inhibition dose-response curves. The biphasic mechanism is a result of modulation of ?-secretase activity by multiple substrate and inhibitor molecules that can bind to the enzyme simultaneously. The activation is due to an increase in ?-secretase's kinetic affinity for its substrate, which can make the enzyme increasingly more saturated with otherwise sub-saturating substrate. The noncompetitive inhibition that prevails at the saturating substrate can decrease the maximal activity. The synergistic activation-inhibition effects can drastically reduce ?-secretase's capacity to process its physiological substrates. This reduction makes the biphasic inhibitors exceptionally prone to the toxic side-effects and potentially pathogenic. Without the modulation, ?-secretase activity on it physiological substrate in cells is only 14% of its maximal activity, and far below the saturation.Significance
Presented mechanism can explain why moderate inhibition of ?-secretase cannot lead to effective therapies, the pharmacodynamics of A?-rebound phenomenon, and recent failures of the major drug-candidates such as semagacestat. Novel improved drug-candidates can be prepared from competitive inhibitors that can bind to different sites on ?-secretase simultaneously. Our quantitative analysis of the catalytic capacity can facilitate the future studies of the therapeutic potential of ?-secretase and the pathogenic changes in A? metabolism.
SUBMITTER: Svedruzic ZM
PROVIDER: S-EPMC3538728 | biostudies-literature | 2013
REPOSITORIES: biostudies-literature
PloS one 20130107 1
<h4>Background</h4>Selective modulation of different Aβ products of an intramembrane protease γ-secretase, could be the most promising strategy for development of effective therapies for Alzheimer's disease. We describe how different drug-candidates can modulate γ-secretase activity in cells, by studying how DAPT affects changes in γ-secretase activity caused by gradual increase in Aβ metabolism.<h4>Results</h4>Aβ 1-40 secretion in the presence of DAPT shows biphasic activation-inhibition dose-r ...[more]