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Molecular subtypes of Alzheimer's disease.


ABSTRACT: Protein misfolding and aggregation is a central feature of several neurodegenerative disorders including Alzheimer's disease (AD), in which assemblies of amyloid ? (A?) peptides accumulate in the brain in the form of parenchymal and/or vascular amyloid. A widely accepted concept is that AD is characterized by distinct clinical and neuropathological phenotypes. Recent studies revealed that A? assemblies might have structural differences among AD brains and that such pleomorphic assemblies can correlate with distinct disease phenotypes. We found that in both sporadic and inherited forms of AD, amyloid aggregates differ in the biochemical composition of A? species. These differences affect the physicochemical properties of A? assemblies including aggregation kinetics, resistance to degradation by proteases and seeding ability. A?-amyloidosis can be induced and propagated in animal models by inoculation of brain extracts containing aggregated A?. We found that brain homogenates from AD patients with different molecular profiles of A? are able to induce distinct patterns of A?-amyloidosis when injected into mice. Overall these data suggest that the assembly of mixtures of A? peptides into different A? seeds leads to the formation of distinct subtypes of amyloid having distinctive physicochemical and biological properties which result in the generation of distinct AD molecular subgroups.

SUBMITTER: Di Fede G 

PROVIDER: S-EPMC5818536 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature

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Protein misfolding and aggregation is a central feature of several neurodegenerative disorders including Alzheimer's disease (AD), in which assemblies of amyloid β (Aβ) peptides accumulate in the brain in the form of parenchymal and/or vascular amyloid. A widely accepted concept is that AD is characterized by distinct clinical and neuropathological phenotypes. Recent studies revealed that Aβ assemblies might have structural differences among AD brains and that such pleomorphic assemblies can cor  ...[more]

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