Abstract
The causal relationship between amyloid beta-peptide (Aβ) deposition and Alzheimer’s
disease (AD)-specific neuropathological lesions such as neurodegeneration and cortical
atrophy is still not known. Mounting evidence points to alterations in cholesterol
homeostasis occurring in AD brain that are probably linked to cerebral Aβ pathology.
Interestingly, cholesterol not only modulates Aβ synthesis, but also controls interactions
between Aβ and neuronal membranes that are regarded as decisive in the initiation
of a neurotoxic cascade. This review focuses on the impact of cholesterol on membrane
disordering effects of Aβ. Cholesterol is known to be an essential modulator of physicochemical
state and functional activity in physiological membranes, and thus plays an essential
role in the regulation of synaptic function and cell plasticity. In vitro and in vivo modulation of membrane cholesterol levels affect different cholesterol pools within
the plasma membrane bilayer that are differentially sensitive to Aβ’s disrupting effects.
Membrane acyl-chains in the hydrocarbon core are most susceptible to Aβ. In this membrane
region, cholesterol attenuates the membrane disordering effects of Aβ. This cholesterol
pool is modulated by methyl-beta-cyclodextrin (MβCD) treatment in vitro. On the other hand, statin treatment in vivo depletes a cholesterol pool in a membrane area, which is much less susceptible to
Aβ’s membrane-disrupting effects. Our findings clearly implicate an involvement of
cholesterol in brain membrane alterations occurring during AD. Disease-related changes
in membrane cholesterol metabolism may be subtle and restricted to defined membrane
pools since total membrane cholesterol levels are mainly unchanged in AD brain. Thus,
elucidation of the structure and function of different cholesterol pools is necessary
in understanding the coherence between cholesterol and AD.
Abbreviations
Aβ:amyloid beta-peptide
ADAlzheimer’s disease;
ApoEapolipoprotein E
APPamyloid beta-peptide precursor protein
BBBblood brain barrier
CHOD-PAP-cholesteroloxidase-peroxidase-aminophenazonmethodphenol method
CNScentral nervous system
DPHdiphenylhexatriene
HMG-CoAhydroxymethylglutaryl-coenzyme A
MβCDmethyl-beta-cyclodextrin
PMplasma membrane
SPMsynaptosomal plasma membrane
SUVsmall unilammelar vesicle
TNBStrinitrobenzensulfonic acid
TMA-DPHtrimethylammonium-diphenylhexatriene
Key words
Cholesterol - Statins - Brain membrane - Alzheimer’s Disease - Amyloid
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Dr. Gunter P. Eckert
Department of Pharmacology
Biocenter Niederursel
Telefon: +49 (69) 79 82 93 78
Fax: +49 (69) 79 82 93 74
eMail: G.P.Eckert@em.uni-frankfurt.de