Experts at the University of Tokyo have identified a new protein in the pathway that leads
to Alzheimer's disease. Researchers used the "molecular scissors" of CRISPR/Cas9 to
search for new genes related to the neurodegenerative disease.
The exact causes of Alzheimer's disease remain unknown, but one of the most well-
supported theories focuses on a protein called amyloid beta. Aggregation, or clumping
together, and the depositing of two proteins, amyloid beta and tau, throughout a patient's
brain are a signature of Alzheimer's disease.
CRISPR/Cas9 allows scientists to make specific changes to the DNA inside cells.
Researchers used the CRISPR/Cas9 system to delete individual genes in mouse cells
growing in a dish and then measured the amount of amyloid beta that the cells produced.
"We believe this is the first time anyone has used this CRISPR/Cas9 genetic screening
technique to look for changes in amyloid beta production," said Yukiko Hori, a co-first
author on the research paper published in FASEB Journal and lecturer at the University of
Tokyo.
Researchers tested a total of 19,150 individual genes for their effect on amyloid beta
levels and ruled out all but one: calcium and integrin-binding protein 1 (CIB1).
Cells without functional CIB1 genes produced abnormally high levels of amyloid beta
protein.
"Nobody knows why the deposition of amyloid beta occurs in Alzheimer's disease patients'
brains, but we think a starting point of the process could be CIB1," said Professor Taisuke
Tomita, an expert in pathological biochemistry at the University of Tokyo and leader of the
research lab that performed the study.
In healthy cells, CIB1 is not directly involved with processing amyloid beta, but CIB1 stays
attached to a protein called gamma secretase both inside cells and at the cell membrane.
In cells without CIB1, gamma secretase spends more time inside the cell and does not
move to the membrane.
Amyloid beta protein goes through a multistep process of trimming before it reaches its
final form. Under healthy conditions, gamma secretase processes amyloid beta precursors
to produce the final amyloid beta protein. That processing activity occurs in an internal
compartment within the cell, then gamma secretase moves to the cell's surface
membrane.
Additional experiments in mouse cells allowed researchers to track how CIB1 regulates
gamma secretase. In healthy cells, CIB1 is not directly involved in gamma secretase's
activity to process amyloid beta, but CIB1 is attached to gamma secretase both in the
internal compartment and at the cell surface membrane.
In cells without CIB1, gamma secretase remains in the internal compartment inside the
cell and does not move to the surface membrane. More time in that internal compartment
allows gamma secretase to produce more amyloid beta proteins.
"Our results show that regulating the location of CIB1 and gamma secretase could be a
new target for Alzhemier's disease therapy," said Hori.
Convinced by their cellular experiments, Tomita's research team then decided to search
directly for changes in the amount of CIB1 in the brains of Alzheimer's disease patients.
The patient data they examined comes from a long-term project based in the U.S., the
Religious Orders Study and Memory and Aging Project (ROSMAP). The project tracks the
health of volunteers who are all professional religious leaders (nuns, priests, brothers) and
agree to donate their organs for research after their death.
People diagnosed with early-stage Alzheimer's disease had lower levels of CIB1 in their
brains than healthy people. Paradoxically, people diagnosed with late-stage Alzheimer's
disease had higher-than-healthy levels of CIB1.
"We cannot say for certain why CIB1 is increased in late-stage Alzheimer's disease. What
is important is that in both the early and late stages of Alzheimer's disease, something is
abnormal about the regulation of CIB1," said Tomita.
Future research projects will uncover more details about the role of CIB1 in the cellular
processes that lead to unhealthy levels of amyloid beta and Alzheimer's disease. Researchers also plan to use their CRISPR/Cas9 screening technique to search for new
genes that affect the other major Alzheimer's disease protein, tau.