Alpha secretase

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APP cleavage.png

Alpha secretase is an enzyme that plays a crucial role in the proteolytic processing of amyloid precursor protein (APP), which is significant in the context of neurodegenerative diseases, particularly Alzheimer's disease. Unlike beta-secretase and gamma-secretase, which cleave APP to produce beta-amyloid peptides associated with Alzheimer's disease pathology, alpha secretase cuts APP within the amyloid domain. This cleavage prevents the formation of beta-amyloid peptides, suggesting a protective role against the development of Alzheimer's disease.

Function[edit | edit source]

Alpha secretase is involved in the non-amyloidogenic pathway by cleaving APP in the middle of the Aβ peptide sequence. This action results in the secretion of soluble APP alpha (sAPPα) and the prevention of beta-amyloid peptide formation, which is toxic to neurons. The activity of alpha secretase is not only crucial for preventing Alzheimer's disease but also plays a role in cell signaling and neural plasticity, indicating its importance in normal brain function.

Types and Mechanism[edit | edit source]

There are several types of alpha secretases, including members of the ADAM (A Disintegrin And Metalloprotease) family, such as ADAM10 and ADAM17. These enzymes are zinc-dependent metalloproteases that cleave their substrates at the cell surface. The exact mechanism of how alpha secretase selects APP for cleavage and its regulation is complex and involves various factors, including cellular localization, cholesterol levels, and interactions with other proteins.

Clinical Significance[edit | edit source]

The role of alpha secretase in preventing the formation of beta-amyloid plaques makes it a target of interest for therapeutic intervention in Alzheimer's disease. Enhancing alpha secretase activity or mimicking its action could potentially reduce the accumulation of beta-amyloid peptides and slow the progression of Alzheimer's disease. Research in this area focuses on identifying compounds that can increase alpha secretase activity or modulate its expression.

Research and Development[edit | edit source]

Ongoing research aims to better understand the regulation of alpha secretase and its potential as a therapeutic target. This includes studying the genetic and environmental factors that influence its activity and developing drugs that can enhance its function. Despite the promise, there are challenges in targeting alpha secretase for therapy, including the enzyme's broad substrate specificity and the potential for off-target effects.

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Contributors: Prab R. Tumpati, MD