show functional changes before the appearance of plaques.
Recently, the neurotoxic effects of A
β
42 soluble oligomers have been characterizedextensively.
42oligomer, such as dimer,
trimer
and 12mer,
were shown to be toxic but the actual A
β
42oligomers that play a causative role in AD havenot been defined.
In contrast, the A
β
42monomer is not toxic.
Thus, any agent thatkeeps A
β
42 monomers from aggregation can have aprotective role against the development of AD byreducing the generation of toxic A
β
42 species.The role for A
β
40 in AD pathogenesis has not been well-established. Recently, several studieshave suggested a protective role for A
β
40 in AD.There was no plaqueformation in transgenic miceoverexpressing A
β
40.
Amyloid deposition wasreduceddramaticallybycrossing A
β
40over-expres-sing mice with AD mouse modelTg2576 or A
β
42over-expressing transgenic mice.
Exacerbated pla-quepathologywasobservedintransgenicmicewithselectively reduced levels of A
β
40.
Reduced levelsofA
β
40werefoundwith numerous FADmutations,and were correlated with accelerated onset of dementia.
However, it is not clear how A
β
40executes its protective function in AD on a mole-cular level. It has been shown that A
β
40 inhibitsA
β
42 fibril formation.
There can be two verydifferent scenarios for A
β
40 inhibition of A
β
42 fibrilformation. The inhibition may act on the non-toxicmonomer or act on the toxic A
β
42 oligomers. Thus,inhibition may either protect the benign A
β
42monomers from aggregation or it may trap A
β
42in oligomeric forms that may be highly toxic.Whether A
β
40 can inhibit toxic A
β
42 oligomerformationand,moreimportantly,whetherA
β
40cankeep A
β
42 in a non-toxic, monomeric state has not beenstudied.InthissolutionNMRstudy,weshowedthat A
β
40 monomers protect non-toxic A
β
42 mono-mers against aggregation in a A
β
42/A
β
40 ratio-dependent manner and we explored the mechanismand significance of the protective effect of A
β
40.
A
β
40 specifically inhibits the aggregation ofnon-toxic A
β
42 monomers
To probe whether A
β
40 monomers can inhibit theaggregation of A
β
42 monomers, we developed anA
β
42 monomer stability and aggregation assayusing solution NMR. NMR is the ideal tool fortracking the aggregation of specific A
β
species in amixture of A
β
(e.g. A
β
40 and A
β
42) by selectiveisotope labelling.
1
H-
15
N heteronuclear single quan-tum coherence (HSQC) was used to selectivelymonitor the aggregation of
15
N labelled A
β
42monomers in the presence of unlabeled A
β
40 mo-nomers. The HSQC experiments were exclusivelydetecting NMR signals from
15
N-labeled A
β
42monomers prepared by treatment with NaOHasestablished previously at low temperatures.
Inaddition, the monomeric state of A
β
42 detected byNMR in our aggregation experiments was demon-stratedbytranslationaldiffusioncoefficientbetween0 °C and 37 °C, and by glutaldehyde crossing-linking experiments (Supplementary Data Figure 1).The aggregation of A
β
42 was monitored by thedecrease of HSQC signal of A
β
42 monomers as theA
β
42 monomers aggregate into NMR-invisible,high molecular weight fibrils. A
β
42 fibril formationwas confirmed by thioflavin T assay and atomicforce microscopy (Supplementary Data figure 2).NMR signals from A
β
42 monomers decreasedquickly in 3 h at 25 °C (Figure 1(a) and (b)).Strikingly, signals from A
β
42 monomers did notdecrease in the presence of four molar equivalent of A
β
40 monomers at 25 °C over 3 h, indicating thatA
β
40 keeps A
β
42 in a monomeric state and inhibitstheaggregationofA
β
42(Figure1(c)and(d)).NativePAGE and Western blot were employed to furtherconfirm the anti-A
β
42 aggregation effect of A
β
40.ThedetectionofA
β
42signalinthepresenceofA
β
40was achieved by an A
β
42-specific antibody in aWestern blot of the native protein gel. As shown inFigure 1(e), without A
β
40, the band representingA
β
42 monomers decreased quickly in intensity at25 °C and disappeared overnight; while in thepresence of four molar equivalent of A
β
40 mono-mers, there was little change in the intensity of theA
β
42 monomer band even after incubation over-night at 25 °C (Figure 1(f)). It has been shown thatA
β
40 inhibits A
β
42 fibrilformation by monitoringthe appearance of fibrils
but it is not clearwhether the inhibition protects the benign A
β
42monomers from aggregation or the inhibition trapsA
β
42 in toxic oligomeric forms. If A
β
40 inhibition blocks A
β
42 fibril formation at the oligomer stage,A
β
40 would not have inhibited the decrease of thesignal from A
β
42 monomers during A
β
42 aggrega-tion. In addition, if significant amount of lowmolecular weight A
β
42 oligomers (e.g. dimers ortrimers) were formed by A
β
40 inhibition, suchspecies would have been detected by NMR. How-ever, NMR signals from low molecular mass A
β
42oligomers were never observed in our aggregationexperiments. Thus, our NMR results demonstratedthat A
β
40 inhibition of A
β
42 fibril formation acts onA
β
42monomersandprotects A
β
42inthenon-toxic,monomeric form instead of trapping A
β
40 inoligomeric forms.Aseriesof control experiments were carried out toensure that A
β
40 indeed specifically inhibits theaggregation of A
β
42 monomers (Figure 2(a)). Weused both recombinant (rPeptide
†
) and syntheticA
β
40 peptides from two companies (Bachem andBioSource) to demonstrate that the anti-aggregationeffect did not originate from particular preparationsor sources of A
β
40 (Figure 2(a)). We again used bothrecombinant(rPeptide)andsyntheticA
β
42peptides(Bachem and BioSource) to demonstrate by Western blot of native gels (data not shown) that A
β
40inhibited the aggregation of A
β
42 peptides from allthree different sources. Negative controls werecarried out with ubiquitin, BSA and sequence-reversed A
β
(40-1), none of which had any anti-
†
910
A
β
40 Protects A
β
42 Monomer
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