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. 2007 Dec;171(6):1989-99.
doi: 10.2353/ajpath.2007.070050. Epub 2007 Nov 30.

Lipoprotein receptor-related protein-1 mediates amyloid-beta-mediated cell death of cerebrovascular cells

Affiliations

Lipoprotein receptor-related protein-1 mediates amyloid-beta-mediated cell death of cerebrovascular cells

Micha M M Wilhelmus et al. Am J Pathol. 2007 Dec.

Abstract

Inefficient clearance of A beta, caused by impaired blood-brain barrier crossing into the circulation, seems to be a major cause of A beta accumulation in the brain of late-onset Alzheimer's disease patients and hereditary cerebral hemorrhage with amyloidosis Dutch type. We observed association of receptor for advanced glycation end products, CD36, and low-density lipoprotein receptor (LDLR) with cerebral amyloid angiopathy in both Alzheimer's disease and hereditary cerebral hemorrhage with amyloidosis Dutch type brains and increased low-density lipoprotein receptor-related protein-1 (LRP-1) expression by perivascular cells in cerebral amyloid angiopathy. We investigated if these A beta receptors are involved in A beta internalization and in A beta-mediated cell death of human cerebrovascular cells and astrocytes. Expression of both the LRP-1 and LDLR by human brain pericytes and leptomeningeal smooth muscle cells, but not by astrocytes, increased on incubation with A beta. Receptor-associated protein specifically inhibited A beta-mediated up-regulation of LRP-1, but not of LDLR, and receptor-associated protein also decreased A beta internalization and A beta-mediated cell death. We conclude that especially LRP-1 and, to a minor extent, LDLR are involved in A beta internalization by and A beta-mediated cell death of cerebral perivascular cells. Although perivascular cells may adapt their A beta internalization capacity to the levels of A beta present, saturated LRP-1/LDLR-mediated uptake of A beta results in degeneration of perivascular cells.

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Figures

Figure 1
Figure 1
Immunohistochemical staining of Aβ receptor antibodies in neocortex of control brains. Both anti-LRP-1 (A, arrow) and anti-RAGE (C, arrow) antibodies demonstrated immunoreactivity in normal medium-sized parenchymal vessels in control brains. Both anti-CD36 (B, arrow) and anti-LDLR (D, arrow) antibodies were immunoreactive in medium-sized parenchymal vessels in control brain. Original magnifications, ×250.
Figure 2
Figure 2
Immunohistochemical staining of Aβ receptor antibodies in CAA in the neocortex of AD brains. RAGE (A), CD36 (B), and LDLR (C) immunostaining was observed in CAA, whereas LRP-1 expression was increased in perivascular cells but not in CAA itself (D). E: Immunofluorescent staining of LRP-1 (green) was also observed in endothelial cells in CAA vessels (Aβ stained red). Original magnifications: ×250 (A–D); ×400 (E).
Figure 3
Figure 3
Immunohistochemical staining of Aβ receptor antibodies in classic SPs in the neocortex of AD brain. The anti-Aβ (mAb 6C6) antibody stained both classic and diffuse SPs in AD brains (AE). CD36 (F, arrow), LRP-1 (G, arrow), megalin (H, arrow), FPRL1 (I, arrow), and APP (J, arrow) immunostaining was observed in classic SPs. Serial sections: A, F; B, G; C, H; D, I; E, J. Original magnifications, ×250.
Figure 4
Figure 4
Western blot analysis of LRP-1 and LDLR expression in cultured HBPs and astrocytes. A: HBPs and astrocytes were incubated with or without 10 μmol/L D-Aβ1-40 for 3 days at 37°C. In HBPs, expression of LRP-1, LDLR, RAGE, and CD36 was observed, and both LRP-1 and LDLR were up-regulated by incubation with 10 μmol/L D-Aβ1-40. In astrocytes expression of LRP-1, LDLR, and RAGE was observed, but Aβ did not affect receptor expression. B: Treatment of HBPs with 10 μmol/L D-Aβ1-40 resulted in LRP-1 up-regulation after 1 day and sustained until 10 days after treatment with 10 μmol/L D-Aβ1-40. C: In HBPs co-incubated with RAP (1 μmol/L) or cycloheximide (0.5 μg/ml) for 3 days at 37°C, reduction of LRP-1 up-regulation was observed, whereas LDLR expression remained unaffected. D: Similar effects on both LRP-1 and LDLR expression on HBPs were observed after incubations with Aβ1-42. E: Incubation of HBPs with Aβ1-40 had no effect on both LRP-1 and LDLR expression. F: Astrocytes incubated with 10 μmol/L of Aβ1-40, Aβ1-42, or D-Aβ1-40, demonstrated no effects on both LRP-1 and LDLR expression. G and H: Incubation of either 10 μmol/L fibrillar D-Aβ1-40 (G) or Aβ1-42 (H) resulted in increased LRP-1 expression by HBPs, whereas no differences were observed for LDLR levels. In addition, co-incubation of fibrillar Aβ with RAP or cycloheximide inhibited this effect.
Figure 5
Figure 5
Confocal laser-scanning microscopy analysis of Aβ-mediated up-regulation of LRP-1 in HBPs. HBPs incubated with 10 μmol/L D-Aβ1-40, or in combination with RAP (1 μmol/L) or cycloheximide (0.5 μg/ml) for 3 days at 37°C. Increased immunoreactivity of anti-LRP antibody (red) was observed after treatment with 10 μmol/L D-Aβ1-40, compared to control levels of LRP-1 in HBPs. Co-incubation of D-Aβ1-40 with RAP or cycloheximide demonstrated a reduced immunoreactivity of the anti-LRP-1 antibody. Nuclei are counterstained blue. Original magnifications, ×630.
Figure 6
Figure 6
Quantitative immunofluorescence analysis of LRP-1 expression in HBPs. HBPs were incubated with peptide concentrations as indicated for 3 days at 37°C, and anti-LRP-1 and anti-Aβ immunoreactivity were analyzed as described in Materials and Methods. A: Treatment with 1 to 10 μmol/L D-Aβ1-40 resulted in a dose-dependent increase in LRP-1 expression. This increased expression was antagonized by co-incubations with RAP (1 μmol/L) or cycloheximide (0.5 μg/ml). B: Co-incubations of D-Aβ1-40 with both RAP and cycloheximide had no effect on cell surface Aβ compared to D-Aβ1-40 alone. C and D: Similar effects were also observed in treatment with 1 to 10 μmol/L Aβ1-42 and in co-incubations of Aβ1-42 with RAP or cycloheximide. E: Treatment of HBPs with 10 μmol/L of fibrillar D-Aβ1-40 (F-D-Aβ1-40) resulted in increased LRP-1 expression, whereas co-incubation of fibrillar D-Aβ1-40 with either RAP or cycloheximide reduced this effect. F: In addition, co-incubation of 10 μmol/L fibrillar D-Aβ1-40 with RAP resulted in moderately decreased D-Aβ1-40 accumulation at the cell surface, compared to D-Aβ1-40 alone, whereas co-incubations with cycloheximide had no effect on accumulation of D-Aβ1-40 at the cell surface. Statistical analysis was performed using Student’s t-test. The level of significance of the difference with 10 μmol/L (F-) D-Aβ1-40 or Aβ1-42 and the combination with RAP or cycloheximide is indicated as follows: *P < 0.05, **P < 0.01, ***P < 0.001, P > 0.05 is not indicated. Mean ± SD of quadruplicates are shown.
Figure 7
Figure 7
Internalization of Aβ by HBPs. HBPs were incubated with 5 μmol/L Aβ1-40 (A) or D-Aβ1-40 (B), with or without RAP (1 μmol/L) or cycloheximide (0.5 μg/ml) for 0, 1, 4, 21, and 24 hours at 37°C, or colchicine (1 or 2 μmol/L) for 2 days at 37°C. Aβ immunoreactivity was analyzed, as described in Materials and Methods. Cell surface immunoreactivity was subtracted from overall immunoreactivity resulting in the percentage of Aβ that is internalized. A: Increasing levels of Aβ1-40 were observed in time, whereas co-incubation of 5 μmol/L Aβ1-40 with RAP or cycloheximide inhibited Aβ internalization after 24 hours, compared to Aβ1-40 alone. B: Co-incubation of D-Aβ1-40 with colchicine (2 μmol/L) completely blocked D-Aβ1-40 internalization by HBPs.
Figure 8
Figure 8
LRP antagonists reduce Aβ-mediated cell death of cerebrovascular cells. Effects of RAP or cycloheximide on cerebrovascular and astrocyte cell death after incubation with 10 μmol/L D-Aβ1-40, 10 μmol/L Aβ1-42, with or without RAP (1 μmol/L) or cycloheximide (0.5 μg/ml) for 6 days at 37°C. A: Incubation of both 10 μmol/L D-Aβ1-40 or 10 μmol/L Aβ1-42 resulted in cell death of HBPs, ∼51% and 43%, respectively. Co-incubations with either RAP or cycloheximide significantly reduced both D-Aβ1-40 and Aβ1-42-mediated cell death of HBPs. B: Astrocytes incubated with 10 μmol/L D-Aβ1-40 showed a cell death of ∼18%, whereas co-incubation with RAP or cycloheximide had no effect on cell viability compared to D-Aβ1-40 alone. Statistical analysis was performed using Student’s t-test. The level of significance of the difference with 10 μmol/L D-Aβ1-40 or Aβ1-42 and combinations with RAP or cycloheximide is indicated as follows: *P < 0.05, **P < 0.01, ***P < 0.001, P > 0.05 is not indicated. Mean ± SD are shown.

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