Alzheimer's disease

Explore Alzheimer's disease and access the tools you need to better understand this complex condition.

Alzheimer's disease is the most common form of dementia, affecting approximately 50 million people worldwide as of 2018 – a number expected to reach 152 million in 2050.1 The neuropathology of Alzheimer's disease is characterized by the accumulation of amyloid plaques and neurofibrillary tangles outside and inside neurons respectively. Healthy amyloid precursor protein (APP) is cleaved to pathogenic beta-amyloid (Aβ) peptides through the sequential action of α-, β-, and γ-secretases. Similarly, tau protein is hyperphosphorylated by GSK3 and other kinases to first form paired helical filaments and subsequently neurofibrillary tangles (NFTs).

Here you can take a deeper look at the disease and its pathphysiology, as well as a better understanding of the antibodies, kits, reagents and other others tool you need for your research.


Overview





Beta-amyloid in Alzheimer's disease

Alzheimer's disease is characterized by the presence of neurotoxic Aβ plaques in the brain. These plaques are formed by monomeric Aβ spontaneously assembling into soluble oligomers, which cluster together to form insoluble fibrils. Evidence suggests a role for both soluble oligomers and insoluble fibrils in Alzheimer’s disease pathology, but their exact contributions are still under debate. Here we cover the generation of Aβ from APP and how structural variation of Aβ may explain the complex pathology of Alzheimer’s disease.

APP processing

Aβ peptides are produced by the proteolytic cleavage of APP by enzyme complexes α, β, and γ-secretases. APP cleavage occurs via two distinct pathways (Figure 1). The non-amyloidogenic pathway provides beneficial neurotrophic effects and the amyloidogenic pathway produces neurotoxic Aβ peptides. The Aβ peptides formed via the amyloidogenic pathway can misfold and aggregate to form deposits that contribute to Alzheimer’s disease pathology.

Figure 1. The non-amyloidogenic and amyloidogenic pathways of APP processing.


The non-amyloidogenic pathway

The non-amyloidogenic pathway involves cleavage of APP by α-secretase to generate two fragments; an 83 amino acid C-terminal fragment (C83) that remains in the membrane and an N-terminal ectodomain (sAPPα) that is released into the extracellular medium.

Three enzymes have been identified with α-secretase activity: ADAM9, ADAM10, and ADAM17.2 Importantly, cleavage of APP by α-secretase occurs within the Aβ domain and consequently prohibits Aβ peptide production.

Of note, the C83 membrane fragment can be subsequently cleaved by γ-secretase to produce a short fragment called P3 peptide and a C terminal fragment (CTF). To date, the P3 peptide is believed to be pathologically irrelevant.3


The amyloidogenic pathway

The amyloidogenic pathway leads to neurotoxic Aβ generation. β-secretase (BACE1) mediates the first proteolysis step, which releases a large N-terminal ectodomain (sAPPβ) into the extracellular medium. A 99-amino acid C terminal fragment (C99) remains in the membrane.4–6

The newly exposed C99 N-terminus corresponds to the first amino acid of Aβ. Successive cleavage of this fragment by γ-secretase (between residues 38 and 43) releases the Aβ peptide. γ-secretase is a complex of enzymes consisting of presenilin 1 or 2 (PS1 and PS2), nicastrin, anterior pharynx defective (APH-1) and presenilin enhancer 2 (PEN2).7–11

Most of the Aβ peptides are 40 residues in length (Aβ 1–40), with a small percentage containing 42 residues (Aβ 1–42). Aβ 1–42 is considered the more neurotoxic form because the extra two amino acids provide a greater tendency to misfold and subsequently aggregate.12 Elevated plasma levels of Aβ 1–42 have been correlated with Alzheimer’s disease.13

BACE inhibitors

Targeting Aβ accumulation by slowing its production is gaining importance in the goal to slow down the progression of Alzheimer’s disease. Blocking APP cleavage is made possible due to access to several β-secretase inhibitors.


Table 1. Commonly used inhibitors targeting β-secretase and Aβ production.

Small molecule

Activity

abID

β-Secretase Inhibitor II (Z-VLL-CHO)

Peptidyl β-secretase inhibitor (reversible). Corresponds to the VNL-DA cleavage site on APP.14

ab146640

AZD3839

Potent and selective BACE-1 inhibitor (Ki = 26.1 nM), about 14-fold selectivity over BACE-2 (Ki = 372 nM).15

ab223887

Lanabecestat (AZD3293)

Highly potent BACE-1 inhibitor with IC50 = 610 pM (primary neuron cultures from mice), 310 pM (primary neuron cultures from guinea pigs), and 80 pM (SH-SY5Y cells over-expressing AβPP).16

ab223888

Loganin

Selective β-secretase inhibitor. Shows neuroprotective effects against Aβ(25-35)-induced cell death.17

ab143653

LY2886721

Potent and selective BACE-1 inhibitor (IC50 = 20.3 nM for recombinant hBACE-1).18

ab223886

Nilvadipine

Potent Ca2+ channel blocker that promotes Aβ clearance from the brain and reduced tau hyperphosphorylation.19

ab141311

Verubecestat (MK-8931)

Selective, potent β-secretase 1 inhibitor (IC50 = 13 nM).20

ab223883


Table 2. Recommended tools to study Aβ in Alzheimer's disease.


Conformational variation

One barrier to understanding the role of Aβ in Alzheimer’s disease is the lack of correlation between Aβ in the brain and the cognitive ability of patients. For example, some patients with Aβ deposits show no symptoms of Alzheimer’s disease at all.21,22

The answer to Alzheimer’s disease heterogeneity may lie in structural variations of Aβ, which can form polymorphic Aβ oligomers in a process known as segmental polymorphism. This is where the segments that form beta sheets vary between different fibril structures.23–25

It is therefore likely that, like prion diseases, unique forms of structurally distinct Aβ are deposited in different places and at different times in the brains of Alzheimer’s disease patients. However, as yet it remains unclear which types of deposit are more closely linked with the cognitive symptoms of the disease.26


The need for conformation-specific antibodies

With increasing evidence to support the biomedical importance of Aβ structural variation, conformation-specific Aβ imaging reagents will play a central role in the future of Alzheimer’s research.

Research in humans has shown the clinical relevance of Aβ structural variation. Tissue taken from two Alzheimer’s disease patients with distinct clinical histories revealed that each patient had a predominant Aβ fibril structure; however, the dominant structure was different in each patient.27

Studies in mice and cultured cells have also supported the biological relevance of Aβ structural variation. Structurally distinct Aβ fibrils cause varying levels of toxicity in neuronal cultures, while mice given Aβ from different sources develop distinct patterns of Aβ deposition within the brain.28,29

Furthermore, the complexity of Aβ structure is convincingly reflected by the immune system, with research showing that the antibodies produced in response to Aβ fibrils are diverse, reflecting their structural variation.26,30

Considering all evidence, it is becoming increasingly clear that a single antibody will not be enough to study or target all the possible pathological aggregates of Aβ contributing to Alzheimer’s disease. This makes conformation-specific Aβ antibodies an essential tool for the future of Alzheimer’s disease research.31–34



Conformation-specific amyloid beta antibodies


In collaboration with Professor Charles Glabe (UC Irvine), we developed rabbit monoclonal antibodies against Aβ 1–42 fibrils that can distinguish conformational variation in amyloid structures.

  • Human Aβ (1–42) fibril immunogen
  • Rabbit monoclonal antibodies for high affinity and specificity
  • Validated using dot blot and IHC-P
  • Published in The Journal of Biological Chemistry


Table 3. Antibody reactivity in human and mouse Alzheimer's disease brain.

Antibody name

Antibody ID

Human Alzheimer's brain specificity shown by IHC**

Alzheimer's mouse model* brain specificity shown by IHC**

Anti-amyloid fibril antibody [mOC22] - conformation-specific

ab205339

Frontal cortex plaques

Layer V cortical and CA1 pyramidal neurons

Anti-beta amyloid 1-42 antibody [mOC23] - conformation specific 

ab205340

Subset of frontal cortex plaques

Hippocampal plaques

Anti-beta amyloid 1-42 antibody [mOC31] - conformation-specific

ab201059

Vascular amyloid deposits

N/A

Anti-beta amyloid 1-4 antibody [mOC64] - conformation-specific

ab201060

Frontal cortex plaques

N/A

Anti-amyloid fibril antibody [mOC78] - conformation specific

ab205341

Intracellular/nuclear, frontal cortex plaques

Layer V cortical neurons

Anti-amyloid fibril antibody [mOC87] - conformation-specific

ab201062

Frontal cortex plaques

Layer V cortical neurons (intracellular deposits)

Anti-beta amyloid 1-42 antibody [mOC98] - conformation-specific

ab201061

Frontal cortex plaques

Layer V cortical neurons (intracellular deposits)

Anti-amyloid fibril antibody [mOC116] - conformation specific

ab205342

Frontal cortex plaques

Layer V cortical neurons, ​hippocampal plaques​

*14 month-old 3xTg-AD mouse model of Alzheimer's disease
** IHC shown in Hatami et al. 2014


Tau in Alzheimer's disease

A brief introduction to the tau protein and how it contributes to Alzheimer's disease.

Function of tau

Under normal circumstances, tau is a microtubule-associated protein (MAP) involved in microtubule stabilization. However, it is also a multi-functional protein with a critical role in certain neurodegenerative disorders including Alzheimer's disease.35

The tau protein is highly soluble, expressed in neurons, oligodendrocytes, and astrocytes within the central nervous system (CNS) and peripheral nervous system (PNS).36,37

It is primarily found in axons where it regulates microtubule polymerization and stabilization. However, its broad selection of binding partners suggests that it has multiple functions, including postnatal brain maturation, regulation of axonal transport and signaling cascades, cellular response to heat shock, and adult neurogenesis.38

Structure of tau

Tau can be divided into four regions: an N-terminal region, a proline-rich domain, a microtubule-binding domain (MBD), and a C-terminal region.39 The human tau gene (MAPT) contains 16 exons, and alternative splicing of exons 2, 3, and 10 yields six isoforms (Figure 2).

The tau protein contains 85 potential serine (S), threonine (T), and tyrosine (Y) phosphorylation sites, and under normal conditions, phosphorylation helps to maintain the cytoskeletal structure.40,41 Abnormal phosphorylation of tau is known to contribute to Alzheimer's disease pathology, with approximately 45 specific phosphorylation sites identified in the Alzheimer's disease brain.40,42

Tau is subject to multiple post-translational modifications in addition to phosphorylation, including glycosylation, glycation, truncation, nitration, oxidation, polyamination, ubiquitination, SUMOylation and aggregation.43

Figure 2. Alternative splicing of tau produces isoforms ranging in length from 352 to 441 amino acids. Exons 2 and 3 of the tau gene encode two N terminal inserts (N1 and N2). Absence of exons 2 and 3 gives rise to 0N tau isoforms, the inclusion of exon 2 results in 1N isoforms and inclusion of both exons 2 and 3 produces 2N isoforms. R1–R4 represent the four microtubule-binding domains with R2 being encoded by exon 10. Inclusion of exon 10 results in 4R isoforms, whilst exclusion results in 3R isoforms.

Role of tau in Alzheimer's disease

Accumulation of plaques and intracellular NFTs (Figure 3) is correlated with Alzheimer's disease symptoms and results in neuron damage and death.44 It is now believed that soluble Aβ and tau work in tandem, independently of their accumulation into plaques and tangles, to push neurons towards a diseased state.44

Figure 3. Formation of neurofibrillary tangles (NFTs) by the tau protein in tauopathies such as Alzheimer’s disease. Under pathological conditions, tau becomes hyperphosphorylated and detaches from microtubules. Phosphorylated tau then aggregates to form paired helical filaments (PHFs) and neurofibrillary tangles (NFTs).


In Alzheimer’s disease, the elevation of intracellular soluble Aβ leads to the abnormal phosphorylation of tau and its release from microtubules in a soluble monomeric form.40,45 In response to Aβ, tau is relocated from axons to the somatodendritic compartments of neurons.45 Here, tau can bind and sequester the Src tyrosine kinase, fyn, altering its localization.46

Elevated levels of fyn accompany the elevated levels of tau in dendritic spines, allowing the phosphorylation and stabilization of excitatory GluN2B NMDA receptors. This enhances glutamate signaling and causes an intracellular flood of Ca2+, which enhances Aβ toxicity.44,46,47 Calcium-induced excitotoxicity can damage post-synaptic sites and cause mitochondrial Ca2+ overload, membrane depolarization, oxidative stress and apoptotic cell death.41,44,48,49

Extracellular vesicles may be involved in the dissemination of pathological Aβ and tau in a prion-like propagation of Alzheimer's disease plagues and NFTs.50,51

Novel therapeutic strategies for the treatment of Alzheimer's disease may include preventing the Aβ-induced, tau-dependent enhancement of NMDA receptor activity, by reducing dendritic levels of fyn19 or targeting tau directly.52


Antibodies and kits to research tau

Study tau from every angle with a comprehensive array of research tools to provide new insights into tau pathology. From aggregation inhibitors to kits and antibodies, find everything you need to untangle tau, in one place.


Total tau detection

Tau is found in soluble form in the normal brain but in Alzheimer's disease, becomes aggregated and insoluble. Easily detect total tau with a bovine serum albumin (BSA) and azide-free antibody, an antibody panel, or an ELISA kit from the table below.


Table 4. Tools to detect total tau.

Reagent

Recommended product

abID

Total tau antibody

Anti-Tau antibody [TAU-5] - BSA and Azide free

ab80579

Tau antibody panel

Tau Research Antibody Panel

ab226492

ELISA

Human Tau ELISA Kit

ab210972

Note: Studying insoluble tau can be problematic, consider using detergents such as RIPA and Sarkosyl.53


Tau phosphorylation

Tau function is governed by phosphorylation, which becomes dysregulated during pathology, resulting in mislocalization, aggregation, and neuronal death. Effortlessly study all aspects of tau phosphorylation with antibodies against different post-translationally modified sites.


Table 5. Tools to study tau phosphorylation.

Phosphorylation site

Recommended product

abID

Serine 202 and threonine 205

Anti-Tau (phospho S202 + T205) antibody [EPR20390]

ab210703

Threonine 231

Anti-Tau (phospho T231) antibody [EPR2488]

ab151559

Serine 262

Anti-Tau (phospho S262) antibody

ab64193

Serine 396

Anti-Tau (phospho S396) antibody [EPR2731]

ab109390

Serine 422

Anti-Tau (phospho S422) antibody [EPR2866]

ab79415



Tau aggregation inhibitors

The presence of aggregated tau corresponds with pathology in diseases such as Alzheimer’s. Effectively inhibit the formation of neurofibrillary tangles with a potent tau aggregation inhibitor.


Table 6. Tou inhibitors.

Small molecule

Activity

abID

TRx0237 mesylate (LMTX)

Reduces tau pathology and reverses behavioral impairment in mice.54 Active in vitro and in vivo.55

ab223882

AZD2858

Selective GSK-3 inhibitor (IC50 = 68 nM) of tau phosphorylation at the S396 site.56

ab223889

INDY

ATP-competitive Dyrk1A inhibitor capable of reversing tau phosphorylation.57

ab223890

GSK-3β Inhibitor VII

Cell-permeable, non-ATP competitive GSK-3β inhibitor (IC50 = 0.5 µM).58

ab145937

YM-01 (YM-1)

Allosteric Hsp70 modulator which potently reduces aberrant tau levels (EC50 ~ 0.9 μM).59

ab146423

Tau and neuroinflammation

There is a complex interplay between misfolded proteins and neuroinflammation in neurodegenerative disease.

Table 7. Tools to study tau in the context of neuroinflammation.

Tool

Recommended product(s)

abID

Mouse and human multiplex cytokine panels

Human Key cytokines (15 plex) Multiplex Immunoassay Kit

Mouse Key cytokines (14 plex) Multiplex Immunoassay Kit

ab213392


ab213396

TNF alpha ELISA kit

Mouse TNF alpha ELISA Kit

ab208348

IL-1 beta ELISA kit

Mouse IL-1 beta ELISA Kit (Interleukin-1 beta)

ab100704

IL-6 ELISA kit

Human IL-6 ELISA Kit (Interleukin-6) High Sensitivity

ab46042



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