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Updated: Aug 12, 2026

Detection of Neuritic Plaques in Alzheimer's Disease Mouse Model
Published on: July 26, 2011
alpha2-macroglobulin in late-onset Alzheimer's disease
1Genetics and Aging Unit, Massachusetts General Hospital, Harvard Medical School, Building 149,13th Street, Charlestown, MA 02129, USA. kovacs@helix.mgh.harvard.edu
Abstract:
alpha2-macroglobulin (alpha(2)M) is an abundant plasma protein similar in structure and function to a group of proteins called alpha-macroglobulins. alpha(2)M is also produced in the brain where it binds multiple extracellular ligands and is internalized by neurons and astrocytes. In the brain of Alzheimer's disease (AD) patients, alpha(2)M has been localized to diffuse amyloid plaques. alpha(2)M also binds soluble beta-amyloid, of which it mediates degradation. However, an excess of alpha(2)M can also have neurotoxic effects. Based on genetic evidence, is now recognized as one of the two confirmed late onset AD genes. As for the three early onset genes (the amyloid beta-protein precursor and the two presenilins) and for the other late onset gene (ApoE), DNA polymorphisms in the A2M gene associated with AD result in significantly increased accumulation of amyloid plaques in AD brains. These data support an important role for A2M in AD etiopathology.
Insights
Alpha2-macroglobulin (alpha(2)M), a brain protein, is linked to Alzheimer's disease (AD) pathogenesis. Genetic evidence shows A2M gene variations increase amyloid plaque accumulation in AD brains.
Area of Science:
- Neuroscience
- Genetics
- Biochemistry
Background:
- Alpha2-macroglobulin (alpha(2)M) is a plasma protein also produced in the brain.
- In the brain, alpha(2)M binds ligands and is internalized by neurons and astrocytes.
- Alpha(2)M is found in amyloid plaques in Alzheimer's disease (AD) brains.
Purpose of the Study:
- To investigate the role of alpha2-macroglobulin (alpha(2)M) in Alzheimer's disease (AD) pathogenesis.
- To explore the association between A2M gene polymorphisms and amyloid plaque accumulation in AD.
Main Methods:
- Localization of alpha(2)M in AD brains.
- Assessment of alpha(2)M binding to soluble beta-amyloid.
- Analysis of genetic evidence linking A2M gene polymorphisms to AD.
Main Results:
- Alpha(2)M binds soluble beta-amyloid and mediates its degradation.
- An excess of alpha(2)M may exert neurotoxic effects.
- DNA polymorphisms in the A2M gene are associated with increased amyloid plaque accumulation in AD brains.
Conclusions:
- Alpha2-macroglobulin (A2M) is recognized as a late-onset Alzheimer's disease gene.
- A2M plays a significant role in the etiopathology of Alzheimer's disease.
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