Related Experiment Video
Updated: May 9, 2026

Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
Published on: January 28, 2020
Soluble amyloid precursor protein 770 is a novel biomarker candidate for acute coronary syndrome
Shinobu Kitazume1, Akiomi Yoshihisa2, Takayoshi Yamaki2
1Disease Glycomics Team, RIKEN-Max Planck Joint Research Center, Global Research Cluster, RIKEN, Wako, Saitama, Japan. shinobuk@riken.jp
Abstract:
Most Alzheimer disease patients show deposition of amyloid β (Aβ) peptide in blood vessels as well as the brain parenchyma. We previously found that vascular endothelial cells express amyloid β precursor protein (APP) 770, a different APP isoform from neuronal APP695, and that they produce amyloid β peptide. We analyzed the glycosylation of APP770 and found that O-glycosylated sAPP770 is preferentially processed by proteases for Aβ production. Because the soluble APP cleavage product sAPP is considered to be a possible marker for Alzheimer disease diagnosis, sAPP, consisting of a mixture of these variants, has been widely measured. We hypothesized that measurement of the endothelial APP770 cleavage product in patients separately from that of neuronal APP695 would enable us to discriminate between endothelial and neurological dysfunctions. Our recent findings, showing that the level of plasma sAPP770 is significantly higher in patients with acute coronary syndrome, raise the possibility that sAPP770 could be an indicator of endothelial dysfunction. In this review, we first describe the expression, glycosylation, and processing of APP770, and then discuss sAPP770 as a novel biomarker candidate of acute coronary syndrome.
Insights
Vascular endothelial cells produce amyloid precursor protein (APP) 770, which, when O-glycosylated, aids amyloid beta (Aβ) production. Elevated plasma sAPP770 may indicate endothelial dysfunction and serve as a biomarker for acute coronary syndrome.
Area of Science:
- Biochemistry
- Neuroscience
- Cardiology
Background:
- Alzheimer disease is linked to amyloid beta (Aβ) deposition in the brain and vasculature.
- Vascular endothelial cells express amyloid precursor protein (APP) 770, distinct from neuronal APP695.
- Soluble APP (sAPP) is a potential Alzheimer disease diagnostic marker, but typically measured as a mixture.
Purpose of the Study:
- To investigate the role of APP770 glycosylation and processing in Aβ production.
- To explore the potential of sAPP770 as a specific biomarker for endothelial dysfunction.
- To differentiate between endothelial and neurological contributions to disease by measuring APP variants separately.
Main Methods:
- Analysis of APP770 glycosylation.
- Investigating protease processing of O-glycosylated sAPP770.
- Measuring plasma sAPP770 levels in patients with acute coronary syndrome.
Main Results:
- O-glycosylated sAPP770 is preferentially processed for Aβ production.
- Plasma sAPP770 levels are significantly elevated in patients with acute coronary syndrome.
- sAPP770 shows potential as an indicator of endothelial dysfunction.
Conclusions:
- sAPP770 is a distinct cleavage product of endothelial APP770.
- sAPP770 may serve as a novel, specific biomarker for acute coronary syndrome.
- Distinguishing between APP variants could improve diagnosis of endothelial versus neurological conditions.
Related Concept Videos
Acute Coronary Syndrome I: Introduction
Acute Coronary Syndrome III: Diagnostic Studies
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
Blood Studies for Cardiovascular System I: Cardiac Biomarkers
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
