[Alzheimer's disease pathogenesis focused on intracellular Zn²⁺ toxicity and its defense strategy]

The basal levels of intracellular Zn²⁺ and extracellular Zn²⁺ are in the range of ~100 pM and ~10 nM, respectively, in the hippocampus. Extracellular Zn²⁺ dynamics, which serves bidirectionally and involved in cognitive activity and cognitive decline, is modified by extracellular glutamate signaling and the presence of amyloid-β_1-42 (Aβ_1-42), a causative peptide in Alzheimer's disease (AD) pathogenesis. When human Aβ_1-42 reaches 100-500 pM in the extracellular compartment of the rat hippocampus, Zn-Aβ_1-42 complexes are produced and readily taken up into dentate granule cells in a synaptic activity-independent manner. Furthermore, intracellular Zn-Aβ_1-42 complexes release Zn²⁺ followed by intracellular Zn²⁺ dysregulation. Aβ_1-42-mediated intracellular Zn²⁺ toxicity is accelerated with aging, because extracellular Zn²⁺ is age-relatedly increased. We have reported that Aβ_1-42 released physiologically from neuron terminals disrupts intracellular Zn²⁺ homeostasis, resulting in age-related cognitive decline and neurodegeneration. Metallothioneins (MTs), zinc-binding proteins can capture Zn²⁺ released from intracellular Zn-Aβ_1-42 complexes and serve for intracellular Zn²⁺-buffering under acute intracellular Zn²⁺ dysregulation. Aβ_1-42-induced pathogenesis leads the AD development and its defense strategy may prevent the development. This review summarizes extracellular Zn²⁺-dependent Aβ_1-42 neurotoxicity, which is accelerated with aging, and the potential defense strategy against AD.