Medin co-aggregates with vascular amyloid-β in Alzheimer's disease

Jessica Wagner1,2,3, Karoline Degenhardt1,2,3, Marleen Veit1,2,3

  • 1German Center for Neurodegenerative Diseases (DZNE), Tübingen, Germany.

Nature
|November 17, 2022
PubMed

Insights

Medin amyloid, common in aging humans, worsens cerebrovascular dysfunction. Medin interacts with amyloid-beta, promoting its aggregation and potentially serving as a therapeutic target for cognitive decline.

Area of Science:

  • Neuroscience
  • Biochemistry
  • Gerontology

Background:

  • Medin amyloid aggregates are prevalent in the vasculature of aging individuals.
  • Medin aggregation in blood vessels causes cerebrovascular dysfunction.
  • Medin is a fragment of MFG-E8 (lactadherin).

Purpose of the Study:

  • To investigate the relationship between medin and vascular amyloid-beta deposition in Alzheimer's disease.
  • To determine the role of medin in promoting amyloid-beta aggregation.
  • To explore medin as a potential therapeutic target for cognitive decline.

Main Methods:

  • Studied amyloid precursor protein (APP) transgenic mice and Alzheimer's disease patients.
  • Analyzed co-localization of medin and amyloid-beta in brain vasculature.
  • Assessed the impact of medin deficiency on amyloid-beta deposition in mice.
  • Measured MFG-E8 and medin levels in relation to vascular amyloid-beta burden.
  • Analyzed ROSMAP cohort data for MFGE8 expression and cognitive decline.
  • Investigated medin-amyloid-beta interactions in vitro and in vivo.

Main Results:

  • Medin co-localizes with vascular amyloid-beta deposits in APP transgenic mice and Alzheimer's patients.
  • Medin deficiency reduced vascular amyloid-beta deposition by 50% in mice.
  • MFG-E8 and medin levels increase with vascular amyloid-beta burden severity.
  • Higher MFGE8 expression in Alzheimer's patients correlates with cognitive decline, independent of plaque and tau.
  • Medin directly interacts with amyloid-beta, promoting its aggregation and altering fibril structure.

Conclusions:

  • Medin aggregation is closely linked to vascular amyloid-beta deposition and cognitive decline.
  • Medin directly promotes amyloid-beta aggregation, forming heterologous fibrils.
  • Medin represents a potential therapeutic target for preventing vascular damage and cognitive decline associated with amyloid-beta deposition.