Unraveling Alzheimer's complexity with a distinct Aβ42 fibril type and specific AV-45 binding

Qinyue Zhao1,2, Youqi Tao1,2, Yuxuan Yao1,2

  • 1Bio-X Institutes, Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education), Shanghai Jiao Tong University, Shanghai, China.

PubMed

Insights

Alzheimer's disease research reveals a third type of amyloid-beta 42 (Aβ42) fibril in the soluble fraction of AD brains. This discovery highlights significant structural diversity in Aβ42 protein aggregates found in individuals with Alzheimer's disease.

Area of Science:

  • Neuroscience
  • Biochemistry
  • Structural Biology

Background:

  • Abnormal aggregation of amyloid-beta protein (1-42) (Aβ42) is a hallmark of Alzheimer's disease (AD).
  • Previously, two main types of Aβ42 fibrils were identified in the insoluble fraction of AD brain tissue.
  • The 'soluble' fraction was thought to contain fewer or no amyloid fibrils.

Purpose of the Study:

  • To investigate the structural characteristics of Aβ42 aggregates in both soluble and insoluble fractions of AD brain tissue.
  • To identify novel structural polymorphs of Aβ42 fibrils.
  • To examine the interaction of Aβ42 fibrils with positron emission tomography (PET) tracers.

Main Methods:

  • Sarkosyl extraction of AD brain tissue to separate soluble and insoluble fractions.
  • Cryo-electron microscopy (cryo-EM) for high-resolution structural analysis of Aβ42 fibrils.
  • Complexation of Aβ42 fibrils with the PET tracer AV-45 for structural investigation.

Main Results:

  • Amyloid fibrils were identified in the previously 'soluble' fraction, exhibiting looser bundling compared to insoluble fibrils.
  • A novel third type (type III) of Aβ42 fibril was discovered in the soluble fraction of one AD brain.
  • Cryo-EM revealed a ligand-binding channel in type I Aβ42 fibrils, but not in type III, with AV-45 binding vertically within type I.

Conclusions:

  • The study reveals significant structural heterogeneity of ex vivo Aβ42 fibrils in Alzheimer's disease.
  • A third Aβ42 fibril polymorph (type III) exists and is found in the soluble fraction.
  • Structural differences in Aβ42 fibrils may influence their interaction with diagnostic tracers like AV-45.

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