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Updated: Sep 15, 2025

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Targeting Lysosomal Dysfunction to Alleviate Plaque Deposition in an Alzheimer Disease Model
Biorxiv : the Preprint Server for Biology
|July 14, 2025
Summary
Lysosomal dysfunction in Alzheimer disease (AD) involves neuraminidase 1 (Neu1) and protective protein/cathepsin A (PPCA). Their interaction regulates amyloid precursor protein (APP) processing, offering therapeutic targets for AD.
Area of Science:
- Neuroscience
- Molecular Biology
- Cell Biology
Background:
- Alzheimer disease (AD) is linked to abnormal amyloid precursor protein (APP) processing and impaired lysosomal function.
- Lysosomal dysfunction contributes to neuroinflammation and neurodegeneration in AD.
Purpose of the Study:
- To investigate the role of lysosomal multi-enzyme complex (LMC) members, neuraminidase 1 (Neu1) and protective protein/cathepsin A (PPCA), in APP metabolism.
- To explore the therapeutic potential of targeting the Neu1-PPCA axis in AD.
Main Methods:
- Analysis of human AD brains and 5xFAD/Neu1-/- mouse models.
- Investigating the impact of Neu1 deficiency and PPCA/Neu1 co-expression on APP processing and lysosomal function.
- Utilizing AAV-mediated gene delivery in 5XFAD mouse brains.
Main Results:
- Neu1 deficiency causes sialic acid retention on APP and secretases, increasing amyloidogenic cleavage and Aβ42 production.
- Neu1 deficiency promotes lysosomal exocytosis, leading to extracellular Aβ release and neuroinflammation.
- PPCA overexpression or Neu1-PPCA co-expression normalizes sialylation, reduces secretase activity, and mitigates amyloid plaque burden.
Conclusions:
- Neu1 and PPCA form a critical axis regulating APP metabolism and lysosomal homeostasis.
- The Neu1-PPCA axis represents a novel therapeutic target for Alzheimer disease.
- AAV-mediated co-expression of Neu1 and PPCA shows promise in reducing AD pathology.
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