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Logo of nihpaAbout Author manuscriptsSubmit a manuscriptHHS Public Access; Author Manuscript; Accepted for publication in peer reviewed journal;
Neurobiol Aging. Author manuscript; available in PMC 2009 June 8.
Published in final edited form as:
PMCID: PMC2692942

Alzheimer’s presenilin 1 causes chromosome missegregation and aneuploidy


Mutations in the presenilin 1 gene cause most early-onset familial Alzheimer’s disease (FAD). Here we report that a defect in the cell cycle—improper chromosome segregation—can be caused by abnormal presenilin function and therefore may contribute to AD pathogenesis. Specifically we find that either over-expression or FAD mutation in presenilin 1 (M146L and M146V) leads to chromosome missegregation and aneuploidy in vivo and in vitro: 1) Up to 20% of lymphocytes and neurons of FAD-PS-1 transgenic and knockin mice are aneuploid by metaphase chromosome analysis and in situ hybridization, 2) Transiently transfected human cells over-expressing normal or mutant PS-1 develop similar aneuploidy within 48 hours, including trisomy 21. 3) Mitotic spindles in the PS-1 transfected cells contain abnormal microtubule arrays and lagging chromosomes. Several mechanisms by which chromosome missegregation induced by presenilin may contribute to Alzheimer’s disease are discussed.

Keywords: Alzheimer’s disease, mitosis, chromosome segregation, microtubules, presenilin, trisomy 21, Down syndrome

1. Introduction

Alzheimer’s disease (AD) is a neurodegenerative disorder that arises when neurons in certain regions of the brain, particularly those involved in memory and cognition, are damaged and ultimately killed, probably as a consequence of the abnormal production of amyloidogenic Aβ peptides. Our molecular understanding of this pathogenic pathway has been greatly aided by the analysis of mutant genes and proteins that cause rare cases of familial AD, which appear to mimic closely the more common, sporadic form of the disease.

The majority of FAD is caused by mutant forms of the two presenilin genes, PS-1 and PS-2, most commonly PS-1. One key function of the PS proteins is to contribute to the γ-secretase enzyme, which cleaves the amyloid precursor protein (APP) in its transmembrane region to generate the C-terminus of the Aβ peptide, the major component of the amyloid deposits in the Alzheimer brain. Most FAD mutations in PS-1 or 2 change the specificity of the γ-secretase enzyme such that there is increase the production of a highly amyloidegenic class of Aβ peptide, Aβx-42, compared to the more common Aβ x-40 [5,11,12,27,47]

Several lines of evidence indicate that abnormalities in one or more aspects of the cell cycle may contribute to AD pathogenesis [1,9,14,26,28,30,31,32,42,49,50]. For example, many sporadic and familial AD patients, including those carrying presenilin mutations, exhibit a defect in chromosome segregation that leads to aneuploidy, including trisomy 21, in many cells throughout the body [10,26,30,31,49,50]. This finding is intriguing because individuals with full trisomy 21 (Down syndrome) all develop AD pathology at a very early age [7,21,32].

To determine whether defects in chromosome segregation and trisomy 21 aneuploidy seen in AD patients might contribute to their disease rather than being merely a correlative manifestation of the disease process, we used transgenic mice and transfected cells in culture to test directly the involvement of PS-1 in chromosome segregation. All assays, tissues, and cells showed comparable results and allowed the novel conclusion that overexpression or FAD mutation of PS-1 leads to chromosome missegregation and aneuploidy, including trisomy 21. Immunocytochemical staining of the PS-1 transfected cells indicated that the presenilins cause chromosome missegregation by altering the structure/function of the mitotic spindle.

2. Materials and Methods

2.1 Mice

Transgenic mice expressing the human FAD mutant presenilins M146L or M146V, or a human wild-type presenilin under control of the PDGF promoter, and their non-transgenic littermates, 14–19 months of age, were gifts of Dr. Karen Duff, Nathan Klein Institute and New York University School of Medicine [5]. The background strain was Swiss WebsterXC57BL6DBA. Homozygous knock-in mice carrying a human mutant PS-1 (M146V) coding region in place of the mouse sequence, and WT nontransgenic mice of the same genetic background (129/SvXC57BL/6), 12–15 months of age were a gift of Dr. Mark Mattson and Dr. Steven Chan of the National Institute on Aging [10].

2.2 Primary Cells

Mouse spleens were harvested and immediately triturated in RPMI 1640 medium using the ground glass ends of two Superfrost Plus slides (Fisher). The cell suspension was cultured in RPMI 1640 medium supplemented with 10% FBS, 5% PSA, 2mM L-Glutamine, 50μM β-mercapthoethanol, and 5μg/mL Concanavilin-A (Sigma) for 42–44 hours at 37°C in a 5% CO2 humidified atmosphere. Prior to harvesting, the cells were treated with 100ng/mL of colcemid (Sigma) for 40–45 minutes.

Primary neuronal cultures from whole brains of similarly aged adult mice were prepared by a modification of the method of Liesi et al. [23]. After removal of the meninges, each brain was triturated in serum-free Modified Eagle Medium (MEM) approximately 20 times, and the solid tissue was allowed to settle and thereby separate from the partially dissociated cells in the supernatant. The cells in suspension were plated on single well chamber slides (Lab-Tek) previously coated with poly-d-lysine (50μg/mL) and incubated in Neural Basal Medium with B27 supplement (Gibco) at 37°C in a 5% CO2 humidified atmosphere for one hour. The medium together with the unattached glia was removed and replaced with fresh NBM-B27 and the cultures were further incubated at 37°C for 12 – 16 hours and then prepared for in situ hybridization.

2.3 Cell Line

The hTERT-HME1 cell line (Clontech) was maintained in Mammary Epithelium Basal Medium (MEBM, Cambrex-Clonetech) supplemented with 52 μg/ml BPE, 0.5 μg/ml hydrocortisone, 10 ng/ml hEGF, 5 μg/ml insulin, 50 μg/ml gentamicin, and 50 ng/ml amphotericin-B.

2.4 Plasmids

Plasmids were constructed by inserting WT PS-1, FAD mutant PS-1(M146L), and FAD mutant PS-1(M146V) cDNA into the pcDNA3 expression vector (Clontech).

2.5 Transient Transfections

One day prior to transfection, hTERT cells (1–3 × 105cells/2mL) were plated in a 6-well plate (9.4cm2/well) with supplemented MEBM. A FuGene6-DNA complex was prepared according to the manufacturer’s protocol using a ratio of Fugene 6: DNA of 3μL:0.5μg–1μg and applied to the cells. Twenty-four hours after transfection, the cells were harvested and transferred to 100mm dishes, single well chamber slides, or 22×22mm coverslips. At 48 hours post-transfection cells were either harvested immediately for in situ hybridization or treated with 33 ng/ml colcemid for 10 hours, harvested and scored for aneuploidy in metaphase chromosome spreads or by in situ hybridization. Parallel cultures were harvested for RNA analysis by Northern Blot to determine relative expression levels. All constructs expressed at the same level, except pcDNA3-wt, which expressed at about half the level of the others.

2.6 Metaphase Chromosome Analysis

Following colcemid treatment, cells were harvested according to standard cytogenetic methods. Briefly, hypotonic treatment in 0.075M KCl for 15 minutes in a 37°C water bath followed by 3:1 methanol: acetic acid fixative for a minimum of 30 minutes on ice. Cells were dropped onto glass slides (Fisherbrand Frosted Microscope Slides) and allowed to age. Metaphase spreads were stained with Giemsa (Fisher) and the chromosomes counted.

2.7 In Situ Hybridization

A bacterial artificial chromosome (BAC) containing a mouse chromosome 16-specific sequence was provided by Dr. Bruce Lamb at Case Western Reserve University [20]. The BAC probe was labeled by nick translation (Roche) with spectrum green dUTP (Vysis). For each assay, 60ng of labeled BAC probe was precipitated with 0.16mg/mL Mouse COT-1 DNA (Invitrogen), 1/10th volume of 3M Sodium Acetate, and 2.5 volumes cold 100% Ethanol. The precipitated BAC probe was re-suspended in 10μL Hybrisol I (Invitrogen) and incubated in a 37°C water bath overnight. The pre-incubated BAC probe was used for fluorescence in situ hybridization (FISH) of mouse primary cultures. Interphase and metaphase FISH of hTERT-HME1 cells was performed using either the LSI 21 SpectrumOrange probe or the LSI TEL/AML1 ES Dual Color Translocation Probe (Vysis). The LSI 21 probe detects the complementary DNA sequence on chromosome 21 while the LSI TEL/AML1 ES Dual Color Translocation Probe is a mixture of the LSI TEL probe labeled with SpectrumGreen and the LSI AML1 probe labeled with SpectrumOrange, and detects both chromosome 12 and 21. Hybridizations were done according to manufacturer’s instructions (Vysis) using the Hybrite hybridization chamber (HYBrite, Vysis) followed by counter-staining with Vectashield Mounting Medium with DAPI (4,6-dimidino-2-phenylidone)/antifade (Vector).

2.8 Image Acquisition and Analysis

To assure that only optimal slides were used for FISH, all slides were evaluated by phase-contrast microscopy prior to hybridization. Hybridization signals were scored and enumerated according to Vysis guidelines using a Nikon Eclipse E1000 microscope with a 4912 CCIR high performance COHU CCD Camera. Genus 2.81® software was used to process images (Applied Imaging). Only single non-overlapped cells that contained no visible cytoplasm surrounding the interphase nucleus were scored. Interphase spot counting was performed separately for each probe and only bright compact signals were counted using DAPI, FITC, and TRITC Nikon filter cubes with a Nikon Eclipse E1000 fluorescence microscope and Genus 2.81 software.

2.9 Immunocytochemistry

Plated primary neuronal cultures were fixed with cold 3:1 methanol: acetic acid for 30 minutes, then permeabilized in 4XSSC at 37°C for 45 minutes. Neurons were stained with NeuN antibody (Chemicon International), 1:100, followed by AlexaFluor 568-conjugated anti-mouse secondary antibody (Molecular Probes), 1:1000. After final washes, coverslips were mounted onto slides with Vectashield mounting medium containing DAPI (Vector Laboratories, Inc.).

To analyze mitotic spindles, post-transfection cells plated on 22×22 mm coverslips were fixed with 4% paraformaldehyde at 37°C for 30 minutes. Following fixation, cells were permeabilized with 0.2% Triton X-100 in PBS for 30 minutes. The microtubules were stained with anti-α-tubulin antibody (Sigma, clone B-5-1-2), 1:500, followed by AlexaFluor 488-conjugated anti-mouse secondary antibody (Molecular Probes, A11029), 1:1000. After final washes, coverslips were mounted onto slides with Vectashield mounting medium containing DAPI (Vector).

2.10 Statistical Analysis

The statistical significance of the differences in aneuploidy was determined using Student’s T test. A paired T test was used to compare the results of transfecting different plasmids into the hTERT–HME cells in multiple experiments after background aneuploidy from mock transfected cells was subtracted. When multiple experiments with different levels of background aneuploidy were combined as in the analysis of the mitotic spindles, the data are presented as fold increase over background, which best allows the inclusion of appropriate error bars. Five-ten mice of each group and three-seven transfections of each plasmid were analyzed.

3. Results

To investigate the potential role of the presenilins in the cell cycle and chromosome segregation, we used metaphase chromosome analysis and DNA in situ hybridization to count chromosomes in cells expressing either the normal human PS-1 gene or one of two FAD mutant PS-1 genes (M146V or M146L).

3.1 Aneuploidy in spleen cells from PS-1-FAD mice

We first examined the effect of PS-1 on chromosome segregation in transgenic mice in which the PDGF promoter induces high PS expression in CNS neurons and lower expression in other cells [5]. First, classical cytogenetics such as metaphase chromosome analysis was used to analyze primary mouse splenocytes from transgenic PS-1 (WT, M146L and M146V) and non-transgenic mice. Splenocytes were chosen for this analysis because they can be induced to divide by addition of Concanavilin A, a requirement for metaphase analysis, and because the PDGF promoter is active in the spleen. The dividing cells were arrested at metaphase by colcemid treatment and the chromosomes stained and counted. Blinded metaphase chromosome analysis of 3500 splenocytes showed twice the level of aneuploidy (ie 30–35% of cells with < or > the normal mouse complement of 40 chromosomes) in the PS-1-FAD animals in comparison to PS-1 WT transgenic or the non-transgenic animals (Fig. 1A).

Figure 1
Aneuploidy induced in mouse spleen cells by a FAD mutant presenilin transgene. (A) Karyotype analysis of spleen cells of transgenic (WT: normal human PS-1; M146L: FAD mutant M146L PS-1; M146V: FAD mutant M146V PS-1) and non-transgenic mice (NON) revealed ...

In contrast to metaphase chromosome analysis, fluorescence in situ DNA hybridization (FISH) allows one to assess aneuploidy for particular chromosomes in cells independent of their cell cycle phase. A hybridization probe was generated from a bacterial artificial chromosome (BAC) carrying a 300 kb fragment of mouse chromosome 16 [20] (the mouse chromosome most similar to human chromosome 21) and the DNA was labeled with spectrum green by nick translation. A total of 3000 splenocytes were hybridized and blindly scored for the number of fluorescent spots to measure both hybridization efficiency and aneuploidy for chromosome 16. Depending on the cell cycle phase in which the individual cells were harvested, metaphase and interphase cells from non-transgenic mice were expected to harbor an even number of chromosomes and thus show usually two and sometimes four signals for cells in the G-2-M phase of the cell cycle (Fig. 1B). To assure the accuracy of our data and to avoid any wrongful counting due to incomplete hybridization, we scored only triple signals (trisomy) as aneuploid. Cells with only one signal were scored as incomplete hybridizations. A comparison of the number of cells with one and two hybridization spots showed that the labeled BAC hybridized with greater than 90% efficiency. This finding, together with the count of the tetrasomic (ie G2-M phase) cells, assured us that the majority of cells with three spots were indeed trisomic and not the result of incomplete hybridization of the four chromosomes in G2-M phase cells. When trisomy 16 cells were scored, splenocytes from the nontransgenic and PS-1 WT transgenic mice showed 6.4% and 7.7% trisomy 16 respectively. In contrast, the PS-1 (M146L) mice showed 15% trisomy 16 and the PS-1 (M146V) mice showed 19% trisomy 16, more than two fold higher than the mice expressing the WT human PS-1 gene (Fig. 1C). Like the metaphase chromosome analysis, FISH revealed more aneuploidy in cells carrying the M146V mutation compared to cells carrying the M146L mutation. Overall, both chromosome counting methods showed that mutant PS-1 genes induce aneuploidy in the splenocytes of PS-1 transgenic mice.

3.2 Aneuploidy in neurons from PS-1 transgenic mice

FISH can also be used to measure aneuploidy in non-dividing cells such as neurons. Whole brains from PS-1 transgenic and non-transgenic mice were processed to yield primary neuronal cultures in which over 90% of the cells were positive for NeuN (data not shown). The isolated neurons were then hybridized with the mouse chromosome 16 BAC probe. The hybridization efficiency was approximately 80%, with most neurons being disomic, i.e. exhibiting two signals (Fig. 2A, left). In addition, we found approximately 3% trisomy 16; (Fig. 2A, right) in neurons from the PS-1-FAD (M146L) transgenic mice and 4% trisomy 16 in neurons from the PS-1-FAD (M146V) transgenic mice (Fig. 2B). Neurons from the nontransgenic mice showed almost no trisomy 16 aneuploidy and the PS-1 WT neurons showed less than 1%. Approximately 1500 neurons were blindly scored from each type of mouse.

Figure 2
Aneuploidy induced in primary mouse brain neurons by a FAD PS-1 transgene. (A) FISH with a BAC probe (labeled with spectrum green) was used to score chromosome 16 in cultured neurons from PS-1 transgenic and non-transgenic mice. DAPI was used as a counter-stain. ...

3.3 Aneuploidy in neurons from PS-1 knock-in mice

Because transgenic mice can exhibit features that are due in part to the location of the transgene and/or an abnormal level of transgene expression, we also investigated chromosome aneuploidy in the neurons of PS-1 knock-in mice in which an FAD-PS-1 (M146V) gene had been placed under the control of the normal mouse PS-1 promoter [10]. As shown in Figure 2C, trisomy 16 aneuploid neurons were detected at the same, greatly increased frequency in the brain neurons of the PS-1 (M146V) knock-in mice as they were detected in neurons from the PS-1 (M146V) transgenic mice. This result clearly shows that human FAD mutant PS-1 expressed at physiologically correct levels in the physiologically correct tissues leads to chromosome missegregation and aneuploidy.

3.4 Aneuploidy in PS-1 transfected cells

To determine whether the aneuploidy observed in FAD-PS-1 transgenic and knock-in mice was indeed caused directly by the PS-1 gene expression, we asked whether PS-1 genes could also induce aneuploidy after transient expression in mammalian cells in culture. A preliminary obstacle to this analysis was the karyotype instability that is characteristic of oncogene-immortalized cell lines. For example, our preliminary results showed that the aneugenic effect of transfected presenilin genes was possible but difficult to measure in human EBV-transformed lymphocytes [31]. To improve the signal/noise ratio in the assay, we turned to the hTERT-HME1 cell line, a primary human mammary epithelial cell line that expresses the telomerase reverse transcriptase from a permanently-transfected hTERT plasmid (Clontech) and is thus both immortal and karyotypically stable.

Parallel cultures of hTERT cells were transiently transfected with WT PS-1, mutant PS-1 (M146L), and control empty vector (pcDNA3). The effect of transient PS-1 expression was determined first by counting the number of copies of chromosome 21 by FISH using probes that detect either chromosome 21 alone or both chromosomes 21 and 12 as different colors. Overexpression of both WT PS-1 and FAD mutant PS-1 induced chromosome missegregation and the development of trisomy 21 cells (Fig. 3).

Figure 3
Increase in trisomy 21 aneuploidy in human cells induced by transfected normal and FAD mutant PS-1. (A) Examples of FISH with the LSI TEL/AML1 ES dual color probe used to detect both chromosome 12 (Spectrum Green) and 21 (Spectrum Orange) in PS-1 transfected ...

Further analysis of hTERT cells over-expressing either WT or FAD mutant presenilin showed that trisomy 21 is not the only outcome of the PS-induced cell cycle defect. Specifically, cells trisomic for chromosome 12 were also observed (Fig. 4A), suggesting that presenilin affects the process of chromosome segregation generally. Indeed, by counting all chromosomes in the transfected cells in metaphase, we found that up to 30% of cells expressing wt or M146V PS-1 became aneuploid within 48 hours by either gaining or losing chromosomes during mitosis (Fig. 4B). Together these results show that the aneugenic activity of PS-1 expression likely affects all chromosomes and therefore probably alters some aspect of normal mitosis.

Figure 4
PS-1-transfected human cells develop aneuploidy for many chromosomes. (A) Quantitative FISH on hTERT cells transiently transfected with WT or mutant (M146L) PS-1 revealed significant trisomy 12 aneuploidy when compared to empty vector control. (B) Karyotype ...

3.5 Overexpression of either WT or FAD-PS-1 causes abnormal mitotic spindles

For overexpression or FAD mutation in PS-1/γ-secretase to cause chromosome missegregation, an essential aspect of mitosis must be affected. We therefore examined the mitotic spindles of the cells transfected with PS-1 plasmids and found numerous abnormalities (Fig. 5A). The most common defect observed was a disruption or malformation of the microtubule array such that there was no classic spindle structure with two clear microtubule organizing centers/centrosomes connected by microtubules to the DNA. Cells with lagging chromosomes were also observed. Quantification of the results in Fig. 5B shows that transient over-expression of either WT or mutant PS-1 leads to a significant increase in the number of abnormal mitotic spindles. These data strongly suggest that the mechanism by which PS-1 over-expression/mutation causes chromosome missegregation and aneuploidy, including trisomy 21, is by interfering with the normal structure and function of the microtubules and/or mitotic spindle.

Figure 5
Mitotic spindle abnormalities in PS-1 transfected cells. (A) hTERT cells were transfected for 48 hours with either the WT or M146L PS-1 plasmid or the empty vector and then stained with anti-α-tubulin monoclonal antibody and DAPI as a co-stain. ...

4. Discussion

Down syndrome patients carry three copies of chromosome 21 in all of their cells due to chromosome missegregation during meiosis, and invariably develop AD pathology at an early age [7,21]. The data of this paper reinforce and complement the connections between trisomy 21/Down syndrome and Alzheimer’s disease by providing evidence that chromosome missegregation during mitosis may also contribute to AD. Specifically, we have found that the expression of FAD mutant PS-1 in transgenic and knock-in mice and the expression of both wt and mutant PS-1 in transfected cells leads to the malformation/disruption of the mitotic spindle, the missegregation of chromosomes during mitosis, and the consequent development of aneuploid cells. In human cells, the presenilin-induced aneuploidy includes, but is not limited to trisomy 21. We found little evidence that overexpression or mutation of presenilin caused splenocytes, neurons, or hTERT cells to duplicate their chromosomes without dividing and thus become tetrasomic, another cell cycle abnormality that has been proposed and reported to develop in certain regions of the human AD brain, where it may contribute to neuronal cell death [14,28,42,49,50].

Together, our results suggest that mutations in the presenilin genes that change the level, structure or function of the protein may contribute to AD not only by increasing the production of the Aβ X-42 peptide and thus of amyloid deposits, but also by inducing chromosome missegregation and the development of aneuploid cells.

This conclusion is consistent with and may explain several previous findings about the presenilins. For example, as mentioned in the introduction, significant numbers of trisomy 21 and other aneuploid cells have been found in both sporadic and familial AD patients, including individuals carrying a mutation in PS-1 or PS-2 [9,26,31,49,50]. Similarly, two polymorphisms in PS-1, one in the coding sequence and one in the promoter have been found to be associated with both an increased risk of AD and an increased incidence of Down syndrome offspring due to chromosome missegregation during meiosis [24,29]. The finding of endogenous presenilin proteins in structures related to mitosis—centrosomes, kinetochores, and the nuclear envelope - also suggests that PS-1 and 2 play a role in the cell cycle and chromosome segregation [13,18,22]. Significantly, the microtubule-associated protein CLIP 170, which is also present in the centrosome and is required for centrosome function, binds to presenilin and is essential for the γ-secretase processing of APP into Aβ [17,40]. Presenilin also affects β-catenin signalling which then helps regulate the cell cycle [2], a process that could be disrupted by PS over expression or mutation. Finally, under or over-expressed or mutant presenilins inhibit the cell cycle [15,16], increase cells’ sensitivity to apoptosis [6,10,43,44,48] and, in transgenic mice, results in age-related neurodegeneration [3,36] and reduced neurogenesis [9,45,46,51]. All of these effects would be a natural consequence of aneuploidy activating the mitotic cell cycle checkpoint.

The analysis of chromosomes in PS-1 transgenic and knock-in mice indicates that, at low, physiological, levels of expression, FAD mutant PS-1 genes causes chromosome missegregation and aneuploidy while the WT PS-1 gene does not. The finding that exposure of cultured hTERT cells to over-expression of either WT or FAD mutant PS-1 both cause chromosome abnormalities is interesting and, at first sight, perhaps a little unexpected. However, it is consistent with the finding that FAD mutations in the presenilin genes lead to a dominant gain-of-function that might be mimicked by overexpression of the WT PS protein [11,12,47]. Evidently, lower levels of transfected PS-1 expression comparable to that present in the transgenic and knockin mice, are required to reveal the difference between WT and FAD mutant PS-1 on chromosome segregation. A more sensitive cell assay might more easily reveal the difference between aneugenic effects of WT and FAD-PS-1.

In as much as mutations in presenilin lead to both AD and chromosome missegregation, it will be of interest to discover how these two presenilin effects are related. Several possibilities can be envisioned and are the subject of current investigations. For example, the process of mitotic spindle malformation/disruption and consequent chromosome missegregation in neural stem cells could trigger a cell cycle checkpoint that leads to apoptosis and/or reduced neurogenesis, although recent work in mice suggests that aneuploid neurons survive and function well [19]. Also, the evident PS-induced disruption of the microtubule network indicates that PS overexpression or mutation likely interferes with microtubule formation or function, possibly through an effect on microtubule associated proteins such as Tau. In AD, the result could be tangle pathology, neuronal malfunction or death.

Alternatively or in addition, the aneuploid cells observed in AD patients, mice, and PS-1-transfected cells suggest that the product of chromosome missegregation, especially trisomy 21 cells in the brain, may also play an important role in AD [32]. Such trisomy 21 cells could trigger a cascade of events in classical AD that leads to neurodegeneration in a manner similar to what occurs in Down syndrome, but more slowly due to the modulating effect of the majority population of normal diploid cells in the same organ. Pathogenic trisomy 21 cells in the brain could include both the neurons, which produce the majority of APP and Aβ, and, perhaps equally importantly, the glial cells, which are activated in Down syndrome and AD brain and are essential for the development of AD pathology through their production of inflammatory cytokines and amyloid-promoting proteins, particularly apoE and antichymotrypsin [33].

Finally, it is relevant that early onset FAD has been reported in six families carrying a duplication of one of their APP genes and that APP promoter mutations that increase expression are linked to increased AD risk [35,42,44]. Furthermore, women who have a Downs syndrome/trisomy 21 child before the age of 35 are usually aneuploid for trisomy 21 themselves and have a five-fold increased risk of developing AD later in life [26,37,38]. These findings indicate that overexpression or an extra copy of normal APP, either in Down syndrome, in the duplicated APP families, or because of spontaneous or PS-induced trisomy 21 mosaicism can lead to AD.

The data indicate that increased/altered presnilin function interferes with microtubule function, leading to chromosome missegregation. Whether this novel function of presenilin involves γ-secretase cleavage and which cleavage products are responsible for the effect of presenilin on microtubules and the cell cycle is unknown, but the connections to AD reviewed above suggest that APP or one of its cleavage products such as AICD or Aβ is likely to be involved.

In sum, the data of this paper and previous results indicate that both sporadic and familial Alzheimer’s disease exhibit defects in mitosis and chromosome segregation, which can lead to trisomy 21 and other mosaicism, particularly through the action of the presenilin. Interestingly, age itself is the greatest risk factor for developing AD, and low levels of aneuploidy have also been shown to develop in mature brain neurons because of mitotic defects in neural precursor cells [19,34,51]. The fact that chromosome segregation defects underlie another disease of aging—cancer [4]—suggests that perhaps microtubule disfunction leading to different degrees and types of aneuploidy underlie many manifestations of “normal” aging in addition to predisposing to Alzheimer’s disease when chromosome 21 is affected [32].


We thank Dr. Karen Duff for providing PS-1 transgenic mice, Mark Mattson and Steven Chan for PS-1 knock-in mice, Dr. Todd Golde for the M146L PS-1 plasmid, and Dr. Bruce Lamb for the mouse chromosome 16 BAC. We also thank Ann Thomas and Danielle Conforto for some of the spleen counts reported and Dr. Maxine Sutcliffe for advice on cytogenetics and in situ techniques. The research was supported by the Alzheimer’s Association grant #IIRG-2 96-038, the Eric Pfeiffer Chair for Research in Alzheimer’s Disease at the Suncoast Gerontology Center at USF, the Johnnie B. Byrd Sr. Alzheimer’s Center and Research Institute, and private donors. Additional funding provided by NIA grant #AG09665. The majority of these data were presented at the 2004 Society for Neuroscience meeting.


5.1 Disclosure Statement: No author has a conflict of interest. All Animal studies have been approved by the USF IACUC.

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