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Mints/X11s are neuronal adaptor proteins that bind to amyloid-β precursor protein (APP). Previous studies suggested that Mint/X11 proteins influence APP cleavage, and affect production of pathogenic Aβ-peptides in Alzheimer’s disease; however, the biological significance of Mint/X11-binding to APP and their possible role in Aβ-production remain unclear. Here, we crossed conditional and constitutive Mint1, Mint2, and Mint3 knockout mice with transgenic mouse models of Alzheimer’s disease overproducing human Aβ-peptides. We show that deletion of all three individual Mint proteins delays the age-dependent production of amyloid plaque numbers and Aβ40- and Aβ42-levels with loss of Mint2 having the largest effect. Acute conditional deletion of all three Mints in cultured neurons suppresses the accumulation of APP C-terminal fragments and the secretion of ectodomain APP by decreasing β-cleavage, but does not impair subsequent γ-cleavage. These results suggest that the three Mint/X11 proteins regulate Aβ-production by a novel mechanism that may have implications for therapeutic approaches to altering APP cleavage in Alzheimer’s disease.
Alzheimer’s disease (AD) is a progressive neurodegenerative disorder leading to cognitive decline (Selkoe, 2001; Sisodia and St. George-Hyslop, 2002). A neuropathological hallmark of AD is neuritic plaques containing deposits of 40-43 amino acid amyloid β-peptides (Aβ) that are derived from the β-amyloid precursor protein (APP). APP is a type I membrane glycoprotein that is physiologically processed by sequential cleaved site-specific proteases (Haas and DeStrooper, 1999; Selkoe, 2001; Sisodia and St. George-Hyslop, 2002). First, α- or β-secretase cleave APP into a large secreted extracellular fragment and a smaller membrane-associated C-terminal fragment (CTF). The APP-CTF is composed of a short extracellular stub, transmembrane region, and cytoplasmic tail, which subsequently is digested by γ-secretase within the transmembrane region (De-Strooper et al., 1998; Struhl and Adachi, 2000; Yu et al., 2001). Cleavage of the APP-CTF by γ-secretase releases an intracellular cytoplasmic APP fragment that translocates to the nucleus (Cupers et al., 2001; Kimberly et al., 2001) and may regulate transcription (Cao and Südhof, 2001). In addition, cleavage of APP by γ-secretase generates small secreted peptides, including the pathogenic Aβ-peptides that form the major constituents of β-amyloid plaques in AD (Glenner and Wong 1984).
The cytoplasmic domain of APP contains a conserved sorting signal (YENPTY motif; Haass et al., 1994; Marquez-Sterling et al., 1997) that interacts with several proteins containing phosphotyrosine binding-domains (PTB-domain), including Mint/X11 adaptor proteins (Borg et al., 1996; McLoughlin et al., 1996; Zhang et al., 1997). Mint1 and Mint2 are neuron-specific, whereas Mint3 is ubiquitous (Okamoto and Sudhof, 1997 and 1998). They are composed of an isoform-specific N-terminal sequence, a central PTB-domain that binds to APP, and two C-terminal PDZ domains that bind to a number of proteins in vitro, including presenilins (Okamoto and Südhof 1997; Lau et al., 2000, Biederer et al., 2002).
Overexpression and/or knockdown of Mints/X11s suggested that Mints modulate APP processing and Aβ generation, but led to conflicting conclusions (reviewed in Supplementary Table 1). Mint overexpression increases APP steady-state levels, and decreases Aβ-secretion by inhibition of γ-secretase (Borg et al., 1998; Sastre et al., 1998; Mueller et al., 2000; Lee et al., 2003 and 2004). RNA interference-mediated partial knockdown of Mint1 or Mint2 also led to a decrease in Aβ-levels (Xie et al., 2005). Thus, it is unclear how Mint/X11s affect APP cleavage and Aβ-production physiologically, and whether their function may be involved in the pathogenesis of AD.
To test this, we have crossed conditional and constitutive Mint1, Mint2, and Mint3 knockout mice (Ho et al., 2003, 2006) to two separate lines of transgenic mice that overproduce human Aβ that serve as models for AD. We found that deletion of each of the three Mint isoforms decreases amyloid plaque production and lowers Aβ40 and Aβ42 levels, with homozygous loss of Mint2 having the largest effect. This effect is due to a decrease in β-secretase but not γ-secretase cleavage of APP. Our results suggest a novel mechanism of action for Mints/X11s in regulating APP cleavage that could be exploited in future searches for new drug therapies.
Mint knockout mice (Ho et al., 2003 and 2006) were crossed to two transgenic mouse lines that overproduce human Aβ (APPswe/PS1dE9, Jackson Laboratories stock # 004462; Borchelt et al., 1997 and APPswe/Ind, Jackson Laboratories stock # 004661; Mucke et al., 2000). To generate Mint knockouts carrying the doubled-transgene APPswe/PS1dE9, Mint1-/-, Mint2+/- mice were mated with APPswe/PS1dE9 transgenic mice, and the offspring of these crosses were mated back to either Mint1+/-, Mint2+/- or Mint1-/-, Mint2+/- mice, which should result in mice homozygous for the Mint1 or Mint2 knockout alleles carrying APPswe/PS1dE9 transgene. Mint3-/- and homozygous floxed CASK mice (Atasoy et al., 2007) were also mated to APPswe/PS1dE9 transgenic mice to generate Mint3-/-or CASK hypomorphic mice carrying the transgene. Homozygous Mint1-/- were mated to APPswe/Ind transgenic mice to generate Mint1 knockout carrying the APPswe/Ind transgene.
Brains were cut sagitally in half for Aβ immunohistochemical staining and Aβ ELISA quantifications. For immunohistochemistry, brains were fixed overnight at 4°C in 4% fresh paraformaldehyde, cryoprotected in 30% sucrose in phosphate-buffered saline (PBS) and frozen in OCT compound. Sagittal cryostat sections were systematically collected in series, and every 4th section (40 μm apart) from a complete series, with a random starting section, was immunostained. Sections were permeabilized with 0.5% Triton X-100, blocked with 2% goat serum/ 0.1% Triton X-100, and incubated with Aβ (U6590) antibody overnight at 4°C. This was followed by incubation with horseradish peroxidase-coupled secondary antibodies and developed in 3,3′-diaminobenzidine tetrahydrochloride with nickel chloride as a metal enhancement and analyzed by standard light microscopy. Aβ-immunostaining was analyzed blindly without the knowledge of the mouse genotype. Images were capture with an Olympus BX-51 research microscope using a SPOT CCD camera. Aβ pixels were determined using MetaMorph imaging software (Molecular Devices, Union City, CA) in which we first apply the same threshold value (between 100-256) to all images, and then calculate the pixel area of individual plaques and total number of the plaque within the cortex and hippocampus for each section. Statistical significance was determined by Student’s t test.
Cortical and hippocampal areas were homogenized in 2 ml 20 mM Tris pH 8.5, 10 mM EDTA pH 8.0, 1 mM PMSF with proteinase inhibitors. 1 ml of this starting lysate was set aside and used for western blot analysis. The remaining starting lysate was centrifuge at 135,000 g for 1 h at 4° C. The supernatant “soluble” fraction was removed into a new tube and the pellet was resuspended in 1 ml of 10 mM Tris pH 7.6, 150 mM NaCl, 2% Triton X-100, 2% NP-40, 1 mM PMSF and proteinase inhibitors and extract for 1 hour at 4°C. This was followed by a second centrifugation at 100,000 g for 1 h at 4° C. The supernatant “membrane” fraction was removed into a new tube and the remaining pellet was resuspended in 1 ml of fresh 50 mM Tris pH 8, 5 M Guanindine HCL, 1 mM PMSF and proteinase inhibitors (insoluble fraction). Protein levels were quantified (Pierce, Rockford, IL) and ELISAs were performed according to the instructions provided by the manufacturer’s protocol (ImmunoBiological Laboratories Kits for human Aβ42  and Aβ40 , Minneapolis, MN).
Dissociated high-density neocortical cultures were prepared from newborn mice (Kavalali et al., 1999). Recombinant lentiviruses were produced by transfecting HEK 293T cells with VSVg, CMV Δ8.9 and pFUGW plasmids carrying cre recombinase sequence (EGFP-NLS-CRE) or pFUGW plasmid containing only EGFP-NLS (CreΔ) using FuGENE reagent as previously described (Ho et al., 2006). Neurons were infected for 48 hrs for expression and media were exchanged back to normal growth media and sustained until 13-15 days in vitro (DIV) for biochemical analyses. Neurons were treated with 2 μM DAPT, a γ-secretase inhibitor IX (Calbiochem, Gibbstown, NJ) at various time points and lysates were collected in 1x sample buffer. For DAPT washout experiments, neuronal cultures at 12 DIV were treated with 2 μM DAPT for 24 hours, after which the neuronal media was washout with PBS and replaced with neuronal growth media for the duration of the experiment in which lysates were collected at 2, 4, 6, 12 and 24 hours after DAPT washout.
SDS-PAGE and immunoblotting were performed using standard procedures and most antibodies used were previously described (Ho et al., 2006). NuPAGE 4-20% gradient gels were used to detect the low molecular weight APP-CTF fragments (Invitrogen, Carlsbad, CA).
Beta Amyloid (Aβ) 1-16 (6E10) monoclonal antibody (SIG39320, Covance; Emeryville, CA); anti-human sAPPα (2B3) mouse IgG monoclonal antibody (11088, ImmunoBiological Laboratories; Minneapolis, MN); anti-human sAPPβ wild type rabbit IgG affinity purify antibody (18957, ImmunoBiological Laboratories; Minneapolis, MN); mouse sAPP 22C11 (MAB348, Chemicon; Billerica, MA).
To test whether Mint/X11 proteins control the production of β-amyloid by APP cleavage, we crossed the APP/presenilin double-transgenic mice with constitutive knockout mice lacking Mint1, Mint2, or Mint3 (Ho et al., 2003 and 2006). We analyzed littermate offspring containing the double transgene that either contained all three Mints or selectively lacked one of the three Mint isoforms. These studies purposely employed sex-matched littermate pairs with a hybrid genetic background to avoid possible interference by homozygous background mutations in inbred strains, and to control for genetic background.
We first measured the amyloid plaque load as a function of the Mint1, Mint2, or Mint3 deletion at 6, 9, and 12 months of age (Fig. 1 and Suppl. Fig. 1). Cortical and hippocampal sections of littermate mice containing or lacking the various Mint isoforms were stained with Aβ antibody, and plaque load was measured by image analysis using a non-biased automatic procedure. In double-transgenic mice with wild-type Mints, plaque load increased ~10 fold from 6 to 12 months of age (Fig. 1B). At 6 months, deletion of each of the three Mint isoforms decreased Aβ-plaque load ~2-5 fold in both the hippocampus and cortex. At 9 months of age, deletion of the neuron-specific isoforms Mint1 and Mint2 still significantly decreased plaque load by ~2 fold, whereas deletion of Mint3 did not. By 12 months, only the Mint2 deletion significantly decreased the Aβ plaque load, and only in the hippocampus, whereas the Mint3 deletion even caused an increase. As a control, we crossed the double-transgenic APP/presenilin-1 mice with hypomorphic CASK-mutant mice (Atasoy et al., 2006) because CASK is a neuronal adaptor protein that binds to Mint1 but not to Mint2 or Mint3 (Butz et al., 1997). The CASK mutation had no effect on Aβ-plaque production (Suppl. Fig. 2), confirming that the effect of the Mint deletions on Aβ-plaque load is specific. These observations indicate that deletion of Mints delays development of Aβ plaques in the transgenic mice, with differential effects of Mint isoforms most likely due to their distinctive expression patterns in the brain. Specifically, Mint2 that has the biggest effect is also expressed most highly in neurons, and enriched in excitatory neurons, whereas Mint1 is enriched in inhibitory neurons, and Mint3 having the lowest abundance in the brain (Okamoto and Südhof 1997, 1998; Ho et al., 2003, 2006). Immunostaining for neuronal isoform Mints1 and 2 and APP revealed distinct localization in the CA3 region of the hippocampus. Mint1 mainly stains inhibitory interneurons while Mint2 and APP localize mostly to the soma of excitatory pyramidal neurons in the CA3 region of the hippocampus (Fig. 2). Therefore, it is possible that Mint1 and 3 effects is itself not enough to overcome the continued plaque accumulation with age.
To examine whether the decrease in Aβ-plaques caused by Mint deletions is due to an effect of Mints on Aβ-production or Aβ-deposition, we determined the levels of Aβ40 and Aβ42 peptides in the brains from double-transgenic mice containing or lacking the various Mint proteins (Fig. 3). We analyzed Aβ-peptides in three fractions: the soluble fraction (i.e., Aβ-peptides that have not yet aggregated), membranes (defined as material that is soluble in 2% Triton X-100/ 2% NP40), and detergent-insoluble material (Aβ-peptides in plaques). The membranous fraction was analyzed as an intermediate between soluble and detergent-insoluble materials in order to cleanly separate these two fractions. In double-transgenic mice containing Mints, the level of Aβ-peptides increased ~3 fold in the soluble, and ~10 fold in the detergent insoluble fraction from 6 to 12 months (Fig. 3). Deletion of each of the three Mints suppressed the levels of Aβ40 and Aβ42 at 6 months. At 9 months, deletion of individual Mints continued to decrease both Aβ40 and Aβ42 levels in the insoluble fraction by ~2-3 fold, but only the neuronal isoforms Mint1 and Mint2 (and not Mint3) was able to decrease Aβ-peptides in the soluble and membrane fraction. By 12 months, only the Mint2 deletion was able to decrease soluble Aβ-peptides, with insoluble Aβ-peptides exhibiting a small decrease that was not significant. This large effect of Mint2 deletion on Aβ production is interesting because when we measured endogenous Aβ40 and Aβ42 levels that did not carry the transgene in each of the Mint knockout mice, only deletion of Mint2 significantly reduced Aβ42 levels in the insoluble fraction at 6 and 13-15 months of age (Suppl. Fig. 3 and 4). Thus, deletion of each of the three Mints independently delays Aβ-production and deposition in the mutant APP/presenilin double-transgenic mouse model for AD, leading to a >3-fold decrease in Aβ-levels at 6 months of age, and a >2-fold decrease in Aβ-levels at 9 months of age.
The effect of Mint deletions is selective, since protein quantitations revealed that Mint deletions had no major effects on the overall composition of the brain (Suppl. Table 2). We detected no changes in APP, Nicastrin or BACE1 expression, but found that a small decrease in ApoE levels by Mint deletions. This is a potentially interesting observation in light of recent results suggesting that binding of ApoE to its receptor triggers the endocytosis of APP, which in turn may lead to Aβ-production by a mechanism involving Mint1 or Mint2 (He et al., 2007). We also detected a significant decrease in NMDA-receptor 2A levels in Mint1 and Mint2 knockout mice carrying the transgene; however, none of the synaptic proteins we analyzed were altered (Suppl. Table 2).
A potential concern about our studies is that the double-transgenic mouse line we used as a model of AD may have special features that are not generally applicable, such as problems caused by a particular transgenic integration site. To exclude this possibility, we analyzed in a second unrelated mouse model of AD, namely single transgenic mice expressing human APP with both the Swedish and Indiana mutation (APPswe/Ind; Mucke et al., 2000). In this mouse line, deletion of Mint1 again decreased the plaque load significantly in the hippocampus at 9 months (Figs. 4A-B). These mice produce lower concentrations of Aβ-peptides than the double transgenic mice, and have a very low plaque load in cortex that were not altered by deletion of Mint1. Deletion of Mint1 in the APPswe/Ind transgenic mice also suppressed the levels of Aβ40 and Aβ42 significantly, both for soluble and detergent-insoluble Aβ-peptides (Figs. 4C-D). Thus, deletion of Mints lowers Aβ-production and deposition in two independent mouse models of AD.
The decreased Aβ-production in Mint-deficient APP-transgenic mice could be due to: decreased extracellular β-cleavage of APP, increased extracellular α-cleavage of APP or impaired intramembranous γ-cleavage of the APP-CTF by β-cleavage. To differentiate between these possibilities, we crossed triple conditional Mint knockout mice (Ho et al., 2006) with the double-transgenic APP/presenilin-1 expressing mice, and cultured neurons from mice that were homozygous for all three floxed Mint genes and additionally contained a single allele of the double transgene. We then infected the cultured neurons with lentivirus expressing mutant or active cre-recombinase (CreΔ or Cre, respectively; Ho et al., 2006) to obtain precisely matched pairs of cultured neurons that either contain or lack Mints.
Immunoblotting confirmed that infection with lentivirus expressing wild-type cre-recombinase (Cre), but not mutant cre-recombinase (CreΔ) completely abolished Mint expression (Fig. 5A). In these neurons, the expression of APP and its localization to the trans-Golgi network (Borg et al., 1996; Sastre et al., 1998; Biederer et al., 2002) were unchanged, suggesting that Mints are not required for the normal maintenance of APP levels or its normal localization (Fig. 5B).
We next measured Aβ peptide levels to determine whether deleting Mint proteins in cultured neurons decreased Aβ levels similar to the intact mice. Indeed, we found that both Aβ40 and Aβ42 levels was significantly decreased in the conditioned medium of Mint-deficient neurons that contained the single allele of the double transgene (Fig. 5C-D). When we analyzed endogenous Aβ levels in neurons lacking the double transgene, we observed that Aβ42 levels were also significantly lowered by deletion of Mints, whereas the Aβ40 levels - which are extremely low in mice - were not measurably changed (Fig. 5C-D).
We next examined whether deletions of Mints alter the extracellular or the intramembranous cleavage of APP. To address this, we measured the levels of APP-CTFs in cultured neurons containing or lacking Mints, before or after addition of the γ-secretase inhibitor DAPT. An impairment of β-cleavage should decrease the accumulation of APP-CTFs after γ-secretase inhibition by DAPT because less APP-CTFs are produced. In contrast, an activation of α-cleavage or an impairment of γ-cleavage should cause either no change or an increase in the accumulation of APP-CTFs after γ-secretase inhibition.
Using antibodies to the C-terminus of APP, three APP-CTF species can be detected by immunoblot analysis: an 83 amino acid fragment produced by α-cleavage (C83), and 89 and 99 amino acid fragments produced by β-cleavage (C89 and C99; Haass and de Strooper, 1999). However, the C83 and C89 bands are difficult to resolve, allowing us only to separately quantify the C99 and the combined C83 and C89 APP-CTFs in DAPT-treated cultured neurons (Suppl. Fig. 5). We measured the accumulation of these APP-CTFs as a function of time after addition of the γ-secretase inhibitory DAPT (Fig. 6). Without DAPT treatment, no significant Mint-dependent change in the levels of any APP-CTF was detected in neuronal cultures even by immunoprecipitations followed by quantitative immunoblotting and it would have been difficult to detect a small change (Suppl. Fig. 6). Following addition of DAPT, C99 levels increased linearly for 12 hrs in wild-type (CreΔ) and Mint-deficient (Cre) neurons, after which C99 levels saturated, while C83+C89 levels continued to rise (Fig. 6A-B). Strikingly, deletion of Mints significantly decreased the accumulation of C99 and of the combined C83+C89 APP-CTFs (Fig. 6A-B). Because APP-CTFs are highly phosphorylated in neurons, we treated immunoprecipitates of APP-CTFs with lambda protein phosphatase (λPPase) and blot with 6E10 antibody to identify C99 species. Following DAPT treatment, deletion of Mints significantly decreased the accumulation of both phosphorylated and unphosphorylated forms of C99 (Suppl. Fig. 6). The decrease in APP-CTF production produced by deletion of Mints was specific because we observed no Mint-dependent change in APP levels as a function of DAPT treatment (Fig. 6C). The small decrease in APP levels that we observed at 3 and 6 h after DAPT treatment might be due to a decreased in APP half-life while increasing α- and β- processing and/or accumulation of APP. The decrease in APP-CTF production in Mint-deficient neurons suggests that less of the N-terminal ectodomain of APP (sAPP) should be secreted. Indeed, sAPP levels, as measured by immunoblotting with three different antibodies (monoclonal antibody 6E10 that recognizes soluble sAPP, and polyclonal anti-sAPPα and sAPPβ antibodies), were decreased in conditioned medium from Mint-deficient neurons (Fig. 6D). Consistent with these results, we also examined C99 and sAPP levels in the mouse brain homogenates of brain-specific Mint1 and 2 knockout mice. Immunoprecipitation with a specific APP C-terminus antibody (U955) and immunoblotting with 6E10 antibody that recognizes the C99 fragment, only Mint2 knockouts had a significant decrease in C99 levels (Suppl. Figs. 7). Correspondingly, we also detected a small decrease in sAPP levels in transgenic mice lacking either Mints1 or 2 (data not shown).
The decrease in the accumulation of APP-CTFs after DAPT treatment, with a corresponding decrease in sAPP secretion, demonstrates that deletion of Mints impairs extracellular β- and possibly α-cleavage of APP. However, these experiments do not exclude the possibility that deletion of Mints simultaneously impair γ-cleavage. To test this possibility, we measured the kinetics of accumulated APP-CTFs following DAPT treatment that are cleaved by γ-secretase after DAPT was washed out (Fig. 7). When plotted as absolute values (the ratio of C99 to GDI or C83+C89 to GDI as internal control), the deletion of Mints dramatically decreased all APP-CTF levels as expected (Fig. 7A-B). However, when we normalized for the peak CTF levels to allow for comparison in kinetics of decay, we found that deletion of Mints had no significant effect on the cleavage of APP-CTFs by γ-secretase (Fig. 7C-D). Moreover, no significant effect on APP levels was observed (Fig. 7E). Thus, Mint proteins are unlikely to affect γ-secretase activity.
In the present study, we have made three principal observations about the in vivo function of Mint/X11 proteins in APP cleavage that may be important for our thinking of the biology of Mint/X11 proteins and about the pathogenesis of AD:
Our results differ from earlier conclusions that suggested that Mints regulate γ-secretase (see Suppl. Table 1) and demonstrates a role for Mint proteins as intracellular adaptor proteins in regulating extracellular cleavage reaction. However, it is important to note that since β-cleavage of APP is predominantly intracellular in endosomes that perhaps Mint proteins may indeed affect intra-endosomal pathway in APP processing. The following conditions of our experiments ensure the specificity of our results. First, different from earlier studies, we employed both acute and constitutive deletions of Mints/X11s. Second, we used two different mouse models of AD to investigate the effects of Mint deletions. Third, we studied both intact brains and cultured neurons. Fourth, we measured a variety of parameters using a panoply of different antibodies. Lastly, we tested three different Mint isoforms in independent lines of mice, excluding genetic position effects.
Different from our results, previous studies suggested that Mints control γ-cleavage of APP-CTFs. Specifically, overexpression studies of Mints/X11suggested that overexpressed Mints inhibit γ-cleavage of APP-CTFs (Suppl. Table 1), whereas RNAi knockdowns indicated that decreases in Mint1 or Mint2 levels also inhibit γ-cleavage of APP-CTFs and thereby decrease Aβ-production (Xie et al., 2005). It is difficult to understand how overexpression and knockdowns of a protein has the same effects. Overexpressed proteins often assume functions incidental to those of the endogenous proteins, whereas RNAi occasionally exhibits off-target effects that need to be control for by rescue experiments. Furthermore, since γ-secretase has a major developmental role via Notch cleavage, any change in γ-secretase by Mint/X11 deletions should have led to a developmental phenotype that was not observe in Mint-deficient mice (Ho et al., 2003, 2006). Finally, a Mint1 and 2 knockout study (Sano et al., 2006; Saito et al., 2008) found an increase in endogenous mouse APP-CTFs and Aβ with a decrease in secreted APPs, changes that are difficult to reconcile but possibly due to strain differences and genetic background between our knockout mice. Our data currently points that Mint isoforms may indeed perform distinct functions in APP processing in brain due to their differential expression, but not due to intrinsic differences in their functions. Mint1 is expressed mostly in inhibitory neurons whereas Mint2 is expressed higher in excitatory neurons preferentially in the pyramidal neurons of the hippocampus and deletion of Mint1 and 2 have been shown to alter inhibitory and excitatory synaptic transmission, respectively (Ho et al., 2003, 2006). It is possible that deletion of Mint proteins affects synaptic transmission thereby modulating the formation and secretion of amyloid peptides since neural activity has been shown to control APP processing (Kamenetz et al., 2003).
What is the mechanism by which intracellular Mints modulate extracellular APP cleavage? The phenotype of the Mint knockouts described here is most consistent with an effect of Mints on APP trafficking, even though the steady-state distribution of APP and cell surface APP levels were not changed by deletion of Mints (Suppl. Fig. 8). A role for Mints in protein trafficking is supported by two interactions that have been previously described. First, their binding to Munc18 proteins that are involved in plasma membrane fusion reactions, an interaction that is consistent with our previous Mint knockout analyses (Ho et al., 2003 and 2006), and second, their binding to arfs that are particularly important for Golgi membrane trafficking (Hill et al., 2003). It also agrees with the co-localization of Mints with APP in the trans-Golgi network of neurons (Borg et al., 1996; Sastre et al., 1998; Biederer et al., 2002). In neurons, the majority of APP is axonally transported to the synaptic terminal and upon endocytosis of cell surface APP directs it towards an amyloidogenic processing pathway (Nordstedt et al., 1993; Ikin et al., 1996; Marquez-Sterling et al., 1997). However, the lack of APP enrichment in presynaptic terminals indicates that APP is not stably retained in the terminal. Therefore, it is conceivable that Mint proteins could alter APP trafficking either by altering APP secretory pathway or endocytotic trafficking of reinternalized APP thereby affecting APP processing, but further studies will be necessary to investigate this possibility.
The striking effects of Mint deletions on Aβ-production and Aβ-plaque formation suggest that even small changes in the expression of Mints, when present chronically, could have dramatic consequences for the production of Aβ, the deposition of Aβ-plaques, and the development of AD. Thus, increases in Mint expression, even if small, may be a risk factor for AD, and a possible therapeutic strategy to decrease Aβ-production could be to interfere with the Mint/APP interaction. If a pharmacological avenue to selectively block the Mint/APP interaction could be found, such a strategy would be attractive because of the relatively mild effects of deletions of either APP or individual Mints, and such a selective block would presumably not impair the other functions of Mints and APP.
This study was supported by National Institute of Health Grants R01-MH069585 (to T.C.S.), and K01-AG027311 (to A.H.). We are grateful to I. Kornblum, A. Roth, and E. Borowicz for excellent technical assistance and to L. Fan and J. Mitchell for animal care. We thank Dr. J. Shen (Center for Neurological Disease, Brigham Women’s Hospital at Harvard Medical School) for her helpful advice; Dr. J. Herz for generous gifts of antibodies; Drs. H Li, J. Burre, A. Boucard and M. Khvochtchev for their assistance with this work.