Search tips
Search criteria 


Logo of nihpaAbout Author manuscriptsSubmit a manuscriptHHS Public Access; Author Manuscript; Accepted for publication in peer reviewed journal;
J Neurosci. Author manuscript; available in PMC 2010 February 5.
Published in final edited form as:
PMCID: PMC2763626

Synaptic activity reduces intraneuronal Aβ, promotes APP transport to synapses and protects against Aβ-related synaptic alterations


A central question in Alzheimer's disease research is what role synaptic activity plays in the disease process. Synaptic activity has been shown to induce β-amyloid peptide release into the extracellular space, and extracellular β-amyloid has been shown to be toxic to synapses. We now provide evidence that the well-established synapto-toxicity of extracellular β-amyloid requires γ-secretase processing of amyloid precursor protein. Recent evidence supports an important role for intraneuronal β-amyloid in the pathogenesis of Alzheimer's disease. We show that synaptic activity reduces intraneuronal β-amyloid and protects against β-amyloid-related synaptic alterations. We demonstrate that synaptic activity promotes the transport of the amyloid precursor protein to synapses using live cell imaging and that the protease neprilysin is involved in reduction of intraneuronal β-amyloid with synaptic activity.

Keywords: amyloid-beta, Alzheimer's disease, synapse, trafficking, activity, neuron


β-amyloid (Aβ) accumulation in the brain is a hallmark of Alzheimer's disease (AD) pathology (Haass and Selkoe, 2007). Aβ has been shown to target synapses (Lacor et al., 2004; Deshpande et al., 2009), and synaptic damage is the best pathologic correlate of cognitive decline in AD (DeKosky and Scheff, 1990; Terry et al., 1991; Selkoe, 2002). Remarkably, in vitro and in vivo studies demonstrated that synaptic stimulation induces secretion of Aβ into the extracellular space (Kamenetz et al., 2003; Cirrito et al., 2005; Cirrito et al., 2008). However the effect of synaptic activity on the cell biology of amyloid precursor protein (APP) and Aβ and the role of synaptic activity in AD pathogenesis remain poorly understood.

Accumulation and aggregation of Aβ both intracellularly and extracellularly have been associated with neuritic and synaptic pathology (Takahashi et al., 2002; Meyer-Luehmann et al., 2008), and with reductions in synaptic plasticity and levels of synaptic proteins in several models (Selkoe, 2002; Coleman and Yao, 2003; Almeida et al., 2005; Hsieh et al., 2006; Palop et al., 2006; Shankar et al., 2008). The relationship between the intracellular and extracellular pools of Aβ is complex (Oddo et al., 2006). Intraneuronal accumulation of Aβ precedes the appearance of plaques (Oddo et al., 2003), and when Aβ is removed by immunotherapy, the intracellular pool reemerges first (Oddo et al., 2004). On the other hand, extracellular Aβ can induce the accumulation of intracellular Aβ (Yang et al., 1999). We now provide evidence that the effects of extracellular Aβ on synapses require γ-cleavage processing of APP, which generates new intracellular Aβ.

Since intracellular accumulation of Aβ has been associated with physiological dysfunction (Oddo et al., 2003), cognitive decline (Billings et al., 2005; Knobloch et al., 2007), ultrastructural synaptic pathology (Takahashi et al., 2002; Takahashi et al., 2004), and neurotoxicity (Kienlen-Campard et al., 2002; Zhang et al., 2002; Casas et al., 2004; Magrane et al., 2005), understanding how synaptic activity modulates intraneuronal Aβ could be critical in better understanding the pathogenesis of AD. We now show that synaptic activation reduces levels of intraneuronal Aβ and protects against Aβ-related synaptic changes. We also demonstrate that synaptic activity promotes APP transport to synapses and that the Aβ-degrading protease neprilysin is involved in the activity-induced reduction of intraneuronal Aβ42.

Materials and methods

cDNA constructs

Human APP-YFP construct was a gift from Dr. Carlos Dotti (Kaether et al., 2000). Neurons were transfected overnight using Lipofectamine 2000 (Invitrogen).


6E10 (Signet): human specific Aβ/APP/βCTFs; 4G8 (Signet): Aβ/APP; P2–1 (BioReagents): human specific APP N-terminus; 22C11 (Chemicon): APP N-terminus; 12F4 (Covance): Aβ42 C-terminus; PSD-95 (Chemicon); GM130 (BD Transduction Laboratories); synapsin I (Sigma); synaptophysin (Chemicon); NR1 (Upstate); tubulin (Sigma); phospho-CaMKII (Chemicon); total CaMKII (Chemicon); Aβ42 (Chemicon): Aβ42 C-terminus.

Acute Hippocampal Slice Preparation

Hippocampal slices were prepared from 2 months old Tg19959 mice (Li et al., 2004). Mice were deeply anesthetized with isoflurane and decapitated. The brain was rapidly removed and placed in ice-cold artificial cerebrospinal fluid (ACSF) containing (in mM) 118 NaCl, 3.5 KCl, 2.5 CaCl2, 1.3 MgSO4, 1.25 NaH2PO4, 24 NaHCO3, and 15 glucose, bubbled with 95% O2/5% CO2. The hippocampus was then quickly dissected out, and 400 μm thick transverse slices were made on a tissue chopper in a cold room (4° C). The slices were maintained in an interface chamber (ACSF and humidified 95% O2/5% CO2 atmosphere) at room temperature for at least 2 hours before removal for drug treatment. Drug incubation was performed at room temperature in submersion maintenance chambers containing ACSF saturated with bubbling 95% O2/5% CO2. KCl was prepared as stock solutions and diluted to final concentrations in ACSF before use. Hippocampal slices were incubated for 8 h with 35 mM KCl or vehicle and collected. Slices were snap frozen in liquid nitrogen for quantification of Aβ by ELISA or fixed with 4% PFA for Aβ42 immunofluorescence.

Surgical procedure for unilateral removal of whiskers

At 2 months of age, Tg19959 mice were anesthetized with an IP injection of ketamine and xylazine and placed on a heated pad. Mice received a small dose of local anesthetic, via SC injection of bupivicaine in the portion of the snout that underwent surgery. Mouse snouts were shaved (whiskers and fur) unilaterally and disinfected with 70% ethanol and then betadine. An incision was made with a scalpel around the skin area (approximately 3 × 5 mm) containing the whisker follicles, which were then removed. The area was cleaned by washing with sterile saline solution and the wound was sutured with vicryl stitches. At 4 months of age, mice were sacrificed with pentobarbital and perfused with 4% PFA. Brains were removed and incubated at 4° C in increasing percentages of sucrose (10, 20 and 30%). Brains were then cut with a cryostat and stained for COX (Wong-Riley and Welt, 1980) or Aβ42 immunofluorescence. The contralateral barrel cortices (corresponding to the half snouts that did not undergo surgery) were used as controls.

Cell culture and treatments

Primary neuronal cultures from Tg2576 mice (Hsiao et al., 1996) and wild-type littermates were prepared as described (Tampellini et al., 2007). Primary neurons were used at 8–10 days in vitro (DIV) for live imaging and metabolic labeling and at 12 DIV for all other experiments. Human Aβ1–42 (Tocris) was prepared in MilliQ water as described (Snyder et al., 2005). The γ-secretase inhibitor N-[N-(3,5-Difluorophenacetyl-L-alanyl)]-S-phenylglycine t-Butyl Ester (DAPT; Calbiochem) was diluted in culture medium to 250 nM. Neurons were treated with DAPT for a total of 2 h; after 1 h in DAPT, neurons were additionally incubated in the presence or absence of 1 μM Aβ1–42. Neprilysin inhibitor thiorphan (Sigma) was diluted in culture medium to 50 μM. Neurons were treated with thiorphan during the 75 min LTP protocol.

Treatment for synaptic activity

Primary neurons were incubated 8 h with 35 mM KCl and collected. For chemical-LTP, neurons were treated for 1 h with 1 μM tetrodotoxin (TTX, Tocris) to reduce endogenous synaptic activity and to prevent phosphorylation of proteins involved in synaptic activation (Ehlers, 2003). After TTX incubation, neurons were washed once with LTP buffer containing 140 mM NaCl, 1.3 mM CaCl2, 10 mM KCl, 25 mM HEPES, 33 mM glucose, 0.5 μM TTX, 1 μM strychnine, and 20 μM bicuculline (Lu et al., 2001; Ehlers, 2003) and then incubated for 15 min in LTP buffer with or without 200 μM glycine. Glycine is an NMDA receptor coactivator acting in concert with glutamate. Because glutamate release occurs only at synapses, the NMDA receptors activated by glycine are only those present at synapses and not those at extra-synaptic sites. Together with the stochastic quantal release of glutamate at synapses, glycine coactivation of NMDA receptors at synapses leads to LTP. It is known that binding of glycine to its receptors induces hyperpolarization with a consequent inhibitory action on neurons, but the buffer used to induce g-LTP contains strychnine (1 μM), which prevents activation of inhibitory glycine receptors. After 15 min, neurons were chased for 1 h in fresh LTP solution without glycine and then collected.

Aβ detection

Primary neurons were washed twice, harvested in ice-cold PBS, and centrifuged. Pellets were lysed with 6% SDS containing 10 μl/ml β-mercaptoethanol, sonicated, and then heated at 95°C for 6 min. After centrifugation, supernatants were loaded directly into 10–20% Tricine gels (Invitrogen). Samples were subjected to electrophoresis and transferred to polyvinylidine difluoride membranes (Millipore). Membranes were boiled in PBS for 5 min and immunoblotted. The reaction was visualized by chemiluminescence (Pierce). Band intensities were quantified using Scion Image software.

ELISA analysis

Tg2576 primary neurons were plated in 6-cm dishes and collected. Concentrations of Aβ1–40 and Aβ1–42 were measured by using the respective ELISA kits (Biosource). ELISA values are given in pg/ml since the same amount of total protein was used from equivalent neuron cultures.

Synaptosomal preparation

Synaptosomes were purified as described (Ehlers, 2003; Almeida et al., 2005). Briefly, pellets from collected neurons were homogenized in a buffer containing 0.32 M sucrose and 4 mM HEPES pH 7.4 (buffer 1). Homogenates were centrifuged at 1000 × g for 10 min. The pellet (P1), containing heavy organelles, including nuclei, Golgi and endoplasmic reticulum, was kept for qualitative analysis. Supernatants were transferred to clean tubes and centrifuged at 10,000 × g for 15 min to pellet the crude synaptosomal pellet (P2). P2s were resuspended in buffer 1 and centrifuged at 10,000 × g for 15 min. Pellets containing washed P2 were then lysed and processed as described for biochemical measurements of surface proteins.

Biochemical measurements of surface proteins

Primary neurons were washed twice with PBS containing 1 mM CaCl2 and 0.5 mM MgCl2 (PBS-Ca-Mg), placed on ice to block endocytosis, and incubated with PBS-Ca-Mg containing 1 mg/ml Sulfo-NHS-LC-Biotin (Pierce) for 15 min. Cultures were rinsed in ice cold culture medium to quench the biotin reaction and lysed in 200 μl of 2% SDS. The homogenates were centrifuged at 14,000 × g for 15 min at 4°C. Fifteen microliters of the supernatant were removed to measure total protein levels; the remaining supernatant was incubated with 100 μl of Neutravidin agarose (Pierce) overnight at 4°C. Samples were then washed 3 times with a buffer containing: 150 mM NaCl, 10 mM Tris HCl (pH 8.3), 5 mM EDTA, 0.1% Triton X-100, 0.01% BSA and protease inhibitor cocktail (Roche). Bound proteins were resuspended in 30 μl of SDS sample buffer and boiled. Quantitative western blots were performed on both total and biotinylated (surface) proteins using APP N-terminal antibody 22C11 or NR1 antibody. Immunoreactive bands were visualized by enhanced chemiluminescence (ECL, Amersham) and captured on autoradiography film (Amersham Hyperfilm ECL). Scanned images were quantified using Scion Image software. The surface/total APP and NR1 ratios were calculated for each culture.


Neurons were grown on poly-D-lysine coated coverslips (Fisher). Neurons were washed in ice-cold PBS and fixed for immunofluorescence (Tampellini et al., 2007). Alexa-488 or Alexa-546 fluorescent secondary antibodies were used (Molecular Probes). Neurons were viewed either with an Olympus Optical IX-70 microscope equipped with an ORCA-ER CCD camera (Hamamatsu Photonics) and a 60x, 1.4 NA plan apochromat objective or a confocal microscope (TCS SP5, Leica) equipped with HeNe 633nm / HeNe 543nm / Argon (458, 476, 488, 514nm) imaging lasers, a 5-Channel Leica “SP” Spectral Fluorescence Detection laser scanning unit, and a HCX PLAPO CS 63×/1.4–0.6 oil objective (optical sections were acquired at 0.5 μm thickness, or 0.7 μm for hippocampal slices). Metamorph software 7.5 (Universal Imaging Co.) was used for quantitative analysis. To quantify Aβ immunofluorescence, 5–10 neurons were randomly picked from each independent experiment, and average intensities were measured in selected areas. Intensity threshold was set to remove background fluorescence. Total fluorescence per 30 μm of a thresholded neurite was automatically quantified. To quantify Aβ immunofluorescence in hippocampal slices and brain, total fluorescence per field was measured using MetaMorph on thresholded images collected by confocal microscope; three images per stack were used for each section. Averages of measurements per section per mouse were considered as an individual measurement. For quantification of PSD-95 puncta, one or two coverslips from each culture were analyzed, 5–10 neurons per coverslip. From each neuron, 3–5 neurite segments 30 μm in length were selected from areas where single puncta could be outlined. Images were thresholded so that only the brightest puncta, with intensity at least twice that of the neuritic shaft, were outlined. Using the integrated morphometric analysis feature in Metamorph, puncta density was automatically measured. Localization of APP to synapses labeled by synapsin I in confocal acquired images was determined by using a colocalization algorithm (Leica Application Suite 1.8.2 software), which shows only pixels with relative colocalization. Threshold was set at 65% for both fluorophores.

To localize surface APP to synapses labeled by synapsin I, neurons fixed in 4% paraformaldehyde were first stained for APP with P2–1 antibody and corresponding fluorescent secondary antibody without permeabilization. Once surface APP staining was completed, we permeabilized neurons with 0.1% saponin and incubated for 1 h with synapsin I antibody and then 1 h with fluorescent secondary antibody at 37°C.

To visualize only intraneuronal Aβ42 immunofluorescence (Runz et al., 2002; Almeida et al., 2006) in wild type neurons and eliminate the fluorescence coming from the added synthetic Aβ1–42 that attached to the cell surface, we quenched the Aβ42 surface signal as follows. After fixation in 4% paraformaldehyde, and in absence of permeabilization, neurons were incubated with 12F4 (mouse) Aβ42 specific antibody, followed by incubation with a non-fluorescent anti-mouse secondary antibody (quenching). Neurons were washed, permeabilized with saponin, and then stained by using the Chemicon (rabbit) Aβ42 specific antibody, followed by incubation with a fluorescent anti-rabbit secondary antibody to prevent recognition of possible surface unquenched 12F4 (mouse) antibody. Images were acquired with the Olympus microscope and a 60x, 1.4 NA plan apochromat objective.

Live-cell imaging

Neurons were grown on poly-D-lysine coated glass bottom microwell dishes (MatTek Corporation). Neurons were transfected with human APP-YFP overnight and then imaged in 37°C LTP solution at steady state or upon activation with glycine. In some live imaging experiments, glycine was infused during imaging. Neurons were imaged in a 37°C chamber using an Olympus Optical IX-70 microscope and a 60x, 1.4 NA plan apochromat objective. Frames were automatically and sequentially acquired every 10 sec with a specific YFP filter using Metamorph; “n” refers to the number of independent cultures transfected with APP-YFP. One or two coverslips from each culture were analyzed (1–2 neurons per coverslip). For each neuron, 1–2 dendritic segments 30 μm long were selected from areas where single fluorescent vesicles could be outlined. In glycine infusion experiments we analyzed segments between 100 and 160 μm long. Preparation of kymographs and kymographic analyses were performed using Metamorph. We counted the total number of vesicles detected in one neurite (100%) and then quantified the percent of vesicles that were stationary, moving anterogradely, or moving retrogradely.

Metabolic labeling

Primary neurons were plated in 10 cm dishes. After 30 min in cysteine/methionine-free medium (Invitrogen), neurons were pulsed in fresh cysteine/methionine-free medium containing 1 mCi [35S] methionine/cysteine (Perkin Elmer) for 30 min. Neurons were then chased in LTP buffer for 15 min in the presence or absence of 200 μM glycine and then chased again for 1 h in glycine-free LTP buffer. Media were centrifuged for 10 min and transferred to clean tubes, and neurons were collected in ice cold PBS and lysed. Samples were immunoprecipitated with Aβ antibody 4G8. [35S] signal was visualized using a phosphoimager system (Hewlett-Packard Cyclone).

Statistical analysis

Statistical comparisons were made using two-tailed unpaired t-tests with significance placed at p<0.05. A set of cultures prepared from one mouse embryo was considered as one independent experiment (n=1). Data were expressed as mean ± SEM. Statistical analysis was performed using Excel and GraphPad Prism 3.0 (Graph Pad Software).


Synaptic activation reduces intraneuronal Aβ and protects against Aβ-related synaptic alterations

Stimulation of cultured primary neurons from APP Swedish mutant transgenic (Tg2576) mice was performed using a well-established glycine-induced long-term potentiation (g-LTP) protocol (Lu et al., 2001; Ehlers, 2003; Wang et al., 2008). This protocol utilizes glycine as co-activator of NMDA receptors together with glutamate, while blocking inhibitory glycine receptors with strychnine. Activation of neurons by g-LTP caused a 38±11% decrease in levels of intraneuronal Aβ (Fig. 1a, third panel from top). Induction of LTP was confirmed by demonstrating elevation in phosphorylated-CaMKII but not total CaMKII in g-LTP stimulated neurons (Fig. 1a, 4g and 4h). In agreement with the Western blot data, ELISA revealed a reduction in levels of both Aβ1–40 and Aβ1–42 peptides in glycine treated Tg2576 neurons (Fig. 1b). Confirming these biochemical results, there was a 39±4% reduction in intraneuronal Aβ42 immunofluorescence in dendrites following g-LTP as seen by confocal microscopy (Fig. 1c). Using KCl-induced depolarization as an alternative activation protocol similarly reduced levels of intraneuronal Aβ by 39±9% (Supplementay Fig. S1). To verify that the effect of synaptic activation on intraneuronal Aβ is not confined to dissociated primary neurons, we utilized acute hippocampal slices prepared from APP transgenic mice (Tg19959). KCl-induced depolarization reduced levels of intraneuronal Aβ42 by 13±2% in CA1 neuronal soma as shown by confocal immunofluorescence (Fig. 2a). ELISA confirmed the KCl-induced decrease of Aβ42 in hippocampal slices (Fig. 2b) and a non-statistically significant trend of decrease for Aβ40 (Fig. 2b, p=0.09). We also examined the effect of synaptic activity on intraneuronal Aβ in vivo, by chronic inhibition of somatosensory cortex. The barrel cortex of Tg19959 mice was deafferented by irreversible unilateral removal of whisker bulbs at 2 months of age. Mice were sacrificed at 4 months of age, and cytochrome oxidase (COX) staining in the deafferented barrel cortex was markedly reduced compared to the nondeafferented side, reflecting reduced neuronal activity (Fig. 2c) (Wong-Riley and Welt, 1980). Compared to the control side, barrel cortex with reduced activity revealed a 10±1% increase in Aβ42 immunofluorescence in neuronal soma (Fig. 2d). We next utilized metabolic labeling to examine the effects of synaptic activity on newly generated Aβ in cultured neurons. Levels of newly generated intraneuronal Aβ were decreased 43±11% by g-LTP (Fig. 2e, third panel from top), and there was the expected increase (44±15%) in levels of newly generated secreted Aβ (sAβ) (Fig. 2e, bottom panel). Consistent with previous evidence (Kamenetz et al., 2003), g-LTP led to an increase in levels of β-cleaved APP C-terminal fragments (βCTFs; 93±41% for steady state, Fig. 1a, second panel from top; 22±8% for newly generated, Fig. 2e, second panel from top), but there was no statistically significant change in levels of full-length APP (Fig. 1a, Supplementary Fig. S2 for steady state; and Fig. 2e for newly generated) or αCTFs (not shown).

Figure 1
Synaptic activation reduces intraneuronal Aβ and protects against reductions in PSD-95 at synapses of APP mutant neurons.
Figure 2
Synaptic activation reduces intraneuronal Aβ in hippocampal slices, while chronic inhibition of synaptic activity induces intraneuronal Aβ accumulation in vivo.

Previous studies suggest that both extracellular Aβ and intracellular Aβ might be synaptotoxic. Thus, one would expect increased extracellular Aβ to be toxic, but decreased intracellular Aβ to be beneficial. Since synaptic activity both increased extracellular Aβ and decreased intracellular Aβ, it was not clear what the effect on synaptic proteins would be. We therefore investigated levels of the post-synaptic scaffold protein PSD-95, which are reduced in Tg2576 neurons (Almeida et al., 2005; Tampellini et al., 2007). g-LTP led to a 35±10% increase in the number of PSD-95 puncta in Tg2576 neurons, which also showed reduced Aβ42 immunofluorescence compared to control (Fig. 1d). In particular, induction of g-LTP restored puncta of PSD-95 in Tg2576 neurons to wild-type levels (Supplementary Fig. S3). In contrast, there was no change in PSD-95 levels with g-LTP in wild type neurons (Supplementary Fig. S3). These results suggest that in the setting of synaptic activity the protective effects of reducing intraneuronal Aβ are more important than the potentially toxic effects of increased extracellular Aβ.

Alterations of synaptic proteins from extracellular Aβ1–42 occur via γ-secretase processing of APP

Interestingly, previous work raised the possibility that the toxicity of extracellular Aβ may be mediated via APP processing (Lorenzo et al., 2000; Shaked et al., 2006) and thereby possibly intracellular Aβ, since addition of extracellular Aβ1–42 increased levels of newly synthesized Aβ42 in cultured cells (Yang et al., 1999). We confirmed the latter also in our experimental model by adding 1 μM of Aβ1–42 to wild-type cultured neurons as previously described (Almeida et al., 2005; Snyder et al., 2005), which revealed a 51±10% increase in levels of intraneuronal Aβ42 immunofluorescence in dendrites in treated compared to untreated neurons (Fig. 3a, upper panels, and and3b).3b). We then tested whether extracellular Aβ1–42 would alter levels of specific synaptic proteins when APP γ-secretase processing and thereby also accumulation of intraneuronal Aβ was blocked. We again treated wild type neurons with 1 μM of extracellular Aβ1–42, but now in the absence or presence of the γ-secretase inhibitor DAPT. Levels of intraneuronal Aβ42 did not change compared to control when Aβ1–42 was added in the presence of DAPT (Fig. 3a, upper panels, and and3b).3b). Remarkably, levels of PSD-95 immunofluorescence and surface glutamate NMDA receptor subunit NR1, which were reduced by 48±5% and 40±2%, respectively, by addition of Aβ1–42 to the media in the absence of DAPT, were unaltered when Aβ1–42 was added in the presence of DAPT (Fig. 3a, 3c, 3d, and 3e). To further confirm that the observed synaptic alterations induced by extracellular Aβ1–42 occur via APP and generation of Aβ, we repeated the previous experiments in neurons cultured from APP knockout mouse (APP KO) embryos. When treated with 1 μm of Aβ1–42, APP KO neurons did not reveal a decrease in PSD-95 puncta, but rather showed similar levels of PSD-95 to untreated APP KO neurons or APP KO neurons treated with both Aβ1–42 and DAPT (Fig. 3f). Overall, these data support that extracellular Aβ1–42-induced synaptic alterations require amyloidogenic processing of APP.

Figure 3
Alterations of synaptic proteins from extracellular Aβ1–42 occur via γ-secretase processing of APP.

Synaptic activity promotes transport of APP to synapses

To explore the mechanisms whereby synaptic activity leads to increased Aβ secretion and reduced intracellular Aβ, we investigated the effects of synaptic activation on processes affecting Aβ generation, including APP trafficking, surface localization, and cleavage processing, and also explored the role of Aβ degradation.

We first analyzed APP trafficking by live cell imaging upon synaptic activation in neurons transfected with YFP-tagged human APP (APP-YFP). Remarkably, g-LTP promoted anterograde transport of APP in dendrites (Fig. 4a and 4c; and Movies S1, steady state, and S2, g-LTP). Specifically, there was a 4-fold increase in APP-containing vesicles moving anterogradely in dendritic segments with g-LTP (Fig. 4b and 4d). Furthermore, direct infusion of glycine during live cell imaging of APP-YFP containing vesicles induced a rapid conversion to anterograde transport in dendrites (Fig. 4e; Movie S3). Vesicles previously moving retrogradely were seen abruptly changing course following stimulation. The g-LTP-induced increase of anterograde APP trafficking resulted in increased APP transport to synapses as shown by a relative increase in APP and synapsin I colocalization by confocal microscopy (Fig. 4f). The APP immunofluorescence in Fig. 4f supports the biochemical data (Fig. 1a) that the g-LTP-induced increase in APP localization to synapses was not due to an overall increase in total APP (Supplementary Fig. S2) or synapsin I (Supplementary Fig. S4) but rather to APP transport to synapses within neurons.

Figure 4
APP is transported to synapses with synaptic activity.

To gain more insight into the mechanism of synaptic activity induced Aβ modulation, we next analyzed APP surface localization and cleavage processing in response to synaptic activation. APP is trafficked to the cell surface, and subsequent generation of Aβ is thought to require endocytosis and cleavage by β- and γ-secretases (Koo and Squazzo, 1994; Rajendran et al., 2008). Using biotin-surface labeling, we found that whole-cell levels of surface-labeled APP increased by 89±29% upon synaptic activation (Fig. 4g). These biochemical data were confirmed by immunofluorescence, which showed a 54±13% increase in levels of surface APP in non-permeabilized neurons (Supplementary Fig. S5). In contrast, levels of surface APP in synaptosomes decreased by 33±2% with g-LTP (Fig. 4h) and colocalization of surface APP with synapsin I in nonpermeabilized cells did not increase (Fig. 4i). Although the reduced surface levels of APP at synapses appeared at first to contradict the overall increased surface levels of APP in whole cells, it can be reconciled with the scenario that synaptic activation induces transport of APP to synapses and to the plasma membrane, with a subsequent induction of endocytosis of APP specifically at active synapses; see schema summarizing these findings in Supplementary Fig. S6. Upon internalization, APP is likely cleaved by BACE, as supported by the increased levels of βCTFs with g-LTP (Fig. 1a and and2e2e).

g-LTP induced reduction of intraneuronal Aβ42 requires neprilysin

To further explore the mechanism of intraneuronal Aβ reduction upon synaptic activity, we analyzed the role of Aβ degradation. Neprilysin is a zinc peptidase that was empirically shown to be the most efficient protease at degrading Aβ (Iwata et al., 2000). Moreover, its activity was reported to be increased in brains of AD transgenic mice showing reduced plaque burden after environmental enrichment (Lazarov et al., 2005). To assess whether neprilysin is involved in intraneuronal Aβ reduction upon synaptic activation, we induced g-LTP in the presence or absence of the neprilysin inhibitor thiorphan. Confocal immunofluorescence microscopy showed that inhibition of neprilysin did not prevent reduction of intraneuronal Aβ40 by g-LTP. In the presence of thiorphan, intraneuronal Aβ40 was reduced by 12±1% in g-LTP activated compared to control neurons (Fig. 5a). In contrast, thiorphan treatment prevented g-LTP mediated reduction of intraneuronal Aβ42 (Fig. 5b). We confirmed these immunofluorescence data by ELISA (Fig. 5c). To further confirm that Aβ42 degradation during synaptic activation occurs via neprilysin, we induced g-LTP in neurons cultured from neprilysin knockout mouse (NEP KO) embryos (Lu et al., 1995). Consistent with the thiorphan treatment experiments, confocal immunofluorescence microscopy demonstrated that, despite the lack of neprilysin, g-LTP induced a 39–12% reduction of intraneuronal Aβ40 (Fig. 5d, left panels). In contrast, lack of neprilysin prevented the g-LTP mediated reduction of intraneuronal Aβ42 (Fig. 5d, right panels). These results support that neprilysin plays an important role in the reduction of Aβ42, the most disease-linked Aβ isoform, during synaptic activity.

Figure 5
Involvement of neprilysin in g-LTP induced reduction of intraneuronal Aβ42.


The role of Aβ at synapses and the effect of synaptic activity on Aβ are currently among the most intriguing topics in understanding AD pathogenesis. In particular, it is of major interest that synaptic activity increases secretion of Aβ into the extracellular space (Kamenetz et al., 2003; Cirrito et al., 2005). On one hand, extracellular Aβ reduces LTP, induces LTD, and alters synaptic structure and protein levels in vitro and in vivo (Selkoe, 2002; Coleman and Yao, 2003; Almeida et al., 2005; Snyder et al., 2005; Hsieh et al., 2006; Shankar et al., 2008). Chronic secretion of Aβ in response to synaptic activity could therefore lead to synaptic damage and accumulation of Aβ into plaques, two major hallmarks of AD. Thus, synaptic activity could contribute to the pathogenesis of AD. Indeed, brain regions with high metabolic and synaptic activity are particularly vulnerable to AD pathology, and Aβ deposition is increased in epilepsy (Cirrito et al., 2008). Hyperexcitability has been described in AD models and human AD, which could augment synaptic activity-induced Aβ release and exacerbate pathology (Palop et al., 2007).

On the other hand, there is also evidence that cognitive activity may be protective against AD. Higher educational attainment or participation in intellectually stimulating activities is associated with reduced risk of developing AD (Stern, 2006). Environmental enrichment in APPSwe/PS1ΔE9 mice reduced plaque formation and upregulated genes involved in learning and memory (Lazarov et al., 2005; Ambree et al., 2006). Although synaptic activity and cognitive activity may not be fully equivalent, it does appear that cognitive activity also increases Aβ secretion. Recovery of cognitive function after brain injury is associated with increased extracellular Aβ in human brain (Brody et al., 2008). With potential for both toxicity and benefit, the role of synaptic or cognitive activity in AD pathogenesis is not clear.

Brain accumulation of Aβ with AD pathogenesis includes an intracellular pool (Gouras et al., 2000; D'Andrea et al., 2001; Gyure et al., 2001; Wirths et al., 2001; Busciglio et al., 2002; Mori et al., 2002; Oddo et al., 2003; Sheng et al., 2003; Cataldo et al., 2004; Echeverria et al., 2004; Lord et al., 2006) for which increasing evidence suggests a pathogenetically significant role (Gouras et al., 2005; LaFerla et al., 2007). Accumulation of Aβ42 within distal neuritic compartments is associated with subcellular pathology, greater accumulation associated with more severe pathology (Takahashi et al., 2002; Takahashi et al., 2004). Moreover, accumulation of intraneuronal Aβ coincided with physiological and behavioral abnormalities in AD transgenic mouse models (Billings et al., 2005; Cruz et al., 2006; Knobloch et al., 2007). In the current study, we use established stimulation protocols to demonstrate reduction of intraneuronal Aβ upon synaptic activation in primary neurons and hippocampal slices from APP mutant mice. Thus, synaptic activity increases extracellular Aβ and decreases intracellular Aβ. Given evidence for toxicity of both extracellular and intracellular Aβ, it was not clear what the effect of synaptic activity would be on synaptic proteins. Increased extracellular Aβ was expected to damage synapses, and decreased intracellular Aβ to be protective. In fact, we found that synaptic activation in cultured Tg2576 neurons restored levels of the scaffold protein PSD-95 back to wild-type levels. These data indicate that synaptic activity could be protective against Aβ-related synaptic changes, and suggest that the effect of synaptic activity on the intracellular pool of Aβ was of key importance. We cannot fully rule out the possibility that the effect of synaptic activity on PSD-95 levels occurred by a mechanism independent of Aβ, but there was no effect of synaptic activity on PSD-95 levels in wild type neurons.

As further evidence for an important role of intracellular Aβ, it should be noted that the extracellular and intracellular pools of Aβ are tightly interconnected. For example, it was shown that addition of extracellular Aβ1–42 to human embryonic kidney cells increased newly generated intracellular Aβ42 (Yang et al., 1999). We now show that extracellular Aβ1–42 increases Aβ42 within neurons as well. The mechanism whereby extracellular Aβ is toxic remains unclear, but may occur via intraneuronal Aβ. Extracellular Aβ1–42 caused cell death in wild type neurons but not in APP knockout neurons (Lorenzo et al., 2000) or in neuroblastoma cells harboring APP with point mutations in the NPXY motif (Shaked et al., 2006). We now provide the first data that levels of synaptic proteins that are decreased by extracellular Aβ1–42 (Almeida et al., 2005; Snyder et al., 2005) are not altered when Aβ1–42 is applied in the presence of γ-secretase inhibitor or in APP knockout neurons. These data indicate that synapto-toxicity of Aβ1–42 requires γ-secretase processing of APP. This supports a role for intraneuronal Aβ, although we cannot rule out involvement of other APP cleavage products.

We demonstrate that synaptic activation affects APP transport and processing. Specifically, we provide evidence that synaptic activation promotes anterograde transport of APP in dendrites to synapses, internalization at synapses, and β-cleavage. Synaptic stimulation has not previously been shown to affect APP transport. The effect of synaptic activity on transport of protein cargoes appears to be selective. Synaptic activation promotes transport of the proteasome into dendritic spines (Bingol and Schuman, 2006) and transport of the syntabulin-kinesin family 5B complex down axons (Cai et al., 2007). In contrast, synaptic activity anchors mitochondria at synapses (Kang et al., 2008), and glutamate receptor stimulation or inhibition does not affect dendritic transport of GluR1 and GluR2 (Perestenko and Henley, 2003). Increased APP transport and β-cleavage in response to synaptic activity supports an overall increase in Aβ production at synapses with activity, consistent with the scenario proposed by Cirrito and colleagues (2008).

It was possible that the effects of synaptic activity on intracellular Aβ were completely due to relocation of intracellular Aβ to the extracellular space. However, synaptic activity failed to reduce intraneuronal Aβ42 in neurons treated with the neprilysin inhibitor thiorphan or in neprilysin knockout neurons. These data implicate neprilysin in the reduction of intraneuronal Aβ42 with synaptic activity. We note that Aβ42 is the most pathogenic isoform of Aβ and also is the predominant species that accumulates intraneuronally. In contrast, intraneuronal Aβ40 was still decreased with synaptic activity in thiorphan treated or neprilysin knockout neurons. It was previously reported that neprilysin degrades Aβ1–40 and Aβ1–42 to a similar extent in vivo (Iwata et al., 2001), but when thiorphan was infused into the brain, only levels of Aβ42 but not Aβ40 were elevated (Iwata et al., 2000; Belinson et al., 2008). These results are consistent with our data, which suggest that the activity-induced reduction in intraneuronal Aβ42 is primarily neprilysin-dependent, whereas that for Aβ40 occurs by neprilysin-independent mechanisms, likely by secretion. Aβ40 is more soluble than Aβ42 and is secreted more efficiently. With synaptic activation, the secretion of both Aβ species is enhanced, however the increase in Aβ40 secretion was more pronounced than it was for Aβ42 in Tg2576 organotypic hippocampal slices (Kamenetz et al., 2003).

The mechanism whereby Aβ42 damages synapses is of major interest. Increasing evidence supports that Aβ oligomers are the most toxic Aβ species, and Aβ oligomers do accumulate at synapses, both intracellularly (Takahashi et al., 2004) and extracellularly (Deshpande et al., 2009). The intracellular accumulation of Aβ42 oligomers is associated with early degeneration of distal neurites and synaptic compartments. We have therefore viewed the initiation of extracellular Aβ deposition to be a result of intracellular Aβ42 accumulation and oligomerization causing degeneration of distal neurites and synapses (Gouras et al., 2005).

The reduction of intraneuronal Aβ with synaptic activity supports the possibility that synaptic activity may be a protective factor in AD pathogenesis. Even with activity-induced secretion, the concentration of extracellular Aβ remains in the picomolar range in our cultured neurons as well as brain interstitial fluid (Cirrito et al., 2003; Cirrito et al., 2005). At this concentration, extracellular Aβ may be nontoxic. In fact, it was recently reported that picomolar concentrations of Aβ could enhance LTP and memory (Puzzo et al., 2008; Garcia-Osta and Alberini, 2009), although this is controversial (Calabrese et al., 2007). We hypothesize that under normal conditions of synaptic activity, intracellular and secreted Aβ are efficiently cleared, but clearance mechanisms become impaired with aging. In fact, neprilysin has been reported to decline with aging (Iwata et al., 2002). Since neprilysin is localized to synapses (Fukami et al., 2002), its age-related decline could explain the synaptic accumulation of Aβ42 that we have observed both in AD transgenic mice and human AD brains by immuno-electron microscopy (Takahashi et al., 2002; Takahashi et al., 2004; Takahashi et al., 2008). With progressive pathology, this accumulated intraneuronal Aβ42 could then be released to the extracellular space at high concentrations and become toxic to surrounding synapses.

Supplementary Material






Supported by an Alzheimer's Association New Investigator Award (DT) and Zenith Award (GKG), the Appel Foundation, and National Institute of Health grants AG20729 (MTL), AG027140, AG028174 and AG09464 (GKG). We thank Dr. Carlos Dotti, Catholic University of Leuven, for providing the APP-YFP construct, Dr. Karen H. Ashe, University of Minnesota, for generating the Tg2576 mice, and Dr. George Carlson, McLaughlin Research Institute, for providing the Tg19959 mice. We appreciate the input from the Trafficking Group seminars organized by the Weill Cornell Department of Biochemistry. We thank Dr. Costantino Iadecola in our Division of Neurobiology for advice on the barrel cortex experiments. The authors declare that they have no conflicts of interest.


  • Almeida CG, Takahashi RH, Gouras GK. Beta-amyloid accumulation impairs multivesicular body sorting by inhibiting the ubiquitin-proteasome system. J Neurosci. 2006;26:4277–4288. [PubMed]
  • Almeida CG, Tampellini D, Takahashi RH, Greengard P, Lin MT, Snyder EM, Gouras GK. Beta-amyloid accumulation in APP mutant neurons reduces PSD-95 and GluR1 in synapses. Neurobiol Dis. 2005;20:187–198. [PubMed]
  • Ambree O, Leimer U, Herring A, Gortz N, Sachser N, Heneka MT, Paulus W, Keyvani K. Reduction of amyloid angiopathy and Abeta plaque burden after enriched housing in TgCRND8 mice: involvement of multiple pathways. Am J Pathol. 2006;169:544–552. [PubMed]
  • Belinson H, Lev D, Masliah E, Michaelson DM. Activation of the amyloid cascade in apolipoprotein E4 transgenic mice induces lysosomal activation and neurodegeneration resulting in marked cognitive deficits. J Neurosci. 2008;28:4690–4701. [PubMed]
  • Billings LM, Oddo S, Green KN, McGaugh JL, LaFerla FM. Intraneuronal Abeta causes the onset of early Alzheimer's disease-related cognitive deficits in transgenic mice. Neuron. 2005;45:675–688. [PubMed]
  • Bingol B, Schuman EM. Activity-dependent dynamics and sequestration of proteasomes in dendritic spines. Nature. 2006;441:1144–1148. [PubMed]
  • Brody DL, Magnoni S, Schwetye KE, Spinner ML, Esparza TJ, Stocchetti N, Zipfel GJ, Holtzman DM. Amyloid-beta dynamics correlate with neurological status in the injured human brain. Science. 2008;321:1221–1224. [PMC free article] [PubMed]
  • Busciglio J, Pelsman A, Wong C, Pigino G, Yuan M, Mori H, Yankner BA. Altered metabolism of the amyloid beta precursor protein is associated with mitochondrial dysfunction in Down's syndrome. Neuron. 2002;33:677–688. [PubMed]
  • Cai Q, Pan PY, Sheng ZH. Syntabulin-kinesin-1 family member 5B-mediated axonal transport contributes to activity-dependent presynaptic assembly. J Neurosci. 2007;27:7284–7296. [PubMed]
  • Calabrese B, Shaked GM, Tabarean IV, Braga J, Koo EH, Halpain S. Rapid, concurrent alterations in pre- and postsynaptic structure induced by naturally-secreted amyloid-beta protein. Mol Cell Neurosci. 2007;35:183–193. [PMC free article] [PubMed]
  • Casas C, Sergeant N, Itier JM, Blanchard V, Wirths O, van der Kolk N, Vingtdeux V, van de Steeg E, Ret G, Canton T, Drobecq H, Clark A, Bonici B, Delacourte A, Benavides J, Schmitz C, Tremp G, Bayer TA, Benoit P, Pradier L. Massive CA1/2 neuronal loss with intraneuronal and N-terminal truncated Abeta42 accumulation in a novel Alzheimer transgenic model. Am J Pathol. 2004;165:1289–1300. [PubMed]
  • Cataldo AM, Petanceska S, Terio NB, Peterhoff CM, Durham R, Mercken M, Mehta PD, Buxbaum J, Haroutunian V, Nixon RA. Abeta localization in abnormal endosomes: association with earliest Abeta elevations in AD and Down syndrome. Neurobiol Aging. 2004;25:1263–1272. [PubMed]
  • Cirrito JR, Kang JE, Lee J, Stewart FR, Verges DK, Silverio LM, Bu G, Mennerick S, Holtzman DM. Endocytosis is required for synaptic activity-dependent release of amyloid-beta in vivo. Neuron. 2008;58:42–51. [PMC free article] [PubMed]
  • Cirrito JR, Yamada KA, Finn MB, Sloviter RS, Bales KR, May PC, Schoepp DD, Paul SM, Mennerick S, Holtzman DM. Synaptic activity regulates interstitial fluid amyloid-beta levels in vivo. Neuron. 2005;48:913–922. [PubMed]
  • Cirrito JR, May PC, O'Dell MA, Taylor JW, Parsadanian M, Cramer JW, Audia JE, Nissen JS, Bales KR, Paul SM, DeMattos RB, Holtzman DM. In vivo assessment of brain interstitial fluid with microdialysis reveals plaque-associated changes in amyloid-beta metabolism and half-life. J Neurosci. 2003;23:8844–8853. [PubMed]
  • Coleman PD, Yao PJ. Synaptic slaughter in Alzheimer's disease. Neurobiol Aging. 2003;24:1023–1027. [PubMed]
  • Cruz JC, Kim D, Moy LY, Dobbin MM, Sun X, Bronson RT, Tsai LH. p25/cyclin-dependent kinase 5 induces production and intraneuronal accumulation of amyloid beta in vivo. J Neurosci. 2006;26:10536–10541. [PubMed]
  • D'Andrea MR, Nagele RG, Wang HY, Peterson PA, Lee DH. Evidence that neurones accumulating amyloid can undergo lysis to form amyloid plaques in Alzheimer's disease. Histopathology. 2001;38:120–134. [PubMed]
  • DeKosky ST, Scheff SW. Synapse loss in frontal cortex biopsies in Alzheimer's disease: correlation with cognitive severity. Ann Neurol. 1990;27:457–464. [PubMed]
  • Deshpande A, Kawai H, Metherate R, Glabe CG, Busciglio J. A role for synaptic zinc in activity-dependent Abeta oligomer formation and accumulation at excitatory synapses. J Neurosci. 2009;29:4004–4015. [PubMed]
  • Echeverria V, Ducatenzeiler A, Dowd E, Janne J, Grant SM, Szyf M, Wandosell F, Avila J, Grimm H, Dunnett SB, Hartmann T, Alhonen L, Cuello AC. Altered mitogen-activated protein kinase signaling, tau hyperphosphorylation and mild spatial learning dysfunction in transgenic rats expressing the beta-amyloid peptide intracellularly in hippocampal and cortical neurons. Neuroscience. 2004;129:583–592. [PubMed]
  • Ehlers MD. Activity level controls postsynaptic composition and signaling via the ubiquitin-proteasome system. Nat Neurosci. 2003;6:231–242. [PubMed]
  • Fukami S, Watanabe K, Iwata N, Haraoka J, Lu B, Gerard NP, Gerard C, Fraser P, Westaway D, George-Hyslop P, St, Saido TC. Abeta-degrading endopeptidase, neprilysin, in mouse brain: synaptic and axonal localization inversely correlating with Abeta pathology. Neurosci Res. 2002;43:39–56. [PubMed]
  • Garcia-Osta A, Alberini CM. Amyloid beta mediates memory formation. Learn Mem. 2009;16:267–272. [PubMed]
  • Gouras GK, Almeida CG, Takahashi RH. Intraneuronal Abeta accumulation and origin of plaques in Alzheimer's disease. Neurobiol Aging. 2005;26:1235–1244. [PubMed]
  • Gouras GK, Tsai J, Naslund J, Vincent B, Edgar M, Checler F, Greenfield JP, Haroutunian V, Buxbaum JD, Xu H, Greengard P, Relkin NR. Intraneuronal Abeta42 accumulation in human brain. Am J Pathol. 2000;156:15–20. [PubMed]
  • Gyure KA, Durham R, Stewart WF, Smialek JE, Troncoso JC. Intraneuronal abeta-amyloid precedes development of amyloid plaques in Down syndrome. Arch Pathol Lab Med. 2001;125:489–492. [PubMed]
  • Haass C, Selkoe DJ. Soluble protein oligomers in neurodegeneration: lessons from the Alzheimer's amyloid beta-peptide. Nat Rev Mol Cell Biol. 2007;8:101–112. [PubMed]
  • Hsiao K, Chapman P, Nilsen S, Eckman C, Harigaya Y, Younkin S, Yang F, Cole G. Correlative memory deficits, Abeta elevation, and amyloid plaques in transgenic mice. Science. 1996;274:99–102. [PubMed]
  • Hsieh H, Boehm J, Sato C, Iwatsubo T, Tomita T, Sisodia S, Malinow R. AMPAR removal underlies Abeta-induced synaptic depression and dendritic spine loss. Neuron. 2006;52:831–843. [PMC free article] [PubMed]
  • Iwata N, Takaki Y, Fukami S, Tsubuki S, Saido TC. Region-specific reduction of A beta-degrading endopeptidase, neprilysin, in mouse hippocampus upon aging. J Neurosci Res. 2002;70:493–500. [PubMed]
  • Iwata N, Tsubuki S, Takaki Y, Shirotani K, Lu B, Gerard NP, Gerard C, Hama E, Lee HJ, Saido TC. Metabolic regulation of brain Abeta by neprilysin. Science. 2001;292:1550–1552. [PubMed]
  • Iwata N, Tsubuki S, Takaki Y, Watanabe K, Sekiguchi M, Hosoki E, Kawashima-Morishima M, Lee HJ, Hama E, Sekine-Aizawa Y, Saido TC. Identification of the major Abeta1-42-degrading catabolic pathway in brain parenchyma: suppression leads to biochemical and pathological deposition. Nat Med. 2000;6:143–150. [PubMed]
  • Kaether C, Skehel P, Dotti CG. Axonal membrane proteins are transported in distinct carriers: a two-color video microscopy study in cultured hippocampal neurons. Mol Biol Cell. 2000;11:1213–1224. [PMC free article] [PubMed]
  • Kamenetz F, Tomita T, Hsieh H, Seabrook G, Borchelt D, Iwatsubo T, Sisodia S, Malinow R. APP processing and synaptic function. Neuron. 2003;37:925–937. [PubMed]
  • Kang JS, Tian JH, Pan PY, Zald P, Li C, Deng C, Sheng ZH. Docking of axonal mitochondria by syntaphilin controls their mobility and affects short-term facilitation. Cell. 2008;132:137–148. [PMC free article] [PubMed]
  • Kienlen-Campard P, Miolet S, Tasiaux B, Octave JN. Intracellular amyloid-beta 1–42, but not extracellular soluble amyloid-beta peptides, induces neuronal apoptosis. J Biol Chem. 2002;277:15666–15670. [PubMed]
  • Knobloch M, Konietzko U, Krebs DC, Nitsch RM. Intracellular Abeta and cognitive deficits precede beta-amyloid deposition in transgenic arcAbeta mice. Neurobiol Aging. 2007;28:1297–1306. [PubMed]
  • Koo EH, Squazzo SL. Evidence that production and release of amyloid beta-protein involves the endocytic pathway. J Biol Chem. 1994;269:17386–17389. [PubMed]
  • Lacor PN, Buniel MC, Chang L, Fernandez SJ, Gong Y, Viola KL, Lambert MP, Velasco PT, Bigio EH, Finch CE, Krafft GA, Klein WL. Synaptic targeting by Alzheimer's-related amyloid beta oligomers. J Neurosci. 2004;24:10191–10200. [PubMed]
  • LaFerla FM, Green KN, Oddo S. Intracellular amyloid-beta in Alzheimer's disease. Nat Rev Neurosci. 2007;8:499–509. [PubMed]
  • Lazarov O, Robinson J, Tang YP, Hairston IS, Korade-Mirnics Z, Lee VM, Hersh LB, Sapolsky RM, Mirnics K, Sisodia SS. Environmental enrichment reduces Abeta levels and amyloid deposition in transgenic mice. Cell. 2005;120:701–713. [PubMed]
  • Li F, Calingasan NY, Yu F, Mauck WM, Toidze M, Almeida CG, Takahashi RH, Carlson GA, Flint Beal M, Lin MT, Gouras GK. Increased plaque burden in brains of APP mutant MnSOD heterozygous knockout mice. J Neurochem. 2004;89:1308–1312. [PubMed]
  • Lord A, Kalimo H, Eckman C, Zhang XQ, Lannfelt L, Nilsson LN. The Arctic Alzheimer mutation facilitates early intraneuronal Abeta aggregation and senile plaque formation in transgenic mice. Neurobiol Aging. 2006;27:67–77. [PubMed]
  • Lorenzo A, Yuan M, Zhang Z, Paganetti PA, Sturchler-Pierrat C, Staufenbiel M, Mautino J, Vigo FS, Sommer B, Yankner BA. Amyloid beta interacts with the amyloid precursor protein: a potential toxic mechanism in Alzheimer's disease. Nat Neurosci. 2000;3:460–464. [PubMed]
  • Lu B, Gerard NP, Kolakowski LF, Jr., Bozza M, Zurakowski D, Finco O, Carroll MC, Gerard C. Neutral endopeptidase modulation of septic shock. J Exp Med. 1995;181:2271–2275. [PMC free article] [PubMed]
  • Lu W, Man H, Ju W, Trimble WS, MacDonald JF, Wang YT. Activation of synaptic NMDA receptors induces membrane insertion of new AMPA receptors and LTP in cultured hippocampal neurons. Neuron. 2001;29:243–254. [PubMed]
  • Magrane J, Rosen KM, Smith RC, Walsh K, Gouras GK, Querfurth HW. Intraneuronal beta-amyloid expression downregulates the Akt survival pathway and blunts the stress response. J Neurosci. 2005;25:10960–10969. [PubMed]
  • Meyer-Luehmann M, Spires-Jones TL, Prada C, Garcia-Alloza M, de Calignon A, Rozkalne A, Koenigsknecht-Talboo J, Holtzman DM, Bacskai BJ, Hyman BT. Rapid appearance and local toxicity of amyloid-beta plaques in a mouse model of Alzheimer's disease. Nature. 2008;451:720–724. [PMC free article] [PubMed]
  • Mori C, Spooner ET, Wisniewsk KE, Wisniewski TM, Yamaguch H, Saido TC, Tolan DR, Selkoe DJ, Lemere CA. Intraneuronal Abeta42 accumulation in Down syndrome brain. Amyloid. 2002;9:88–102. [PubMed]
  • Oddo S, Billings L, Kesslak JP, Cribbs DH, LaFerla FM. Abeta immunotherapy leads to clearance of early, but not late, hyperphosphorylated tau aggregates via the proteasome. Neuron. 2004;43:321–332. [PubMed]
  • Oddo S, Caccamo A, Smith IF, Green KN, LaFerla FM. A dynamic relationship between intracellular and extracellular pools of Abeta. Am J Pathol. 2006;168:184–194. [PubMed]
  • Oddo S, Caccamo A, Shepherd JD, Murphy MP, Golde TE, Kayed R, Metherate R, Mattson MP, Akbari Y, LaFerla FM. Triple-transgenic model of Alzheimer's disease with plaques and tangles: intracellular Abeta and synaptic dysfunction. Neuron. 2003;39:409–421. [PubMed]
  • Palop JJ, Chin J, Mucke L. A network dysfunction perspective on neurodegenerative diseases. Nature. 2006;443:768–773. [PubMed]
  • Palop JJ, Chin J, Roberson ED, Wang J, Thwin MT, Bien-Ly N, Yoo J, Ho KO, Yu GQ, Kreitzer A, Finkbeiner S, Noebels JL, Mucke L. Aberrant excitatory neuronal activity and compensatory remodeling of inhibitory hippocampal circuits in mouse models of Alzheimer's disease. Neuron. 2007;55:697–711. [PubMed]
  • Perestenko PV, Henley JM. Characterization of the intracellular transport of GluR1 and GluR2 alpha-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid receptor subunits in hippocampal neurons. J Biol Chem. 2003;278:43525–43532. [PMC free article] [PubMed]
  • Puzzo D, Privitera L, Leznik E, Fa M, Staniszewski A, Palmeri A, Arancio O. Picomolar amyloid-beta positively modulates synaptic plasticity and memory in hippocampus. J Neurosci. 2008;28:14537–14545. [PMC free article] [PubMed]
  • Rajendran L, Schneider A, Schlechtingen G, Weidlich S, Ries J, Braxmeier T, Schwille P, Schulz JB, Schroeder C, Simons M, Jennings G, Knolker HJ, Simons K. Efficient inhibition of the Alzheimer's disease beta-secretase by membrane targeting. Science. 2008;320:520–523. [PubMed]
  • Runz H, Rietdorf J, Tomic I, de Bernard M, Beyreuther K, Pepperkok R, Hartmann T. Inhibition of intracellular cholesterol transport alters presenilin localization and amyloid precursor protein processing in neuronal cells. J Neurosci. 2002;22:1679–1689. [PubMed]
  • Selkoe DJ. Alzheimer's disease is a synaptic failure. Science. 2002;298:789–791. [PubMed]
  • Shaked GM, Kummer MP, Lu DC, Galvan V, Bredesen DE, Koo EH. Abeta induces cell death by direct interaction with its cognate extracellular domain on APP (APP 597–624) Faseb J. 2006;20:1254–1256. [PMC free article] [PubMed]
  • Shankar GM, Li S, Mehta TH, Garcia-Munoz A, Shepardson NE, Smith I, Brett FM, Farrell MA, Rowan MJ, Lemere CA, Regan CM, Walsh DM, Sabatini BL, Selkoe DJ. Amyloid-beta protein dimers isolated directly from Alzheimer's brains impair synaptic plasticity and memory. Nat Med. 2008;14:837–842. [PMC free article] [PubMed]
  • Sheng JG, Bora SH, Xu G, Borchelt DR, Price DL, Koliatsos VE. Lipopolysaccharide-induced-neuroinflammation increases intracellular accumulation of amyloid precursor protein and amyloid beta peptide in APPswe transgenic mice. Neurobiol Dis. 2003;14:133–145. [PubMed]
  • Snyder EM, Nong Y, Almeida CG, Paul S, Moran T, Choi EY, Nairn AC, Salter MW, Lombroso PJ, Gouras GK, Greengard P. Regulation of NMDA receptor trafficking by amyloid-beta. Nat Neurosci. 2005;8:1051–1058. [PubMed]
  • Stern Y. Cognitive reserve and Alzheimer disease. Alzheimer Dis Assoc Disord. 2006;20:S69–74. [PubMed]
  • Takahashi RH, Capetillo-Zarate E, Lin MT, Milner TA, Gouras GK. Co-occurrence of Alzheimer's disease beta-amyloid and tau pathologies at synapses. Neurobiol Aging. 2008 Epub ahead of print, doi:10.1016/j.neurobiolaging.2008.07.021.
  • Takahashi RH, Almeida CG, Kearney PF, Yu F, Lin MT, Milner TA, Gouras GK. Oligomerization of Alzheimer's beta-amyloid within processes and synapses of cultured neurons and brain. J Neurosci. 2004;24:3592–3599. [PubMed]
  • Takahashi RH, Milner TA, Li F, Nam EE, Edgar MA, Yamaguchi H, Beal MF, Xu H, Greengard P, Gouras GK. Intraneuronal Alzheimer abeta42 accumulates in multivesicular bodies and is associated with synaptic pathology. Am J Pathol. 2002;161:1869–1879. [PubMed]
  • Tampellini D, Magrane J, Takahashi RH, Li F, Lin MT, Almeida CG, Gouras GK. Internalized antibodies to the Abeta domain of APP reduce neuronal Abeta and protect against synaptic alterations. J Biol Chem. 2007;282:18895–18906. [PubMed]
  • Terry RD, Masliah E, Salmon DP, Butters N, DeTeresa R, Hill R, Hansen LA, Katzman R. Physical basis of cognitive alterations in Alzheimer's disease: synapse loss is the major correlate of cognitive impairment. Ann Neurol. 1991;30:572–580. [PubMed]
  • Wang Z, Edwards JG, Riley N, Provance DW, Jr., Karcher R, Li XD, Davison IG, Ikebe M, Mercer JA, Kauer JA, Ehlers MD. Myosin Vb mobilizes recycling endosomes and AMPA receptors for postsynaptic plasticity. Cell. 2008;135:535–548. [PMC free article] [PubMed]
  • Wirths O, Multhaup G, Czech C, Blanchard V, Moussaoui S, Tremp G, Pradier L, Beyreuther K, Bayer TA. Intraneuronal Abeta accumulation precedes plaque formation in beta-amyloid precursor protein and presenilin-1 double-transgenic mice. Neurosci Lett. 2001;306:116–120. [PubMed]
  • Wong-Riley MT, Welt C. Histochemical changes in cytochrome oxidase of cortical barrels after vibrissal removal in neonatal and adult mice. Proc Natl Acad Sci U S A. 1980;77:2333–2337. [PubMed]
  • Yang AJ, Chandswangbhuvana D, Shu T, Henschen A, Glabe CG. Intracellular accumulation of insoluble, newly synthesized abetan-42 in amyloid precursor protein-transfected cells that have been treated with Abeta1-42. J Biol Chem. 1999;274:20650–20656. [PubMed]
  • Zhang Y, McLaughlin R, Goodyer C, LeBlanc A. Selective cytotoxicity of intracellular amyloid beta peptide1-42 through p53 and Bax in cultured primary human neurons. J Cell Biol. 2002;156:519–529. [PMC free article] [PubMed]