The association of circulating amylin with β-amyloid in familial Alzheimer's disease

Han Ly, Nirmal Verma, Savita Sharma, Deepak Kotiya, Sanda Despa, Erin L. Abner, Peter T. Nelson, Gregory A. Jicha, Donna M. Wilcock, Larry B. Goldstein, Rita Guerreiro, José Brás, Angela J. Hanson, Suzanne Craft, Andrew J. Murray, Geert Jan Biessels, Claire Troakes, Henrik Zetterberg, John Hardy, Tammaryn LashleyAesg, Florin Despa

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

Introduction: This study assessed the hypothesis that circulating human amylin (amyloid-forming) cross-seeds with amyloid beta (Aβ) in early Alzheimer's disease (AD). Methods: Evidence of amylin-AD pathology interaction was tested in brains of 31 familial AD mutation carriers and 20 cognitively unaffected individuals, in cerebrospinal fluid (CSF) (98 diseased and 117 control samples) and in genetic databases. For functional testing, we genetically manipulated amylin secretion in APP/PS1 and non-APP/PS1 rats. Results: Amylin-Aβ cross-seeding was identified in AD brains. High CSF amylin levels were associated with decreased CSF Aβ42 concentrations. AD risk and amylin gene are not correlated. Suppressed amylin secretion protected APP/PS1 rats against AD-associated effects. In contrast, hypersecretion or intravenous injection of human amylin in APP/PS1 rats exacerbated AD-like pathology through disruption of CSF-brain Aβ exchange and amylin-Aβ cross-seeding. Discussion: These findings strengthened the hypothesis of circulating amylin-AD interaction and suggest that modulation of blood amylin levels may alter Aβ-related pathology/symptoms.

Original languageEnglish
Article numbere12130
JournalAlzheimer's and Dementia: Translational Research and Clinical Interventions
Volume7
Issue number1
DOIs
StatePublished - 2021

Bibliographical note

Publisher Copyright:
© 2020 The Authors. Alzheimer's & Dementia: Translational Research & Clinical Interventions published by Wiley Periodicals, Inc. on behalf of Alzheimer's Association.

Funding

● UK Dementia Research Institute, which receives its funding from DRI Ltd, UK Medical Research Council, Alzheimer's Society and Alzheimer's Research UK; Funding in part by: ● National Institutes of Health AG057290, AG053999, NS116058, UK ADC P30 AG028383; ● University of Kentucky Research Alliance to Reduce Diabetes-Associated Microvascular Dysfunction; ● UK Dementia Research Institute, which receives its funding from DRI Ltd, UK Medical Research Council, Alzheimer's Society and Alzheimer's Research UK; ● Medical Research Council (award number MR/N026004/1); ● Wellcome Trust Hardy (award number 202903/Z/16/Z); ● Dolby Family Fund; ● National Institute for Health Research University College London Hospitals Biomedical Research Centre; ● BRCNIHR Biomedical Research Centre at University College London Hospitals NHS Foundation Trust and University College London; ● Wake Forest Alzheimer's Disease Research Center P30 AG049638; ● H.L. is supported by an American Heart Association fellowship (18PRE33990154); ● Alzheimer's Association VMF-15-363458; ● T.L. is supported by an Alzheimer's Research UK Senior Fellowship; ● R.G. and J.B. received fellowships from the Alzheimer's Society. ● Resources from the University of Kentucky COVD Pathology Core were used in this study. Funding in part by:

FundersFunder number
Wellcome Trust Hardy202903/Z/16/Z
National Institutes of Health (NIH)AG053999, NS116058, AG057290
National Institutes of Health (NIH)
American the American Heart Association18PRE33990154
American the American Heart Association
Medical Research CouncilMR/N026004/1
Medical Research Council
Alzheimer's Society
University of London, King's College London, UK
Alzheimer’s Research United Kingdom
University College London Hospitals NHS Foundation Trust
Hong Kong Arts Development CouncilP30 AG028383
Hong Kong Arts Development Council
UCLH Biomedical Research Centre
UK Dementia Research Institute

    ASJC Scopus subject areas

    • Clinical Neurology
    • Psychiatry and Mental health

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