The γ-secretase complex: from structure to function

One of the most critical pathological features of Alzheimer’s disease (AD) is the accumulation of β-amyloid (Aβ) peptides that form extracellular senile plaques in the brain. Aβ is derived from β-amyloid precursor protein (APP) through sequential cleavage by β- and γ-secretases. γ-secretase is a high molecular weight complex minimally composed of four components: presenilins (PS), nicastrin, anterior pharynx defective 1 (APH-1), and presenilin enhancer 2 (PEN-2). In addition to APP, γ-secretase also cleaves many other type I transmembrane (TM) protein substrates. As a crucial enzyme for Aβ production, γ-secretase is an appealing therapeutic target for AD. Here, we summarize current knowledge on the structure and function of γ-secretase, as well as recent progress in developing γ-secretase targeting drugs for AD treatment.

Background

Alzheimer’s disease (AD) is the most prevalent aging associated neurodegenerative disorder, afflicting approximately 10% of the population over age 65 and 30–50% of the population over age 85. A subset (<10%) of AD manifests as familial early-onset AD (FAD; onset in the fourth to sixth decade) and is inherited as an autosomal dominant disorder. Mutations in the genes encoding β-amyloid precursor protein (APP) and presenilins (PS1 and PS2) are causative in the majority of FAD kindred (Goate et al., 1991; Levy-Lahad et al., 1995a; Sherrington et al., 1995; Haass and De Strooper, 1999). Because the clinicopathological features of FAD are apparently indistinguishable from sporadic AD cases, great efforts have been devoted to studying these FAD linked genes and significant progress has been made to reveal mechanisms underlying AD pathogenesis.

The presence of extracellular senile plaques in the brain is a key pathological feature of AD. Senile plaques are largely comprised of variously sized Aβ peptides, where most peptides are represented by Aβ40 and the more deleterious Aβ42 species (Glenner and Wong, 1984; Masters et al., 1985; McColl et al., 2012). Aβ is produced through sequential proteolytic processing of APP by β- and γ-secretases (Haass and Selkoe, 1993; Chami and Checler, 2012). Alternatively, cell surface APP can be cleaved by α-secretase within the Aβ peptide domain to release the non-amyloidogenic soluble APPα, which has been shown to be neuroprotective (Greenfield et al., 2000). Experimental evidence from humans, animal models, and cultured cells all suggest that Aβ is the prime culprit for AD pathogenesis: excessive Aβ triggers a cascade of neurodegenerative events resulting in the formation of neuritic plaques and intra-neuronal fibrillary tangles and neuronal loss in AD (Selkoe, 1998; Greenfield et al., 2000; Golde, 2005). However, some studies suggest that the ratio of Aβ42 to Aβ40, rather than the total amount of Aβ, exhibits better correlation with the age of FAD onset (Kumar-Singh et al., 2006). Due to the importance of Aβ generation in AD pathogenesis, γ-secretase has become an important focus in AD research and has been considered as a potential therapeutic target for the treatment of AD.

Subunits of the γ-Secretase Complex and their Assembly

“γ-secretase” was first used to describe the proteolytic activity that cleaves APP within the transmembrane (TM) domain (Haass and Selkoe, 1993). The γ-secretase complex has since been characterized as a high molecular weight complex that consists of four essential subunits: PS (including PS1 and PS2), nicastrin, anterior pharynx defective 1 (APH-1), and presenilin enhancer 2 (PEN-2; De Strooper, 2003; Kimberly et al., 2003; Iwatsubo, 2004). Because of its complexity, almost a decade was required to identify and define all of the components of the γ-secretase complex (De Strooper, 2003).

In the early 1990s, linkage analysis was performed in several FAD families, and two AD-related loci were found on chromosome 1 and chromosome 14 (Schellenberg et al., 1992; Levy-Lahad et al., 1995b). Subsequently, independent research groups identified two homologous genes in these two loci: PSEN1 (encoding PS1) on chromosome 14 and PSEN2 (encoding PS2) on chromosome 1 (Levy-Lahad et al., 1995a; Rogaev et al., 1995; Sherrington et al., 1995). Until now, more than 150 different AD-causing mutations have been identified in the two PS genes, where most mutations have been found in PSEN1 (Vetrivel et al., 2006; De Strooper et al., 2012). FAD-associated PS mutations are directly linked to APP processing and are all seen to increase the relative abundance of the more aggregation-prone Aβ42 compared to Aβ40 (Borchelt et al., 1996, 1997; Duff et al., 1996; Scheuner et al., 1996; Citron et al., 1997; Siman et al., 2000; Flood et al., 2002; Haass et al., 2012). In addition, FAD-linked mutations in PS1 may also affect the trafficking and consequent processing of APP. For instance, FAD-linked PS1 variants can significantly reduce budding of APP-containing vesicles from both the endoplasmic reticulum (ER) and trans Golgi network (TGN), resulting in decreased delivery of APP to the cell surface and increased APP amyloidogenic processing for Aβ generation (Cai et al., 2003). PSs are multi-transmembrane proteins with an undetermined number of TM domains (Doan et al., 1996; Kim and Schekman, 2004). However a nine TM topology model with the amino-terminus in the cytosol and the carboxyl-terminus exposed to the luminal/extracellular space appears to be the most likely depiction of PS topology (Laudon et al., 2005; Oh and Turner, 2005). In general, full-length PS is inactive and rapidly removed by proteolytic degradation (Thinakaran et al., 1996; Podlisny et al., 1997; Ratovitski et al., 1997; Capell et al., 1998; Grunberg et al., 1998). Funtional PS requires endoproteolytic cleavage between TM6 and TM7 of nascently produced PS to generate a 27–28 kDa amino-terminal fragment (NTF) and a 16–17 kDa carboxyl-terminal fragment (CTF). PS NTF and CTF bind to form stable and active PS heterodimers at a 1:1 stoichiometry (Thinakaran et al., 1996, 1997; Podlisny et al., 1997; Ratovitski et al., 1997; Capell et al., 1998; Grunberg et al., 1998). PSs contain two highly conserved aspartate residues in TM6 (D257 in PS1 and D263 in PS2) and TM7 (D385 in PS1 and D366 in PS2), which are indispensable for γ-secretase activity (Wolfe et al., 1999). PS1 heterodimers can be bound by transition-state analog inhibitors of γ-secretase (Esler et al., 2000), suggesting that PSs are the crucial catalytic components of γ-secretase (Li et al., 2000; Kimberly et al., 2003); this notion is confirmed by in vitro assays (Ahn et al., 2010). Other PS TM domains also mediate PS function. For example, the TM1 of PS1 was shown to function as a subsite for substrate handling during the processive γ-cleavage in the hydrophilic catalytic pore together with TM 6, 7, and 9 (Takagi et al., 2010; Ohki et al., 2014).

Several studies suggested that it is impossible to overexpress functionally active PS, suggesting that additional protein components are required to form mature, stable PS heterodimers (Baumann et al., 1997; Seeger et al., 1997; Thinakaran et al., 1997; Capell et al., 1998; Yu et al., 1998; Li et al., 2000; Culvenor et al., 2004). The first PS cofactor component identified in the γ-secretase complex is nicastrin (named APH-2 in C. elegans), which was identified by screening for modifiers of Notch homologs glp-1 and lin-12 in C. elegans and through immunochemical purification in HEK293 cells (Goutte et al., 2000; Yu et al., 2000). Nicastrin is a 130 kDa type I TM protein that can be highly glycosylated within its ectodomain (Yu et al., 2000; Yang et al., 2002). Nicastrin is considered to be the scaffolding protein within the γ-secretase complex, and its ectodomain is proposed to bind to the free N-terminus of ectodomain-shed substrates, acting as a substrate receptor in γ-secretase (Shah et al., 2005; Dries et al., 2009).

The other two additional γ-secretase components, APH-1 and PEN-2, were identified through genetic screening in C. elegans (Francis et al., 2002; Goutte et al., 2002). PEN-2 spans the membrane twice, with N- and C-terminal domains facing the lumen of the ER (Crystal et al., 2003). There is only one PEN-2 homolog in mammals. Analysis of the APH-1 sequence shows that it contains seven potential TM domains, with the N-terminal domain facing the extracellular space and the C-terminal domain facing the cytosol (Fortna et al., 2004). Two APH-1 homologs, APH-1a and APH-1b have been identified in humans (Francis et al., 2002; Goutte et al., 2002), and one additional homolog APH-1c was identified in mice (Hébert et al., 2004). Mammalian APH-1a has at least two splice variants: APH-1aL and APH-1aS. Since APH1a deletion results in lethality that is not seen in APH-1b and APH-1c gene deletion in mice, different APH-1 isoforms may have different functions. Furthermore, accumulation of APP CTF in specific regions of APH-1bc^−/− mouse brain (which is equivalent to APH-1b deficiency in humans) suggests that APH-1b might be important in the production of Aβ (Serneels et al., 2005). A recent study suggested that γ-secretase complex containing APH-1b tends to generate longer Aβ peptides than complexes containing APH-1a (Acx et al., 2014).

Several studies have demonstrated that the four components of γ-secretase cross-regulate each other coordinately. Down-regulation or deficiency of one given component typically destablizes other components and alters their trafficking/maturation (De Strooper, 2003; Iwatsubo, 2004). For example, in the absence of PS1, PEN-2 is sequestered in the ER and cannot be transported to post-ER components where the mature γ-secretase complex resides (Wang et al., 2004). PS deficiency also leads to destabilization of PEN-2 (Steiner et al., 2002; Luo et al., 2003), which is degraded via the proteasome-mediated pathway (Bergman et al., 2004; Crystal et al., 2004). On the other hand, down-regulation of PEN-2 by small interfering RNA results in an accumulation of full-length PS1 and a reduction of PS1 fragments, suggesting that PEN-2 is involved in PS1 endoproteolysis (Luo et al., 2003). Intracellular trafficking and maturation of nicastrin are also PS dependent. In the absence of PS, nicastrin fails to reach the medial Golgi compartment and becomes only partially glycosylated (Leem et al., 2002). Moreover, nicastrin deficiency reduces the levels of APH-1, PEN-2 and PS1 fragments, and affects their intracellular trafficking (Li et al., 2003a,b; Zhang et al., 2005). Similarly, in APH-1a knockout cells, the levels of nicastrin, PEN-2 and PS1 fragments are reduced (Ma et al., 2005).

The events leading to the formation of a mature γ-secretase complex start from the formation of an initial scaffolding complex composed of APH-1 and nicastrin (LaVoie et al., 2003). The proximal C-terminus of the PS holoprotein then binds to the APH1-nicastrin subcomplex by interacting with the TM domain of nicastrin (Kaether et al., 2004; Jiang et al., 2014). Following PS binding, PEN-2 is incorporated into the complex by interacting with TM4 of PS (Kim and Sisodia, 2005; Watanabe et al., 2005). At the final step, the loop domain between TM6 and TM7 of PS1 is cleaved by endoproteolysis (Fukumori et al., 2010). Alternatively, the APH-1-nicastrin subcomplex may bind directly to a cognate PS1-PEN-2 structure to generate the mature γ-secretase complex (Shirotani et al., 2004; Capell et al., 2005). Several polar residues within APH1 TM domains have been shown to contribute to the assembly and activity of the mature γ-secretase complex (Pardossi-Piquard et al., 2009c), and have been speculated to be involved in γ-secretase substrate presentation (Chen et al., 2010). PEN-2 has also been suggested to be important for stabilizing the complex (Steiner et al., 2002; Prokop et al., 2004, 2005; St George-Hyslop and Fraser, 2012).

Several proteins have been proposed as additional γ-secretase modulatory components, which are not essential for γ-secretase activity. Proteins including CD147 (Zhou et al., 2005), TMP21 (Chen et al., 2006) and γ-secretase activating protein (GSAP; He et al., 2010) have been proposed to selectively modulate Aβ production, but do not affect Notch cleavage. CD147 is a TM glycoprotein, which interacts with all four essential γ-secretase components (Zhou et al., 2005). Downregulation of CD147 increases Aβ production, whereas overexpression of CD147 has no effect on Aβ generation (Zhou et al., 2005). However, another report suggests that CD147 modulates Aβ levels by stimulating the extracellular degradation of Aβ rather than regulating γ-secretase activity directly (Vetrivel et al., 2008). TMP21 is another protein that binds to the γ-secretase complex and regulates γ-cleavage but not ε-cleavage through its TM domain (Chen et al., 2006; Pardossi-Piquard et al., 2009a). However, another study failed to confirm the interaction between TMP21 and γ-secretase, and instead demonstrates that TMP21 influences Aβ generation through APP trafficking (Vetrivel et al., 2007). Recently, a novel GSAP was identified to selectively increase Aβ production through its interaction with both γ-secretase and the APP CTF (He et al., 2010), though interaction between GSAP and APP CTF remains controversial (Hussain et al., 2013). Although the cancer drug Imatinib was reported to also reduce Aβ levels and tau phosphorylation in an AD mouse model by modulating γ-secretase activity and GSAP levels (Chu et al., 2014), these effects could not be reproduced by other groups. Rather, additional studies found that Imatinib had no effect on blood Aβ42 levels in human cancer patients and Aβ production in rats and cell models (Hussain et al., 2013; Olsson et al., 2014).

Structural Characterization of the γ-Secretase Complex

The γ-secretase complex has a molecular weight of approximately 170 kDa, with an additional 30–70 kDa derived from nicastrin glycosylation (Schedin-Weiss et al., 2014), reaching a total size of about 230 kDa with 19 TMs. Structural characterization of the γ-secretase complex is very important for understanding how it recognizes and processes membrane-embedded substrates. However, clarifying details of the γ-secretase structure has gone through a long journey, mainly due to the challenge of expression and purification of an intact γ-secretase complex. The structural information of the γ-secretase complex has been primarily obtained by electron microscopy analysis with a maximum resolution of 12 Å (Lazarov et al., 2006; Ogura et al., 2006; Osenkowski et al., 2009; Renzi et al., 2011; Li et al., 2014), revealing a globular structure with several extracellular domains, three water-accessible cavities, and a potential substrate-binding surface groove in the TM region (Osenkowski et al., 2009). The first solution-state structure of human PS1 CTF was determined by nuclear magnetic resonance, demonstrating that PS1 CTF traverses the membrane three times (Sobhanifar et al., 2010), which is consistent with the widely accepted nine TM structure of PS1 (Laudon et al., 2005; Oh and Turner, 2005). Crystal structure of an archaeal PS homolog also reveals a nine TM topology, with two catalytic aspartate residues located on the cytoplasmic side of TM6 and TM7, and two potential routes for substrate entry (Li et al., 2013).

Recently a three-dimensional structure of the intact human γ-secretase complex was determined by cryo-electronmicroscopy with a resolution of 4.5 Å. The overall structural model comprises a horseshoe-shaped structure with 19 TMs and a bilobed ectodomain representing nicastrin (Lu et al., 2014). Although the resolution is still insufficient to observe atomic details, it was a pioneering step to survey the complete architecture of the γ-secretase complex. The current speculative model suggests that PS1 and PEN-2 are located to the “thick” end of the horseshoe shape, whereas APH-1 and nicastrin are located toward the “thin” end (Lu et al., 2014; Wolfe and Selkoe, 2014). Most recently, results from the same lab presented a crystal structure of nicastrin at 1.95 Å resolution, which is the first atomic-resolution structure for a γ-secretase component (Xie et al., 2014). The extracellular domain of nicastrin contains a large lobe and a small lobe. The large lobe of nicastrin, thought to be responsible for substrate recognition, associates with the small lobe through a hydrophobic pivot at the center (Xie et al., 2014). Based on this new model, nicastrin, APH-1 and PS CTF are likely to be located at the “thick” end of the horseshoe shape, whereas PEN-2 and PS NTF are located toward the “thin” end (Bolduc and Wolfe, 2014; Lu et al., 2014; Xie et al., 2014). Further work is required to elucidate structural details of other γ-secretase components at the atomic level.

Biological Functions of γ-Secretase

γ-secretase belongs to the family of intramembrane cleaving proteases (i-CLiPs), which includes the presenilin family of aspartyl proteases, the zinc metalloprotease site-2 protease family and the rhomboid family of serine proteases. All i-CLiPs enzymatically cleave their substrates within the plane of the lipid bilayer in a process termed regulated intramembrane proteolysis (Brown et al., 2000; Kopan and Ilagan, 2004). γ-secretase is mainly involved in intramembranous proteolysis of type I membrane proteins. It cleaves numerous functionally important proteins, such as APP (De Strooper et al., 1998), Notch (De Strooper et al., 1999), E-cadherin (Marambaud et al., 2002), ErbB4 (Ni et al., 2001), CD44 (Lammich et al., 2002), tyrosinase (Wang et al., 2006), TREM2 (Wunderlich et al., 2013) and Alcadein (Hata et al., 2012) among others, suggesting the participation of γ-secretase in a vast range of biological activities (Haapasalo and Kovacs, 2011). The best-studied γ-secretase substrates are APP for its roles in AD, and Notch for its importance in development and cell fate determination (Kopan and Ilagan, 2009; Andersson et al., 2011).

During Notch cleavage, γ-secretase releases a Notch intracellular domain (NICD) within the cytosol. NICD can translocate into the nucleus and regulate gene transcription (Kopan et al., 1996; Schroeter et al., 1998). Notch signaling plays a critical role in short-range cell-cell communication during development, as it controls cell fate by regulating cell proliferation, survival, positioning and differentiation (Kopan and Ilagan, 2009; Andersson et al., 2011). Altered expression of Notch target genes such as hairy and enhancer of split (HES) family leads to severe developmental defects. Ablation of γ-secretase by PS1 (Donoviel et al., 1999), nicastrin (Li et al., 2003a,b) and APH-1 (Ma et al., 2005) gene deletion results in embryonic lethality in mice due to ablation of the Notch pathway. Conditional PS1 deletion in various tissues also causes defects associated with Notch pathway, such as defective T- and B-cell differentiation (Doerfler et al., 2001; Hadland et al., 2001; Qyang et al., 2004; Tournoy et al., 2004; Wong et al., 2004), bloody diarrhea as a consequence of gastrointestinal toxicity (Searfoss et al., 2003; Wong et al., 2004; van Es et al., 2005), skin and hair defects (Xia et al., 2001; Tournoy et al., 2004), and depletion of neural progenitor cells accompanied by severe morphological defects and hemorrhages in the developing brain (Kim and Shen, 2008).

APP is initially cleaved by α- or β-secretase, and the remaining membrane-bound C-terminal fragments of APP (APP αCTF and βCTF) are further cleaved by γ-secretase to generate p83 or Aβ, respectively. The p83 fragment is rapidly degraded and widely believed to have negligible function, whereas Aβ is neurotoxic (Selkoe, 2001; Zhang et al., 2011; Proctor et al., 2012; Slowik et al., 2012; Youmans et al., 2012; Chen et al., 2013; Rosén et al., 2013). In addition to releasing Aβ40 and Aβ42, γ-secretase cleavage also generates Aβ46 (ζ-site) (Zhao et al., 2004, 2007) and Aβ49 (ε-site) (Sastre et al., 2001; Weidemann et al., 2002). The existence of different Aβ species, including the shorter Aβ38 fragments suggests that γ-secretase cleaves APP in a sequential manner, first at the ε-site, followed by at the ζ-site, the γ-site, and possibly other sites (Takami et al., 2009; Okochi et al., 2013).

In addition to generating Aβ, γ-secretase cleavage of APP also generates an APP intracellular domain (AICD) within the cell. Similar to NICD, we and others have found that AICD also possess transcriptional transactivation activity and can regulate the transcription of multiple genes including APP, GSK-3b, KAI1, neprilysin, BACE1, p53, EGFR, and LRP1 (Baek et al., 2002; Kim et al., 2003; von Rotz et al., 2004; Pardossi-Piquard et al., 2005; Liu et al., 2007; Zhang et al., 2007). In addition, free AICD can induce apoptosis and may play a role in sensitizing neurons to toxic stimuli (Kinoshita et al., 2002; Giliberto et al., 2008).

Alternative Non-Proteolytic Functions for γ-Secretase Components

Although PS (Donoviel et al., 1999), nicastrin (Li et al., 2003a,b), or APH-1 (Ma et al., 2005) gene deletion in mice results in lethality and abnormal embryonic phenotypes which resemble that of Notch null mice (Swiatek et al., 1994; Conlon et al., 1995; Huppert et al., 2000), specific phenotypes among different gene deletion strains are not identical, implying that each of these γ-secretase components may have its own unique physiological functions in addition to the γ-secretase activity.

PSs have been thoroughly studied for decades and has been associated with multiple functions, including calcium homeostasis, neurite outgrowth, apoptosis, autophagy, synaptic function, and tumorigenesis (Sisodia et al., 1999; Leem et al., 2002; Thinakaran and Parent, 2004; Kang et al., 2005; Lee et al., 2010; Torres et al., 2012; Bezprozvanny and Hiesinger, 2013; Eimer and Vassar, 2013; Veeraraghavalu et al., 2013; Wang et al., 2014). Several FAD mutations in PSs result in enhanced calcium release via inositol 1,4,5-trisphosphate receptors (IsnP3R) and the ryanodine receptors (RyR) receptors (Cheung et al., 2008; Hayrapetyan et al., 2008; Bezprozvanny and Hiesinger, 2013; Del Prete et al., 2014). PSs also function as passive ER calcium leak channels, and some FAD mutations in PSs disrupt the ER calcium leak function, resulting in elevated ER calcium levels and impaired store-operated calcium entry (Tu et al., 2006; Zhang et al., 2010; Bezprozvanny and Hiesinger, 2013). Moreover, autophagic/lysosomal deficits found in neurons of PS1 deficient mice indicate an essential role of PS1 in lysosomal-dependent proteolysis (Lee et al., 2010). Some studies reported that PSs could participate in neurotransmitter release and regulate synaptic scaling independent of γ-secretase activity (Zhang et al., 2009; Pratt et al., 2011).

Age-related neuronal and synaptic loss and synaptic plasticity deficits in nicastrin conditional knockout mice demonstrates essential roles of nicastrin in regulation of learning and memory and the maintenance of neuronal survival in the brain (Tabuchi et al., 2009; Lee et al., 2014). Furthermore, nicastrin is found to control cell death via Akt and p53-dependent pathways at the post-transcriptional level in a γ-secretase activity-independent manner (Pardossi-Piquard et al., 2009b). APH-1 and PEN2 are also shown to trigger an anti-apoptotic response by lowering p53-dependent control of caspase-3 (Dunys et al., 2007).

γ-Secretase as a Therapeutic Target for AD

γ-secretase is an attractive therapeutic target for AD due to its essential role in the generation of Aβ. Early drug discovery efforts focused on the development of γ-secretase inhibitors (GSIs). However, general inhibition of γ-secretase may potentially result in severe consequences by interfering with other physiological and developmental processes such as its involvement in proteolysis of non-AD components including Notch (Wong et al., 2004; Haapasalo and Kovacs, 2011; Imbimbo et al., 2011; Schor, 2011; Tamayev and D’Adamio, 2012). In a phase III clinical trial of the GSI semagacestat, it was found that semagacestat not only had no effect on improving cognitive status, but also was associated with more adverse events including skin cancers and infections, compared to placebo controls (Doody et al., 2013).

Therefore, the drug discovery efforts have shifted to the development of γ-secretase modulators (GSMs), which are γ-secretase targeting compounds that alter Aβ production without significantly lowering the normal physiological function of Notch and other substrates(Crump et al., 2013). A subset of nonsteroidal anti-inflammatory drugs (NSAIDs) was the first GSM compounds identified (Weggen et al., 2001). R-flurbiprofen (or Tarenflurbil), a single enantiomer of a clinically approved racemic NSAID, had showed some efficacy in a phase II clinical trial with a subgroup of patients suffering from mild AD (Wilcock et al., 2008). However, R-flurbiprofen did not show significant improvement compared to placebo controls during phase III clinical trials (Green et al., 2009). The first generation of GSM compounds demonstrate limited pharmacological potential due to low potency and undesired neuropharmacokinetic properties, while second generation GSMs such as E2012 and EVP-0015962 show improved potency and brain availability and encouraging preclinical profiles in recent years (Oehlrich et al., 2011; Pettersson et al., 2011, 2013). Second generation GSMs can be generally divided into acid GSMs, non-acid GSMs and natural product derived GSMs (Crump et al., 2013; Golde et al., 2013). Acid GSMs, including GSM-1 and its analogs (GSM-2 and GSM-10h) and EVP-0015962 usually reduce Aβ42 and increase Aβ38 levels (Page et al., 2008; Hawkins et al., 2011; Mitani et al., 2012; Rogers et al., 2012). E2012, the first non-acid GSM to enter clinical development, lowers Aβ42 and Aβ40 and raises Aβ37 and Aβ38 levels (Portelius et al., 2010; Borgegard et al., 2012; Crump et al., 2013). Recently identified natural product derived GSMs appear to be unusual as they decrease both Aβ42 and Aβ38 (Hubbs et al., 2012; Loureiro et al., 2013).

Concluding Remarks

The γ-secretase complex plays crucial roles in various physiological processes. Because of the importance of γ-secretase in Aβ generation, γ-secretase has been targeted for AD drug development, but with little success so far due to the complexity of its structural organization and the varied nature of its multiple substrates. A better understanding of the structure-function relationship of γ-secretase will help in developing modulators which limit cleavage of other important physiological γ-secretase substrates for use in AD therapy.

Conflict of Interest Statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Acknowledgments

We thank Timothy Huang for proofreading this manuscript. This work was supported by grants from National Natural Science Foundation of China (81225008, 81161120496, 91332112, 91332114 and 81000540), Natural Science Foundation of Fujian Province of China (2010J01235), and Fundamental Research Funds for the Central Universities of China.

References

Acx, H., Chávez-Gutiérrez, L., Serneels, L., Lismont, S., Benurwar, M., Elad, N., et al. (2014). Signature amyloid beta profiles are produced by different gamma-secretase complexes. J. Biol. Chem. 289, 4346–4355. doi: 10.1074/jbc.m113.530907

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Ahn, K., Shelton, C. C., Tian, Y., Zhang, X., Gilchrist, M. L., Sisodia, S. S., et al. (2010). Activation and intrinsic gamma-secretase activity of presenilin 1. Proc. Natl. Acad. Sci. U S A 107, 21435–21440. doi: 10.1073/pnas.1013246107

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Andersson, E. R., Sandberg, R., and Lendahl, U. (2011). Notch signaling: simplicity in design, versatility in function. Development 138, 3593–3612. doi: 10.1242/dev.063610

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Baek, S. H., Ohgi, K. A., Rose, D. W., Koo, E. H., Glass, C. K., and Rosenfeld, M. G. (2002). Exchange of N-CoR corepressor and Tip60 coactivator complexes links gene expression by NF-kappaB and beta-amyloid precursor protein. Cell 110, 55–67. doi: 10.1016/s0092-8674(02)00809-7

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Baumann, K., Paganetti, P. A., Sturchler-Pierrat, C., Wong, C., Hartmann, H., Cescato, R., et al. (1997). Distinct processing of endogenous and overexpressed recombinant presenilin 1. Neurobiol. Aging 18, 181–189. doi: 10.1016/s0197-4580(97)00004-3

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Bergman, A., Hansson, E. M., Pursglove, S. E., Farmery, M. R., Lannfelt, L., Lendahl, U., et al. (2004). Pen-2 is sequestered in the endoplasmic reticulum and subjected to ubiquitylation and proteasome-mediated degradation in the absence of presenilin. J. Biol. Chem. 279, 16744–16753. doi: 10.1074/jbc.m313999200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Bezprozvanny, I., and Hiesinger, P. R. (2013). The synaptic maintenance problem: membrane recycling, Ca2+ homeostasis and late onset degeneration. Mol. Neurodegener. 8:23. doi: 10.1186/1750-1326-8-23

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Bolduc, D. M., and Wolfe, M. S. (2014). Structure of nicastrin unveils secrets of gamma-secretase. Proc. Natl. Acad. Sci. U S A 111, 14643–14644. doi: 10.1073/pnas.1416637111

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Borchelt, D. R., Ratovitski, T., van Lare, J., Lee, M. K., Gonzales, V., Jenkins, N. A., et al. (1997). Accelerated amyloid deposition in the brains of transgenic mice coexpressing mutant presenilin 1 and amyloid precursor proteins. Neuron 19, 939–945. doi: 10.1016/s0896-6273(00)80974-5

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Borchelt, D. R., Thinakaran, G., Eckman, C. B., Lee, M. K., Davenport, F., Ratovitsky, T., et al. (1996). Familial Alzheimer’s disease-linked presenilin 1 variants elevate Abeta1–42/1–40 ratio in vitro and in vivo. Neuron 17, 1005–1013. doi: 10.1016/s0896-6273(00)80230-5

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Borgegard, T., Juréus, A., Olsson, F., Rosqvist, S., Sabirsh, A., Rotticci, D., et al. (2012). First and second generation gamma-secretase modulators (GSMs) modulate amyloid-beta (Abeta) peptide production through different mechanisms. J. Biol. Chem. 287, 11810–11819. doi: 10.1074/jbc.m111.305227

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Brown, M. S., Ye, J., Rawson, R. B., and Goldstein, J. L. (2000). Regulated intramembrane proteolysis: a control mechanism conserved from bacteria to humans. Cell 100, 391–398. doi: 10.1016/s0092-8674(00)80675-3

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Cai, D., Leem, J. Y., Greenfield, J. P., Wang, P., Kim, B. S., Wang, R., et al. (2003). Presenilin-1 regulates intracellular trafficking and cell surface delivery of beta-amyloid precursor protein. J. Biol. Chem. 278, 3446–3454. doi: 10.1074/jbc.m209065200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Capell, A., Beher, D., Prokop, S., Steiner, H., Kaether, C., Shearman, M. S., et al. (2005). Gamma-secretase complex assembly within the early secretory pathway. J. Biol. Chem. 280, 6471–6478. doi: 10.1074/jbc.m409106200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Capell, A., Grünberg, J., Pesold, B., Diehlmann, A., Citron, M., Nixon, R., et al. (1998). The proteolytic fragments of the Alzheimer’s disease-associated presenilin-1 form heterodimers and occur as a 100–150-kDa molecular mass complex. J. Biol. Chem. 273, 3205–3211. doi: 10.1074/jbc.273.6.3205

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Chami, L., and Checler, F. (2012). BACE1 is at the crossroad of a toxic vicious cycle involving cellular stress and beta-amyloid production in Alzheimer’s disease. Mol. Neurodegener. 7:52. doi: 10.1186/1750-1326-7-52

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Chen, A. C., Guo, L. Y., Ostaszewski, B. L., Selkoe, D. J., and LaVoie, M. J. (2010). Aph-1 associates directly with full-length and C-terminal fragments of gamma-secretase substrates. J. Biol. Chem. 285, 11378–11391. doi: 10.1074/jbc.m109.088815

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Chen, F., Hasegawa, H., Schmitt-Ulms, G., Kawarai, T., Bohm, C., Katayama, T., et al. (2006). TMP21 is a presenilin complex component that modulates gamma-secretase but not epsilon-secretase activity. Nature 440, 1208–1212. doi: 10.1038/nature04667

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Chen, G. J., Xiong, Z., and Yan, Z. (2013). Abeta impairs nicotinic regulation of inhibitory synaptic transmission and interneuron excitability in prefrontal cortex. Mol. Neurodegener. 8:3. doi: 10.1186/1750-1326-8-3

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Cheung, K. H., Shineman, D., Müller, M., Cárdenas, C., Mei, L., Yang, J., et al. (2008). Mechanism of Ca2+ disruption in Alzheimer’s disease by presenilin regulation of InsP3 receptor channel gating. Neuron 58, 871–883. doi: 10.1016/j.neuron.2008.04.015

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Chu, J., Lauretti, E., Craige, C. P., and Pratico, D. (2014). Pharmacological modulation of GSAP reduces amyloid-beta levels and tau phosphorylation in a mouse model of Alzheimer’s disease with plaques and tangles. J. Alzheimers Dis. 41, 729–737. doi: 10.3233/JAD-140105

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Citron, M., Westaway, D., Xia, W., Carlson, G., Diehl, T., Levesque, G., et al. (1997). Mutant presenilins of Alzheimer’s disease increase production of 42-residue amyloid beta-protein in both transfected cells and transgenic mice. Nat. Med. 3, 67–72. doi: 10.1038/nm0197-67

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Conlon, R. A., Reaume, A. G., and Rossant, J. (1995). Notch1 is required for the coordinate segmentation of somites. Development 121, 1533–1545.

Pubmed Abstract | Pubmed Full Text | Google Scholar

Crump, C. J., Johnson, D. S., and Li, Y. M. (2013). Development and mechanism of gamma-secretase modulators for Alzheimer’s disease. Biochemistry 52, 3197–3216. doi: 10.1021/bi400377p

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Crystal, A. S., Morais, V. A., Fortna, R. R., Carlin, D., Pierson, T. C., Wilson, C. A., et al. (2004). Presenilin modulates Pen-2 levels posttranslationally by protecting it from proteasomal degradation. Biochemistry 43, 3555–3563. doi: 10.1021/bi0361214

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Crystal, A. S., Morais, V. A., Pierson, T. C., Pijak, D. S., Carlin, D., Lee, V. M., et al. (2003). Membrane topology of gamma-secretase component PEN-2. J. Biol. Chem. 278, 20117–20123. doi: 10.1074/jbc.m213107200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Culvenor, J. G., Ilaya, N. T., Ryan, M. T., Canterford, L., Hoke, D. E., Williamson, N. A., et al. (2004). Characterization of presenilin complexes from mouse and human brain using Blue Native gel electrophoresis reveals high expression in embryonic brain and minimal change in complex mobility with pathogenic presenilin mutations. Eur. J. Biochem. 271, 375–385. doi: 10.1046/j.1432-1033.2003.03936.x

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Del Prete, D., Checler, F., and Chami, M. (2014). Ryanodine receptors: physiological function and deregulation in Alzheimer disease. Mol. Neurodegener. 9:21. doi: 10.1186/1750-1326-9-21

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

De Strooper, B. (2003). Aph-1, Pen-2 and Nicastrin with Presenilin generate an active gamma-Secretase complex. Neuron 38, 9–12. doi: 10.1016/s0896-6273(03)00205-8

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

De Strooper, B., Annaert, W., Cupers, P., Saftig, P., Craessaerts, K., Mumm, J. S., et al. (1999). A presenilin-1-dependent gamma-secretase-like protease mediates release of Notch intracellular domain. Nature 398, 518–522. doi: 10.1038/19083

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

De Strooper, B., Iwatsubo, T., and Wolfe, M. S. (2012). Presenilins and gamma-secretase: structure, function and role in Alzheimer disease. Cold Spring Harb. Perspect. Med. 2:a006304. doi: 10.1101/cshperspect.a006304

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

De Strooper, B., Saftig, P., Craessaerts, K., Vanderstichele, H., Guhde, G., Annaert, W., et al. (1998). Deficiency of presenilin-1 inhibits the normal cleavage of amyloid precursor protein. Nature 391, 387–390. doi: 10.1038/34910

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Doan, A., Thinakaran, G., Borchelt, D. R., Slunt, H. H., Ratovitsky, T., Podlisny, M., et al. (1996). Protein topology of presenilin 1. Neuron 17, 1023–1030. doi: 10.1016/S0896-6273(00)80232-9

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Doerfler, P., Shearman, M. S., and Perlmutter, R. M. (2001). Presenilin-dependent gamma-secretase activity modulates thymocyte development. Proc. Natl. Acad. Sci. U S A 98, 9312–9317. doi: 10.1073/pnas.161102498

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Donoviel, D. B., Hadjantonakis, A. K., Ikeda, M., Zheng, H., Hyslop, P. S., and Bernstein, A. (1999). Mice lacking both presenilin genes exhibit early embryonic patterning defects. Genes Dev. 13, 2801–2810. doi: 10.1101/gad.13.21.2801

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Doody, R. S., Raman, R., Farlow, M., Iwatsubo, T., Vellas, B., Joffe, S., et al. (2013). A phase 3 trial of semagacestat for treatment of Alzheimer’s disease. N. Engl. J. Med. 369, 341–350. doi: 10.1056/NEJMoa1210951

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Dries, D. R., Shah, S., Han, Y. H., Yu, C., Yu, S., Shearman, M. S., et al. (2009). Glu-333 of nicastrin directly participates in gamma-secretase activity. J. Biol. Chem. 284, 29714–29724. doi: 10.1074/jbc.m109.038737

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Duff, K., Eckman, C., Zehr, C., Yu, X., Prada, C. M., Perez-tur, J., et al. (1996). Increased amyloid-beta42(43) in brains of mice expressing mutant presenilin 1. Nature 383, 710–713. doi: 10.1038/383710a0

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Dunys, J., Kawarai, T., Sevalle, J., Dolcini, V., George-Hyslop, P. S., Da Costa, C. A., et al. (2007). p53-Dependent Aph-1 and Pen-2 anti-apoptotic phenotype requires the integrity of the gamma-secretase complex but is independent of its activity. J. Biol. Chem. 282, 10516–10525. doi: 10.1074/jbc.m611572200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Eimer, W. A., and Vassar, R. (2013). Neuron loss in the 5XFAD mouse model of Alzheimer’s disease correlates with intraneuronal Abeta42 accumulation and Caspase-3 activation. Mol. Neurodegener. 8:2. doi: 10.1186/1750-1326-8-2

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Esler, W. P., Kimberly, W. T., Ostaszewski, B. L., Diehl, T. S., Moore, C. L., Tsai, J. Y., et al. (2000). Transition-state analogue inhibitors of gamma-secretase bind directly to presenilin-1. Nat. Cell Biol. 2, 428–434. doi: 10.1038/35017062

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Flood, D. G., Reaume, A. G., Dorfman, K. S., Lin, Y. G., Lang, D. M., Trusko, S. P., et al. (2002). FAD mutant PS-1 gene-targeted mice: increased A beta 42 and A beta deposition without APP overproduction. Neurobiol. Aging 23, 335–348. doi: 10.1016/s0197-4580(01)00330-x

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Fortna, R. R., Crystal, A. S., Morais, V. A., Pijak, D. S., Lee, V. M., and Doms, R. W. (2004). Membrane topology and nicastrin-enhanced endoproteolysis of APH-1, a component of the gamma-secretase complex. J. Biol. Chem. 279, 3685–3693. doi: 10.1074/jbc.m310505200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Francis, R., McGrath, G., Zhang, J., Ruddy, D. A., Sym, M., Apfeld, J., et al. (2002). aph-1 and pen-2 are required for Notch pathway signaling, gamma-secretase cleavage of betaAPP and presenilin protein accumulation. Dev. Cell 3, 85–97. doi: 10.1016/S1534-5807(02)00189-2

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Fukumori, A., Fluhrer, R., Steiner, H., and Haass, C. (2010). Three-amino acid spacing of presenilin endoproteolysis suggests a general stepwise cleavage of gamma-secretase-mediated intramembrane proteolysis. J. Neurosci. 30, 7853–7862. doi: 10.1523/jneurosci.1443-10.2010

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Giliberto, L., Zhou, D., Weldon, R., Tamagno, E., De Luca, P., Tabaton, M., et al. (2008). Evidence that the Amyloid beta Precursor Protein-intracellular domain lowers the stress threshold of neurons and has a “regulated” transcriptional role. Mol. Neurodegener. 3:12. doi: 10.1186/1750-1326-3-12

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Glenner, G. G., and Wong, C. W. (1984). Alzheimer’s disease: initial report of the purification and characterization of a novel cerebrovascular amyloid protein. Biochem. Biophys. Res. Commun. 120, 885–890. doi: 10.1016/S0006-291X(84)80190-4

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Goate, A., Chartier-Harlin, M. C., Mullan, M., Brown, J., Crawford, F., Fidani, L., et al. (1991). Segregation of a missense mutation in the amyloid precursor protein gene with familial Alzheimer’s disease. Nature 349, 704–706. doi: 10.1038/349704a0

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Golde, T. E. (2005). The Abeta hypothesis: leading us to rationally-designed therapeutic strategies for the treatment or prevention of Alzheimer disease. Brain Pathol. 15, 84–87. doi: 10.1111/j.1750-3639.2005.tb00104.x

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Golde, T. E., Koo, E. H., Felsenstein, K. M., Osborne, B. A., and Miele, L. (2013). gamma-Secretase inhibitors and modulators. Biochim. Biophys. Acta 1828, 2898–2907. doi: 10.1016/j.bbamem.2013.06.005

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Goutte, C., Hepler, W., Mickey, K. M., and Priess, J. R. (2000). aph-2 encodes a novel extracellular protein required for GLP-1-mediated signaling. Development 127, 2481–2492.

Pubmed Abstract | Pubmed Full Text | Google Scholar

Goutte, C., Tsunozaki, M., Hale, V. A., and Priess, J. R. (2002). APH-1 is a multipass membrane protein essential for the Notch signaling pathway in Caenorhabditis elegans embryos. Proc. Natl. Acad. Sci. U S A 99, 775–779. doi: 10.1073/pnas.022523499

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Green, R. C., Schneider, L. S., Amato, D. A., Beelen, A. P., Wilcock, G., Swabb, E. A., et al. (2009). Effect of tarenflurbil on cognitive decline and activities of daily living in patients with mild Alzheimer disease: a randomized controlled trial. JAMA 302, 2557–2564. doi: 10.1001/jama.2009.1866

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Greenfield, J. P., Gross, R. S., Gouras, G. K., and Xu, H. (2000). Cellular and molecular basis of beta-amyloid precursor protein metabolism. Front. Biosci. 5, D72–D83. doi: 10.2741/greenfield

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Grunberg, J., Walter, J., Loetscher, H., Deuschle, U., Jacobsen, H., and Haass, C. (1998). Alzheimer’s disease associated presenilin-1 holoprotein and its 18–20 kDa C-terminal fragment are death substrates for proteases of the caspase family. Biochemistry 37, 2263–2270. doi: 10.1021/bi972106l

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Haapasalo, A., and Kovacs, D. M. (2011). The many substrates of presenilin/gamma-secretase. J. Alzheimers Dis. 25, 3–28. doi: 10.3233/JAD-2011-101065

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Haass, C., and De Strooper, B. (1999). The presenilins in Alzheimer’s disease–proteolysis holds the key. Science 286, 916–919. doi: 10.1126/science.286.5441.916

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Haass, C., Kaether, C., Thinakaran, G., and Sisodia, S. (2012). Trafficking and proteolytic processing of APP. Cold Spring Harb. Perspect. Med. 2:a006270. doi: 10.1101/cshperspect.a006270

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Haass, C., and Selkoe, D. J. (1993). Cellular processing of beta-amyloid precursor protein and the genesis of amyloid beta-peptide. Cell 75, 1039–1042. doi: 10.1016/0092-8674(93)90312-e

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Hadland, B. K., Manley, N. R., Su, D., Longmore, G. D., Moore, C. L., Wolfe, M. S., et al. (2001). Gamma -secretase inhibitors repress thymocyte development. Proc. Natl. Acad. Sci. U S A 98, 7487–7491. doi: 10.1073/pnas.131202798

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Hata, S., Taniguchi, M., Piao, Y., Ikeuchi, T., Fagan, A. M., Holtzman, D. M., et al. (2012). Multiple gamma-secretase product peptides are coordinately increased in concentration in the cerebrospinal fluid of a subpopulation of sporadic Alzheimer’s disease subjects. Mol. Neurodegener. 7:16. doi: 10.1186/1750-1326-7-16

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Hawkins, J., Harrison, D. C., Ahmed, S., Davis, R. P., Chapman, T., Marshall, I., et al. (2011). Dynamics of Abeta42 reduction in plasma, CSF and brain of rats treated with the gamma-secretase modulator, GSM-10h. Neurodegener. Dis. 8, 455–464. doi: 10.1159/000324511

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text

Hayrapetyan, V., Rybalchenko, V., Rybalchenko, N., and Koulen, P. (2008). The N-terminus of presenilin-2 increases single channel activity of brain ryanodine receptors through direct protein-protein interaction. Cell Calcium 44, 507–518. doi: 10.1016/j.ceca.2008.03.004

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

He, G., Luo, W., Li, P., Remmers, C., Netzer, W. J., Hendrick, J., et al. (2010). Gamma-secretase activating protein is a therapeutic target for Alzheimer’s disease. Nature 467, 95–98. doi: 10.1038/nature09325

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Hébert, S. S., Serneels, L., Dejaegere, T., Horré, K., Dabrowski, M., Baert, V., et al. (2004). Coordinated and widespread expression of gamma-secretase in vivo: evidence for size and molecular heterogeneity. Neurobiol. Dis. 17, 260–272. doi: 10.1016/j.nbd.2004.08.002

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Hubbs, J. L., Fuller, N. O., Austin, W. F., Shen, R., Creaser, S. P., McKee, T. D., et al. (2012). Optimization of a natural product-based class of gamma-secretase modulators. J. Med. Chem. 55, 9270–9282. doi: 10.1021/jm300976b

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Huppert, S. S., Le, A., Schroeter, E. H., Mumm, J. S., Saxena, M. T., Milner, L. A., et al. (2000). Embryonic lethality in mice homozygous for a processing-deficient allele of Notch1. Nature 405, 966–970. doi: 10.1038/35016111

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Hussain, I., Fabrègue, J., Anderes, L., Ousson, S., Borlat, F., Eligert, V., et al. (2013). The role of gamma-secretase activating protein (GSAP) and imatinib in the regulation of gamma-secretase activity and amyloid-beta generation. J. Biol. Chem. 288, 2521–2531. doi: 10.1074/jbc.m112.370924

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Imbimbo, B. P., Panza, F., Frisardi, V., Solfrizzi, V., D’onofrio, G., Logroscino, G., et al. (2011). Therapeutic intervention for Alzheimer’s disease with gamma-secretase inhibitors: still a viable option? Expert Opin. Investig. Drugs 20, 325–341. doi: 10.1517/13543784.2011.550572

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Iwatsubo, T. (2004). The gamma-secretase complex: machinery for intramembrane proteolysis. Curr. Opin. Neurobiol. 14, 379–383. doi: 10.1016/s0959-4388(04)00077-7

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Jiang, S., Li, Y., Zhang, X., Bu, G., Xu, H., and Zhang, Y. W. (2014). Trafficking regulation of proteins in Alzheimer’s disease. Mol. Neurodegener. 9:6. doi: 10.1186/1750-1326-9-6

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Kaether, C., Capell, A., Edbauer, D., Winkler, E., Novak, B., Steiner, H., et al. (2004). The presenilin C-terminus is required for ER-retention, nicastrin-binding and gamma-secretase activity. EMBO J. 23, 4738–4748. doi: 10.1038/sj.emboj.7600478

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Kang, D. E., Yoon, I. S., Repetto, E., Busse, T., Yermian, N., Ie, L., et al. (2005). Presenilins mediate phosphatidylinositol 3-kinase/AKT and ERK activation via select signaling receptors. Selectivity of PS2 in platelet-derived growth factor signaling. J. Biol. Chem. 280, 31537–31547. doi: 10.1074/jbc.m500833200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Kim, H. S., Kim, E. M., Lee, J. P., Park, C. H., Kim, S., Seo, J. H., et al. (2003). C-terminal fragments of amyloid precursor protein exert neurotoxicity by inducing glycogen synthase kinase-3beta expression. FASEB J. 17, 1951–1953. doi: 10.1096/fj.03-0106fje

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Kim, J., and Schekman, R. (2004). The ins and outs of presenilin 1 membrane topology. Proc. Natl. Acad. Sci. U S A 101, 905–906. doi: 10.1073/pnas.0307297101

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Kim, W. Y., and Shen, J. (2008). Presenilins are required for maintenance of neural stem cells in the developing brain. Mol. Neurodegener. 3:2. doi: 10.1186/1750-1326-3-2

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Kim, S. H., and Sisodia, S. S. (2005). Evidence that the “NF” motif in transmembrane domain 4 of presenilin 1 is critical for binding with PEN-2. J. Biol. Chem. 280, 41953–41966. doi: 10.1074/jbc.m509070200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Kimberly, W. T., LaVoie, M. J., Ostaszewski, B. L., Ye, W., Wolfe, M. S., and Selkoe, D. J. (2003). Gamma-secretase is a membrane protein complex comprised of presenilin, nicastrin, Aph-1 and Pen-2. Proc. Natl. Acad. Sci. U S A 100, 6382–6387. doi: 10.1073/pnas.1037392100

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Kinoshita, A., Whelan, C. M., Berezovska, O., and Hyman, B. T. (2002). The gamma secretase-generated carboxyl-terminal domain of the amyloid precursor protein induces apoptosis via Tip60 in H4 cells. J. Biol. Chem. 277, 28530–28536. doi: 10.1074/jbc.m203372200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Kopan, R., and Ilagan, M. X. (2004). Gamma-secretase: proteasome of the membrane? Nat. Rev. Mol. Cell Biol. 5, 499–504. doi: 10.1038/nrm1406

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Kopan, R., and Ilagan, M. X. (2009). The canonical Notch signaling pathway: unfolding the activation mechanism. Cell 137, 216–233. doi: 10.1016/j.cell.2009.03.045

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Kopan, R., Schroeter, E. H., Weintraub, H., and Nye, J. S. (1996). Signal transduction by activated mNotch: importance of proteolytic processing and its regulation by the extracellular domain. Proc. Natl. Acad. Sci. U S A 93, 1683–1688. doi: 10.1073/pnas.93.4.1683

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Kumar-Singh, S., Theuns, J., Van Broeck, B., Pirici, D., Vennekens, K., Corsmit, E., et al. (2006). Mean age-of-onset of familial alzheimer disease caused by presenilin mutations correlates with both increased Abeta42 and decreased Abeta40. Hum. Mutat. 27, 686–695. doi: 10.1002/humu.20336

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Lammich, S., Okochi, M., Takeda, M., Kaether, C., Capell, A., Zimmer, A. K., et al. (2002). Presenilin-dependent intramembrane proteolysis of CD44 leads to the liberation of its intracellular domain and the secretion of an Abeta-like peptide. J. Biol. Chem. 277, 44754–44759. doi: 10.1074/jbc.m206872200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Laudon, H., Hansson, E. M., Melén, K., Bergman, A., Farmery, M. R., Winblad, B., et al. (2005). A nine-transmembrane domain topology for presenilin 1. J. Biol. Chem. 280, 35352–35360. doi: 10.1074/jbc.m507217200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

LaVoie, M. J., Fraering, P. C., Ostaszewski, B. L., Ye, W., Kimberly, W. T., Wolfe, M. S., et al. (2003). Assembly of the gamma-secretase complex involves early formation of an intermediate subcomplex of Aph-1 and nicastrin. J. Biol. Chem. 278, 37213–37222. doi: 10.1074/jbc.m303941200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Lazarov, V. K., Fraering, P. C., Ye, W., Wolfe, M. S., Selkoe, D. J., and Li, H. (2006). Electron microscopic structure of purified, active gamma-secretase reveals an aqueous intramembrane chamber and two pores. Proc. Natl. Acad. Sci. U S A 103, 6889–6894. doi: 10.1073/pnas.0602321103

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Lee, S. H., Sharma, M., Südhof, T. C., and Shen, J. (2014). Synaptic function of nicastrin in hippocampal neurons. Proc. Natl. Acad. Sci. U S A 111, 8973–8978. doi: 10.1073/pnas.1408554111

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Lee, J. H., Yu, W. H., Kumar, A., Lee, S., Mohan, P. S., Peterhoff, C. M., et al. (2010). Lysosomal proteolysis and autophagy require presenilin 1 and are disrupted by Alzheimer-related PS1 mutations. Cell 141, 1146–1158. doi: 10.1016/j.cell.2010.05.008

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Leem, J. Y., Vijayan, S., Han, P., Cai, D., Machura, M., Lopes, K. O., et al. (2002). Presenilin 1 is required for maturation and cell surface accumulation of nicastrin. J. Biol. Chem. 277, 19236–19240. doi: 10.1074/jbc.c200148200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Levy-Lahad, E., Wasco, W., Poorkaj, P., Romano, D. M., Oshima, J., Pettingell, W. H., et al. (1995a). Candidate gene for the chromosome 1 familial Alzheimer’s disease locus. Science 269, 973–977. doi: 10.1126/science.7638622

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Levy-Lahad, E., Wijsman, E. M., Nemens, E., Anderson, L., Goddard, K. A., Weber, J. L., et al. (1995b). A familial Alzheimer’s disease locus on chromosome 1. Science 269, 970–973. doi: 10.1126/science.7638621

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Li, X., Dang, S., Yan, C., Gong, X., Wang, J., and Shi, Y. (2013). Structure of a presenilin family intramembrane aspartate protease. Nature 493, 56–61. doi: 10.1038/nature11801

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Li, J., Fici, G. J., Mao, C. A., Myers, R. L., Shuang, R., Donoho, G. P., et al. (2003a). Positive and negative regulation of the gamma-secretase activity by nicastrin in a murine model. J. Biol. Chem. 278, 33445–33449. doi: 10.1074/jbc.m301288200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Li, Y. M., Lai, M. T., Xu, M., Huang, Q., Dimuzio-Mower, J., Sardana, M. K., et al. (2000). Presenilin 1 is linked with gamma-secretase activity in the detergent solubilized state. Proc. Natl. Acad. Sci. U S A 97, 6138–6143. doi: 10.1073/pnas.110126897

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Li, Y., Lu, S. H., Tsai, C. J., Bohm, C., Qamar, S., Dodd, R. B., et al. (2014). Structural interactions between inhibitor and substrate docking sites give insight into mechanisms of human PS1 complexes. Structure 22, 125–135. doi: 10.1016/j.str.2013.09.018

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Li, T., Ma, G., Cai, H., Price, D. L., and Wong, P. C. (2003b). Nicastrin is required for assembly of presenilin/gamma-secretase complexes to mediate Notch signaling and for processing and trafficking of beta-amyloid precursor protein in mammals. J. Neurosci. 23, 3272–3277.

Pubmed Abstract | Pubmed Full Text | Google Scholar

Liu, Q., Zerbinatti, C. V., Zhang, J., Hoe, H. S., Wang, B., Cole, S. L., et al. (2007). Amyloid precursor protein regulates brain apolipoprotein E and cholesterol metabolism through lipoprotein receptor LRP1. Neuron 56, 66–78. doi: 10.1016/j.neuron.2007.08.008

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Loureiro, R. M., Dumin, J. A., McKee, T. D., Austin, W. F., Fuller, N. O., Hubbs, J. L., et al. (2013). Efficacy of SPI-1865, a novel gamma-secretase modulator, in multiple rodent models. Alzheimers Res. Ther. 5:19. doi: 10.1186/alzrt173

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Lu, P., Bai, X. C., Ma, D., Xie, T., Yan, C., Sun, L., et al. (2014). Three-dimensional structure of human gamma-secretase. Nature 512, 166–170. doi: 10.1038/nature13567

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Luo, W. J., Wang, H., Li, H., Kim, B. S., Shah, S., Lee, H. J., et al. (2003). PEN-2 and APH-1 coordinately regulate proteolytic processing of presenilin 1. J. Biol. Chem. 278, 7850–7854. doi: 10.1074/jbc.c200648200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Ma, G., Li, T., Price, D. L., and Wong, P. C. (2005). APH-1a is the principal mammalian APH-1 isoform present in gamma-secretase complexes during embryonic development. J. Neurosci. 25, 192–198. doi: 10.1523/jneurosci.3814-04.2005

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Marambaud, P., Shioi, J., Serban, G., Georgakopoulos, A., Sarner, S., Nagy, V., et al. (2002). A presenilin-1/gamma-secretase cleavage releases the E-cadherin intracellular domain and regulates disassembly of adherens junctions. EMBO J. 21, 1948–1956. doi: 10.1093/emboj/21.8.1948

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Masters, C. L., Simms, G., Weinman, N. A., Multhaup, G., McDonald, B. L., and Beyreuther, K. (1985). Amyloid plaque core protein in Alzheimer disease and Down syndrome. Proc. Natl. Acad. Sci. U S A 82, 4245–4249. doi: 10.1073/pnas.82.12.4245

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

McColl, G., Roberts, B. R., Pukala, T. L., Kenche, V. B., Roberts, C. M., Link, C. D., et al. (2012). Utility of an improved model of amyloid-beta (Abeta(1)(-)(4)(2)) toxicity in Caenorhabditis elegans for drug screening for Alzheimer’s disease. Mol. Neurodegener. 7:57. doi: 10.1186/1750-1326-7-57

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Mitani, Y., Yarimizu, J., Saita, K., Uchino, H., Akashiba, H., Shitaka, Y., et al. (2012). Differential effects between gamma-secretase inhibitors and modulators on cognitive function in amyloid precursor protein-transgenic and nontransgenic mice. J. Neurosci. 32, 2037–2050. doi: 10.1523/jneurosci.4264-11.2012

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Ni, C. Y., Murphy, M. P., Golde, T. E., and Carpenter, G. (2001). gamma -Secretase cleavage and nuclear localization of ErbB-4 receptor tyrosine kinase. Science 294, 2179–2181. doi: 10.1126/science.1065412

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Oehlrich, D., Berthelot, D. J., and Gijsen, H. J. (2011). gamma-Secretase modulators as potential disease modifying anti-Alzheimer’s drugs. J. Med. Chem. 54, 669–698. doi: 10.1021/jm101168r

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Ogura, T., Mio, K., Hayashi, I., Miyashita, H., Fukuda, R., Kopan, R., et al. (2006). Three-dimensional structure of the gamma-secretase complex. Biochem. Biophys. Res. Commun. 343, 525–534. doi: 10.1016/j.bbrc.2006.02.158

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Oh, Y. S., and Turner, R. J. (2005). Topology of the C-terminal fragment of human presenilin 1. Biochemistry 44, 11821–11828. doi: 10.1021/bi0509494

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Ohki, Y., Shimada, N., Tominaga, A., Osawa, S., Higo, T., Yokoshima, S., et al. (2014). Binding of longer Abeta to transmembrane domain 1 of presenilin 1 impacts on Abeta42 generation. Mol. Neurodegener. 9:7. doi: 10.1186/1750-1326-9-7

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Okochi, M., Tagami, S., Yanagida, K., Takami, M., Kodama, T. S., Mori, K., et al. (2013). gamma-secretase modulators and presenilin 1 mutants act differently on presenilin/gamma-secretase function to cleave Abeta42 and Abeta43. Cell Rep. 3, 42–51. doi: 10.1016/j.celrep.2012.11.028

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Olsson, B., Legros, L., Guilhot, F., Strömberg, K., Smith, J., Livesey, F. J., et al. (2014). Imatinib treatment and Abeta42 in humans. Alzheimers Dement. 10, S374–S380. doi: 10.3410/f.12445.469930

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Osenkowski, P., Li, H., Ye, W., Li, D., Aeschbach, L., Fraering, P. C., et al. (2009). Cryoelectron microscopy structure of purified gamma-secretase at 12 A resolution. J. Mol. Biol. 385, 642–652. doi: 10.1016/j.jmb.2008.10.078

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Page, R. M., Baumann, K., Tomioka, M., Pérez-Revuelta, B. I., Fukumori, A., Jacobsen, H., et al. (2008). Generation of Abeta38 and Abeta42 is independently and differentially affected by familial Alzheimer disease-associated presenilin mutations and gamma-secretase modulation. J. Biol. Chem. 283, 677–683. doi: 10.1074/jbc.m708754200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Pardossi-Piquard, R., Böhm, C., Chen, F., Kanemoto, S., Checler, F., Schmitt-Ulms, G., et al. (2009a). TMP21 transmembrane domain regulates gamma-secretase cleavage. J. Biol. Chem. 284, 28634–28641. doi: 10.1074/jbc.m109.059345

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Pardossi-Piquard, R., Dunys, J., Giaime, E., Guillot-Sestier, M. V., St George-Hyslop, P., Checler, F., et al. (2009b). p53-dependent control of cell death by nicastrin: lack of requirement for presenilin-dependent gamma-secretase complex. J. Neurochem. 109, 225–237. doi: 10.1111/j.1471-4159.2009.05952.x

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Pardossi-Piquard, R., Petit, A., Kawarai, T., Sunyach, C., Alves da Costa, C., Vincent, B., et al. (2005). Presenilin-dependent transcriptional control of the Abeta-degrading enzyme neprilysin by intracellular domains of betaAPP and APLP. Neuron 46, 541–554. doi: 10.1016/j.neuron.2005.04.008

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Pardossi-Piquard, R., Yang, S. P., Kanemoto, S., Gu, Y., Chen, F., Böhm, C., et al. (2009c). APH1 polar transmembrane residues regulate the assembly and activity of presenilin complexes. J. Biol. Chem. 284, 16298–16307. doi: 10.1074/jbc.m109.000067

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Pettersson, M., Kauffman, G. W., am Ende, C. W., Patel, N. C., Stiff, C., Tran, T. P., et al. (2011). Novel gamma-secretase modulators: a review of patents from 2008 to 2010. Expert Opin. Ther. Pat. 21, 205–226. doi: 10.1517/13543776.2011.547479

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Pettersson, M., Stepan, A. F., Kauffman, G. W., and Johnson, D. S. (2013). Novel gamma-secretase modulators for the treatment of Alzheimer’s disease: a review focusing on patents from 2010 to 2012. Expert Opin. Ther. Pat. 23, 1349–1366. doi: 10.1517/13543776.2013.821465

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Podlisny, M. B., Citron, M., Amarante, P., Sherrington, R., Xia, W., Zhang, J., et al. (1997). Presenilin proteins undergo heterogeneous endoproteolysis between Thr291 and Ala299 and occur as stable N- and C-terminal fragments in normal and Alzheimer brain tissue. Neurobiol. Dis. 3, 325–337. doi: 10.1006/nbdi.1997.0129

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Portelius, E., Van Broeck, B., Andreasson, U., Gustavsson, M. K., Mercken, M., Zetterberg, H., et al. (2010). Acute effect on the Abeta isoform pattern in CSF in response to gamma-secretase modulator and inhibitor treatment in dogs. J. Alzheimers Dis. 21, 1005–1012. doi: 10.3233/JAD-2010-100573

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Pratt, K. G., Zimmerman, E. C., Cook, D. G., and Sullivan, J. M. (2011). Presenilin 1 regulates homeostatic synaptic scaling through Akt signaling. Nat. Neurosci. 14, 1112–1114. doi: 10.1038/nn.2893

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Proctor, C. J., Pienaar, I. S., Elson, J. L., and Kirkwood, T. B. (2012). Aggregation, impaired degradation and immunization targeting of amyloid-beta dimers in Alzheimer’s disease: a stochastic modelling approach. Mol. Neurodegener. 7:32. doi: 10.1186/1750-1326-7-32

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Prokop, S., Haass, C., and Steiner, H. (2005). Length and overall sequence of the PEN-2 C-terminal domain determines its function in the stabilization of presenilin fragments. J. Neurochem. 94, 57–62. doi: 10.1111/j.1471-4159.2005.03165.x

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Prokop, S., Shirotani, K., Edbauer, D., Haass, C., and Steiner, H. (2004). Requirement of PEN-2 for stabilization of the presenilin N-/C-terminal fragment heterodimer within the gamma-secretase complex. J. Biol. Chem. 279, 23255–23261. doi: 10.1074/jbc.m401789200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Qyang, Y., Chambers, S. M., Wang, P., Xia, X., Chen, X., Goodell, M. A., et al. (2004). Myeloproliferative disease in mice with reduced presenilin gene dosage: effect of gamma-secretase blockage. Biochemistry 43, 5352–5359. doi: 10.1021/bi049826u

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Ratovitski, T., Slunt, H. H., Thinakaran, G., Price, D. L., Sisodia, S. S., and Borchelt, D. R. (1997). Endoproteolytic processing and stabilization of wild-type and mutant presenilin. J. Biol. Chem. 272, 24536–24541. doi: 10.1074/jbc.272.39.24536

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Renzi, F., Zhang, X., Rice, W. J., Torres-Arancivia, C., Gomez-Llorente, Y., Diaz, R., et al. (2011). Structure of gamma-secretase and its trimeric pre-activation intermediate by single-particle electron microscopy. J. Biol. Chem. 286, 21440–21449. doi: 10.1074/jbc.m110.193326

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Rogaev, E. I., Sherrington, R., Rogaeva, E. A., Levesque, G., Ikeda, M., Liang, Y., et al. (1995). Familial Alzheimer’s disease in kindreds with missense mutations in a gene on chromosome 1 related to the Alzheimer’s disease type 3 gene. Nature 376, 775–778. doi: 10.1038/376775a0

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Rogers, K., Felsenstein, K. M., Hrdlicka, L., Tu, Z., Albayya, F., Lee, W., et al. (2012). Modulation of gamma-secretase by EVP-0015962 reduces amyloid deposition and behavioral deficits in Tg2576 mice. Mol. Neurodegener. 7:61. doi: 10.1186/1750-1326-7-61

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Rosén, C., Hansson, O., Blennow, K., and Zetterberg, H. (2013). Fluid biomarkers in Alzheimer’s disease - current concepts. Mol. Neurodegener. 8:20. doi: 10.1186/1750-1326-8-20

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Sastre, M., Steiner, H., Fuchs, K., Capell, A., Multhaup, G., Condron, M. M., et al. (2001). Presenilin-dependent gamma-secretase processing of beta-amyloid precursor protein at a site corresponding to the S3 cleavage of Notch. EMBO Rep. 2, 835–841. doi: 10.1093/embo-reports/kve180

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Schedin-Weiss, S., Winblad, B., and Tjernberg, L. O. (2014). The role of protein glycosylation in Alzheimer disease. FEBS J. 281, 46–62. doi: 10.1111/febs.12590

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Schellenberg, G. D., Bird, T. D., Wijsman, E. M., Orr, H. T., Anderson, L., Nemens, E., et al. (1992). Genetic linkage evidence for a familial Alzheimer’s disease locus on chromosome 14. Science 258, 668–671. doi: 10.1126/science.1411576

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Scheuner, D., Eckman, C., Jensen, M., Song, X., Citron, M., Suzuki, N., et al. (1996). Secreted amyloid beta-protein similar to that in the senile plaques of Alzheimer’s disease is increased in vivo by the presenilin 1 and 2 and APP mutations linked to familial Alzheimer’s disease. Nat. Med. 2, 864–870. doi: 10.1038/nm0896-864

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text

Schor, N. F. (2011). What the halted phase III gamma-secretase inhibitor trial may (or may not) be telling us. Ann. Neurol. 69, 237–239. doi: 10.1002/ana.22365

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Schroeter, E. H., Kisslinger, J. A., and Kopan, R. (1998). Notch-1 signalling requires ligand-induced proteolytic release of intracellular domain. Nature 393, 382–386. doi: 10.1038/30756

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Searfoss, G. H., Jordan, W. H., Calligaro, D. O., Galbreath, E. J., Schirtzinger, L. M., Berridge, B. R., et al. (2003). Adipsin, a biomarker of gastrointestinal toxicity mediated by a functional gamma-secretase inhibitor. J. Biol. Chem. 278, 46107–46116. doi: 10.1074/jbc.m307757200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Seeger, M., Nordstedt, C., Petanceska, S., Kovacs, D. M., Gouras, G. K., Hahne, S., et al. (1997). Evidence for phosphorylation and oligomeric assembly of presenilin 1. Proc. Natl. Acad. Sci. U S A 94, 5090–5094. doi: 10.1073/pnas.94.10.5090

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Selkoe, D. J. (1998). The cell biology of beta-amyloid precursor protein and presenilin in Alzheimer’s disease. Trends Cell Biol. 8, 447–453. doi: 10.1016/S0962-8924(98)01363-4

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Selkoe, D. J. (2001). Alzheimer’s disease results from the cerebral accumulation and cytotoxicity of amyloid beta-protein. J. Alzheimers Dis. 3, 75–80.

Pubmed Abstract | Pubmed Full Text | Google Scholar

Serneels, L., Dejaegere, T., Craessaerts, K., Horré, K., Jorissen, E., Tousseyn, T., et al. (2005). Differential contribution of the three Aph1 genes to gamma-secretase activity in vivo. Proc. Natl. Acad. Sci. U S A 102, 1719–1724. doi: 10.1073/pnas.0408901102

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Shah, S., Lee, S. F., Tabuchi, K., Hao, Y. H., Yu, C., Laplant, Q., et al. (2005). Nicastrin functions as a gamma-secretase-substrate receptor. Cell 122, 435–447. doi: 10.1016/j.cell.2005.05.022

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Sherrington, R., Rogaev, E. I., Liang, Y., Rogaeva, E. A., Levesque, G., Ikeda, M., et al. (1995). Cloning of a gene bearing missense mutations in early-onset familial Alzheimer’s disease. Nature 375, 754–760. doi: 10.1038/375754a0

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text

Shirotani, K., Edbauer, D., Kostka, M., Steiner, H., and Haass, C. (2004). Immature nicastrin stabilizes APH-1 independent of PEN-2 and presenilin: identification of nicastrin mutants that selectively interact with APH-1. J. Neurochem. 89, 1520–1527. doi: 10.1111/j.1471-4159.2004.02447.x

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Siman, R., Reaume, A. G., Savage, M. J., Trusko, S., Lin, Y. G., Scott, R. W., et al. (2000). Presenilin-1 P264L knock-in mutation: differential effects on abeta production, amyloid deposition and neuronal vulnerability. J. Neurosci. 20, 8717–8726.

Pubmed Abstract | Pubmed Full Text | Google Scholar

Sisodia, S. S., Kim, S. H., and Thinakaran, G. (1999). Function and dysfunction of the presenilins. Am. J. Hum. Genet. 65, 7–12. doi: 10.1086/302475

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Slowik, A., Merres, J., Elfgen, A., Jansen, S., Mohr, F., Wruck, C. J., et al. (2012). Involvement of formyl peptide receptors in receptor for advanced glycation end products (RAGE)–and amyloid beta 1–42-induced signal transduction in glial cells. Mol. Neurodegener. 7:55. doi: 10.1186/1750-1326-7-55

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Sobhanifar, S., Schneider, B., Löhr, F., Gottstein, D., Ikeya, T., Mlynarczyk, K., et al. (2010). Structural investigation of the C-terminal catalytic fragment of presenilin 1. Proc. Natl. Acad. Sci. U S A 107, 9644–9649. doi: 10.1073/pnas.1000778107

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Steiner, H., Winkler, E., Edbauer, D., Prokop, S., Basset, G., Yamasaki, A., et al. (2002). PEN-2 is an integral component of the gamma-secretase complex required for coordinated expression of presenilin and nicastrin. J. Biol. Chem. 277, 39062–39065. doi: 10.1074/jbc.C200469200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

St George-Hyslop, P., and Fraser, P. E. (2012). Assembly of the presenilin gamma-/epsilon-secretase complex. J. Neurochem. 120(Suppl. 1), 84–88. doi: 10.1111/j.1471-4159.2011.07505.x

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Swiatek, P. J., Lindsell, C. E., del Amo, F. F., Weinmaster, G., and Gridley, T. (1994). Notch1 is essential for postimplantation development in mice. Genes Dev. 8, 707–719. doi: 10.1101/gad.8.6.707

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Tabuchi, K., Chen, G., Südhof, T. C., and Shen, J. (2009). Conditional forebrain inactivation of nicastrin causes progressive memory impairment and age-related neurodegeneration. J. Neurosci. 29, 7290–7301. doi: 10.1523/jneurosci.1320-09.2009

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Takagi, S., Tominaga, A., Sato, C., Tomita, T., and Iwatsubo, T. (2010). Participation of transmembrane domain 1 of presenilin 1 in the catalytic pore structure of the gamma-secretase. J. Neurosci. 30, 15943–15950. doi: 10.1523/jneurosci.3318-10.2010

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Takami, M., Nagashima, Y., Sano, Y., Ishihara, S., Morishima-Kawashima, M., Funamoto, S., et al. (2009). gamma-Secretase: successive tripeptide and tetrapeptide release from the transmembrane domain of beta-carboxyl terminal fragment. J. Neurosci. 29, 13042–13052. doi: 10.1523/jneurosci.2362-09.2009

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Tamayev, R., and D’Adamio, L. (2012). Inhibition of gamma-secretase worsens memory deficits in a genetically congruous mouse model of Danish dementia. Mol. Neurodegener. 7:19. doi: 10.1186/1750-1326-7-19

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Thinakaran, G., Borchelt, D. R., Lee, M. K., Slunt, H. H., Spitzer, L., Kim, G., et al. (1996). Endoproteolysis of presenilin 1 and accumulation of processed derivatives in vivo. Neuron 17, 181–190. doi: 10.1016/s0896-6273(00)80291-3

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Thinakaran, G., Harris, C. L., Ratovitski, T., Davenport, F., Slunt, H. H., Price, D. L., et al. (1997). Evidence that levels of presenilins (PS1 and PS2) are coordinately regulated by competition for limiting cellular factors. J. Biol. Chem. 272, 28415–28422. doi: 10.1074/jbc.272.45.28415

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Thinakaran, G., and Parent, A. T. (2004). Identification of the role of presenilins beyond Alzheimer’s disease. Pharmacol. Res. 50, 411–418. doi: 10.1016/j.phrs.2003.12.026

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Torres, M., Jimenez, S., Sanchez-Varo, R., Navarro, V., Trujillo-Estrada, L., Sanchez-Mejias, E., et al. (2012). Defective lysosomal proteolysis and axonal transport are early pathogenic events that worsen with age leading to increased APP metabolism and synaptic Abeta in transgenic APP/PS1 hippocampus. Mol. Neurodegener. 7:59. doi: 10.1186/1750-1326-7-59

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Tournoy, J., Bossuyt, X., Snellinx, A., Regent, M., Garmyn, M., Serneels, L., et al. (2004). Partial loss of presenilins causes seborrheic keratosis and autoimmune disease in mice. Hum. Mol. Genet. 13, 1321–1331. doi: 10.1093/hmg/ddh151

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Tu, H., Nelson, O., Bezprozvanny, A., Wang, Z., Lee, S. F., Hao, Y. H., et al. (2006). Presenilins form ER Ca2+ leak channels, a function disrupted by familial Alzheimer’s disease-linked mutations. Cell 126, 981–993. doi: 10.1016/j.cell.2006.06.059

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

van Es, J. H., van Gijn, M. E., Riccio, O., van den Born, M., Vooijs, M., Begthel, H., et al. (2005). Notch/gamma-secretase inhibition turns proliferative cells in intestinal crypts and adenomas into goblet cells. Nature 435, 959–963. doi: 10.1038/nature03659

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Veeraraghavalu, K., Choi, S. H., Zhang, X., and Sisodia, S. S. (2013). Endogenous expression of FAD-linked PS1 impairs proliferation, neuronal differentiation and survival of adult hippocampal progenitors. Mol. Neurodegener. 8:41. doi: 10.1186/1750-1326-8-41

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Vetrivel, K. S., Gong, P., Bowen, J. W., Cheng, H., Chen, Y., Carter, M., et al. (2007). Dual roles of the transmembrane protein p23/TMP21 in the modulation of amyloid precursor protein metabolism. Mol. Neurodegener. 2:4. doi: 10.1186/1750-1326-2-4

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Vetrivel, K. S., Zhang, X., Meckler, X., Cheng, H., Lee, S., Gong, P., et al. (2008). Evidence that CD147 modulation of beta-amyloid (Abeta) levels is mediated by extracellular degradation of secreted Abeta. J. Biol. Chem. 283, 19489–19498. doi: 10.1074/jbc.m801037200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Vetrivel, K. S., Zhang, Y. W., Xu, H., and Thinakaran, G. (2006). Pathological and physiological functions of presenilins. Mol. Neurodegener. 1:4. doi: 10.1186/1750-1326-1-4

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

von Rotz, R. C., Kohli, B. M., Bosset, J., Meier, M., Suzuki, T., Nitsch, R. M., et al. (2004). The APP intracellular domain forms nuclear multiprotein complexes and regulates the transcription of its own precursor. J. Cell. Sci. 117, 4435–4448. doi: 10.1242/jcs.01323

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Wang, X., Huang, T., Bu, G., and Xu, H. (2014). Dysregulation of protein trafficking in neurodegeneration. Mol. Neurodegener. 9:31. doi: 10.1186/1750-1326-9-31

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Wang, H., Luo, W. J., Zhang, Y. W., Li, Y. M., Thinakaran, G., Greengard, P., et al. (2004). Presenilins and gamma-secretase inhibitors affect intracellular trafficking and cell surface localization of the gamma-secretase complex components. J. Biol. Chem. 279, 40560–40566. doi: 10.1074/jbc.m404345200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Wang, R., Tang, P., Wang, P., Boissy, R. E., and Zheng, H. (2006). Regulation of tyrosinase trafficking and processing by presenilins: partial loss of function by familial Alzheimer’s disease mutation. Proc. Natl. Acad. Sci. U S A 103, 353–358. doi: 10.1073/pnas.0509822102

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Watanabe, N., Tomita, T., Sato, C., Kitamura, T., Morohashi, Y., and Iwatsubo, T. (2005). Pen-2 is incorporated into the gamma-secretase complex through binding to transmembrane domain 4 of presenilin 1. J. Biol. Chem. 280, 41967–41975. doi: 10.1074/jbc.m509066200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Weggen, S., Eriksen, J. L., Das, P., Sagi, S. A., Wang, R., Pietrzik, C. U., et al. (2001). A subset of NSAIDs lower amyloidogenic Abeta42 independently of cyclooxygenase activity. Nature 414, 212–216. doi: 10.1038/35102591

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Weidemann, A., Eggert, S., Reinhard, F. B., Vogel, M., Paliga, K., Baier, G., et al. (2002). A novel epsilon-cleavage within the transmembrane domain of the Alzheimer amyloid precursor protein demonstrates homology with Notch processing. Biochemistry 41, 2825–2835. doi: 10.1021/bi015794o

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Wilcock, G. K., Black, S. E., Hendrix, S. B., Zavitz, K. H., Swabb, E. A., Laughlin, M. A., et al. (2008). Efficacy and safety of tarenflurbil in mild to moderate Alzheimer’s disease: a randomised phase II trial. Lancet Neurol. 7, 483–493. doi: 10.1016/s1474-4422(08)70090-5

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Wolfe, M. S., and Selkoe, D. J. (2014). gamma-Secretase: a horseshoe structure brings good luck. Cell 158, 247–249. doi: 10.1016/j.cell.2014.06.043

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Wolfe, M. S., Xia, W., Ostaszewski, B. L., Diehl, T. S., Kimberly, W. T., and Selkoe, D. J. (1999). Two transmembrane aspartates in presenilin-1 required for presenilin endoproteolysis and gamma-secretase activity. Nature 398, 513–517. doi: 10.1038/19077

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Wong, G. T., Manfra, D., Poulet, F. M., Zhang, Q., Josien, H., Bara, T., et al. (2004). Chronic treatment with the gamma-secretase inhibitor LY-411,575 inhibits beta-amyloid peptide production and alters lymphopoiesis and intestinal cell differentiation. J. Biol. Chem. 279, 12876–12882. doi: 10.1074/jbc.m311652200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Wunderlich, P., Glebov, K., Kemmerling, N., Tien, N. T., Neumann, H., and Walter, J. (2013). Sequential proteolytic processing of the triggering receptor expressed on myeloid cells-2 (TREM2) protein by ectodomain shedding and gamma-secretase-dependent intramembranous cleavage. J. Biol. Chem. 288, 33027–33036. doi: 10.1074/jbc.m113.517540

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Xia, X., Qian, S., Soriano, S., Wu, Y., Fletcher, A. M., Wang, X. J., et al. (2001). Loss of presenilin 1 is associated with enhanced beta-catenin signaling and skin tumorigenesis. Proc. Natl. Acad. Sci. U S A 98, 10863–10868. doi: 10.1073/pnas.191284198

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Xie, T., Yan, C., Zhou, R., Zhao, Y., Sun, L., Yang, G., et al. (2014). Crystal structure of the gamma-secretase component nicastrin. Proc. Natl. Acad. Sci. U S A 111, 13349–13354. doi: 10.2210/pdb4r12/pdb

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Yang, D. S., Tandon, A., Chen, F., Yu, G., Yu, H., Arawaka, S., et al. (2002). Mature glycosylation and trafficking of nicastrin modulate its binding to presenilins. J. Biol. Chem. 277, 28135–28142. doi: 10.1074/jbc.m110871200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Youmans, K. L., Tai, L. M., Kanekiyo, T., Stine, W. B. Jr., Michon, S. C., Nwabuisi-Heath, E., et al. (2012). Intraneuronal Aβ detection in 5xFAD mice by a new Aβ-specific antibody. Mol. Neurodegener. 7:8. doi: 10.1186/1750-1326-7-8

Pubmed Abstract | Pubmed Full Text

Yu, G., Chen, F., Levesque, G., Nishimura, M., Zhang, D. M., Levesque, L., et al. (1998). The presenilin 1 protein is a component of a high molecular weight intracellular complex that contains beta-catenin. J. Biol. Chem. 273, 16470–16475. doi: 10.1074/jbc.273.26.16470

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Yu, G., Nishimura, M., Arawaka, S., Levitan, D., Zhang, L., Tandon, A., et al. (2000). Nicastrin modulates presenilin-mediated notch/glp-1 signal transduction and betaAPP processing. Nature 407, 48–54. doi: 10.1038/35024009

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Zhang, Y. W., Luo, W. J., Wang, H., Lin, P., Vetrivel, K. S., Liao, F., et al. (2005). Nicastrin is critical for stability and trafficking but not association of other presenilin/gamma-secretase components. J. Biol. Chem. 280, 17020–17026. doi: 10.1074/jbc.m409467200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Zhang, H., Sun, S., Herreman, A., De Strooper, B., and Bezprozvanny, I. (2010). Role of presenilins in neuronal calcium homeostasis. J. Neurosci. 30, 8566–8580. doi: 10.1523/JNEUROSCI.1554-10.2010

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Zhang, Y. W., Thompson, R., Zhang, H., and Xu, H. (2011). APP processing in Alzheimer’s disease. Mol. Brain. 4:3. doi: 10.1186/1756-6606-4-3

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Zhang, Y. W., Wang, R., Liu, Q., Zhang, H., Liao, F. F., and Xu, H. (2007). Presenilin/gamma-secretase-dependent processing of beta-amyloid precursor protein regulates EGF receptor expression. Proc. Natl. Acad. Sci. U S A 104, 10613–10618. doi: 10.1073/pnas.0703903104

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Zhang, C., Wu, B., Beglopoulos, V., Wines-Samuelson, M., Zhang, D., Dragatsis, I., et al. (2009). Presenilins are essential for regulating neurotransmitter release. Nature 460, 632–636. doi: 10.1038/nature08177

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Zhao, G., Mao, G., Tan, J., Dong, Y., Cui, M. Z., Kim, S. H., et al. (2004). Identification of a new presenilin-dependent zeta-cleavage site within the transmembrane domain of amyloid precursor protein. J. Biol. Chem. 279, 50647–50650. doi: 10.1074/jbc.c400473200

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Zhao, G., Tan, J., Mao, G., Cui, M. Z., and Xu, X. (2007). The same gamma-secretase accounts for the multiple intramembrane cleavages of APP. J. Neurochem. 100, 1234–1246. doi: 10.1111/j.1471-4159.2006.04302.x

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar

Zhou, S., Zhou, H., Walian, P. J., and Jap, B. K. (2005). CD147 is a regulatory subunit of the gamma-secretase complex in Alzheimer’s disease amyloid beta-peptide production. Proc. Natl. Acad. Sci. U S A 102, 7499–7504. doi: 10.1073/pnas.0502768102

Pubmed Abstract | Pubmed Full Text | CrossRef Full Text | Google Scholar