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The incubation of CLAC with preformed Ab fibrils led to increased turbidity, indicating that larger aggregates were formed.. Abbreviations Ab, amyloid b-peptide; AD, Alzheimer’s disease;

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assembles amyloid fibrils into protease resistant

aggregates

Linda So¨derberg1,*, Camilla Dahlqvist1,*, Hiroyoshi Kakuyama1, Johan Thyberg2, Akira Ito3,

Bengt Winblad1, Jan Na¨slund1and Lars O Tjernberg1

1 Karolinska Institutet and Sumitomo Pharmaceuticals Alzheimer Center (KASPAC), Neurotec, Novum, Huddinge, Sweden

2 Karolinska Institutet, Department of Cell and Molecular Biology, Stockholm, Sweden

3 Sumitomo Pharmaceuticals Research Center, Osaka, Japan

Alzheimer’s disease (AD) is characterized by amyloid

deposits of the amyloid b-peptide (Ab) in brain [1] Ab

is a 40–42 amino acid peptide that is proteolytically

derived from the b-amyloid precursor protein (APP)

The longer Ab42 variant aggregates more rapidly than

the more abundant Ab40 [2] and is the species deposited

initially in the brain in AD and Down’s syndrome [3]

Several lines of evidence suggest that APP processing

and Ab levels have a central role in the pathogenesis of

AD The APP gene is located on chromosome 21 (which

is present in triplicate in Down’s syndrome), providing

an explanation for the elevated levels of APP and Ab,

as well as for the AD-like pathology, observed in Down’s syndrome Moreover, mutations in genes linked

to familiar early onset AD generally result in altered APP processing and an increased Ab42⁄ Ab40 ratio [4]

It is not known how the amyloid plaques are formed

In vitro studies indicate that unstructured Ab mono-mers spontaneously form soluble oligomono-mers (seeds), which, in turn, form protofibrils and mature fibrils Other molecules could be of importance for the poly-merization process in vivo, including apolipoproteins E

Keywords

Alzheimer’s disease; amyloid; CLAC; fibrils;

thioflavin T

Correspondence

C Dahlqvist, Karolinska Institutet, Neurotec,

Novum KASPAC pl 5, SE-141 57 Huddinge,

Sweden

Fax: +46 8585 836 10

Tel: +46 8585 836 21

E-mail: Camilla.dahlqvist@neurotec.ki.se

*Note

These authors contributed equally to this

work.

(Received 28 January 2005, revised 25

February 2005, accepted 7 March 2005)

doi:10.1111/j.1742-4658.2005.04647.x

Recently, a novel plaque-associated protein, collagenous Alzheimer amy-loid plaque component (CLAC), was identified in brains from patients with Alzheimer’s disease CLAC is derived from a type II transmembrane colla-gen precursor protein, termed CLAC-P (collacolla-gen XXV) The biological function and the contribution of CLAC to the pathogenesis of Alzheimer’s disease and plaque formation are unknown In vitro studies indicate that CLAC binds to fibrillar, but not to monomeric, amyloid b-peptide (Ab) Here, we examined the effects of CLAC on Ab fibrils using assays based

on turbidity, thioflavin T binding, sedimentation analysis, and electron microscopy The incubation of CLAC with preformed Ab fibrils led to increased turbidity, indicating that larger aggregates were formed In sup-port of this contention, more Ab was sedimented in the presence of CLAC,

as determined by gel electrophoresis Moreover, electron microscopy revealed an increased amount of Ab fibril bundles in samples incubated with CLAC Importantly, the frequently used thioflavin T-binding assay failed to reveal these effects of CLAC Digestion with proteinase K or tryp-sin showed that Ab fibrils, incubated together with CLAC, were more resistant to proteolytic degradation Therefore, CLAC assembles Ab fibrils into fibril bundles that have an increased resistance to proteases We sug-gest that CLAC may act in a similar way in vivo

Abbreviations

Ab, amyloid b-peptide; AD, Alzheimer’s disease; APP, b-amyloid precursor protein; CLAC, collagenous Alzheimer amyloid plaque

component ⁄ collagen XXV; EM, electron microscopy; NAC, non-amyloid-b-component; ThT, thioflavin T.

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and J, and heparin sulfate proteoglycans [5] These

pro-teins have been suggested to act as ‘pathological

chap-erones’ that bind to Ab and favor its deposition Other

proteins may have the opposite effect and attenuate

amyloidogenesis The amorphous Ab aggregates found

in so-called diffuse plaques might be precursors of the

Ab fibrils found in mature plaques, but the mechanism

for this conversion remains to be determined

Recently, a novel plaque-associated protein,

colla-genous Alzheimer amyloid plaque component⁄ collagen

XXV (CLAC) [6], was observed in brain from subjects

with AD CLAC is derived from a type II

transmem-brane collagen protein, CLAC-P We have recently

shown that the AMY antigen is identical to CLAC [7]

CLAC is a trimer formed from three identical

polypep-tides and includes three triple-helical collagen domains

that are flanked and separated by nonhelical domains

[8] In vitro studies show that CLAC binds to fibrillized

Ab, but not to monomeric Ab [6,8] The biological

function of CLAC, and the contribution of CLAC to

plaque formation and the pathogenesis of AD, are still

unknown Previously, CLAC was shown to colocalize

with the more mature plaques, but not with

Ab42-pos-itive diffuse plaques or with amyloid deposits in

cereb-ral blood vessels [9,10] Recently, it was suggested that

CLAC preferentially binds to plaques composed of

prefibrillar Ab42 and thus may prevent further

matur-ation of amyloid deposits [11] Therefore, there is

cur-rently no clear consensus regarding to which form of

amyloid CLAC binds

Here, we examined the effects of CLAC on Ab fibrils

in vitro using a variety of biochemical techniques We

showed that the addition of CLAC to Ab fibrils assembles

the latter into protease-resistant fibril bundles We suggest

that CLAC could have a similar effect on amyloid fibrils

in vivoand thus increase the amyloid burden

Results and Discussion

Incubation of Ab1–40 fibrils with CLAC results

in further aggregation

The newly discovered plaque-associated protein, CLAC,

binds to Ab fibrils but not to monomeric Ab [6] (H

Kakuyama, L So¨derberg, K Horigome, C Dahlqvist,

B Winblad, J Na¨slund & LO Tjernberg, unpublished

results) In order to investigate the effect of CLAC on

fibrillar Ab, fibrils formed from 45 lm Ab1–40 were

incubated in the presence or absence of 100 nm CLAC

The turbidity of the samples was measured at different

time-points and found to be increased after only

30 min in the presence of CLAC (Fig 1A) As we use

preformed fibrils that are separated from soluble Ab

by centrifugation, the total amount of aggregated Ab cannot increase Therefore, we conclude that the increase in turbidity arises from the formation of lar-ger aggregates To verify this result, we centrifuged the samples and subjected them to SDS⁄ PAGE In the presence of CLAC, the amount of Ab was increased in the pellet and decreased in the supernatant as com-pared to the control (Fig 1B) This effect occurred after only 30 min of incubation and remained evident also after a longer incubation (18 h) We suggest that

A

C

B

Fig 1 Incubation of amyloid b-peptide 1–40 (Ab1–40) fibrils with collagenous Alzheimer amyloid plaque component ⁄ collagen XXV (CLAC) results in further aggregation (A) Turbidity measurements

of Ab1–40 fibrils incubated, for 30 min and 18 h, in the presence (100 n M ) or absence of CLAC (B) Coomassie staining of Ab1–40 fibrils incubated in the presence of CLAC (100 n M ) or NaCl ⁄ Tris The pellet samples (P) were sedimented, washed and dissolved in 70% (v ⁄ v) formic acid (FA) The supernatant samples (Sup) were sedimented from the supernatant of the first centrifugation and dis-solved in 70% (v ⁄ v) FA (C) Electron micrographs of mixtures con-taining preformed Ab1–40 fibrils incubated in the presence of CLAC (100 n M ) or NaCl ⁄ P i for 24 h at room temperature Samples were prepared for electron microscopy as described in the Experimental procedures Scale bars, 200 nm.

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the increased amount of sedimented material is caused

by an increase in the size of the aggregates in the

pres-ence of CLAC No CLAC could be detected in the

supernatant after incubation, and CLAC was recovered

in the carefully washed pellet, as analyzed by western

blot and mass spectrometry (data not shown) These

data correlate with the turbidity measurements and

sup-port a function for CLAC in fibril assembly The

con-trol protein, aldolase, which does not bind to Ab fibrils,

had no such effect (data not shown) To investigate

whether the effect of CLAC was specific for Ab fibrils,

we performed the same set of experiments on fibrils

formed from another amyloid forming protein,

non-amyloid-b-component (NAC) [12] CLAC was found to

have a similar effect on NAC fibrils, indicating that

CLAC could affect other fibrils in a similar way (data

not shown) Preformed fibrils incubated for 24 h in the

presence or absence of CLAC were subjected to electron

microscopy (EM) analysis A significant increase in the

number of large aggregates was observed in the presence

of CLAC (Fig 1C) Thus, EM data also support the

notion that CLAC can assemble Ab fibrils into larger

aggregates A similar function has not been described

for other proteins that are known to bind Ab fibrils,

such as apolipoprotein E or laminin

CLAC protects fibrillar Ab1–40, but not soluble

Ab1–40, from proteolysis

To investigate the biological relevance of CLAC’s

assembly of preformed fibrils, we used proteinase K and

trypsin to determine whether the interaction between

CLAC and Ab fibrils results in protection of the peptide

from proteolysis Both fibrillar Ab1–40 and soluble

Ab1–40 were tested for protease resistance in the

pres-ence or abspres-ence of CLAC CLAC and fibrillar Ab were

incubated at room temperature for 2 h before the

addi-tion of proteases The extent of Ab proteolysis was

eval-uated by SDS⁄ PAGE and western blot analysis When

the fibrils were incubated without CLAC, only a small

amount of Ab remained after 2 h of digestion with

pro-teinase K, and the samples were completely degraded

after 18 h of digestion (Fig 2A) In contrast, when the

fibrils were preincubated with CLAC, Ab was still

pre-sent after 18 h of digestion (Fig 2A) Digestion with

trypsin was less efficient but, in this case, CLAC had a

protective effect (Fig 2B) In contrast, CLAC did not

have a protective effect on soluble Ab1–40 (Fig 2C)

Our findings offer an explanation for the increased

pro-tease resistance of CLAC positive plaques [13]

There-fore, we speculate that CLAC assembles Ab fibrils

into protease-resistant aggregates in vivo and thereby

obstructs the clearance of amyloid

Fibril assembly results in decreased thioflavin T (ThT) fluorescence

One of the most frequently used methods for studying

Ab polymerization is based on the altered fluorescence

of ThT upon binding to amyloid aggregates Therefore,

we investigated whether the ThT assay could be used to study the CLAC-induced assembly of Ab fibrils When

Ab fibrils are incubated in the presence of CLAC there

is a striking reduction in ThT fluorescence (Fig 3A), which is not accompanied by a reduction in the amount

of sedimented Ab, as analyzed by SDS⁄ PAGE and staining with Coomassie blue (Fig 3B) Similar results were obtained after incubation with the positive control, laminin, while incubation with the negative control, aldolase, had no effect on ThT fluorescence (data not shown) When freshly solubilized Ab1–40 was incubated for 5 days, a similar reduction in ThT fluorescence was observed in the presence of CLAC (Fig 4A) No reduc-tion in the amount of fibrils was observed by EM, but the fibrils appeared to aggregate more in the presence of CLAC (Fig 4B) As CLAC binds to Ab fibrils, but not

to freshly dissolved Ab, CLAC does not affect the lag-phase (Fig 4A), and the reduction in ThT fluorescence

at the end-point is probably a result of the effect of

A

B

C

Fig 2 Collagenous Alzheimer amyloid plaque component ⁄ collagen XXV (CLAC) protects fibrillar amyloid b-peptide 1–40 (Ab1–40) from proteolysis (A) Fibrillar Ab1–40 was preincubated with CLAC (at a final concentration of 200 n M ) for 2 h before the addition of protein-ase K (PK) at an enzyme ⁄ Ab ratio of 1 : 10 (w ⁄ w) Samples were taken at the time-points indicated and analyzed on a 10–20% (w ⁄ w) tricine gel, stained with Coomassie blue, and immunoblotted using 4G8 and 6E10 antibodies (B) Fibrillar Ab1–40 treated with trypsin (C) Freshly solubilized Ab1–40 (50 l M ) was preincubated with CLAC (at a final concentration of 200 n M ), digested with PK and analyzed as described in A.

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CLAC on the fibrils formed during polymerization If

the reduced ThT fluorescence is caused by the increased

fibril assembly in the presence of CLAC, no reduction in

fluorescence should be observed if the fibrils are

immo-bilized prior to the addition of CLAC When Ab fibrils

were immobilized onto microtiter wells, CLAC had no

effect on ThT fluorescence (Fig 4C) Thus, the assembly

of fibrils leads to a reduction in ThT fluorescence,

poss-ibly because of a decrease in the number of ThT-binding

sites and⁄ or quenching owing to a high concentration of

ThT in the bundles This is in keeping with a previous

report [14] Based on ThT fluorescence analysis, a

num-ber of compounds have been reported to depolymerize

fibrillized Ab within a few hours [15,16] In the light of

our present study, we would like to point out that the

results from ThT-binding studies must be evaluated

carefully and supplemented with data obtained by using

alternative techniques In summary, we have shown that

CLAC assembles Ab fibrils into protease-resistant

aggregates We speculate that this process may be of

relevance for AD pathogenesis, offering one explanation

for the accumulation of amyloid plaques in vivo Future

studies in mice with altered CLAC expression will investigate this hypothesis

Experimental procedures

Preparation of fibrillar Ab

Ab1–40 and Ab1–42 were purchased from Bachem (Buben-dorf, Switzerland) Ab fibrils were prepared by mixing lyophilized peptide with ultrapure water to obtain a peptide

A

B

Fig 3 Reduction in thioflavin T (ThT) fluorescence in the presence

of collagenous Alzheimer amyloid plaque component ⁄ collagen XXV

(CLAC) does not correlate with the amount of sedimented amyloid

b-peptide (Ab) (A) Preformed Ab1–40 fibrils incubated in the

pres-ence (100 n M ) or absence of CLAC were mixed with 200 lL of

10 l M ThT for 15 min Each data point represents the mean ± SEM

of a triplicate result of a representative experiment (B) The

sam-ples (one of the triplicates) were centrifuged, washed, dissolved in

70% (v ⁄ v) formic acid and vacuum dried, then loaded onto a

10–20% (w ⁄ w) tricine gel and stained with Coomassie blue after

electrophoresis The samples from time-points 0, 0.5 and 1 h, for

fibrils incubated either with CLAC or with buffer, were analyzed on

the same gel to allow comparison of the fibril amount The samples

from 2, 3 and 4 h were analyzed on another gel.

A

B

C

Fig 4 Effect of collagenous Alzheimer amyloid plaque compo-nent ⁄ collagen XXV (CLAC) on the polymerization of amyloid b-pep-tide 1–40 (Ab1–40) (A) A concentration of 25 l M freshly dissolved Ab1–40 in NaCl ⁄ Tris, pH 7.4, was incubated for 5 days at room temperature, with shaking (600 r.p.m.), in the presence or absence

of CLAC (final concentration 100 n M ) A molar ratio of Ab1–

40 ⁄ CLAC of 250 : 1 was used Fibril formation was monitored by ThT fluorescence Each data point represents the mean ± SEM of three separate experiments (B) Negative stain electron micro-graphs of the 5 day incubation mixtures in (A) Ab1–40 fibrils in the absence of CLAC (left panel) or in its presence (right panel) Scale bar, 100 nm (C) One nanomol of Ab1–42 fibrils was allowed to dry onto microtiter wells and incubated with CLAC (a final concentra-tion of 250 n M ), followed by incubation with a thioflavin T (ThT) solution of 10 or 100 l M Fluorescence was measured with an exci-tation of 440 nm and an emission of 490 nm.

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concentration of 200 lm This solution was subsequently

stirred gently for 5 min before the addition of 2· NaCl ⁄ Pi,

pH 7.4, to a final concentration of 100 lm and then

vigor-ously stirred for an additional 2–4 days Before use in

assays, fibrils were sedimented by centrifugation at 10 000 g

for 10 min and the supernatant was replaced by an equal

volume of NaCl⁄ Pi

Ab turbidity and detection

Preformed Ab1–40 fibrils were mixed with 100 nm CLAC

The CLAC used in this study was purified from HEK293

cells, as recently described [8] Ab1–40 fibrils and CLAC or

NaCl⁄ Tris, pH 7.4, were incubated at room temperature

with shaking (600 r.p.m.) At the indicated time-points,

sam-ples (50 lL) were subjected to turbidity measurements

Turbidity was measured at 355 nm (FLUOstar Galaxy;

BMG Labtechnologies GmbH, Offenburg, Germany) and

control values of the absorbance of buffer alone were

sub-tracted from all measurements To detect the amount of Ab

fibrils after ThT fluorescence measurements, the samples

were transferred into Eppendorf tubes and subjected to

cen-trifugation for 5 min at 10 000 g The resulting pellet was

washed twice with NaCl⁄ Tris, while the supernatant was

transferred to a new tube and centrifuged for 5 min at

10 000 g The supernatant was discarded and both pellets

were dissolved in 70% (v⁄ v) formic acid overnight Samples

were vacuum dried to remove the formic acid and then

resuspended in 100 mm Tris, pH 10.5, containing 9 m urea,

prior to analysis by Coomassie blue staining on a 10–20%

(w⁄ w) tricine gel

Electron microscopy

Samples incubated for 24 h were vortexed, and 10 lL

aliqu-ots of the sample were then applied to formvar-coated

grids After 5 min, excess fluid was withdrawn and the grids

were allowed to dry Buffer salts were removed by dipping

the grids (10 times) into redistilled water The specimens

were negatively stained with 2% (w⁄ v) uranyl acetate in

water, examined in a Philips CM120 electron microscope at

80 kV, and photographed using a MegaView III CCD

cam-era (Soft Imaging System, Mu¨nster, Germany)

Proteolysis of the Ab1–40/CLAC complex

Ab1–40 fibrils were prepared as described above Fibrils

were subjected to proteolysis using proteinase K (Sigma

Aldrich, St Louis, MO, USA; Signet Laboratories,

Ded-ham, MA, USA) and trypsin (Boehringer Mannheim,

Milan, Italy) at an enzyme⁄ protein ratio of 1 : 10 (w ⁄ w) for

all experiments CLAC (at a final concentration of 200 nm)

was added to Ab1–40 fibrils (50 lm) or to freshly dissolved

Ab1–40 (50 lm) in NaCl⁄ Pi and incubated for 2 h before

the addition of proteinase K or trypsin Aliquots were taken after 0, 2 and 18 h of incubation at 37C The reac-tion was stopped by the addireac-tion of formic acid to a final concentration of 70% Samples were treated, as described above, prior to SDS⁄ PAGE analysis on 10–20% (w ⁄ w) tricine gels followed by staining with Coomassie blue and immunoblotting using 6E10 and 4G8 antibodies (Signet Laboratories)

ThT assay

The ThT-binding assay [17] was used to measure the amount of Ab1–40 fibrils in the presence of CLAC Twenty microlitres of Ab, incubated in the presence or absence of CLAC, laminin or aldolase, was aspirated and further incu-bated for 15 min with 200 lL of 10 lm ThT solution (10 mm phosphate buffer, 150 mm NaCl, pH 6.0) Fluores-cence spectra of ThT were acquired using a fluoresFluores-cence spectrometer (FLUOstar Galaxy), with excitation at

440 nm and emission at 490 nm Control spectra of the ThT solution alone were recorded and subtracted from all measurements The amount of Ab in the pellet fraction was determined as described above For the polymerization

assay, a stock solution of 1 mgÆmL )1 Ab1–40 in dimethyl-sulfoxide was diluted in NaCl⁄ Tris to a final concentration

of 25 lm Ab polymerization was carried out in the pres-ence of CLAC (100 nm) or Ab1–40 alone at room tempera-ture with continuous shaking at 600 r.p.m At the indicated time-points, a 50 lL aliquot from each incubation mixture was analyzed for Ab fibril formation by mixing with

200 lL of ThT solution, and the fluorescence was measured

as described above

Solid-phase ThT-binding assay

A competition assay based on solid-phase binding was used, as previously described, with some minor modifica-tions [6,8] Briefly, a dimethylsulfoxide stock solution of Ab1–42 was diluted in NaCl⁄ Pi to a concentration of

20 lm One nanomol of Ab1–42 was allowed to bind to microtiter wells (MaxiSorp; Nunc, Naperville, IL, USA) and dry overnight, at 37C Wells were blocked for 1 h in NaCl⁄ Pi containing 1% (w⁄ v) BSA (blocking buffer) fol-lowed by washing with NaCl⁄ Pi-T [NaCl⁄ Pi containing 0.05% (v⁄ v) Tween-20 (Sigma)] in a microplate washer (ASYS Hitech; Atlantis, GmbH, Eugendolf, Austria) Ab was incubated with 250 nm CLAC in blocking buffer, or in blocking buffer only, for 1 h at room tempera-ture The wells were washed in NaCl⁄ Pi-T and incubated with NaCl⁄ Picontaining 10 or 100 lm ThT for 30 min fol-lowed by washing in NaCl⁄ Pi-T One-hundred microlitres

of NaCl⁄ Pi was added to the wells, and binding of ThT was measured in a microplate reader (FLUOstar Galaxy) with excitation at 440 nm and emission at 490 nm

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