Abstract
Background:
The Alzheimer’s disease (AD)-associated amyloid-beta protein precursor (AβPP) can be cleaved by β-site AβPP cleaving enzyme 1 (BACE1) and the γ-secretase complex to yield neurotoxic amyloid-β (Aβ) peptides. However, AβPP can also be cleaved in a ‘non-amyloidogenic’ manner either by α-secretase to produce soluble AβPP alpha (sAβPPα) (a fragment with neuroprotective/neurogenic functions) or through alternative BACE1-mediated ‘beta prime’ activity yielding soluble AβPP beta prime (sAβPPβ’).
Objective:
To determine whether sAβPPα depletion, as opposed to Aβ peptide accumulation, contributes to cytotoxicity in AD-relevant SH-SY5Y neuroblastoma cell models.
Methods:
AβPP proteolysis was characterized by immunoblotting in mock-, wild-type AβPP (wtAβPP)-, BACE1-, and Swedish mutant AβPP (SweAβPP)-transfected cells. AβPP beta prime cleavage was confirmed through secretase inhibitor studies and C-terminal fragment analysis. The roles of sAβPPα and sAβPPβ’ in cell viability were confirmed by overexpression studies.
Results:
Despite producing enhanced Aβ peptide levels, wtAβPP- and SweAβPP-transfected cells did not exhibit reduced viability whereas BACE1-transfected cells did. sAβPPα generation in SH-SY5Y-BACE1 cells was virtually ablated in lieu of BACE1-mediated sAβPPβ’ production. sAβPPα overexpression in SH-SY5Y-BACE1 cells restored viability whereas sAβPPβ’ overexpression decreased viability further. The anti-AβPP 6E10 antibody was shown to cross-react with sAβPPβ’.
Conclusion:
sAβPPα depletion and/or sAβPPβ’ accumulation, but not elevated Aβ peptide levels, represent the cytotoxic mechanism following BACE1 overexpression in SH-SY5Y cells. These data support the novel concept that competitive sAβPPα depletion by BACE1 beta prime activity might contribute to AD. The cross-reactivity of 6E10 with AβPPβ’also questions whether previous studies assessing sAβPPα as a biomarker using this antibody should be revisited.
INTRODUCTION
Alzheimer’s disease (AD), the leading neurodegenerative disorder globally, is characterized clinically by a progressive decline in memory and cognitive function, ultimately leading to death. The disease is characterized pathologically by the presence of extracellular senile plaques and intracellular neurofibrillary tangles within the afflicted brain. The major constituents of senile plaques are amyloid-β (Aβ) peptides derived through proteolysis of the amyloid-β protein precursor (AβPP) [1]. In the amyloidogenic pathway, AβPP is sequentially cleaved by β-secretase (β-site AβPP cleaving enzyme 1; BACE1) (EC 3.4.23.46) and a multi-subunit protease complex known as γ-secretase (EC 3.4.23) to produce Aβ peptides [2, 3]. In the alternative non-amyloidogenic pathway, an α-secretase of the A Disintegrin And Metalloprotease (ADAM) family cleaves AβPP at the Lys16-Leu17 bond within the Aβ region [4]. The predominant physiological α-secretase has been shown to be ADAM10 (EC 3.4.24.81) [5]. This pathway precludes the formation of Aβ peptides instead releasing a soluble, neuroprotective, N-terminal ectodomain termed soluble AβPP alpha (sAβPPα), in addition to the C-terminal fragment (CTF) C83 [6].
Most experimental AD therapeutics targeting aspects of AβPP cell biology, such as β- and γ-secretase inhibitors and anti-amyloid targeting therapies [7–9], have focused on Aβ peptide accumulation as the toxic event in disease pathology. The possible depletion of sAβPPα as a contributing factor has received less attention which is perhaps surprising given the numerous roles of this non-amyloidgenically derived proteolytic fragment in neuroprotection, neurogenesis, and synaptic plasticity [10]. For example, in vivo studies have implicated sAβPPα in learning and memory, and in neuronal protection against both reactive oxygen species and glutamate-mediated excitotoxicity, while in vitro studies have described roles in differentiation, proliferation, and neuronal survival [11–19]. Furthermore, sAβPPα interacts with BACE1, causing its inhibition and a subsequent decrease in Aβ peptide production [20, 21].
In contrast to the well-established functional roles of sAβPPα, whether the fragment is actually depleted in AD is more of a moot point. Early studies of this ilk employed antibodies that cross-reacted with all forms of soluble AβPP [22, 23]. Later studies employed more specific antibodies recognizing epitopes between the β- and α-secretase cleavage sites within AβPP (e.g., anti-AβPP 6E10) [24, 25], but the accuracy of these results too is brought into question by advances in our knowledge surrounding the intricacies of AβPP proteolysis. For example, in addition to the canonical BACE1 cleavage site, the enzyme can also cleave between Tyr10 and Glu11 of the Aβ peptide region to form sAβPPβ’ and C89 [26, 27]. Notably, the sAβPPβ’ generated by this ‘beta prime’ processing might retain epitopes detected by antibodies used in some of the afore-mentioned studies. Certainly, one might predict AD-associated depletion of sAβPPα generated via the non-amyloidogenic pathway under conditions where the ‘reciprocal’ amyloidogenic pathway is enhanced. This supposition is supported by the decreased levels of sAβPPα detected in the cerebrospinal fluid (CSF) of patients carrying the AβPP Swedish double mutation (KM670/671NL) which dramatically enhances processing of the protein by β-secretase [28]. Additionally, significant reductions in sAβPPα have been reported in the case of ADAM10 mutations associated with familial late-onset AD [29].
Human neuroblastoma, SH-SY5Y, cells are often employed as an in vitro model of AD due to their expression of some neuronal markers [30, 31]. Furthermore, the cells are rapidly dividing and can be used for the facile stable introduction of transgenes lending them effectively to the study of proteolytic events such as AβPP proteolysis. In particular, ‘AD-relevant’ SH-SY5Y cell lines overexpressing BACE1, wild-type AβPP695 (wtAβPP), or Swedish mutant AβPP695 (SweAβPP) have previously been widely utilized to study AβPP proteolysis [32–36]. In the current study, we have performed the first direct comparison of AβPP expression and proteolysis among these ‘AD-relevant’ cell lines and a mock-transfected control. During these studies, we surreptitiously demonstrated that, uniquely among the cell lines employed, the non-amyloidogenic production of sAβPP (as detected using anti-AβPP 6E10 antibody) by SH-SY5Y-BACE1 cells was not inhibited by the classic α-secretase inhibitor, batimastat. We subsequently demonstrate that, when BACE1 is overexpressed in SH-SY5Y cells, non-amyloidogenic AβPP processing occurs nearly entirely via BACE1 ‘beta prime’ activity and competitively ablates the production of sAβPPα. Additionally, we demonstrate that, while SH-SY5Y cells overexpressing BACE1, wtAβPP or SweAβPP all exhibit enhanced Aβ peptide production relative to mock-transfected cells, only SH-SY5Y-BACE1 cells exhibit decreased viability. Furthermore, we utilize stable overexpression of sAβPPα and sAβPPβ’ constructs to show that the viability of SH-SY5Y-BACE1 cells can be completely restored by the former fragment (and reduced by the latter) and that anti-AβPP 6E10 antibody cross-reacts with sAβPPβ’. Collectively, these data indicate that, under conditions of elevated BACE1 expression, competitive depletion of sAβPPα may well contribute to AD pathogenesis. Furthermore, the near complete replacement of sAβPPα with sAβPPβ’ in the current study along with the cross-reactivity of anti-AβPP 6E10 with the latter fragment calls into question many previous biomarker studies purporting to quantify sAβPPα levels in AD patients and raises the question as to whether we may have dramatically under-estimated depletion of the fragment in at least a subset of AD patients in whom elevated BACE1 expression is evident.
MATERIALS AND METHODS
Materials
The generation of the wtAβPP695 and BACE1 constructs in the mammalian expression vector pIREShyg (Clontech-Takara Bio Europe, Saint-Germain-en-Laye, France) along with their expression and characterization have been reported previously [36]. SH-SY5Y cells stably expressing Swedish mutant AβPP695 (SweAβPP) in pIREShyg were a gift from Prof. Nigel Hooper (University of Manchester, Manchester, UK). Anti-actin monoclonal, anti-AβPP C-terminal (AβPP-CT) polyclonal, anti-AβPP N-terminal (AβPP-NT) monoclonal (22C11), anti-ADAM10 polyclonal, and anti-BACE1 polyclonal antibodies were purchased from Merck Life Science (Gillingham, UK). Anti-AβPP 6E10 monoclonal and anti-sAβPPβ polyclonal antibodies were from Biolegend (San Diego, USA) and monoclonal anti-sAβPPβsw antibody (6A1) was from IBL America (Minneapolis, USA). Unless otherwise stated, all other reagents were from Merck Life Science (Gillingham, UK).
Cell culture
SH-SY5Y human neuroblastoma were cultured in Dulbecco’s modified Eagle medium (DMEM) (Scientific Laboratory Supplies, Nottingham, UK) supplemented with 25 mM glucose, 4 mM L-glutamine, 10% (vol/vol) fetal bovine serum, penicillin (50 U/mL), and streptomycin (50μg/mL). Cells were maintained at 37°C in 5% CO2 in air. For the detection of protein fragments in conditioned medium, cells were grown to confluence in complete growth medium, washed with 10 mL UltraMEM™ reduced serum medium (Fisher Scientific, Loughborough, UK) and then cultured for a further 24 h in a fresh 10 mL of the same medium. Batimastat (Merck Life Science, Gillingham, UK) and β-secretase inhibitor IV (Cayman Chemical, Ann Arbor, USA) were prepared as concentrated stocks in dimethylsulfoxide (DMSO) and added to UltraMEM™ to achieve the final concentrations described up to a maximum carrier concentration of 0.05% (vol/vol). All control cultures contained the equivalent carrier concentration.
Generation of pIRESneo-sAβPPα and pIRESneo-sAβPPβ’ plasmids
pIREShyg-wtAβPP695 [36] was employed as a polymerase chain reaction (PCR) template for the generation of both pIRESneo-sAβPPα and pIRESneo-sAβPPβ’. PCR fragments were amplified using a Q5 high-fidelity PCR kit (New England Biolabs, Hitchin, UK). For sAβPPα, a forward primer (5’-AGCTAGATATCGCCACCATGCTGCCCGGTTTGG-3’) containing an EcoRV restriction site and Kozak sequence was employed along with a reverse primer (5’-ATAGCGCGGCCGCCTATTTTTGATGATGAACTTCATATCCTGAG-3’) containing a NotI restriction site and a stop codon downstream of the codon encoding Lys16 of the Aβ sequence within the AβPP coding DNA. sAβPPβ’ was amplified using the same forward primer and a reverse primer (5’-ACGTAGCGGCCGCTAGTATCCTGAGTCATGTCGGAATTCTG-3’) containing a NotI restriction site and a stop codon downstream of the codon encoding Tyr10 of the Aβ sequence within the AβPP coding DNA. Both PCR products were then double digested with EcoRV and NotI before ligation into the mammalian expression vector pIRESneo (Clontech-Takara Bio Europe, Saint-Germain-en-Laye, France). Plasmid sequences were confirmed by the MRC DNA Sequencing Service (University of Dundee, Dundee, UK).
Stable transfections
Plasmids (20–30μg) or empty expression vector (control cells) were linearized using AhdI before being subjected to ethanol precipitation and subsequent introduction into SH-SY5Y cells by electroporation. Recombinant cells were selected using 0.5 mg/mL neomycin sulphate (Melford, Ipswich, UK). Note that, in the sAβPPα and sAβPPβ’ construct experiments, all the initial cells were stably transfected with either empty pIREShyg expression vector or pIREShyg-BACE1. These cells were then double stably transfected with empty pIRESneo, pIRESneo-sAβPPα, or pIRESneo-sAβPPβ’ in order to ensure that all the cells contained the same vector backbones and were, therefore, correctly controlled.
Preparation of cell lysates and conditioned medium samples
Conditioned cell culture medium was harvested, centrifuged at 10,000 g for 10 min to remove cell debris, and concentrated 40-fold using Amicon Ultra-4 Centrifugal Filters (Merck Millipore, Watford, UK). For analysis of cell-associated proteins, cells were washed with phosphate-buffered saline (PBS; 20 mM Na2HPO4, 2 mM NaH2PO4, 0.15 M NaCl, pH 7.4) and scraped from the flasks into fresh PBS (10 mL). Following centrifugation at 500 g for 5 min, cell pellets were lysed in 50 mM Tris, 150 mM NaCl, 1% (vol/vol) IGEPAL, 0.1% (wt/vol) sodium deoxycholate, 5 mM (ethylenedinitrilo)tetraacetic acid (EDTA) at pH 7.4 containing 1% (vol/vol) protease inhibitor cocktail (Merck Life Science, Gillingham UK). Protein levels in cell lysates were quantified using bicinchoninic acid [37] in a microtiter plate with bovine serum albumin as a standard before equalizing the amount of protein in each sample by the addition of the required volumes of lysis buffer.
Sodium dodecyl sulphate polyacrylamide gel electrophoresis (SDS-PAGE) and immunoblot analysis
Equal quantities of lysate protein and equal volumes of concentrated conditioned medium samples were resolved by SDS-PAGE using 7–17% polyacrylamide gradient gels and transferred to Immobilon P polyvinylidene difluoride membranes [38] before incubating with primary antibody at a dilution of 1 : 5000 (except for anti-ADAM10, anti-BACE1 and anti-sAβPPβSwe (6A1) antibodies which were used at 1 : 1000, 1 : 2000, and 1 : 4000, respectively). Bound primary antibody was detected using peroxidase-conjugated secondary antibodies (Merck Life Science, Gillingham, UK) in conjunction with enhanced chemiluminescence detection reagents (Fisher Scientific, Loughborough, UK). Immunoblots were quantified using ImageJ.
For the resolution of AβPP C-terminal fragments, samples were run on 16% Tris/tricine gels before transferring to 0.2 micron nitrocellulose (Fisher Scientific, Loughborough, UK) and subsequently boiling for 5 min in PBS. Membranes were then further processed as described above.
Aβ peptide quantification
Aβ peptides in unconcentrated conditioned medium samples were quantified using the Mesoscale Discovery (MSD) platform. Aβ40 and Aβ42 were measured using the V-Plex Aβ peptide panel (6E10) kit according to the manufacturer’s instructions (MSD, Maryland, USA).
Cell viability assays
For trypan blue assays, cells were seeded at a density of 2×104/cm2. At the relevant time points, cells were harvested by trypsinization and resuspended in PBS. An aliquot of cell suspension was mixed with an equal volume of 0.4% (wt/vol) trypan blue solution (Merck Life Science, Gillingham, UK) and loaded onto a hemocytometer. Average live cell count across four squares was scaled up to obtain the total number of cells in each flask. For methanethiosulfonate (MTS) assays, cells were seeded at a density of 9.38×104/cm2 in 96-well culture plates. At the relevant time points, cells were incubated with CellTiter 96® AQueous One Cell Proliferation Assay solution (Promega, Wisconsin, USA) for 35 min at 37°C. Absorbance at 490 nm was measured using a Victor2 1420 microplate reader (Perkin Elmer, Waltham, USA).
Statistical analysis
Results are presented as means±standard deviation (SD). Data were analyzed using either Student’s t-test or a one-way analysis of variance (ANOVA). For cell viability assays, area under the curves were calculated, on which one-way ANOVAs were subsequently conducted. Additionally, one-way ANOVAs were conducted between cell lines at each time point in cell viability assays. All one-way ANOVA tests were followed by Tukey post-hoc analysis. Graphpad Prism 9.0.0 was used for all statistical analysis. Levels of significance are indicated in figure legends.
RESULTS
Soluble AβPP production via non-amyloidogenic pathways is not impaired by batimastat in SH-SY5Y-BACE1 cells
To our knowledge, no study has previously compared AβPP proteolysis between BACE1-, wtAβPP-, and SweAβPP-transfected SH-SY5Y cells. To this end, we grew all of these AD-relevant cell lines, along with mock-transfected controls, to confluence and then transferred them for an additional 24 h into UltraMEM™ reduced serum medium in the absence/presence of the broad spectrum ADAM-inhibitor, batimastat [39]. Cell lysate and conditioned medium samples were then prepared as described in the Materials and Methods section. Subsequent immunoblotting of lysates, as expected, demonstrated high levels of BACE1 expression only in the SH-SY5Y-BACE1 stable transfectants; equal protein loading was confirmed by immunoblotting for actin (Fig. 1A). Immunoblotting of the same lysate samples with the anti-AβPP CT antibody (Fig. 1B) revealed, interestingly, that AβPP expression was elevated 3.55±0.75-fold in SHSY-BACE1 cells relative to the mock-transfected SH-SY5Y cells. More expected were the 13.83±6.05- and 16.04±7.00-fold increases in AβPP expression observed, respectively, in the SH-SY5Y-wtAβPP and SH-SY5Y-SweAβPP cells. Inhibition of α-secretase activity using batimastat only resulted in a reciprocal accumulation of full-length AβPP in mock-transfected cell lysates (154.71±43.64% of untreated controls) (Fig. 1C).

Amyloid-beta protein precursor expression and non-amyloidogenic processing in AD-relevant SH-SY5Y cell lines. Mock-, BACE1-, wtAβPP-, and SweAβPP-transfected SH-SY5Y cells were grown to confluence and then incubated in the absence/presence of batimastat (5μM) for 24 h before harvesting and preparing lysates and conditioned medium samples (Materials and Methods section). A) Lysates were immunoblotted with anti-BACE1 (upper panel) and anti-actin (lower panel) antibodies. B) Detection of full-length AβPP (FL-AβPP) in cell lysates using the anti-AβPP C-terminal (AβPP-CT) antibody. Multiple immunoblots were then quantified and the results expressed relative to mock-transfectant controls. C) The effect of batimastat on FL-AβPP levels in lysates. Results are expressed relative to the no inhibitor controls for each cell line. D) Detection of non-amyloidogenically derived soluble AβPP (sAβPP) in medium using anti-AβPP 6E10 antibody. Multiple immunoblots were then quantified and the results expressed relative to mock-transfectant controls. E) The effect of batimastat on non-amyloidogenically derived sAβPP in conditioned medium. Results are expressed relative to the no inhibitor controls for each cell line. Results are means±S.D. (n = 3, independent cultures). *p < 0.05; **p < 0.01; ***p < 0.001. Hash symbols (#) indicate the same levels of significance but relative to the cognate experimental controls.
In order to compare non-amyloidogenic AβPP shedding between the cell lines, 24 h conditioned medium was immunoblotted with the anti-AβPP 6E10 antibody. Although this antibody is reactive to residues 1–16 of the Aβ region within AβPP, the epitope lies within amino acids 3–8 of the same region (EFRHDS) [40]. The results (Fig. 1D) showed that sAβPP695 levels detected using 6E10 were increased significantly in the conditioned medium of both wtAβPP- and SweAβPP-transfected cells (3.58±0.74- and 2.78±0.19-fold, respectively, relative to mock transfectants). Given that both transfected forms of AβPP were the 695 isoform, this was entirely expected and, furthermore, no differences were observed in non-amyloidogenic sAβPP derived from the 751 and 770 amino acid AβPP isoforms (Fig. 1D). Batimastat treatment (Fig. 1E) resulted in 92.57±2.99, 37.18±6.22 and 52.31±1.11% reductions (relative to untreated controls) in the non-amyloidogenic shedding of sAβPP695 from the mock-, wtAβPP and SweAβPP cells, respectively. Similarly, the levels of non-amyloidogenic sAβPP751/770 produced by the same cell lines were reduced by 79.51±3.56, 67.45±17.86, and 95.30±2.68%. However, notably, the non-amyloidogenic shedding of all AβPP isoforms from SH-SY5Y-BACE1 cells remained entirely unchanged following batimastat treatment (Fig. 1E). Furthermore, the expression and proteolytic maturation of the AβPP α-secretase, ADAM10, did not differ between any of the cell lines studied (Supplementary Figure 1).
We also examined the β-secretase-mediated generation of sAβPPβ by the four different cell lines by immunoblotting the conditioned medium samples with the anti-sAβPPβ antibody. The results (Fig. 2A) revealed a significant increase in sAβPPβ751/770 and sAβPPβ695 levels in medium from the SH-SY5Y-BACE1 cells (3.44±14.30- and 16.96±6.52-fold increases, respectively, relative to mock-transfected cells). In the case of the SH-SY5Y-wtAβPP cells, as expected, only sAβPPβ695 was significantly increased (33.88±20.15-fold relative to mock transfectants). Notably, the epitope generated following the cleavage of SweAβPP by BACE1 differs from that generated from wtAβPP due to the nature of the Swedish mutation and, as such, the anti-sAβPPβ antibody initially employed did not detect enhanced generation of this fragment in conditioned medium from the SH-SY5Y-SweAβPP cells (Fig. 2A). However, we did verify production of sAβPPβSwe using the anti-sAβPPβSwe (6A1) antibody (Fig. 2B). Inhibition of the ‘reciprocal’ non-amyloidogenic pathway using batimastat had little effect on sAβPPβ production by any of the cell lines other than a small but significant increase in sAβPPβ695 in the medium from SH-SY5Y-BACE1 cells (an 11.19±0.06% increase relative to untreated cells) (Fig. 2C).

Soluble amyloid-beta protein precursor beta (sAβPPβ) generation by AD-relevant SH-SY5Y cell lines. Mock-, BACE1-, wtAβPP-, and SweAβPP-transfected SH-SY5Y cells were grown to confluence and then incubated in the absence/presence of batimastat (5μM) for 24 h before harvesting and preparing conditioned medium samples (Materials and Methods section). A) Detection of wtAβPP-derived sAβPPβ in conditioned medium. Multiple immunoblots were then quantified and the results expressed relative to mock-transfectant controls. B) Detection of SweAβPP-derived sAβPPβ in conditioned medium. C) The effect of batimastat on wtAβPP-derived sAβPPβ in conditioned medium. Results are expressed relative to the no inhibitor controls for each cell line. Results are means±S.D. (n = 3, independent cultures). *p < 0.05; **p < 0.01. Hash symbols (#) indicate the same levels of significance but relative to the cognate experimental controls.
Soluble AβPP production via non-amyloidogenic pathways is predominantly mediated by BACE1 beta prime activity in SH-SY5Y-BACE1 cells
Given that batimastat did not reduce the production of sAβPP via non-amyloidogenic pathways in SH-SY5Y-BACE1 cells (Fig. 1E) we hypothesized that the BACE1 overexpressed in this cell line might be cleaving AβPP in a ‘beta prime’ fashion C-terminal to Tyr10 of the Aβ region [26, 27] in direct competition with canonical α-secretase-mediated processing of the protein. This would leave intact the minimum 6E10 epitope between amino acids 3–8 of the Aβ region [40] and, at the same time, explain the resistance of non-amyloidogenic sAβPP production to batimastat. Given that no antibody can specifically detect the N-terminal sAβPPβ’ fragment in conditioned medium, we sought to examine the reciprocal production of AβPP CTFs. As such, the cell lysates used in Fig.1. were also subjected to Tris/tricine gel electrophoresis (see Materials and Methods) and immunoblotted with the anti-AβPP CT antibody. The results (Fig. 3A, B) demonstrated significant increases in the levels of β-secretase-derived C99 in SH-SY5Y-wtAβPP and SH-SY5Y-SweAβPP cell lysates (2.82±0.86- and 4.01±0.58-fold enhanced relative to mock transfectants, respectively) but not, curiously, in the BACE1-transfected cells (despite the previously observed increase in sAβPPβ production in medium from the latter cells; Fig. 2A). In partial contrast, the levels of C83 derived from canonical α-secretase processing of AβPP were enhanced 1.98±0.20- and 2.26±0.34-fold, respectively (relative to mock transfectants) in SH-SY5Y-wtAβPP and SH-SY5Y-SweAβPP cells (Fig. 3C), this time in line with the enhanced non-amyloidogenic sAβPP production previously observed in these cells (Fig. 1D). Notably, however, consistent with a lack of canonical α-secretase AβPP processing, there was virtually no C83 detected in SH-SY5Y-BACE1 cells (Fig. 3A, C). Instead, a slightly larger C-terminal fragment consistent with C89 generated following beta prime AβPP cleavage was detected (Fig. 3A, C).

Amyloid-beta protein precursor C-terminal fragment generation in AD-relevant SH-SY5Y cell lines. Mock-, BACE1-, wtAβPP-, and SweAβPP-transfected SH-SY5Y cells were grown to confluence before harvesting, preparing lysate samples, and resolving proteins on Tris/Tricine gels (Materials and Methods section). A) Detection of AβPP C-terminal fragments (CTFs) in cell lysates using the anti-AβPP C-terminal (AβPP-CT) antibody. B) Quantification of C99 levels in lysates. Results are expressed relative to mock-transfectant controls. C) Quantification of C83 and C89 levels in lysates. Results for C83 are expressed relative to mock-transfectant controls. C89 could only be detected in SH-SY5Y-BACE1 cells and, therefore, is expressed relative to mock-transfectant C83 levels in order to demonstrate the complete replacement of the latter fragment in SH-SY5Y-BACE1 cells with C89. Results are means±S.D. (n = 3, independent cultures). *p < 0.05; **p < 0.01; ***p < 0.001. Hash symbols (#) indicate the same levels of significance but relative to the cognate experimental controls.
In order to further confirm that the non-amyloidogenically derived sAβPP produced by SH-SY5Y-BACE1 cells was generated via BACE1 activity, we examined the effect of β-secretase inhibitor IV [41] on production of the fragment. Initially mock-transfected cells were cultured for 24 h in the absence or presence of batimastat and/or β-secretase inhibitor IV and the conditioned medium was immunoblotted with the anti-AβPP 6E10 antibody. The results (Fig. 4A) demonstrated a near complete ablation of sAβPP derived via non-amyloidogenic AβPP processing (94.02±7.08 and 96.30±2.77% reductions in sAβPP751/770 and sAβPP695, respectively, relative to untreated cells) following batimastat treatment. Conversely, β-secretase inhibitor IV treatment alone had no impact on the production of these fragments unless batimastat was also present in which case levels were again reduced (97.80±1.70 and 99.62±0.50% reductions in sAβPP751/770 and sAβPP695, respectively, relative to untreated controls). When the same conditioned medium from inhibitor-treated mock-transfected SH-SY5Y cells was immunoblotted with the anti-sAβPPβ antibody, as would be expected, β-secretase inhibitor IV nearly completely ablated sAβPPβ production either singularly or in combination with batimastat (Fig. 4B). We next repeated the inhibitor experiments but using SH-SY5Y-BACE1 cells. This time, when conditioned medium was immunoblotted with the anti-AβPP 6E10 antibody, as observed previously (Fig. 1E), batimastat did not significantly inhibit production of sAβPP derived via non-amyloidogenic processing (Fig. 4C). Conversely, β-secretase inhibitor IV, reduced the production of these fragments to 21.53±19.00% (sAβPP695) and 30.98±22.62% (sAβPP751/770) relative to untreated cells but only when used in combination with batimastat.

The effect of α- and β-secretase inhibitors on the non-amyloidogenic production of soluble amyloid-beta protein precursor by mock- and BACE1-transfected SH-SY5Y cells. Mock- (A, B) and BACE1- (C, D) transfected SH-SY5Y cells were grown to confluence and then incubated in the absence/presence of batimastat (5μM) and/or β-secretase inhibitor IV (5μM) for 24 h before harvesting and preparing conditioned medium samples (Materials and Methods section). A, C) Detection of non-amyloidogenically derived sAβPP using anti-AβPP 6E10 antibody in medium from mock- and BACE1-transfected cells, respectively. B, D) Detection of wtAβPP-derived sAβPPβ in conditioned medium from mock- and BACE-1 transfected cells, respectively. Multiple immunoblots were quantified and the results expressed relative to the no inhibitor controls for each cell line. Results are means±S.D. (n = 3, independent cultures). **p < 0.01; ***p < 0.001. Hash symbols (#) indicate the same levels of significance but relative to the cognate experimental controls.
The fact that β-secretase inhibitor IV alone did not reduce sAβPP levels indicated that α-secretase was in direct competition with BACE1 beta prime AβPP processing in SH-SY5Y-BACE1 cells such that, unless the former was also inhibited, it could compensate when BACE1 was inhibited. In an attempt to validate this hypothesis, we also examined AβPP CTF levels in the lysates of the various inhibitor treated cells. The results showed that, in mock-transfected SH-SY5Y cells, β-secretase-derived C99 levels were, as expected, reduced by β-secretase inhibitor IV used singularly or in combination with batimastat (27.79±17.94% and 19.84±7.18% of untreated controls, respectively) (Fig. 5A, B). C83 derived from canonical α-secretase AβPP processing was significantly reduced in mock-transfected cells treated with batimastat alone (72.19±7.56% of untreated controls) (Fig. 5C). However, when cells were treated with β-secretase inhibitor IV alone or in combination with batimastat, C83 levels were unchanged relative to the untreated controls. In the case of SH-SY5Y-BACE1 cells, C83 was not detected in untreated cells or those treated with batimastat alone but was entirely replaced with BACE1 beta prime-generated C89 (Fig. 5D). However, rather unexpectedly, whether used singularly or in combination with batimastat, β-secretase inhibitor IV caused large increases in both C99 (2.08±0.19- and 2.15±0.23-fold, respectively, relative to untreated controls) (Fig. 5D, E) and C83 levels to an extent that the latter fragment was not resolved effectively from C89. As such the C83/C89 band was quantified as a singular entity in SH-SY5Y-BACE1 cells treated with β-secretase inhibitor IV. This band was increased 1.53±0.06- and 1.46±0.14-fold (relative to C89 levels in untreated controls) in cells treated with β-secretase inhibitor IV alone or in combination with batimastat, respectively (Fig. 5F). This increase was also significant compared to C89 levels in SH-SY5Y-BACE1 cells treated with batimastat alone. Levels of C89 were unchanged relative to untreated controls in cells treated with batimastat alone (Fig. 5F). The unexpected and seemingly global increase in AβPP CTF levels in β-secretase inhibitor IV (singular and combined with batimastat)-treated SH-SY5Y-BACE1 cells is considered further in the Discussion of the current study.

The effect of α- and β-secretase inhibitors on amyloid-beta protein precursor C-terminal fragment generation in mock- and BACE1-transfected SH-SY5Y cells. Mock- (A-C) and BACE1- (D-F) transfected SH-SY5Y cells were grown to confluence and then incubated in the absence/presence of batimastat (5μM) and/or β-secretase inhibitor IV (5μM) for 24 h before harvesting, preparing lysate samples, and resolving proteins on Tris/Tricine gels (Materials and Methods section). A, D) Detection of AβPP C-terminal fragments (CTFs) using the anti-AβPP C-terminal (AβPP-CT) antibody in lysates from mock- and BACE-1 transfected cells, respectively. B, E) Quantification of C99 levels in lysates from mock- and BACE1-transfected cells, respectively. Results are expressed relative to the no inhibitor controls for each cell line. C) Quantification of C83 levels in lysates from mock-transfected cells. Results are expressed relative to the no inhibitor controls. F) Quantification of C89/C83 levels in lysates from BACE1-transfected cells. C89 in the batimastat-treated cells is expressed relative to the no inhibitor controls. In the β-secretase inhibitor IV and β-secretase inhibitor IV+batimastat samples the C83 and C89 bands were not effectively resolved and so are combined and expressed relative to C89 in the no inhibitor controls. Results are means±S.D. (n = 3, independent cultures). *p < 0.05; **p < 0.01; ***p < 0.001. Hash symbols (#) indicate the same levels of significance but relative to the cognate experimental controls.
BACE1-, wtAβPP-, and SweAβPP-transfected cells all exhibit enhanced Aβ peptide generation but only SH-SY5Y-BACE1 cells exhibit reduced viability
In the preceding experiments we had demonstrated that BACE1 beta prime activity competitively depletes sAβPPα production when the enzyme is overexpressed in SH-SY5Y cells. Given this AβPP fragment has roles in cell proliferation and protection [13, 18], we hypothesized that the lack of sAβPPα (and/or enhanced sAβPPβ’) in SH-SY5Y-BACE1 cell cultures might result in a reduction in cell viability relative to mock-transfected cells. However, we first needed to eliminate the enhanced production of Aβ peptides by the former cells as a confounding factor which necessitated a global comparison of levels of these peptides produced by all four cell lines used in the current study.
In order to determine Aβ peptide levels, unconcentrated conditioned medium samples were analyzed for Aβ40 and Aβ42 levels as described in the Materials and Methods section. The results (Fig. 6A) showed that Aβ42 concentrations were significantly increased in medium from BACE1- (25.62±3.66 pg/mL), wtAβPP- (37.74±2.97 pg/mL), and SweAβPP-transfected (299.43±17.00 pg/mL) cells compared to mock-transfected cells (6.35±0.20 pg/mL). Aβ42 levels in SH-SY5Y-SweAβPP conditioned medium were also significantly increased compared to both BACE1- and wtAβPP-transfected cells. Similarly, Aβ40 levels were also significantly higher in medium from BACE1- (285.00±42.51 pg/mL), wtAβPP- (431.37±70.68 pg/mL), and SweAβPP-transfected cells (2636.63±293.28 pg/mL) compared to mock-transfected cells (76.74±10.24 pg/mL). Again, levels in SH-SY5Y-SweAβPP cells were significantly increased compared to both BACE1- and wtAβPP-transfected cells (Fig. 6A).

Amyloid-beta peptide generation by AD-relevant SH-SY5Y cell lines does not relate to changes in cell viability. A) Mock-, BACE1-, wtAβPP-, and SweAβPP-transfected SH-SY5Y cells were grown to confluence and then incubated for a further 24 h in UltraMEM™ reduced serum medium before quantifying Aβ peptide levels in the conditioned medium (Materials and Methods section). Note that Aβ40 levels are presented on the left-hand Y-axis and Aβ42 levels on the right-hand Y-axis. Results are the means±S.D. (n = 3, independent cultures) of absolute Aβ peptide concentrations (pg/ml). B, C) Trypan blue and (D, E) Methanethiosulfonate (MTS) analyses of cell viability. All four cell lines were seeded, and viability assays conducted at the indicated time points as described in the Materials and Methods section (B, D). The area under the curve (AUC) was subsequently determined for each cell line (C, E). Results for the viability assays are means±S.D. (n = 3 (Trypan blue) and n = 6 (MTS), independent cultures). **p < 0.01; ***p < 0.001. Hash symbols (#) indicate the same levels of significance but relative to the cognate experimental controls.
Having determined that Aβ peptide levels were elevated in the medium from all three AD-relevant cell lines (relative to the mock transfectants), we next examined the viability of the various cell lines over a 12-day culture period. Initially, cells were seeded and viability was monitored using trypan blue (see Materials and Methods) and the results (Fig. 6B) showed that the live cell counts for SH-SY5Y-BACE1 cells were significantly lower than the other three cell lines at every time point from day five onwards. Note that, due to the number and extent of significant differences between the four cell lines analyzed by ANOVA in Fig. 6B, it was not feasible to annotate them on the growth curves. Instead, we adopted an area under the curve (AUC) analysis to more effectively demonstrate the differences (Fig. 6C). Here, the results demonstrated a small but significant reduction in the case of SH-SY5Y-BACE1 cells relative to all the other three cell lines. Furthermore, we had remarked that SH-SY5Y-BACE1 cells, when examined under the light microscope, generally looked, morphologically, less healthy than the other three cell lines. We, therefore, examined cell viability over the same 12-day culture period using an assay that might more accurately reflect changes in biochemical cell viability, i.e., the MTS assay. These latter data (Fig. 6D, E) demonstrated more clearly the decreased viability of SH-SY5Y-BACE1 cells throughout the majority of the culture period and these cells exhibited an AUC value of (21.16±1.44) which was significantly lower than the value for mock- (32.19±1.55), wtAβPP- (39.34±1.78) and SweAβPP-transfected (37.07±1.48) cells (Fig. 6E).
Collectively, these data show that, despite BACE1-, wtAβPP-, and SweAβPP-transfected SH-SY5Y cells all generating far more Aβ peptides than mock-transfected cells, only the SH-SY5Y-BACE1 cells exhibited a reduced cell viability. In combination with the fact that the latter cell line also produced a lower quantity of Aβ than the wtAβPP- and SweAβPP-transfected cells and yet was less viable, these results indicated that it might be sAβPPα depletion (or an alteration of the sAβPPα/sAβPPβ’ axis) that was responsible for the reductions in viability observed in SH-SY5Y-BACE1 cells.
Generation and characterization of sAβPPα- and sAβPPβ’-overexpressing SH-SY5Y-BACE1 cells
In order to examine further the impact of an altered sAβPPα/sAβPPβ’ axis on SH-SY5Y cell viability, we sought to develop mock- and BACE1-transfected cell lines overexpressing one or the other of these non-amyloidogenically derived fragments. To this end we used the original pIRES-wtAβPP695 plasmid as a PCR template employing a reverse primer incorporating a stop codon downstream of the AAA codon encoding Lys16 of the Aβ sequence within the AβPP coding DNA. The PCR product was then ligated into pIRESneo and the correct incorporation of the TAG stop codon following the nucleotide sequence encoding HHQK in the Aβ region was verified through plasmid sequencing of pIRESneo-sAβPPα (Fig. 7A). Similarly, a sAβPPβ’ construct was generated using a reverse primer incorporating a stop codon downstream of the codon encoding Tyr10 of the Aβ region. The correct incorporation of the stop codon downstream of the nucleotide sequence encoding DSGY in the subsequently generated pIRESneo-sAβPPβ’ was also verified by sequencing (Fig. 7A). Note that the TAT codon encoding tyrosine in the AβPP coding DNA was altered to TAC (a non-coding change) in the primer in order to facilitate a suitable primer melting temperature.

Generation and characterization of sAβPPα- and sAβPPβ’-overexpressing SH-SY5Y cells. The 3’ coding region sequencing results for the pIRESneo-sAβPPα and pIRESneo-sAβPPβ’ plasmids are shown in (A). Both plasmids, along with empty pIRESneo expression vector, were then stably transfected into SH-SY5Y-mock cells (previously stably transfected with empty pIREShyg) (B-D) and SH-SY5Y-BACE1 cells (previously stably transfected with pIREShyg-BACE1) (E-G). All transfectants were then grown to confluence and incubated for a further 24 h in UltraMEM™ reduced serum medium before harvesting and preparing conditioned medium samples (Materials and Methods section). B, E) Detection of non-amyloidogenically derived sAβPP in medium using anti-AβPP 6E10 antibody. C, F) Detection of wtAβPP-derived sAβPPβ in conditioned medium. D, G) Detection of total sAβPP in conditioned medium using anti-AβPP N-terminal (AβPP-NT) 22C11 antibody. Multiple immunoblots were quantified and the results expressed relative to the cognate mock transfectant controls for the SH-SY5Y-mock and SH-SY5Y-BACE1 cells. Results are means±S.D. (n = 3, independent cultures). *p < 0.05; **p < 0.01; ***p < 0.001. Hash symbols (#) indicate the same levels of significance but relative to the cognate experimental controls.
We then stably transfected empty pIRESneo, pIRESneo-sAβPPα, and pIRESneo-sAβPPβ’ into previously pIREShyg mock-transfected SH-SY5Y cells and characterized levels of sAβPP fragments in the conditioned medium of the resultant cell lines (note that none of the transfections altered full-length AβPP expression in cell lysates; Supplementary Figure 2). Immunoblotting with the anti-AβPP 6E10 antibody revealed 5.94±1.58- and 4.35±0.93-fold (relative to the pIRESneo/hyg mock transfectants) increases in the levels of apparently non-amyloidogenically processed AβPP695 in the medium from cells transfected with the pIRESneo-sAβPPα and pIRESneo-sAβPPβ’, respectively (Fig. 7B) confirming that the antibody did indeed cross react with sAβPPβ’. No significant changes in sAβPPβ production were observed in medium from any of the transfectants (Fig. 7C). The fact that the newly transfected sAβPPα and sAβPPβ’ fragments constituted the major soluble AβPP fragments in cells was confirmed using the anti-AβPP NT (22C11) antibody which showed 3.04±0.32- and 3.05±0.19-fold increases in total sAβPP695 in the medium from cells transfected with the pIRESneo-sAβPPα and pIRESneo-sAβPPβ’, respectively (Fig. 7D).
We then stably transfected empty pIRESneo, pIRESneo-sAβPPα, and pIRESneo-sAβPPβ’ into previously pIREShyg-BACE1-transfected SH-SY5Y cells and, once more, examined the levels of sAβPP in conditioned medium (again none of the transfections altered full-length AβPP expression in cell lysates; Supplementary Figure 2). As expected, the anti-AβPP 6E10 antibody detected large increases in the amount of apparently non-amyloidogenically processed AβPP695 in conditioned medium from pIRESneo-sAβPPα and pIRESneo-sAβPPβ’-transfected cells (4.69±0.45- and 3.56±0.61-fold, respectively, relative to the pIRESneo-transfected SH-SY5Y-BACE1 cells) (Fig. 7E). Again, there were few significant changes in the levels of sAβPPβ produced by any of the transfectants (Fig. 7F). Finally, immunoblotting with the anti-AβPP NT (22C11) antibody, once more, verified that the newly transfected sAβPPα and sAβPPβ’ fragments constituted the major soluble AβPP fragments in their cognately transfected SH-SY5Y-BACE1 cells (Fig. 7G).
sAβPPα but not sAβPPβ’ completely restores viability deficits in SH-SY5Y-BACE1 cells
Having verified correct sAβPPα and sAβPPβ’ overexpression, we sought to examine the potential ability of sAβPPα to restore the decreased cell viability brought about by BACE1 transfection and whether sAβPPβ’ might contribute to this decreased viability. To this end we compared the viability over a twelve-day growth period of both pIREShyg-mock- and pIREShyg-BACE1-transfected cells double-transfected with either empty pIRESneo expression vector or the pIRESneo-sAβPPα and pIRESneo-sAβPPβ’ constructs. Using the trypan blue assay, the resultant growth curves (Fig. 8A) demonstrated that sAβPPα significantly enhanced the viability of the SH-SY5Y-mock cells relative to their pIRESneo-transfected counterparts and, furthermore, sAβPPβ’ decreased the viability of these cells. The same pattern but to an exaggerated extent was observed in the SH-SY5Y-BACE1 cells in which sAβPPα notably restored the viability of these cells to the level of the sAβPPα-transfected mock cells. Similarly, sAβPPβ’ overexpression seemed to have an additive effect with the ‘endogenously’ generated sAβPPβ’ in SH-SY5Y-BACE1 cells resulting in these cells having a significantly lower viability than any of the other cell lines employed. These effects can be seen more clearly in the AUC analysis (Fig. 8B) where sAβPPα overexpression in the SH-SY5Y-mock cells and in the SH-SY5Y-BACE1 cells enhanced viability relative to the cognate pIRESneo expression vector controls but also to a level indistinguishable between the sAβPPα-transfected SH-SY5Y-mock and SH-SY5Y-BACE1 cells. Similarly, sAβPPβ’ caused a slight reduction in cell viability in both the SH-SY5Y-mock and SH-SY5Y-BACE1 cells relative to their cognate controls.

The effect of sAβPPα and sAβPPβ’ overexpression on the viability of mock- and BACE1-transfected SH-SY5Y cells. A, B) Trypan blue and (C, D) Methanethiosulfonate (MTS) analyses of cell viability. All cell lines were seeded, and viability assays conducted at the indicated time points as described in the Materials and Methods section (A, C). The area under the curve (AUC) was subsequently determined for each cell line (B, D). Results for all viability assays are means±S.D. (n = 3 (Trypan blue) and n = 6 (MTS), independent cultures). **p < 0.01; ***p < 0.001.
We then repeated the viability studies but using the MTS assay. Here, the growth curves (Fig. 8C) again demonstrated that sAβPPα transfection enhanced viability in both the SH-SY5Y-mock and SH-SY5Y-BACE1 cells. What was particularly notable, however, was that the detrimental effect of sAβPPβ’ on cell viability in both the SH-SY5Y-mock and SH-SY5Y-BACE1 cells was even more pronounced when quantified using the MTS assay (Fig. 8C) compared to the previous trypan blue analysis (Fig. 8A). Similarly, the AUC analysis (Fig. 8D) also reflected this exaggerated effect. As with the trypan blue analysis, sAβPPα transfection was, again, shown to enhance the viability of both SH-SY5Y-mock and SH-SY5Y-BACE1 cells.
DISCUSSION
In the current study, we present evidence that BACE1 overexpression leads to the ablation of sAβPPα production through the competitive beta prime processing of the protein (Fig. 9) and that reduced sAβPPα, as opposed to enhanced Aβ peptide generation, represents the toxic mechanism in BACE1 overexpressing SH-SY5Y neuroblastoma cells. We initially compared AβPP proteolysis in three basic cell models commonly employed in AD research (SH-SY5Y-BACE1, SH-SY5Y-wtAβPP, and SH-SY5Y-SweAβPP) [32–36]. In terms of AβPP holoprotein expression, we showed that the stable overexpression of wtAβPP695 and SweAβPP695 in SH-SY5Y cells resulted in 13.83±6.05- and 16.04±7.00-fold increases of FL-AβPP in cell lysates (Fig. 1B). What was less expected was the 3.55±0.75-fold increase observed in endogenous FL-AβPP expression in SH-SY5Y-BACE1 cells. One explanation for this might be enhanced AβPP intracellular domain (AICD) generation via the amyloidogenic pathway as a consequence of increased BACE1 expression and the transcriptional activity of this fragment which can target the APP gene leading to elevated FL-AβPP expression [42]. While this process would also be enhanced in the wtAβPP- and SweAβPP-transfected cells, the transfected coding DNA would not be under the control of the endogenous APP promoter and, therefore, smaller increases in the expression of endogenous AβPP as a consequence of enhanced AICD transcriptional activity are likely to be masked by the much greater magnitude of transfected protein expression. Another unexpected observation in the SH-SY5Y-BACE1 cells was the lack of a significant increase in C99 levels relative to the mock-transfected controls (Fig. 3A, B). However, this could result either from the preferential beta-prime cleavage of endogenous AβPP by overexpressed BACE1 (to generate the C89 fragment) or possibly through a direct physical interaction between the overexpressed BACE1 and the γ-secretase complex mediating enhanced C99 processing to form Aβ peptides (as discussed later).

Ablation of sAβPPα production in the presence of enhanced BACE1 levels. In the presence of low BACE1 levels, full-length AβPP (FL-AβPP) is cleaved predominantly by α-secretase activity between lysine 16 and leucine 17 of the Aβ-region generating beneficial soluble AβPPα (sAβPPα) and a C-terminal membrane-associated fragment, C83. Lesser amounts of FL-AβPP are also cleaved at the N-terminus of the Aβ-region by BACE1 generating soluble AβPPβ (sAβPPβ) and a C-terminal membrane-associated fragment, C99. However, in the presence of high BACE1 levels the enzyme directly competes with α-secretase and cleaves FL-AβPP in an alternative beta prime manner between tyrosine 10 and glutamate 11 generating soluble AβPPβ’ and a C-terminal membrane-associated fragment, C89, concomitantly ablating sAβPPα production.
Prima facie, it was not unexpected that the anti-AβPP 6E10 antibody detected 3.58±0.74- and 2.78±0.19-fold increases in the production of non-amyloidogenically derived sAβPP by SH-SY5Y-wtAβPP and SH-SY5Y-SweAβPP cells (Fig. 1D). However, it has previously been reported [43] that the transfection of SweAβPP in SH-SY5Y cells resulted in a decreased production of sAβPP as detected using anti-AβPP 6E10 antibody relative to mock-transfected controls. There appears to be little logic in this latter observation as, whereas one might expect the transfected SweAβPP to be processed less via the non-amyloidogenic pathway (relative to wtAβPP) due to enhanced BACE1 cleavage of the protein, the non-amyloidogenic processing of the endogenous protein would have to be reduced following SweAβPP transfection in order to decrease levels relative to mock-transfected controls. Notably, the authors corrected conditioned medium samples on the basis of protein levels which is not advisable as changes in the levels of any protein in medium following SweAβPP transfection would have artefactually impacted on the results (in the current study we analyzed medium samples on an equal volume basis; only lysates were equalized in terms of protein concentrations). Notably, the level of non-amyloidogenically derived sAβPP generated from SweAβPP in the current study was, in fact, actually the same as that generated from overexpressed wtAβPP (Fig. 1D) and both events were inhibited by batimastat suggesting the involvement of a common α-secretase-like activity. We suggest that, while SweAβPP is irrefutably more efficiently processed by BACE1 than its wild-type counterpart [44], the high levels of the protein expressed in our cells ensure that BACE1 effectively reaches substrate saturation leaving sufficient excess substrate available for α-secretase processing.
One of the particularly novel observations in the current study is that, in terms of sAβPP generation, while batimastat clearly inhibited non-amyloidogenic processing in SH-SY5Y-mock, -wtAβPP and -SweAβPP cells, it had absolutely no impact in cells overexpressing BACE1 (Fig. 1E). We have presented mechanistic data that indicate this phenomenon is due to enhanced BACE1-mediated beta prime processing of AβPP. Notably, in the SH-SY5Y-BACE1 cells, the α-secretase-generated CTF (C83) was completely replaced with a fragment of a size consistent with C89 generated by BACE1 beta prime activity (Fig. 3A, C) [26, 27]. That beta prime activity was responsible for non-amyloidogenic processing in SH-SY5Y-BACE1 cells was further indicated by our experiments showing that β-secretase inhibitor IV largely ablated the phenomenon in these cells but not in mock-transfected cells (Fig. 4). This clearly implied that the soluble fragment generated in SH-SY5Y-BACE1 cells was not produced by canonical α-secretase activity yet must retain the 6E10 epitope. Notably, while the antibody is raised against the immunogen Aβ1 - 17, the epitope lies within residues 3–8 (EFRHDS) of the peptide [40]. Beta prime cleavage of AβPP occurs at the Tyr10-Glu11 bond within the Aβ region [26, 27], leaving the minimum 6E10 epitope intact in sAβPPβ’.
A direct competition between α-secretase and BACE1 beta prime activity is demonstrated by the fact that only combination treatment of SH-SY5Y-BACE1 cells with batimastat and inhibitor IV ablated non-amyloidogenic processing; treatment with either compound alone had no effect (Fig. 4C). Prima facie, this hypothesis is also supported by the fact that the treatment of SH-SY5Y-BACE1 cells with β-secretase inhibitor IV resulted in a seemingly reciprocal increase in the production of α-secretase derived C83 (Fig. 5D, E). However, this observation is confounded by the fact that combination treatment with both inhibitors also resulted in an accumulation of this fragment. Notably, the increase in CTF levels following inhibitor IV treatment was not restricted to C83; it also, unexpectedly, resulted in enhanced β-secretase derived C99 (Fig. 5D, E). Such more global accumulation of AβPP CTFs can only really be explained by the inhibition of γ-secretase activity. It has previously been reported that BACE1 can physically interact with γ-secretase [45], and that inhibition of such interaction can slow down the sequential processing of AβPP [46] but whether catalytic inhibition of the former enzyme rather than the physical disruption of a complex between the two enzymes could inhibit γ-secretase activity is a moot point. We have previously observed that, in ARPE-19 human retinal pigment epithelial cells, β-secretase inhibitor IV, at concentrations as low as 25 nM, causes a net increase in AβPP CTF levels (Sultan & Parkin, in submission) yet others have suggested that the compound does not alter γ-secretase activity [46].
Another very important and novel element to the current study stems from the fact that, through our sAβPPβ’ overexpression studies, we have highlighted the fact that the anti-AβPP 6E10 antibody does indeed cross react with this soluble AβPP fragment (Fig. 7). This observation, together with the fact that, under conditions of elevated BACE1 expression, beta prime activity can competitively ablate canonical sAβPPα production questions the accuracy of some previous studies that have sought to test the potential of this proteolytic fragment as an AD biomarker. Certainly, several studies have employed the anti-AβPP 6E10 antibody to report that sAβPPα levels in the CSF of AD patients are not depleted compared to cognitively healthy controls [24, 48]. Given that elevated BACE1 expression has previously been described in the brains and CSF of AD patients [49–54], and sAβPPα biomarker studies do not correct for BACE1 activity in patients, it is possible that levels of this non-amyloidogenic AβPP fragment may well have been overestimated in such studies.
In addition to potential implications for sAβPPα biomarker studies our research also raises novel questions in relation to AD causation. Clearly, Aβ peptides, according to the amyloid cascade hypothesis, are central to AD pathogenesis and yet, despite all three AD-relevant SH-SY5Y cell lines employed in the current study exhibiting greatly enhanced production of these peptides relative to mock transfectant controls (Fig. 6), only the BACE1-transfected cells exhibited reduced cell viability. There may be several explanations for this, not least the fact that these cells represent an in vitro system which may well lack other factors necessary for Aβ peptide aggregation and/or toxicity. Additionally, sAβPPα production was enhanced in both the wtAβPP- and SweAβPP-SH-SY5Y cells and this neuroprotective fragment [10] may well have countered the enhanced Aβ peptide levels. Nonetheless, the fact that sAβPPα transfection was able to restore SH-SY5Y-BACE1 cell viability to at least the level of control cells (in the case of the MTS assays) and indeed to the level of sAβPPα-transfected normal SH-SY5Y cells (i.e., those that were not transfected with BACE1) (in the case of the trypan blue assays) (Fig. 8) suggests that, at least in this cell type, reductions in cell viability were more down to beta prime-mediated depletion of this fragment than to Aβ peptide toxicity. Similarly, if BACE1 toxicity was being mediated through the enhanced cleavage of an alternative BACE1 substrate, it is highly unlikely that the restoration of sAβPPα levels alone would restore the viability of SH-SY5Y-BACE1 levels, not just to the level of mock-transfected cells but to that of the sAβPPα-transfected control SH-SY5Y cells. These findings may provide rationale for the use of sAβPPα-enhancing therapies to treat AD at least in a subset of patients with elevated BACE1 expression.
Interestingly, our experiments also demonstrated the novel concept that sAβPPβ’ decreases the viability of SH-SY5Y-mock and SH-SY5Y-BACE1 cells (Fig. 8) perhaps suggesting that, in the latter cells, a dramatic change in the sAβPPα/sAβPPβ’ axis rather than a simple depletion of the former fragment might be conducive to cytotoxicity. That sAβPPβ’ might be neurotoxic seems at odds with the fact that the A673T Icelandic APP mutation protects against the development of AD [55] and has been shown to change the cleavage site selection of BACE1 from the canonical β-secretase cleavage site to the beta prime site [56] which one would expect to enhance sAβPPβ’ production. However, the main protective effect of the A673T mutation is thought to be derived from the preclusion of intact Aβ peptide formation due to enhanced cleavage of the Aβ sequence at Tyr10-Glu11 to generate Aβ (11 - 40/42) [55] and this might outweigh the possible detrimental production of sAβPPβ’ in those individuals carrying the A673T mutation. Furthermore, it has been suggested that canonical β-secretase generated C99 can be cleaved at the beta prime site to ultimately form Aβ (11–40/42) [56] such that patients carrying the Icelandic mutation may well not exhibit enhanced sAβPPβ’ production.
The current study is limited to the use of a single immortalized cell line and, in the future, it would be interesting to determine whether enhanced levels of BACE1 expression in, for example, stem cell-derived neurons or brain tissue from AD patients correlate with enhanced beta prime AβPP processing in lieu of sAβPPα production. Furthermore, whether this phenomenon correlates with the rate of cognitive decline in AD patients more strongly than Aβ peptide accumulation also remains to be determined. The current study would also benefit, in future, from the confirmation of AβPP fragment identity through protein sequencing although the enhanced production of two fragments corresponding to the masses of sAβPPβ’ and C89 following BACE1 overexpression, in addition to the fact that their generation was inhibited by β-secretase inhibitor IV, would seem to argue almost irrefutably that the event in question is indeed BACE1-mediated beta prime AβPP processing.
To conclude, in the current study we have demonstrated that, under conditions of elevated BACE1 expression, beta prime activity of the enzyme can compete directly with α-secretase activity such that sAβPPα production is virtually ablated. Furthermore, the reductions in cell viability in SH-SY5Y-BACE1 cells can be completely reversed by sAβPPα. These data raise several novel concepts not least the fact that, in a subset of AD patients exhibiting enhanced BACE1 activity, the depletion of sAβPPα or, at least an alteration in the sAβPPα/sAβPPβ’ axis, might contribute to neurotoxicity. Furthermore, the fact that the anti-AβPP 6E10 antibody has been shown here to cross-react with sAβPPβ’ suggests that we may need to reassess sAβPPα depletion as a possible biomarker for AD factoring in levels of BACE1 activity in patients as we may have previously considerably under-estimated the depletion of this proteolytic fragment in the disease.
Footnotes
ACKNOWLEDGMENTS
This work was supported by the fund raising efforts of ‘Defying Dementia’ (Division of Biomedical and Life Sciences, Faculty of Health and Medicine, Lancaster University, Lancaster, United Kingdom). We would also like to thank Prof. Nigel Hooper and Dr. Katherine Kellett (Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom) for their assistance with the Aβ peptide analysis.
