Alzheimer's Disease and Frontotemporal DementiasA Review with Particular Reference to Pin1 Protein
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Literature: A-K ; L-Z ; subject area Compiled by: Julian Thorpe |
Online Review Paper
The Peptidyl-Prolyl Cis-Trans Isomerase Protein Pin1: a key player in the molecular pathogenesis of Alzheimer’s disease? Julian Robert Thorpe Abstract
Pin1 protein is a peptidyl-prolyl cis-trans isomerase that binds to a specific motif of a phosphorylated serine or threonine preceding a proline. Its target proteins include a subset of mitotic and nuclear proteins involved in cell cycle control and transcriptional regulation, and others with roles in endocytosis, translation and control of cell size, and apoptosis. The isomerising action of Pin1 can modulate target protein conformation and mediate their dephosphorylation, so its influence at the interface of specific kinase and phosphatase activities may therefore exert a control over a range of cellular activities. Pin1 has recently been implicated in Alzheimer’s disease (AD); it has been demonstrated to bind to the amyloid protein precursor and to phosphorylated tau in tangles. In binding to the latter in the neuronal cytoplasm, nuclear Pin1 levels are depleted. This review seeks to draw together the various demonstrated and potential interactions of Pin1 protein with its upregulated target proteins in the progression of AD. An attempt is made to suggest how nuclear Pin1 depletion and mitotic activation in AD might lead to nuclear instability and apoptosis and that this depletion might be a unifying, contributory factor towards neuronal cell death in both AD and the tauopathies.
Pin1 is a member of the parvulin family within the peptidyl-prolyl cis-trans
isomerase (PPIase) group of proteins and was the first human parvulin
to be found (88). PPIases are chaperone proteins with a range of functions
that include modulating the assembly, folding, activity and transport of
essential cell proteins (49,124) at different subcellular sites, reflecting
their target protein diversity (68,121). They can additionally regulate
intracellular signalling, direct intracellular transport, influence transcription,
cell cycle progression and apoptosis by altering protein bioactivity or stability
(58,159).
The phosphorylation-dependent
prolyl isomerization by Pin1 has been suggested to be a novel post-translational
cell cycle regulatory mechanism which organises the phosphorylated proteins
into a defined set of mitotic structural modifications (87). Zhou and
colleagues have recently demonstrated an example of this organisational
influence of Pin1. They have shown that the PPIase activity of Pin1 introduces
kinks into the peptide chains of its targets (166) and, more specifically
(165), that the cis-trans isomerase action of Pin1 upon Cdc25C (and tau:
see Section 2.2) facilitates its dephosphorylation by the protein phosphatase
2A (PP2A). Indeed, the latter’s activity is conformation-specific for the
trans-phosphorylated Ser/Thr-Pro isomer in target proteins. AD is a progressive neurodegenerative disease that affects the higher order processing cortical regions of the brain, leading to a slow but progressive deterioration in cognitive ability (dementia). Recently, Pin1 protein has been shown to have an intimate involvement in the formation of the two hallmark lesions of AD, the extracellular neuritic plaques which contain dystrophic neurites and aggregates of beta-amyloid (A beta) protein (29) and the intraneuronal neurofibrillary tangles (90).
Although the majority
of research evidence appears to suggest that deposition of (extracellular)
beta-amyloid plaques precedes (intraneuronal) tangle formation in AD-affected
neocortical areas, there is still some debate about how plaques and tangles
interrelate. Many researchers hold the view that fibrillar amyloid plaques
are directly toxic to neurons and thereby initiate a cascade of events
leading to cytoskeletal disruption, tangle development, loss of synapses
and, ultimately, neuronal cell death and dementia. This is the so-called
‘beta-amyloid cascade theory’ of AD (59,126). However, others dispute this
notion of such a ‘linear’ chain of events as, for example, tangles may occur
in the absence of plaques in the class of neurodegenerative diseases known
as ‘tauopathies’ (79). Additionally, some AD studies have revealed no correlation
between these two lesions: for example, a thorough systematic study of the
olfactory bulb in AD and normal brain yielded no correlation between A beta
deposition and tangle formation (70). Furthermore, very recently, a view
has emerged that the neurotoxicity of A beta may be plaque-independent (53,102,104),
an observation which might serve to clarify this latter dispute. Such studies
indicate that AD is not always necessarily as linear and uni-directional
as the ‘cascade’ theory implies; future research on the recently-discovered
tau mutations (26) should shed important new light on our understanding of
the progression of the disease.
Figure 1: Molecular Pathogenic Events of AD
The recent finding that Pin1 binds to APP (29), alongside the earlier demonstration of its binding to p-tau in the neurofibrillary tangles of AD-affected neurons (90), means that the protein provides a link between the development of the two major histopathological hallmark features of this disease, the plaques and tangles. As outlined above, aberrant proteolytic processing of APP leads to the secretion and ultimate aggregation of A beta peptides into extracellular plaques in AD brain, whilst p-tau is the major component of the tangles within the perikaryon of affected neurons.
Figure 2: Involvement of Pin1 in Neurofibrillary Tangle Formation
and Apoptosis
In binding to the large accumulations of p-tau in tangles, Lu et al. showed that Pin1 is redirected from the nucleus to the cytoplasm of AD neurons (90; and see Fig. 2). In vitro methods revealed that Pin1 bound to the phosphorylated threonine 231 (pThr 231) of p-tau and tissue extractions of Pin1 protein showed that it becomes sequestered within tangles. Furthermore, this leads to a shortfall of available soluble Pin1 protein. Results from this author’s laboratory have confirmed the redirection, shortfall and binding to tangles of Pin1 at the transmission electron microscope level (141). Quantification of endogenous Pin1 immunolabelling (Fig. 3, white bars) corroborated that the protein is less preferentially nuclear and becomes more cytoplasmic in distribution in AD-affected neurons; it is also associated with tangles (Fig. 4A & B).
Figure 3: Endogenous Pin1 Immunolabelling and Exogenous Pin1 Binding
to Normal and AD Neurons
Figure 4: Examples of Tau-Immunoreactive Neurofibrillary Tangles
Increased levels
of immunolabelling (compared with endogenous Pin1 levels and with normal
brain) after exogenous Pin1 binding reflect the greater amounts of
(unbound) phosphorylated Pin1 target proteins in these neurons (especially
in the tangles; Fig. 3, black bars). Net levels of Pin1 binding derived
from these results show greatly-increased amounts of binding to AD (compared
to normal) neurons and evidences a shortfall of available Pin1 protein in
all subcellular compartments (Fig. 3, grey bars). Lu et al. suggested that
depletion of nuclear Pin1 might contribute to cell death (as in HeLa cells;
88). Significantly, they also showed that Pin1 could restore the ability
of p-tau to bind Mt and promote their assembly in vitro: a possible future
therapeutic use of Pin1 was therefore postulated (90).
Figure 5: The Involvement of Pin1 in Plaque Formation
Another Pin1 target protein that is upregulated in AD and might influence APP proteolytic processing is the endocytotic protein transport regulator, rab4 (22). Rab4 is phosphorylated by p34/cdc2 and regulates protein transport through the early endosomes when activated by GTP binding. As endocytotic protein transport is inhibited during mitosis, when phosphorylated rab4(-GTP) has been shown to be bound by Pin1 (45), this might well have implications with regard to the spurious mitotic activation in AD-affected neurons; see Section 2.4). The distribution of rab4 was found to be more cytosolic and these authors suggested that phosphorylation of rab4 inhibits both the recruitment of rab4 effector proteins to early endosomes and the docking of rab4-containing transport vesicles. In AD, perturbations to the balance of kinase and phosphatase activities lead to the inappropriate hyperphosphorylation of various proteins. Hyperphosphorylated tau proteins have been shown to accumulate in neurons prior to tangle formation, suggesting that an imbalance of protein kinase and phosphatase activities is an early event in the disease progression (16). This latter would therefore also create a cytoplasmic ‘sink’ for nuclear Pin1 protein early in AD. Cyclin-Dependent Kinase 5 (Cdk5; 94,130) is abundant in brain tissue and has been shown to associate with tau (and neurofilament and tubulin proteins; 146). With its neuron-specific activator p35, Cdk5 is required for neuritic outgrowth, cortical lamination and synaptogenesis in cultured rat brain neurons (142). In AD, p25, a neuron-specific proteolytic cleavage product of p35, accumulates in the brain and promotes activation and mislocalization of Cdk5 (111). It should be noted, however, that others have recently suggested that the conversion of p35 to p25 is a post-mortem degradation event mediated by calpain (138). Other experiments on cultured primary cortical neurons have revealed that A beta, excitotoxins, hypoxic stress and calcium influx induce p25 production; calpain (a calcium-dependent cysteine protease) was found to cleave p35 to release a product corresponding precisely to p25, while inhibition of Cdk5 or calpain reduced cell death in A beta-treated neurons (78). The p25/Cdk5 kinase has been demonstrated to hyperphosphorylate tau (81), leading to cytoskeletal disruption and the apoptosis of primary neurons (78,94). It has subsequently been shown that phosphorylation of serine residues 396 and 404 by Cdk5 is primarily responsible for the mediation of tau's inability to polymerise tubulin (36). Cdk5 has been shown to be preferentially and consistently associated with tangles (160). Also, increases in its immunoreactivity within pre-tangle and early stage tangle-containing neurons in AD brain have been reported (113). Examination of neuronal Cdc2-like kinase (p25/Cdk5) activity in prefrontal and cerebellar cortex from AD and control subjects (77) has provided further corroboration. The ratio of p25/Cdk5 activity in prefrontal versus cerebellar cortex was higher in AD than control, a finding consistent with a role for this kinase in the pathogenesis of tangles in AD (prefrontal regions being tangle-rich and cerebellar regions almost tangle-free in AD). Work on model systems has also pointed to a role for Cdk5 in AD tau hyperphosphorylation. The tau protein kinase II system (TPK II; involving Cdk5 and p35) has been studied in cultured rat hippocampal cells (6). This work showed that fibrillary A beta increased Cdk5 activity, while a Cdk5 inhibitor and an (Cdk5) antisense probe protected the cells from A beta-induced neurotoxic damage. This group’s later work (5) has correlated the increased Cdk5 activity with changes in both the phosphorylation patterns and intraneuronal distribution of tau protein. The effects on Cdk5 were shown to be post-translational. They therefore concluded that Cdk5 plays a major role in the molecular path leading to the neurodegenerative process. Also, a transgenic mouse model overexpressing human p25 showed a resultant hyperphosphorylation of tau (and neurofilament proteins) by Cdk5 (1). This latter was accompanied by cytoskeletal disruption. Glycogen Synthase Kinase-3 (GSK-3; also known as tau protein kinase I [TPKI]) is a kinase with a well-known role in glycogen metabolism and activation of transcription factors that can also phosphorylate tau (66). GSK-3 beta (but not GSK-3 alpha) has been shown to be increased in pre-tangle (112) and closely-associated with the p-tau of tangle-bearing neurons (160). GSK-3 beta has been shown to be equivalent to TPKI and, with TPKII (consisting of a novel 23 kDa protein activator and CDK5), could account for most major phosphorylation sites of fetal and PHF(paired helical filament)-tau (64). GSK-3 beta (and TPKII) was associated with tangles in vivo and it was suggested to be important in the formation of neural networks in the neonatal brain. Using primary cultures of embryonic rat hippocampus, it was also demonstrated that A beta treatment induced GSK-3 beta activity, extensive phosphorylation of tau and cell death. GSK-3 beta also interacted with pyruvate dehydrogenase (PDH), thereby reducing levels of acetyl-CoA, essential for (the neurotransmitter) acetylcholine synthesis. Further corroborating in vivo evidence of GSK-3 beta’s potential role in AD has come from research on transgenic mouse models overexpressing this kinase (92,132), which evidenced tau hyperphosphorylation and associated astrocytosis, microglial activation and cell death in hippocampal neurons. The MAP kinase pathway is one branch of the complex cellular regulatory machinery, the aberrant activation of which may contribute to the hyperphosphorylation of tau associated with AD. MAP kinases (24) are serine-threonine kinases that have a significant role in hormonal signal transduction. They are activated by MAP kinase kinase (MAP kinase/ERK kinase: MEK). MEKs are highly specific for ERK1 and 2. MEKs are themselves activated by MEK kinase. The latter and MAP kinases are highly-expressed in the brain, with ERK1 mRNA apparently enriched in astrocytes and glia. ERK2 has been found in neuronal processes, tangles and plaques (143). The MAP kinases phosphorylate many key regulatory proteins such as other protein kinases, transcription factors (e.g. Egr1; 54), membrane enzymes and cytoskeletal proteins (including tau; 38). It has also now been demonstrated (in PC12 cells; 54) that activation of the MAP kinase pathway by nerve growth factor induces p35, the neuron-specific activator of Cdk5. This induction is mediated via the transcription factor Egr1. Significantly, MAP kinases can phosphorylate tau in up to 15 of the 17 Ser-Pro or Thr-Pro motifs of the largest human isoform and have been seen to be associated with complexes of tau (and neurofilament and tubulin proteins; 146). A secreted fragment of the amyloid protein precursor (APP) can stimulate MAP kinase in a ras-dependent manner, leading to tau phosphorylation (69). The results suggested an interaction of tau with actin in addition to microtubules. On this note, it has been suggested (164) that, in AD, amyloid fibrils may activate cell death signalling pathways involving the neurotrophins which regulate apoptosis via protein kinase cascades (inc. the MAP kinase pathway). Another potential route for tau phosphorylation is via activation of protein kinase cascades by the 14-3-3 protein family. The latter are highly conserved and exist as seven isoforms, which regulate diverse cellular processes (42). They have been shown to be present in tangles (75), while the 14-3-3 zeta isoform is associated with tau in brain extract and profoundly stimulates cAMP-dependent protein kinase-catalysed in vitro phosphorylation on Ser(262)/Ser(356) located within the microtubule-binding region of tau (56). It was suggested that 14-3-3 (zeta) is a tau protein effector involved in abnormal tau phosphorylation.
As well as the
upregulation of the protein kinases, a concomitant downregulation of protein
phosphatases (PP) during AD progression has also been demonstrated, which
would contribute to the aberrant hyperphosphorylation of neuronal proteins.
In regard to research on human brain, a neuron-specific reduction in the
levels of both catalytic and regulatory PP2A mRNA in the hippocampus of AD
brain has been shown (150). Also, reduced activity (but not protein
levels) of PP2B (calcineurin) in AD frontal cortex has been correlated with
the presence of tangle pathology but not with (diffuse or neuritic) plaques
(83). Expression data for PP2B in prefrontal cortical AD tissue has also
revealed a great reduction compared with control brain tissue (122). Additionally,
and significantly, the PP2B inhibitory gene known as DSCR1 (“Down Syndrome
Candidate Region”; 43) is chronically overexpressed in AD compared with normal
brain; these data were reinforced by cell culture experiments, which revealed
that A beta could directly induce this increased expression (35).
Neurons of the
adult brain are normally considered to be in a ‘terminally-differentiated’
state. However, accumulation of mitotic phosphoepitopes, via the spurious
re-expression and activation of Cdc2/cyclin B (the mitotic phase regulating
kinase), and associated cell cycle-related proteins has been shown in AD
and has attracted much research interest (8,9,19,22,32,33,46,55,62,63,103,149).
It has been described as an ‘interrupted’ mitotic process which leads to
associated cytoskeletal abnormalities (including tangle formation) and, ultimately,
apoptosis (7,34,98). 2.5 Pin1 depletion as a contributory factor in neuronal apoptosis
Several lines of
evidence support a role for apoptosis in the neuronal loss observed in AD
(7,27). A recent review (164) concludes that neuronal apoptosis has a potentially
important role in neurodegenerative diseases (in addition to its involvement
in the 'sculpturing' of the developing brain) and that the precise elucidation
of such neuronal cell death might provide additional points for therapeutic
interventions.
Pin1 protein is
apparently a ‘key player’ in the pathogenesis of AD: it has been shown to
bind to both APP (29) and p-tau (90) in affected neurons and, by so doing,
is thereby intimately involved in the development of the two classical,
histopathological features of the disease, the extracellular neuritic plaques
and the intraneuronal neurofibrillary tangles. Additionally, as Pin1 protein
is a mitotic regulator, it will also, implicitly, have a role in the spurious
re-expression and activation of cell cycle proteins in AD. Finally, because
of all the above, Pin1 will have a role in neuronal apoptosis, either indirectly,
via depletion of levels of nuclear Pin1 (resulting from redirection of nuclear
Pin1 to tangle-bearing cytoplasm), or directly, via association with specific
upregulated phosphoprotein targets. Back to Top
The author is indebted to a number of colleagues without whose collaboration this review would not have been possible. I would like to thank John Kay, whose established research and reputation in the field of the PPIase proteins first led me into the area of Pin1 protein research, and also Stuart Rulten, who collaborated extensively, enthusiastically and with excellent and wide-ranging expertise with myself during the course of my research on Pin1. I am also very grateful to Simon Morley for his enthusiastic support and freely-given experienced biochemical input whenever requested. Finally, I should like to acknowledge the indispensable support of Nigel Cairns who provided brain samples and neuropathological advice. 1. 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