文摘
The ¡°amyloid-¦Â (A¦Â) hypothesis¡± posits that accumulating A¦Â peptides (A¦Âs) produced by neurons cause Alzheimer's disease (AD). However, the A¦Âs contribution by the more numerous astrocytes remains undetermined. Previously we showed that fibrillar (f)A¦Â25-35, an A¦Â42 proxy, evokes a surplus endogenous A¦Â42 production/accumulation in cortical adult human astrocytes. Here, by using immunocytochemistry, immunoblotting, enzymatic assays, and highly sensitive sandwich ELISA kits, we investigated the effects of fA¦Â25-35 and soluble (s)A¦Â25-35 on A¦Â42 and A¦Â40 accumulation/secretion by human cortical astrocytes and HCN-1A neurons and, since the calcium-sensing receptor (CaSR) binds A¦Âs, their modulation by NPS 2143, a CaSR allosteric antagonist (calcilytic). The fA¦Â25-35-exposed astrocytes and surviving neurons produced, accumulated, and secreted increased amounts of A¦Â42, while A¦Â40 also accrued but its secretion was unchanged. Accordingly, secreted A¦Â42/A¦Â40 ratio values rose for astrocytes and neurons. While slightly enhancing A¦Â40 secretion by fA¦Â25-35-treated astrocytes, NPS 2143 specifically suppressed the fA¦Â25-35-elicited surges of endogenous A¦Â42 secretion by astrocytes and neurons. Therefore, NPS 2143 addition always kept A¦Â42/A¦Â40 values to baseline or lower levels. Mechanistically, NPS 2143 decreased total CaSR protein complement, transiently raised proteasomal chymotrypsin activity, and blocked excess NO production without affecting the ongoing increases in BACE1/¦Â-secretase and ¦Ã-secretase activity in fA¦Â25-35-treated astrocytes. Compared to fA¦Â25-35, sA¦Â25-35 also stimulated A¦Â42 secretion by astrocytes and neurons and NPS 2143 specifically and wholly suppressed this effect. Therefore, since NPS 2143 thwarts any A¦Â/CaSR-induced surplus secretion of endogenous A¦Â42 and hence further vicious cycles of A¦Â self-induction/secretion/spreading, calcilytics might effectively prevent/stop the progression to full-blown AD.