The Arctic amyloid- precursor protein (APP) mutation results in distinct plaques and accumulation of N- and C-truncated A
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摘要
The Arctic (p. E693G) mutation in the amyloid- precursor protein (APP) facilitates amyloid- (A) protofibril formation and generates clinical symptoms of Alzheimer's disease (AD). Here, molecular details of A in post mortem brain were investigated with biochemical and morphological techniques. The basic structure of Arctic plaques resembled cotton wool plaques. However, they appeared ring-formed with A42-specific antibodies, but were actually targetoid, since the periphery and center of many parenchymal A deposits stained differently with mid-domain, N- and C-terminal A antibodies. A fibrils were similar in shape, albeit shorter than in sporadic AD brain, when examined by electron microscopy. Awild-type and Aarctic codeposited and parenchymal deposits were highly enriched in both N- and C-terminally truncated A. In contrast, cerebral amyloid angiopathy (CAA) contained a substantial amount of A1-40. The absence of plaques with cores of fibrillary A might be due to the scarcity of full-length A, although other mechanisms could be involved. Our findings are discussed in relation to mechanisms and relevance of amyloid formation and to the clinical features of AD.

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