7
Journal of Proteomics & Bioinformatics - Open Access Research Article JPB/Vol.1/April 2008 J Proteomics Bioinform Volume 1(1): 036-042 (2008) -036 ISSN:0974-276X JPB, an open access journal Allam Appa Rao 1 , Kiran Kumar Reddi 2 , Hanuman Thota 2 1 International Center for Bioinformatics, Department of Computer Science and Systems Engineering, Andhra University, Visakhapatnam-530003, India 2 Department of Computer Sciences and Engineering, Acharya Nagarjuna University, Guntur-522510, India Corresponding Author: Prof. A. A. Rao, Principal, Andhra University College of Engineering, Visakhapatnam-530003, India, Tel:+91-891-2844204; Fax: +91-891-2747969; E-mail: [email protected] Introduction Over the past 25 years, it has become clear that the proteins forming the deposits are central to the disease process. Amyloid-ß and tau make up the plaques and tangles of Alzheimer’s disease(AD), where these normally soluble proteins assemble into amyloid-like filaments(Michel and Maria, 2006). Recently Ballatore et al. (2007) summarized the most recent advances in the mechanisms of tau-mediated neurodegeneration to forge an integrated concept of those tau-linked disease processes that drive the onset and progression of AD and related tauopathies. New evidence indicates that tau may mediate neurotoxicity by al- tering the organization and dynamics of the actin cytoskel- eton (Gallo, 2007). Amyloid formation is a nucleation-de- pendent process that is accelerated dramatically in vivo and in vitro upon addition of appropriate fibril seeds (Alexander et al., 2006) AD is a progressive neurodegenerative disorder characterized by amyloid plaques composed of aggregated amyloid beta plaques, neurofibrillary tangles (NFT) composed of hyperphosphorylated tau and synaptic defects resulting in neuritic dystrophy and neuronal death (Hutton and McGowan, 2004). A growing body of evidence implicates cholesterol and cholesterol-rich membrane microdomains in amyloidogenic processing of amyloid precursor protein (APP). Chemg et al., (2007) reviewed the recent findings regarding the association of BACE1, ã-secretase and APP in lipid rafts, and discuss potential therapeutic strategies for AD that are based on knowledge gleaned from the membrane environ- ment that fosters APP processing. Missense mutations in amyloid precursor protein (APP), presenillin-1 (PS-1) (chromosome 14), presenillin-2 (PS-2) (chro- mosome 1) genes alter the proteolysis of APP and increase the generation of Aß42 (amyloid ß 42) .Genetic studies have led to the identification of three genes in which mutations can cause AD: the ß-amyloid precursor protein gene located on chromosome 21, presenilin 1 (PS1) located on chromosome 14 and presenilin 2 (PS2) located on chromosome 1(Hanuman et al., 2007). The accu- mulation of Aß42 as diffuse plaques triggers the inflammatory responses due to microglial activation and release of pro-inflam- matory cytokines. In addition, perturbations in the equilibrium between kinases and phosphatases resulting in hyperphosphorylation of tau protein that results in neuronal de- generation and neuronal loss (Selkoe, 2001). The microtubule- Abstract Alzheimer’s disease is a progressive neurodegenerative disorder characterized by deposition of amyloid plaques composed of aggre- gated amyloid beta plaques, and neurofibrillary tangles composed of hyperphosphorylated tau that leads to synaptic defects resulting in neuritic dystrophy and neuronal death. Missense mutations in amyloid precursor protein (APP), PS-1 (presenilin-1 situated on chromosome 14), PS-2 (presenilin-2 situated on chromosome 1) genes alter the proteolysis of APP and increase the generation of Aâ42 (amyloid â-42). The accumulation of Aâ42 as diffuse plaques triggers the inflammatory responses in the form of microglial activation and release of cytokines. In addition, perturbation of equilibrium between kinases and phosphatases results in hyperphosporylation of tau protein. These events culminate in neuronal degeneration and neuronal loss. In the present study, we extracted huge amounts of data from various biological databases available online. It is found that there are 74 genes that may cause Alzheimer’s disease .We evaluated the role of 74 proteins that are likely to be involved in Alzheimer’s disease by employing multiple sequence alignment using ClustalW tool and constructed a Phylogenetic tree using functional protein sequences extracted from NCBI. Phylogenetic tree was constructed using Neighbour – Joining Algorithm in Bioinformatics approach. The results of this study suggest that PS-1, PS-2, and APP have a dominant role in the pathogenesis of Alzheimer’s disease. The present study raises the possibility that genetic components are more important in Alzheimer’s disease compared to environmental, metabolic, and age related factors. Keywords: Alzheimer's disease; Free radicals; Presenilin; Acetylcholine; Phylogenetic trees; Amyloid precursor protein Citation: Allam AR , Kiran KR, Hanuman T (2008) Bioinformatic Analysis of Alzheimer’s Disease Using Functional Protein Sequences. J Proteomics Bioinform 1: 036-042. doi:10.4172/jpb.1000007 Copyright: © 2008 Allam AR, etal. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Received January 03, 2008; Accepted April 15, 2008; Published April 22, 2008 Bioinformatic Analysis of Alzheimer’s Disease Using Functional Protein Sequences γ

Journal of Proteomics & Bioinformatics - Open Access · 2019. 6. 24. · Journal of Proteomics & Bioinformatics - Open Access Research Article JPB/Vol.1/April 2 008 J Proteomics Bioinform

  • Upload
    others

  • View
    1

  • Download
    0

Embed Size (px)

Citation preview

  • Journal of Proteomics & Bioinformatics - Open Access Research Article JPB/Vol.1/April 2008

    J Proteomics Bioinform Volume 1(1): 036-042 (2008) -036

    ISSN:0974-276X JPB, an open access journal

    Allam Appa Rao1 , Kiran Kumar Reddi2, Hanuman Thota21International Center for Bioinformatics, Department of Computer Science and Systems

    Engineering, Andhra University, Visakhapatnam-530003, India2Department of Computer Sciences and Engineering, Acharya Nagarjuna University, Guntur-522510, India

    Corresponding Author: Prof. A. A. Rao, Principal, Andhra University College of Engineering, Visakhapatnam-530003,

    India, Tel:+91-891-2844204; Fax: +91-891-2747969; E-mail: [email protected]

    IntroductionOver the past 25 years, it has become clear that the proteins formingthe deposits are central to the disease process. Amyloid-ß and taumake up the plaques and tangles of Alzheimer’s disease(AD), wherethese normally soluble proteins assemble into amyloid-likefilaments(Michel and Maria, 2006). Recently Ballatore et al. (2007) summarized the most recent advances in the mechanisms of tau-mediated neurodegeneration to forge anintegrated concept of those tau-linked disease processes that drivethe onset and progression of AD and related tauopathies. Newevidence indicates that tau may mediate neurotoxicity by al-tering the organization and dynamics of the actin cytoskel-eton (Gallo, 2007). Amyloid formation is a nucleation-de-pendent process that is accelerated dramatically in vivo and invitro upon addition of appropriate fibril seeds (Alexanderet al., 2006) AD is a progressive neurodegenerative disordercharacterized by amyloid plaques composed of aggregatedamyloid beta plaques, neurofibrillary tangles (NFT) composedof hyperphosphorylated tau and synaptic defects resulting inneuritic dystrophy and neuronal death (Hutton andMcGowan, 2004). A growing body of evidence implicatescholesterol and cholesterol-rich membrane microdomains in

    amyloidogenic processing of amyloid precursor protein (APP).Chemg et al., (2007) reviewed the recent findings regardingthe association of BACE1, ã-secretase and APP in lipid rafts,and discuss potential therapeutic strategies for AD that arebased on knowledge gleaned from the membrane environ-ment that fosters APP processing.

    Missense mutations in amyloid precursor protein (APP),presenillin-1 (PS-1) (chromosome 14), presenillin-2 (PS-2) (chro-mosome 1) genes alter the proteolysis of APP and increase thegeneration of Aß42 (amyloid ß 42) .Genetic studies have led to theidentification of three genes in which mutations can cause AD:the ß-amyloid precursor protein gene located on chromosome 21,presenilin 1 (PS1) located on chromosome 14 and presenilin 2(PS2) located on chromosome 1(Hanuman et al., 2007). The accu-mulation of Aß42 as diffuse plaques triggers the inflammatoryresponses due to microglial activation and release of pro-inflam-matory cytokines. In addition, perturbations in the equilibriumbetween kinases and phosphatases resulting inhyperphosphorylation of tau protein that results in neuronal de-generation and neuronal loss (Selkoe, 2001). The microtubule-

    Abstract

    Alzheimer’s disease is a progressive neurodegenerative disorder characterized by deposition of amyloid plaques composed of aggre-gated amyloid beta plaques, and neurofibrillary tangles composed of hyperphosphorylated tau that leads to synaptic defects resulting inneuritic dystrophy and neuronal death. Missense mutations in amyloid precursor protein (APP), PS-1 (presenilin-1 situated onchromosome 14), PS-2 (presenilin-2 situated on chromosome 1) genes alter the proteolysis of APP and increase the generation of Aâ42(amyloid â-42). The accumulation of Aâ42 as diffuse plaques triggers the inflammatory responses in the form of microglial activationand release of cytokines. In addition, perturbation of equilibrium between kinases and phosphatases results in hyperphosporylation oftau protein. These events culminate in neuronal degeneration and neuronal loss.

    In the present study, we extracted huge amounts of data from various biological databases available online. It is found that there are 74genes that may cause Alzheimer’s disease .We evaluated the role of 74 proteins that are likely to be involved in Alzheimer’s disease byemploying multiple sequence alignment using ClustalW tool and constructed a Phylogenetic tree using functional protein sequencesextracted from NCBI. Phylogenetic tree was constructed using Neighbour – Joining Algorithm in Bioinformatics approach. Theresults of this study suggest that PS-1, PS-2, and APP have a dominant role in the pathogenesis of Alzheimer’s disease. The presentstudy raises the possibility that genetic components are more important in Alzheimer’s disease compared to environmental, metabolic,and age related factors.

    Keywords: Alzheimer's disease; Free radicals; Presenilin; Acetylcholine; Phylogenetic trees; Amyloid precursor protein

    Citation: Allam AR , Kiran KR, Hanuman T (2008) Bioinformatic Analysis of Alzheimer’s Disease Using Functional ProteinSequences. J Proteomics Bioinform 1: 036-042. doi:10.4172/jpb.1000007

    Copyright: © 2008 Allam AR, etal. This is an open-access article distributed under the terms of the Creative CommonsAttribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original authorand source are credited.

    Received January 03, 2008; Accepted April 15, 2008; Published April 22, 2008

    Bioinformatic Analysis of Alzheimer’s Disease Using Functional Protein Sequences

    γ

  • Journal of Proteomics & Bioinformatics - Open Access Research Article JPB/Vol.1/April 2008

    J Proteomics Bioinform Volume 1(1): 036-042 (2008) -037

    ISSN:0974-276X JPB, an open access journal

    associated protein tau is also involved inthe disease, but it is unclear whether treat-ments aimed at tau could block Aß-inducedcogni t ive impairments(Erik et a l . , 2007).

    Several other genes that are considered toincrease susceptibility for AD include:apolipoprotein E (ApoE 4) variant (Poierieret al., 1995), 2-macroglobulin (Blacker etal., 1998), the K-variant of butyryl-cho-linesterase (Sridhar et al., 2006), andseveral mitochondrial genes (Law et al.,2001). Other factors that are believed toplay a role in the aetiopathogenesis of ADinclude: brain metabolic abnormalities, en-vironmental factors, and age related de-crease in neuronal membrane fluidity thatcould also produce neuronal death, in allprobability, by increasing the formation ofamyloid beta plaques andhyperphosphorylation of tau protein (Iqbaland Grundke-Iqbal, 2005).

    Mutations in presenilins leads to dominantinheritance of Familial Alzheimer’s disease(FAD). These mutations are known to alterthe cleavage of ã-secretase of the amyloidprecursor protein, resulting in the in-creased ratio of Aß42/ Aß40 and acceler-ated amyloid plaque pathology intransgenic mouse models (Wang et al.,2006). Proteolytic processing of APP by ß-secretase, ã-secretase, and caspases gen-erates A-beta peptide and carboxyl-termi-nal fragments (CTF) of APP, which havebeen implicated in the pathogenesis ofAlzheimer’s disease (Selkoe, 1999). Mis-sense mutations in the gene encoding APP,as well as those in the genes encoding PS-1 and PS-2, share the common feature ofaltering the ã-secretase cleavage of APPto increase the production of theamyloidogenic Aß42, a primary componentof amyloid plaques in both familial andsporadic AD.

    In the present study, we focused on thegenes or proteins that are believed to havea major role in the pathogenesis ofAlzheimer’s disease using bioinformaticstools.

    Materials and MethodsWe collected 74 known proteins that arebelieved to be involved in the pathogen-esis of Alzheimer’s disease (Table 1). Thefunctional protein sequences in FASTA for-mat for these proteins are collected fromNCBI (National Center for BiotechnologyInformation, (http\\www.ncbi.nih.nlm.gov).These sequences are given to ClustalW(http\www.ebi.ac.uk\clustalw) for the Mul-tiple Sequence Alignment, which calculatesthe best match for the selected sequences,and lines them up so that the identities,

    Figure 1: The phylogenetic tree that was constructed based on the alignment scoreof all the protein sequences involved in Alzheimer’s disease. A high degree of homol-ogy was noted between presenilin1, presenilin 2, Amyloid beta (A4) precursor protein.

    γ

    γ

    γ

  • Journal of Proteomics & Bioinformatics - Open Access Research Article JPB/Vol.1/April 2008

    J Proteomics Bioinform Volume 1(1): 036-042 (2008) -038

    ISSN:0974-276X JPB, an open access journal

    S.No. Gene Name Ac. No. Length

    (Amino acids)

    Tissue Type

    1 A2M AAH26246 353 LIVER

    2 ABCB1 AA130425 1280 CERABELLUM

    3 ACHE AAH36813 546 BRAIN

    4 AD7C-NTP AAC08737 375 NEURONAL

    5 APLP1 AAH12889 650 OVARY

    6 APOB AAH51278 825 LIVER

    7 APOD AAH07402 189 MELANOTIC MELANOMA

    8 APOE BBA96080 63 BLOOD

    9 APP AAH65529 751 RETIOBLASTOMA

    10 BACE1 AAH36084 501 BRAIN

    11 ABCA2 AAH08755 867 EYE

    12 ABAD AAH08708 252 BRAIN

    13 BCHE AAH08396 64 BRAIN

    14 BDNF AAH29795 247 BRAIN

    15 CASP6 AAH00305 293 LUNG

    16 CCK AAHO8283 115 PANCRESS

    17 CCR5 AABO9551 215 NOT SPECIFIED

    18 CD36 CCA83662 472 NOT SPECIFIED

    19 CD40LG CAI42902 240 NOT SPECIFIED

    20 CDH1 AAY68225 882 NOT SPECIFIED

    21 CDK5 CAG33322 292 NOT SPECIFIED

    22 CETP AAB59388 425 LIVER

    23 CFTR NP_000483 1480 NOT SPECIFIED

    24 CHAT AAI30618 630 CERABELLUM

    25 CHRNA7 AAH37571 321 BRAIN

    26 CLU AAH19588 449 BRAIN

    27 CSF1 AAH21117 554 KIDNEY

    28 CSNK1D AAH15775 409 SPLEEN

    29 CTNNA3 AAH65819 516 PERIPHERAL NERVOUS SYSTEM

    30 CTSD CAG33228 412 NOT SPECIFIED

    31 CYCS AAH67222 105 CARCINONA

    32 CYP19A1 AAH56258 359 PLACENTA

    33 DBN1 AAH07567 649 RHABDOMYOSARCOMA

    34 DCN AAH05322 359 LIVER

  • Journal of Proteomics & Bioinformatics - Open Access Research Article JPB/Vol.1/April 2008

    J Proteomics Bioinform Volume 1(1): 036-042 (2008) -039

    ISSN:0974-276X JPB, an open access journal

    Table 1: Table showing genes/proteins that have been studied in the present study, which are believed to be involved in Alzheimer’s disease.

    35 DSCR1 AAH02864 197 LUNG

    36 ESR1 CAI42285 595 NOT SPECIFIED

    37 ESR2 AAH24181 323 TESTIS

    38 FGF2 NP_001997 288 NOT SPECIFIED

    39 FN1 AAH16875 268 CARCINOMA

    40 GAL AAH30241 123 CARCINOMA

    41 GLUL AAH51726 373 BRAIN

    42 GSK3B AAM88578 74 FETAL BRAIN SYSTEM

    43 HTR6 AAH74996 440 FETAL BRAIN SYSTEM

    44 IGF1R AAH10607 55 BRAIN

    45 FE65 AAH10854 708 LEIMYOSARCOMA

    46 IL18 CAG46798 193 NOT SPECIFIED

    47 LRP1 AAH21204 439 RHABDMOMYOOSAREOMA

    48 MAPK1 AAH99905 360 BRAIN

    49 MAPT AAH0558 352 BRAIN

    50 NCSTN AAH47621 689 TESTIS

    51 PIN1 AAH31971 45 TESTIS

    52 PLAU AAH13575 431 CARCINOMA

    53 PNMT NP_002677 282 NOT SPECIFIED

    54 MCP1 AAO75526 25 NOT SPECIFIED

    55 NP1 AAK61283 473 NOT SPECIFIED

    56 NgR ABC69293 600 BRAIN

    57 PAT1 AAC83973 585 NOT SPECIFIED

    58 IVIg CAC29069 110 B-CELL

    59 LPL CAG3335 475 NOT SPECIFIED

    60 PSEN1 AAH11729 463 MELANOTIC MELONOMA

    61 PSEN2 CAH73110 448 NOT SPECIFIED

    62 S100B AAH01766 92 MELANOTIC MELONOMA

    63 SNCA AAI08276 140 MELANOTIC MELONOMA

    65 STH AI30322 128 CEREBELLUM

    66 UBB AAH3899 229 BRAIN

    67 VEGF AAA35789 191 NOT SPECIFIED

    68 PRND AAH43644 176 TESTIS

    69 PARP1 AAH14206 250 MELANOTIC MELONOMA

    70 MAPK10 AAH35057 461 BRAIN

    71 MAPK14 AAH31574 360 BRAIN

    72 IL1RAPL2 AA10478 686 BRAIN

    73 IL2RA CAI41071 200 NOT SPECIFIED

    74 IDE CAI132670 1019 NOT SPECIFIED

  • Journal of Proteomics & Bioinformatics - Open Access Research Article JPB/Vol.1/April 2008

    J Proteomics Bioinform Volume 1(1): 036-042 (2008) -040

    ISSN:0974-276X JPB, an open access journal

    These substances, along with their normal counterparts, undergoproteolytic processing in the endoplasmic reticulum (ER). Themutated compounds, apart from increasing the ratio of Aß42 toAß40, may down-regulate the calcium buffering activity of theER. Decrease in the ER calcium pool would cause compensatoryincreases in other calcium pools, particularly in mitochondria. In-crease in mitochondrial calcium levels are associated with en-hanced formation of superoxide radical formation, and hence dam-age to the neurons and their senility (Harman, 2002).

    Presenilins act as catalytic subunit of gamma secretase.Presenilins, the causative molecules of FAD, are transmembraneproteins localized predominantly in the ER and Golgi apparatus.Presenillins are thought to be involved in intramembrane pro-teolysis mediated by their gamma secretase activities. In addition,presenilins interact with FKBP38 (human FK506-binding protein38) and form macromolecular complexes together with anti-apoptotic Bcl-2, thus it may regulate the apoptotic cell death (Wanget al., 2005).

    Presenilins and their interacting proteins play a major role in thegeneration of A-beta from the amyloid precursor protein (APP).Three proteins nicastrin, aph-1 and pen-2 interact with presenillinsto form a large enzymatic complex known as gamma secretase thatcleaves APP to generate Aâ (Verdile et al., 2007).

    There are numerous proteases in the brain that could potentiallyparticipate in Aß turnover. Aß (amyloid-beta) degrader candi-dates include: cathepsin D and E, gelatinase A and B, trypsin- orchymotrypsin-like endopeptidase, aminopeptidase, neprilysin(enkephalinase), serine protease complexed with 2-macroglobu-lin, and insulin-degrading enzyme (Saido, 1998).

    Genetic linkage studies have linked Alzheimer’s disease and plasmaAß42 levels to chromosome 10q, which harbors the IDE (insulin-degrading enzyme) gene. IDE has been observed in human cere-brospinal fluid; and its activity levels and m-RNA are decreasedin AD brain tissue and is associated with increased amyloid betalevels (Saido, 1998).

    Amyloid beta is the major component of amyloid plaques charac-terizing Alzheimer’s disease. Amyloid beta accumulation can beaffected by numerous factors including increased rates of its pro-duction and/or impaired clearance. Insulin degrading enzyme isresponsible for the degradation and clearance of amyloid beta inthe brain (Edland, 2004).

    Several studies showed that Aß is toxic to cultured neuronal cellsand induces tau phosphorylation (Takashima et al., 1993). Tau isa microtubule-associated protein that stabilizes neuronal micro-tubules under normal physiological conditions, however in cer-tain pathological conditions like Alzheimer’s disease, tau proteinundergoes modifications, mainly through phosphorylation thatcan result in the generation of aberrant aggregates that are toxicto neurons (Avila et al., 2004). Amyloid vaccine (both passiveand active immunization against amyloid) arrests and even re-verses both plaque pathology and behavioral phenotypes in thetransgenic animals (Morgan et al., 2000). Aß42 fibrils can signifi- cantly accelerate neurofibrillary tangles formation in P301L miceproviding further support to the hypothesis that amyloid betacould be a causative pathogenic factor. Mutations in tau give riseto nerofibrillary tangles but not plaques and mutations in APP orin the probable APP proteases give rise to both plaques andtangles indicates that amyloid pathology occurs upstream of taupathology. Although the exact mechanism(s) by which amyloidbeta causes neuronal death is not clear, there is evidence to sug-gest that it could enhance free radical generation and induce in-flammation that could result in profound loss in the cholinergicsystem of brain, including dramatic loss of cholineacetyltransferase level, choline uptake, and decrease in acetyl-choline (ACh) level which are responsible for cognitive deficits inAD.

    Oxidative stress and neuronal death

    One of the major age-related damaging agents are reactive oxy-gen species (ROS). Increased levels of ROS (also termed “oxida-tive stress”), produced by normal mitochondrial activity, inflam-mation and excess glutamate levels, are proposed to accelerateneurodegenerative processes characteristic of Alzheimer’sdisease (Huber et al., 2006).

    Amyloyd beta causes hydrogen peroxide (H2O

    2) accumulation in

    cultured hippocampal neurons (Mattson et al., 1995) that re-sults in oxidative damage to cellular phospholipid membranessuggesting a role for lipid peroxidation in the pathogenesis of AD(Koppaka and Axelsen, 2000). The loss of membrane integrity due toAbeta-induced free-radical damage leads to cellular disfunction,such as inhibition of ion-motive ATPase, loss of calcium homeo-stasis, inhibition of glial cell Na+-dependent glutamate uptakesystem that results in NMDA receptors mediated delayedneurodegeneration, loss of protein transporter function, disrup-tion of signaling pathways, and activation of nuclear transcrip-tion factors and apoptotic pathways.

    Inflammation and neuronal death

    Free radicals including H2O

    2 not only have direct neurotoxic ac-

    tions but also participate in inflammation. The fact that inflamma-tion plays a significant role in the pathobiology of Alzheimer’sdisease is supported by the observation that in the early stagesof the disease there is activation of microglial cells and reactiveastrocytes in neuritic plaques and the appearance of inflamma-tory markers (Chong et al., 2001). Immune activation and/orinflammatory activity have been shown to be significantly elevatedin the brains of AD patients compared with age-matched controlpatients (Dumery et al., 2001). Continuous neuroinflammatoryprocesses including glial activation is seen in AD (Calingasanet al., 2002). Microglia and astrocytes would be activated, perceiv-ing Abeta oligomers and fibrils as foreign material, since Abetaassemblies are apparently never observed during the develop-ment of brain and in the immature nervous system (Selkoe,2001).

    Beta-Amyloid fibrils have been shown to activate parallel mito-gen-activated protein kinase pathways in microglia and THP1monocytes (McDonald et al., 1998). Recently, it was reported

    similarities and differences can be seen. Based on these results,the scores table and phylogenetic tree that shows the distancebetween the protein sequences was constructed. The proteinswith minimum distance are presenillin-1 (PS-1), presenillin-2 (PS-2) and amyloid precursor protein (APP).

    Results and DiscussionThe bioinformatics analysis revealed three important proteins outof 74 proteins that are key pathological proteins in the evolutionof Alzheimer’s disease. The present bioinformatics study revealedthat the proteins: presenilin-1 (PS-1), presenilin-2 (PS-2), and amy-loid precursor protein (APP) play a significant role in the patho-genesis of Alzheimer’s disease(Figure 1).

    Factors that seem to influence the initiation and progression andthus, have a role in the pathophysiology of AD are: i) Aß42/ Aß40ratio and oligomers of these peptides; ii) oxidative stress; iii)proinflammatory cytokines produced by activated glial cells, iv)alterations in cholesterol homeostasis, and v) alterations in cho-linergic nervous system (Rojo et al., 2006).

    Amyloid beta peptide and alzheimer’s disease

    Familial Alzheimer’s disease (FAD) is associated with

    mutations in APP, PS-1, and PS-2.

    α

  • Journal of Proteomics & Bioinformatics - Open Access Research Article JPB/Vol.1/April 2008

    J Proteomics Bioinform Volume 1(1): 036-042 (2008) -041

    ISSN:0974-276X JPB, an open access journal

    that microglia from human AD brain exposed to Abeta producedand secreted a wide range of inflammatory mediators, includingcytokines, chemokines, growth factors, complements, and reac-tive oxygen intermediates (Lue et al., 2001). Significant dose-dependent increase in the production of prointerleukin-1,interleukin-6, tumor necrosis factor-á, monocyte chemoattractantprotein-1, macrophage inflammatory peptide-1, interleukin-8, andmacrophage colony-stimulating factor were observed after expo-sure to preaggregated Amyloid beta-42. These evidences empha-size the role of inflammation in the pathogenesis of AD.

    Cholinergic system and alzheimer’s disease

    A primary clinical symptom of Alzheimer’s dementia is the pro-gressive deterioration in learning and memory ability. There isevidence that suggests that profound loss in the cholinergic sys-tem of brain, including dramatic loss of choline acetyltransferaselevel, choline uptake, and acetylcholine (ACh) level in the neo-cortex and hippocampus and reduced number of the cholinergicneurons in basal forebrain and nucleus basalis of Meynert occursthat are closely associated with cognitive deficits in AD (Giacobini,1997). Pharmacological interventions that enhance acetylcho-line levels or block further fall in ACh levels and thus, improvecholinergic neurotransmission are known to produce improve-ment in learning and memory in AD (Giacobini, 2004). In thiscontext it is interesting to note that acetylcholine has anti-inflam-matory actions, and hence, a decrease in the levels of ACh mayfurther aggravate the inflammatory process and progression ofAD. This “cholinergic anti-inflammatory pathway” mediated byACh acts by inhibiting the production of TNF, IL-1, MIF, andHMGB1 and suppresses the activation of NF-êB expression(Borovikova et al., 1991; Pavlov and Tracey, 2004; Wanget al., 2004; Czura et al., 2003).

    ConclusionThere is an urgent need for biomarkers to diagnoseneurodegenerative disorders early in like AD, when therapy islikely to be most effective, and to monitor responses of patientsto new therapies. As research related to this need is currentlymost advanced for Alzheimer’s disease, Shaw et al. (2007)reviewed the focuses on progress in the development and valida-tion of biomarkers to improve the diagnosis and treatment of ADand related disorders. It is evident form the preceding discussionthat presenilin-1 (PS-1), presenilin-2 (PS-2), and amyloid precur-sor protein (APP) play a significant role in the pathogenesis ofAlzheimer’s disease. Missense mutations in APP, PS-1, and PS-2genes could alter the proteolysis of APP and increase the genera-tion of Aß42, whose accumulation as diffuse plaques triggers theinflammatory responses due to microglial activation and releaseof pro-inflammatory cytokines. This is supported by the observa-tion that plasma and cerebrospinal fluid levels of pro-inflamma-tory cytokines: interleukin-1 (IL-1) and tumor necrosis factor-á(TNF-á) are increased in patients with Alzheimer’s disease(Cacabelos et al., 1991; Fillit et al., 1991; Chao et al., 1994).Systemic injection of IL-1 decreased extracellular acetylcholine inthe hippocampus suggesting that increased concentrations ofIL-1 in patients with Alzheimer’s disease could be responsible forlowered cerebral acetylcholine levels seen. In addition, IL-1 stimu-lates the beta-amyloid precursor protein promoter, which is pro-cessed out of the larger amyloid precursor protein (APP), whichis found in the form of amyloid plaques in the brains of Alzheimer’sdiseased patients. Furthermore, receptors of IL-1 are on APPmRNA positive cells and its ability to promote APP gene expres-sion suggests that IL-1 plays an important role in Alzheimer’sdisease (Donnelly et al., 1990; Blume and Vitek, 1989). Theinvolvement of inflammatory process in the pathogenesis ofAlzheimer’s disease is further supported by the observation thatinhibition or neutralizing the actions of TNF-á could be of benefitto these patients (Tobinick et al., 2006; Rosenberg, 2006). Theseevidences and the results of the bioinformatics study reported

    here strongly suggest that PS-1, PS-2 and APP play a dominantrole in the pathogenesis of AD by inducing a pro-inflammatorystate.

    Acknowledgment Authors Thankful to partial financial support from IIT up gradation grants of AUC E(A).

    References

    α

    κ

    αα

    α

    1. Abumrad N, Eaton JW, Tracey KJ (2006) Vagus nerve stimu-lation attenuates the inflammatory pathway. Biochem SocTrans 34: 1037-1040.

    2. Alexander P, Peter H, Tony C, Volker S, Walter R, (2006)Mutagenic exploration of the cross-seeding and fibrillationpropensity of Alzheimer’s β-amyloid peptide variants science15: 1801-1805.

    3. Avila J, Lucas JJ, Perez M, Hernandez F (2004) Role of tauprotein in both physiological and pathological Conditions.Physiol Rev 84: 361-384. » CrossRef » Pubmed » Google Scholar

    4. Ballatore C, Lee VMY, Trojanowski JQ (2007) Tau-mediatedneurodegeneration in Alzheimer’s disease and related disor-ders. Nat Rev Neurosci 8: 663-672. » CrossRef » Pubmed» Google Scholar

    5. Blacker D, Wilcox MA, Laird NM, Rodes L, Horvath SM, etal. (1998) Alpha-2 macroglobulin is genetically associated withAlzheimer disease. Nat Genet 19: 357-360. » CrossRef » Pubmed» Google Scholar

    6. Blume AJ, Vitek MP (1989) Focusing on IL-1-promotion ofbeta-amyloid precursor protein synthesis as an early eventin Alzheimer’s disease. Neurobiol Aging 10: 406-408.» CrossRef » Pubmed » Google Scholar

    7. Borovikova LV, Ivanova S, Zhang M, Yang H, Botchkina GI,et al. (1991) Cerebrospinal fluid interleukin-1 beta (IL-1 beta)in Alzheimer’s disease and neurological disorders. MethodsFind Exp Clin Pharmacol 13: 455-458.

    8. Calingasan NY, Erdely HA, Altar AC (2002) Identification ofCD40 ligand in Alzheimer’s disease and in animal models ofAlzheimer’s disease and brain injury. Neurobiol Aging 23:31-39. » CrossRef » Pubmed

    9. Chao CC, Hu S, Frey WH 2nd, Ala TA, Tourtellotte WW, et al.(1994) Transforming growth factor beta in Alzheimer’s dis-ease. Clin Diagn Lab Immunol 1: 109-110. » CrossRef » Pubmed» Google Scholar

    10. Cheng H, Vetrivel KS, Gong P, Meckler X, Parent A, et al.(2007) Mechanisms of disease: New therapeuticstratestrategies for Alzheimer's disease - Targeting APP pro-cessing in lipid rafts., Nature Clinical Practice Neurology 3:374-382. » CrossRef » Pubmed » Google Scholar

    11. Chong YH, Sung JH, Shin SA, Chung JH, Suh YH (2001)Effects of the -amyloid and carboxy-terminal fragment ofAlzheimer's amyloid precursor protein on the production ofthe tumor necrosis factor- and matrix metalloproteinase-9 byhuman monocytic THP-1. J Biol Chem 276: 23511-23517.» CrossRef » Pubmed » Google Scholar

    12. Cummings JL, Kaufer D (1996) Neuropsychiatric aspects ofAlzheimer's disease: the cholinergic hypothesis revisited.Neurology 47: 876-883. » CrossRef » Pubmed » Google Scholar

    13. Czura CJ, Friedman SG, Tracey KJ (2003) Neural inhibition ofinflammation: the cholinergic anti-inflammatory pathway. JEndotoxin Res 9: 409-413. » CrossRef » Pubmed » Google Scholar

    14. Donnelly RJ, Friedhoff AJ, Beer B, Blume AJ, Vitek MP (1990)Interleukin-1 stimulates the beta-amyloid precursor proteinpromoter. Cell Mol Neurobiol 10: 485- 495. » CrossRef » Pubmed» Google Scholar

    http://physrev.physiology.org/cgi/content/abstract/84/2/361http://www.ncbi.nlm.nih.gov/pubmed/15044677/abstracthttp://scholar.google.co.in/scholar?hl=en&lr=&q=Role+of+tau+protein+in+both+physiological+and+pathological+Conditions&btnG=Searchhttp://www.nature.com/nrn/journal/v8/n9/abs/nrn2194.htmlhttp://www.ncbi.nlm.nih.gov/pubmed/17684513/abstracthttp://scholar.google.co.in/scholar?hl=en&lr=&q=2007%2CBallatore+C&btnG=Searchhttp://www.nature.com/ng/journal/v19/n4/abs/ng0898_357.htmlhttp://www.ncbi.nlm.nih.gov/pubmed/9697696/abstracthttp://scholar.google.co.in/scholar?q=Alpha-2+macroglobulin+is+genetically+associated+with+Alzheimer+disease&hl=en&lr=&btnG=Searchhttp://linkinghub.elsevier.com/retrieve/pii/0197458089900778http://www.ncbi.nlm.nih.gov/pubmed/2510037/abstracthttp://scholar.google.co.in/scholar?hl=en&lr=&q=Blume+AJ%2C1989&btnG=Searchhttp://linkinghub.elsevier.com/retrieve/pii/S0197458001002469http://www.ncbi.nlm.nih.gov/pubmed/11755016/abstracthttp://cvi.asm.org/cgi/reprint/1/1/109?view=long&pmid=7496909http://www.ncbi.nlm.nih.gov/pubmed/7496909/abstracthttp://scholar.google.co.in/scholar?hl=en&lr=&q=1994%2CChao+CC%2CTransforming+growth+factor&btnG=Searchhttp://www.nature.com/doifinder/10.1038/ncpneuro0549http://www.ncbi.nlm.nih.gov/pubmed/17611486/abstracthttp://scholar.google.co.in/scholar?hl=en&q=Mechanisms+of+disease:+New+therapeutic+state+strategies+for+Alzheimer%27s+disease+-+Targeting+APP+processing+in+lipid+rafts&spell=1http://www.jbc.org/cgi/content/full/276/26/23511http://www.ncbi.nlm.nih.gov/pubmed/11306564/abstracthttp://scholar.google.co.in/scholar?hl=en&lr=&q=2001,Chong+YH&btnG=Searchhttp://www.neurology.org/cgi/content/abstract/47/4/876http://www.ncbi.nlm.nih.gov/pubmed/8857712/abstracthttp://scholar.google.co.in/scholar?hl=en&lr=&q=Neuropsychiatric+aspects+of+Alzheimer%27s+disease%3A+the+cholinergic+hypothesis+revisited&btnG=Searchhttp://ini.sagepub.com/cgi/content/abstract/9/6/409http://www.ncbi.nlm.nih.gov/pubmed/14733730/abstracthttp://scholar.google.co.in/scholar?q=Neural+inhibition+of+inflammation%3A+the+cholinergic+anti-inflammatory+pathway&hl=en&lr=&btnG=Searchhttp://www.springerlink.com/content/x34mx7u622939271/http://www.ncbi.nlm.nih.gov/pubmed/2091832/abstracthttp://scholar.google.co.in/scholar?q=Interleukin-+1+stimulates+the+beta-amyloid+precursor+protein+promoter&hl=en&lr=&btnG=Search

  • Journal of Proteomics & Bioinformatics - Open Access Research Article JPB/Vol.1/April 2008

    J Proteomics Bioinform Volume 1(1): 036-042 (2008) -042

    ISSN:0974-276X JPB, an open access journal

    15. Dumery L, Bourdel F, Soussan Y, Fialkowsky A, Viale S, et al.(2001) Beta-Amyloid protein aggregation: its implication inthe physiopathology of Alzheimer's disease. Pathol Biol 49:72-85. » CrossRef » Pubmed » Google Scholar

    16. Edland SD (2004) Insulin-degrading enzyme, apolipoproteinE, and Alzheimer's disease. J Mol Neurosci 23: 213-217.» CrossRef » Pubmed » Google Scholar

    17. Erik D (2007) Roberson,1,2* Kimberly Scearce-Levie,1,2 JorgeJ. Palop,1,2 Fengrong Yan,1 Irene H. Cheng,1,2 Tiffany Wu,1Hilary Gerstein,1 Gui-Qiu Yu,1 Lennart Mucke1,2*, ReducingEndogenous Tau Ameliorates Amyloid ß-Induced Deficits inan Alzheimer's Disease Mouse Model science Vol 316 no 5825:750-754. » CrossRef » Google Scholar

    18. Fillit H, Ding WH, Buee L, Kalman J, Altstiel L, et al. (1991)Elevated circulating tumor necrosis factor levels in Alzheimer’sdisease. Neurosci Lett 129: 318-320. » CrossRef » Pubmed» Google Scholar

    19. Gallo G (2007) Tau is actin up in Alzheimer’s disease., NatureCell Biology 9: 133-134. » CrossRef » Pubmed

    20. Giacobini E (2004) Cholinesterase inhibitors: new roles andtherapeutic alternatives. Pharmacol Res 50: 433-440. » CrossRef» Pubmed » Google Scholar

    21. Giacobini E (1997) From molecular structure to Alzheimertherapy. Jpn J Pharmacol 74: 225-241.» CrossRef » Pubmed» Google Scholar

    22. Hanuman T, Allam AR, Kiran KR, Sivaprasad A, Suresh BC,et al. (2007) Bioinformation 2: 91-95.

    23. Harman D (2002) Alzheimer’s disease: role of aging in patho-genesis. Ann N Y Acad Sci 959: 384-395. » CrossRef » Pubmed» Google Scholar

    24. Huber A, Stuchbury G, Burkle A, Burnell J, Munch G (2006)Neuroprotective Therapies for Alzheimer’s Disease,science705-717. » CrossRef » Pubmed

    25. Hutton M, McGowan E (2004) Clearing Tau pathology withamyloid beta immunotherapy—reversible and irreversiblestages revealed. Neuron 43: 293-294. » CrossRef » Pubmed

    26. Iqbal K, Grundke-Iqbal I (2005) Metabolic/signal transduc-tion hypothesis of Alzheimer’s disease and other tauopathies.Acta Neuropathol 109: 25-31. » CrossRef » Pubmed » GoogleScholar

    27. Koppaka V, Axelsen PH (2000) Accelerated accumulation ofamyloid beta proteins on oxidatively damaged lipid mem-branes. Biochemistry 39: 10011-10016. » CrossRef » Pubmed» Google Scholar

    28. Law A, Gauthier S, Quirion R (2001) Say NO to Alzheimer’sdisease: the putative links between nitric oxide and dementiaof the Alzheimer’s type. Brain Res Brain Res Rev 35: 73-96.» CrossRef » Pubmed » Google Scholar

    29. Lue LF, Rydel R, Brigham EF, Yang LB, Hampel H, et al. (2001)Inflammatory repertoire of Alzheimer ’s disease andnondemented elderly microglia in vitro. Glia 35: 72-79.» CrossRef » Pubmed » Google Scholar

    30. Mattson MP, Lovell MA, Furukawa K, Markesbery WR(1995) Neurotrophic factors attenuate glutamate-induced ac-cumulation of peroxides, elevation of intracellular calcium con-centration and neurotoxicity and increase antioxidant enzymeactivities in hippocampal neurons. J Neurochem 65: 1740-1751. » CrossRef » Pubmed » Google Scholar

    31. McDonald DR, Bamberger ME, Combs CK, Landreth GE(1998) Beta-Amyloid fibrils activate parallel mitogen-activatedprotein kinase pathways in microglia and THP1 monocytes. JNeurosci 18: 4451-4460. » CrossRef » Pubmed » Google Scholar

    32. Michel G, Maria GS (2006) A Century of Alzheimer’s. Disease

    33. Morgan D, Diamond DM, Gottschall PE, Ugen KE, Dickey C,et al. (2000) A beta peptide vaccination prevents memory lossin an animal model of Alzheimer’s disease. Nature 408: 982-985. » CrossRef » Pubmed » Google Scholar

    34. Pavlov VA, Tracey KJ (2004) Controlling inflammation: thecholinergic connection Pavlov VA, Tracey KJ Cell Mol LifeSci 61: 2322-2331.

    35. Poierier J, Minnich A, Davignon J (1995) Apolipoprotein E,synaptic plasticity and Alzheimer’s disease. Ann Med 27:663-670. » CrossRef » Pubmed » Google Scholar

    36. Rojo L, Sjoberg MK, Hernandez P, Zambrano C, Maccioni RB(2006) Roles of cholesterol and lipids in the etiopathogenesisof Alzheimer’s disease. J Biomed Biotechnol 2006: 73976. »CrossRef » Pubmed » Google Scholar

    37. Rosenberg PB (2006) Cytokine inhibition for treatment ofAlzheimer’s disease. Med Gen Med 8: 24. » Pubmed

    38. Saido T (1998) Alzheimer’s disease as proteolytic disorders:anabolism and catabolism of beta-amyloid. Neurobiol Aging19: S69-S75. » Pubmed

    39. Selkoe DJ (2001) Alzheimer’s disease: genes, proteins, andtherapy. Physiol Rev 81: 741-766. » CrossRef » Pubmed » GoogleScholar

    40. Selkoe DJ (1999) Translating cell biology into therapeuticadvances in Alzheimer’s disease. Nature 399: A23-A31.» CrossRef » Pubmed » Google Scholar

    41. Shaw LM, Korecka M, Clark CM, Lee VMY, Trojanowski JQ(2007) Biomarkers of neurodegeneration for diagnosis andmonitoring therapeutics. Nature Reviews Drug Discovery 6:295-303. » CrossRef » Pubmed » Google Scholar

    42. Sridhar GR, Thota H, Allam AA (2006) Babu CS, Prasad AS,Divakar Ch. Alzheimer’s disease and Type 2 diabetes melli-tus: the cholinesterase connection. Lipids Health Dis 5: 28.» CrossRef » Pubmed » Google Scholar

    43. Takashima A, Noguchi K, Sato K, Hoshino T, Imahori K(1993) Tau protein kinase I is essential for amyloid beta-pro-tein-induced neurotoxicity. Proc Natl Acad Sci USA 90:7789-7793. » CrossRef » Pubmed » Google Scholar

    44. Tobinick E, Gross H, Weinberger A, Cohen H (2006) TNF-alpha modulation for treatment of Alzheimer’s disease: a 6-month pilot study. Med Gen Med 8: 25. » CrossRef » Pubmed» Google Scholar

    45. Verdile G, Gandy SE, Martins RN (2007) The role of presenilinand its interacting proteins in the biogenesis of Alzheimer’sbeta amyloid. Neurochem Res 32: 609-623. » CrossRef » Pubmed» Google Scholar

    46. Wang H, Liao H, Ochani M, Justiniani M, Lin X, et al. (2004)Cholinergic agonists inhibit HMGB1 release and improve sur-vival in experimental sepsis. Nat Med 10: 1216-1221. » CrossRef» Pubmed » Google Scholar

    47. Wang HQ, Nakaya Y, Du Z, Yamane T, Shirane M, et al. (2005)Interaction of presenilins with FKBP38 promotes apoptosisby reducing mitochondrial Bcl-2. Hum Mol Genet 14: 1889-1902. » CrossRef » Pubmed » Google Scholar

    48. Wang R, Wang B, He W, Zheng H (2006) Wild-type presenilin1 protects against Alzheimer disease mutation-induced amy-loid pathology. J Biol Chem 281: 15330-15336. » CrossRef» Pubmed » Google Scholar

    49. Zhao L, Teter B, Morihara T, Lim GP, Ambegaokar SS, et al.(2004) Insulin-degrading enzyme as a downstream target ofinsulin receptor signaling cascade: implications forAlzheimer’s disease intervention. J Neurosci 24: 11120-11126.» CrossRef » Pubmed

    science 5800: 777-781. » CrossRef » Pubmed

    http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6W8H-43J8N0R-C&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=4c4501e64e56539505d36c0bfdb896e9http://www.ncbi.nlm.nih.gov/pubmed/11265227/abstracthttp://scholar.google.co.in/scholar?hl=en&lr=&q=Beta-Amyloid+protein+aggregation%3A+its+implication+in+the+physiopathology+of+Alzheimer%27s+disease+Dumery+L&btnG=Searchhttp://www.springerlink.com/content/w234410677jx6141/http://www.ncbi.nlm.nih.gov/pubmed/15181249/abstracthttp://scholar.google.co.in/scholar?hl=en&lr=&q=Insulin-degrading+enzyme%2C+apolipoprotein+E%2C+and+Alzheimer%27s+disease%2CEdland+SD&btnG=Searchhttp://www.sciencemag.org/cgi/content/abstract/316/5825/750http://scholar.google.co.in/scholar?q=Reducing+Endogenous+Tau+Ameliorates+Amyloid+%C3%9F-Induced+Deficits+in+an+Alzheimer%27s+Disease+Mouse+Model+science&hl=en&lr=&btnG=Searchhttp://www.ncbi.nlm.nih.gov/pubmed/1745413/abstracthttp://scholar.google.co.in/scholar?hl=en&lr=&q=Fillit+H%2C1991&btnG=Searchhttp://www.nature.com/ncb/journal/v9/n2/abs/ncb0207-133.htmlhttp://www.ncbi.nlm.nih.gov/pubmed/17268475/abstracthttp://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WP9-4CDHGPT-2&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=7141130bca4b5ab1dd30e597ab3e1c0ahttp://www.ncbi.nlm.nih.gov/pubmed/15304240/abstracthttp://scholar.google.co.in/scholar?q=Cholinesterase+inhibitors%3A+new+roles+and+therapeutic+alternatives&hl=en&lr=&btnG=Searchhttp://www.journalarchive.jst.go.jp/english/jnlabstract_en.php?cdjournal=jphs1951&cdvol=74&noissue=3&startpage=225http://www.ncbi.nlm.nih.gov/pubmed/9268083/abstracthttp://scholar.google.co.in/scholar?q=From+molecular+structure+to+Alzheimer+therapy&hl=en&lr=&btnG=Searchhttp://www3.interscience.wiley.com/journal/120777938/abstract?CRETRY=1&SRETRY=0http://www.ncbi.nlm.nih.gov/pubmed/11976212/abstracthttp://scholar.google.co.in/scholar?q=Alzheimer%E2%80%99s+disease%3A+role+of+aging+in+pathogenesis&hl=en&lr=&btnG=Searchhttp://www.benthamdirect.org/pages/content.php?CPD/2006/00000012/00000006/0008B.SGMhttp://www.ncbi.nlm.nih.gov/pubmed/16472161/abstracthttp://linkinghub.elsevier.com/retrieve/pii/S0896627304004659http://www.ncbi.nlm.nih.gov/pubmed/15294135/abstracthttp://www.springerlink.com/content/bed7f5flhl46kvyv/http://www.ncbi.nlm.nih.gov/pubmed/15645264/abstracthttp://scholar.google.co.in/scholar?q=Metabolic%2Fsignal+transduction+hypothesis+of+Alzheimer%E2%80%99s+disease+and+other+tauopathies&hl=en&lr=&btnG=Searchhttp://pubs.acs.org/doi/abs/10.1021/bi000619dhttp://www.ncbi.nlm.nih.gov/pubmed/10933822/abstracthttp://scholar.google.co.in/scholar?q=Accelerated+accumulation+of+amyloid+beta+proteins+on+oxidatively+damaged+lipid+membranes&hl=en&lr=&btnG=Searchhttp://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6SYS-42H1S55-8&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=dd835842dce71e7a3409d8b4c013c765http://www.ncbi.nlm.nih.gov/pubmed/11245887/abstracthttp://scholar.google.co.in/scholar?q=Say+NO+to+Alzheimer%E2%80%99s+disease%3A+the+putative+links+between+nitric+oxide+and+dementia+of+the+Alzheimer%E2%80%99s+type&hl=en&lr=&btnG=Searchhttp://www3.interscience.wiley.com/journal/84002072/abstracthttp://www.ncbi.nlm.nih.gov/pubmed/11424194/abstracthttp://scholar.google.co.in/scholar?q=Inflammatory+repertoire+of+Alzheimer%E2%80%99s+disease+and+nondemented+elderly+microglia+in+vitro&hl=en&lr=&btnG=Searchhttp://www3.interscience.wiley.com/journal/119238455/abstracthttp://www.ncbi.nlm.nih.gov/pubmed/7561872/abstracthttp://www.jneurosci.org/cgi/content/full/18/12/4451http://www.ncbi.nlm.nih.gov/pubmed/9614222/abstracthttp://scholar.google.co.in/scholar?q=Beta-+Amyloid+fibrils+activate+parallel+mitogen-activated+protein+kinase+pathways+in+microglia+and+THP1+monocytes&hl=en&lr=&btnG=Searchhttp://www.sciencemag.org/cgi/content/full/314/5800/777http://www.ncbi.nlm.nih.gov/pubmed/17082447/abstracthttp://www.nature.com/nature/journal/v408/n6815/full/408982a0.htmlhttp://www.ncbi.nlm.nih.gov/pubmed/11140686/abstracthttp://scholar.google.co.in/scholar?hl=en&lr=&q=2000%2CMorgan+D&btnG=Searchhttp://www.informaworld.com/smpp/content~content=a785301185~db=allhttp://www.ncbi.nlm.nih.gov/pubmed/8652146/abstracthttp://scholar.google.co.in/scholar?q=Apolipoprotein+E%2C+synaptic+plasticity+and+Alzheimer%E2%80%99s+disease&hl=en&lr=&btnG=Searchhttp://www.hindawi.com/GetArticle.aspx?doi=10.1155/JBB/2006/73976http://www.ncbi.nlm.nih.gov/pubmed/17047312/abstracthttp://scholar.google.co.in/scholar?hl=en&lr=&q=Rojo+L%2C2006&btnG=Searchhttp://www.ncbi.nlm.nih.gov/pubmed/16926763/abstracthttp://www.ncbi.nlm.nih.gov/pubmed/9562472/abstracthttp://physrev.physiology.org/cgi/content/full/81/2/741http://www.ncbi.nlm.nih.gov/pubmed/11274343/abstracthttp://scholar.google.co.in/scholar?hl=en&lr=&q=2001%2CSelkoe+DJ&btnG=Searchhttp://azolla.fc.ul.pt/aulas/BiologiaCelular/docs/Alzheimer.pdfhttp://azolla.fc.ul.pt/aulas/BiologiaCelular/docs/Alzheimer.pdfhttp://scholar.google.co.in/scholar?q=Translating+cell+biology+into+therapeutic+advances+in+Alzheimer%E2%80%99s+disease&hl=en&lr=&btnG=Searchhttp://www.nature.com/nrd/journal/v6/n4/abs/nrd2176.htmlhttp://www.nature.com/nrd/journal/v6/n4/abs/nrd2176.htmlhttp://scholar.google.co.in/scholar?q=Biomarkers+of+neurodegeneration+for+diagnosis+and+monitoring+therapeutics&hl=en&lr=&btnG=Searchhttp://www.lipidworld.com/content/5/1/28http://www.ncbi.nlm.nih.gov/pubmed/17096857/abstracthttp://scholar.google.co.in/scholar?hl=en&lr=&q=2006%2CSridhar+GR&btnG=Searchhttp://www.pnas.org/content/90/16/7789.abstracthttp://www.ncbi.nlm.nih.gov/pubmed/8356085/abstracthttp://scholar.google.co.in/scholar?hl=en&lr=&q=1993,Takashima+A&btnG=Searchhttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1785182http://www.ncbi.nlm.nih.gov/pubmed/16926764/abstracthttp://scholar.google.co.in/scholar?hl=en&lr=&q=2006%2CTobinick+E&btnG=Searchhttp://www.springerlink.com/content/a2q256n606331762/http://www.ncbi.nlm.nih.gov/pubmed/16944319/abstracthttp://scholar.google.co.in/scholar?q=The+role+of+presenilin+and+its+interacting+proteins+in+the+biogenesis+of+Alzheimer%E2%80%99s+beta+amyloid&hl=en&lr=&btnG=Searchhttp://www.nature.com/nm/journal/v10/n11/abs/nm1124.htmlhttp://www.ncbi.nlm.nih.gov/pubmed/15502843/abstracthttp://scholar.google.co.in/scholar?q=Cholinergic+agonists+inhibit+HMGB1+release+and+improve+survival+in+experimental+sepsis&hl=en&lr=&btnG=Searchhttp://hmg.oxfordjournals.org/cgi/content/full/14/13/1889http://www.ncbi.nlm.nih.gov/pubmed/15905180/abstracthttp://scholar.google.co.in/scholar?q=Interaction+of+presenilins+with+FKBP38+promotes+apoptosis+by+reducing+mitochondrial+Bcl-2&hl=en&lr=&btnG=Searchhttp://www.jbc.org/cgi/content/full/281/22/15330http://www.ncbi.nlm.nih.gov/pubmed/16574645/abstracthttp://scholar.google.co.in/scholar?q=Wild-type+presenilin+1+protects+against+Alzheimer+disease+mutation-induced+amyloid+pathology&hl=en&lr=&btnG=Searchhttp://www.jneurosci.org/cgi/content/full/24/49/11120http://www.ncbi.nlm.nih.gov/pubmed/15590928/abstract

    TitleAuthorsAffiliationsCorresponding authorDatesCitationCopyright

    AbstractKeywordsIntroductionMaterials and MethodsResults and DiscussionAmyloid Beta Peptide and Alzheimer’s Disease

    Oxidative Stress and Neuronal DeathInflammation and Neuronal DeathCholinergic System and Alzheimer’s Disease

    ConclusionAcknowledgmentFiguresFigure 1

    TableTable 1

    References