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The Journal of Neuroscience, March 1, 2002, 22(5):1679-1689
Inhibition of Intracellular Cholesterol Transport Alters
Presenilin Localization and Amyloid Precursor Protein Processing in
Neuronal Cells
Heiko
Runz1, 2,
Jens
Rietdorf2,
Inge
Tomic1,
Marina
de
Bernard3,
Konrad
Beyreuther1,
Rainer
Pepperkok2, and
Tobias
Hartmann1
1 Center for Molecular Biology, University of
Heidelberg, 69120 Heidelberg, Germany, 2 European Molecular
Biology Laboratory, 69117 Heidelberg, Germany, and
3 Department of Biomedical Science, University of Padua,
35121 Padua, Italy
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ABSTRACT |
Generation of amyloid- (A ) from the amyloid precursor protein
(APP) requires proteolytic cleavage by two proteases, - and -secretase. Several lines of evidence suggest a role for cholesterol on secretase activities, although the responsible cellular mechanisms remain unclear. Here we show that alterations in cholesterol transport from late endocytic organelles to the endoplasmic reticulum have important consequences for both APP processing and the localization of
-secretase-associated presenilins (PS). Exposure of neuronal cells
to cholesterol transport-inhibiting agents resulted in a marked
decrease in -cleavage of full-length APP. In contrast, -secretase
activity on APP C-terminal fragments was enhanced, increasing the
production of both A 40 and A 42. Remarkably, retention of
cholesterol in endosomal/lysosomal compartments induced PS1 and PS2 to
accumulate in Rab7-positive vesicular organelles implicated in
cholesterol sorting. Accumulation of PS in vesicular compartments was
prominent in both Chinese hamster ovary cells deficient in Niemann-Pick C1 protein as well as in neuronal cells exposed to the
cholesterol transport-inhibiting agent U18666A. Because A 42 also
localized to PS1-containing vesicular compartments, organelles involved
in cholesterol transport might represent an important site for
-secretase activity. Our results suggest that the subcellular distribution of cholesterol may be an important factor in how cholesterol alters A production and the risk of Alzheimer's disease.
Key words:
presenilin; cholesterol; NPC1; APP processing; Rab7; ACAT; amyloid-
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INTRODUCTION |
Although its primary function
in vivo remains unclear, it generally is accepted
that amyloid precursor protein (APP) is processed sequentially by
several proteolytic events. Cleavage of the full-length precursor by
-secretase creates APP sec, which is released into the medium,
leaving behind a short membrane-bound C-terminal fragment ( CTF).
Less frequently, the holoprotein is cleaved at a slightly more
N-terminal site, generating CTF and APP sec. APP CTFs can be processed further by -secretase. This second cleavage event occurs within the membrane region of the C-terminal stumps and requires
the multi-transmembrane-spanning proteins presenilin 1 (PS1) or PS2.
Cleavage at the -site of CTF generates the 4 kDa fragment
amyloid- (A ), which represents a major component of amyloid
plaques in Alzheimer's disease (AD). Additional cleavage of CTF
yields the nonamyloidogenic peptide p3 (for review, see De Strooper and
Annaert, 2000 ).
Increasing evidence indicates a role for cholesterol in the metabolism
of APP. Carriers of the ApoE4 allele of apolipoprotein E are
predisposed to an earlier onset for developing AD (Corder et al.,
1993 ), and a high cholesterol diet accelerates A deposition in
transgenic mice (Refolo et al., 2000 ). Moreover, suppression of
cholesterol neosynthesis strongly reduces the formation of A species
in vivo and in vitro (Simons et al., 1998 ; Frears
et al., 1999 ; Fassbender et al., 2001 ; Refolo et al., 2001 ).
Low-density lipoprotein (LDL) receptor family members such as LRP
contribute to the endocytosis of APP, suggesting a role for
internalization processes in APP metabolism (Kounnas et al., 1995 ). A
fraction of APP molecules, as well as its secretases, localizes to
cholesterol-rich membrane subdomains (Bouillot et al., 1996 ; Riddell et
al., 2001 ). Recent data showing that A accumulation is associated
with NPC1 function (Yamazaki et al., 2001 ) as well as a strong
correlation of cholesterol ester (CE) levels with A generation
(Puglielli et al., 2001 ) indicate that APP processing may be linked to
intracellular cholesterol distribution.
In this study we investigate the role of a pathway that mediates the
transfer of internalized cholesterol from late endocytic organelles to
a sterol-regulating pool in the endoplasmic reticulum (ER) on APP
cleavage and PS localization. Mutations in the genes encoding for NPC1
protein or the lysosomal protein HE1 cause cholesterol and other lipids
to accumulate in late endosomes and lysosomes, resulting in
Niemann-Pick C disease (NPC; Carstea et al., 1997 ; Naureckiene
et al., 2000 ). Cells mutant in NPC1 show a block in cholesterol
esterification by ER resident acyl-coenzyme A:cholesterol acyltransferase (ACAT), suggesting that NPC1 is involved actively in
cholesterol transport between late endocytic compartments and the ER
(Liscum et al., 1989 ; Cruz et al., 2000 ). Class-2 amphiphiles such as
U18666A or imipramine mimic NPC disease by inhibiting either NPC1
protein itself or an unknown factor along its pathway (Lange et al.,
2000 ).
Here we provide evidence for a link among intracellular cholesterol
transport, A generation, and PS localization. We show that the
retention of cholesterol in late endosomal/lysosomal compartments is
associated with major alterations in APP processing, inversely
affecting - and -secretase cleavage. Surprisingly, this is
accompanied by an accumulation of PS1 and PS2 in Rab7-positive vesicular compartments that are directly adjacent to cholesterol-laden late endosomes under conditions in which intracellular cholesterol transport is blocked. Our results indicate that the subcellular distribution of cholesterol is an important factor in regulating the
proteolytic cleavage of APP and suggest the possibility of a
cholesterol-dependent trafficking of PS.
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MATERIALS AND METHODS |
Cell culture. SH-SY5Y cells and mouse fibroblasts
were cultivated in DMEM/5% fetal calf serum (FCS). Mutant Chinese
hamster ovary (CHO) cells were grown in Ham-F12/5% FCS.
Rab7-GFP-transfected A431 cells were grown in DMEM/5% FCS. Rab7
protein was fused at its N terminus to the C terminus of GFP with the
pEGFP-C3 vector provided by Clontech Laboratories (Cambridge, UK).
Stable cell lines were selected and maintained in medium containing 0.5 mg/ml G418 (Sigma-Aldrich, Munich, Germany). For the time of exposure to 50 µg/ml LDL (Sigma-Aldrich) and 3 µg/ml U18666A
[3- -[2-(diethylamino)ethoxy]androst-5-en-17-one (Biomol,
Hamburg, Germany); from a stock solution in ethanol stored at 20°C
for <3 months] or 80 µM imipramine (Sigma-Aldrich), the FCS levels were increased to 10% to stimulate cholesterol
internalization (Tabas et al., 1988 ).
Preparation of primary hippocampal neurons from 17-d-old fetal rats was
performed as described previously (Goslin and Banker, 1991 ). Neurons
were plated on poly-L-lysine-coated plastic dishes (Nunc,
Dannstadt, Germany) or on poly-L-lysine-coated glass
coverslips and cultivated under serum-free conditions in MEM containing
N2 and B27 supplements (Invitrogen, San Diego, CA). E14 mixed
cortical neurons were prepared and cultivated by following the same
protocol, with cerebral cortices used instead of hippocampi.
Hippocampal neurons were maintained in culture for 12-15 d; cortical
neurons were used after 7-10 d in culture.
Antibodies and fluorescent dyes. The following primary
antibodies have been described previously: polyclonal anti-PS1
N-terminal fragment (NTF) antibody 95.23 (Culvenor et al., 1997 ),
monoclonal anti-v-ATPase antibody Osw2 (Papini et al., 1996 ),
monoclonal 6C4-antibody to lysobisphosphatidic acid (LBPA; Kobayashi et
al., 1998 ), monoclonal anti-COP-I antibody CM1A10 (Scales et al.,
1997 ), and monoclonal antibody W02 directed to residues 4-10 of human A (Jensen et al., 2000 ). G2-10 and G2-11 are monoclonal antibodies specific for the C-terminal residues of A 40 and A 42, respectively (Ida et al., 1996 ). Polyclonal antibody 29414 against PS1 CTF was
provided by C. Elle (Center for Molecular Biology, University of
Heidelberg, Germany). Oil red O (Sigma-Aldrich) was a gift from
J. McLauchlan (MRC Virology Unit, University of Glasgow, UK).
Monoclonal anti-calnexin and monoclonal anti-BiP/GRP78 antibodies were
from Transduction Laboratories (BD Biosciences, Heidelberg, Germany),
monoclonal anti-PS1-loop antibody was from Chemicon (Hofheim, Germany),
and polyclonal PS2 antibody was from New England Biolabs (Frankfurt,
Germany). For the simultaneous detection of cholesterol, primary
antibodies were dissolved in 125 µg/ml filipin (Sigma-Aldrich). Mouse
anti-rabbit and rabbit anti-mouse IgG (Alexa-488- or
Alexa-568-conjugated) secondary antibodies were from Molecular Probes
(Leiden, Netherlands). Horseradish peroxidase-conjugated rabbit
anti-mouse or goat anti-rabbit secondary antibodies were from Dako A/S
(Glostrup, Denmark).
Immunofluorescence, confocal microscopy, and image processing.
Fully polarized hippocampal neurons, SH-SY5Y cells, mutant CHO
cells, or A431 cells were incubated with 50 µg/ml LDL in the presence
or absence of 0.75 or 3 µg/ml U18666A for 24 hr. Immunofluorescence labeling was performed according to the standard procedures; cells grown on glass coverslips were fixed in 3% paraformaldehyde for 10 min
at 4°C and permeabilized with either 0.03% saponin (4°C for 1 min)
or a brief dip into ice-cold methanol ( 20°C). Alternatively, fixation and permeabilization were performed in ice-cold acetone ( 20°C for 30 sec). Primary antibodies were centrifuged to exclude nonspecific aggregation, and the cells were incubated for 30 min at
4°C. After incubation with Alexa-conjugated secondary antibodies the
cells were mounted in Mowiol (Calbiochem-Novabiochem, Bad Soden, Germany).
Samples were viewed with a Zeiss LSM 510 confocal microscope (Carl
Zeiss, Oberkochen, Germany). Images were acquired with a 63× or 100×
Plan-Apochromat III differential interference contrast objective (Carl
Zeiss). Pinhole settings were ~1 airy unit for all images
except for the detection of filipin (2-3 airy units). Fluorescent dyes
were imaged sequentially in frame interlace mode to eliminate
cross-talk between the channels. Images were sampled accordingly to
satisfy the Nyquist criteria for all dimensions and were processed
further with Adobe Photoshop (Mountainview, CA).
Lipid extraction and analysis. Fresh human LDL was mixed
with 4[14C]cholesterol (Amersham
Pharmacia Biotech, Braunschweig, Germany) in ethanol (final
concentration < 0.1%) and dissolved in labeling medium to a
final concentration of 50 µg/ml and a total
14C activity of 0.5 µCi/ml. Cells
exposed to U18666A or imipramine and the controls were incubated for
2-24 hr at 37°C, 5% CO2. With the removal of
the medium the cells were washed twice with PBS, and the lipids were
extracted with hexane/isopropanol (3:2) for 30 min at 4°C. Solvent
was evaporated under a gentle N2 stream; dried
lipids were resolved in a small aliquot of hexane/isopropanol and
subjected to unidimensional thin-layer chromatography (TLC) on general
purpose silica gel plates (Sigma-Aldrich) in toluene/ethylacetate (2:1). Quantitative analysis of cholesterol ester formation and internalization of 14C-cholesterol were
performed after film exposure of TLC plates and densitometric scanning
with MacBAS 2 software. For neuronal cells, equal protein levels were
checked by the extraction of proteins from cellular debris with 1N NaOH
for 10 min at room temperature, followed by quantification with
Coomassie blue protein assay (Pierce, Bezons, France).
Virus infection, immunoprecipitation, and quantitative Western
blotting. Recombinant Semliki Forest virus (SFV) encoding human APP695 was prepared and applied as described previously (Tienari et
al., 1996 ). After 8 hr of exposure to 50 µg/ml LDL and U18666A or
ethanol as a solvent control (final concentration, <0.1%), conditioned media were collected and total cellular extracts were prepared with lysis buffer consisting of 1% NP-40, 1% Triton X-100, 0.2% SDS, and 5 mM EDTA supplemented with Complete
protease inhibitor cocktail (Roche, Mannheim, Germany). SH-SY5Y
cells overexpressing SP-C99 (Dyrks et al., 1993 ) were incubated with
LDL and 3 µg/ml U18666A for 24 hr and processed for
immunoprecipitation by a similar protocol. Samples were
immunoprecipitated with monoclonal antibodies W02 (1 µg/ml), G2-10 (2 µg/ml), or G2-11 (4 µg/ml). For the determination of A species,
Western blot detection of immunoprecipitates was performed according to
Ida et al. (1996) . Standard A solutions at different concentrations
were used for calibration. Western blotting from neuronal lysates was
performed with anti-PS1 antibody 95.23 (diluted 1:10,000 in PBS) or
monoclonal anti-calnexin antibody (diluted 1:1000 in PBS).
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RESULTS |
Inhibition of cholesterol trafficking in neuronal cells expressing
full-length APP decreases proteolytic processing by -secretase
To elucidate the cellular mechanisms that connect cholesterol and
A generation, we investigated how alterations in intracellular cholesterol distribution might affect APP processing. In peripheral cells the transport of LDL-derived cholesterol to the ER can be inhibited by class-2 amphiphiles (Lange et al., 2000 ). Because cholesterol homeostasis in brain differs from peripheral tissue (Lütjohann et al., 1996 ), we first analyzed the transport of internalized cholesterol in neuronal cells by measuring its
esterification by ER resident ACAT (Pentchev et al., 1987 ). SH-SY5Y
neuroblastoma cells or fully polarized rat cortical neurons were
incubated with LDL enriched in
14C-cholesterol in the presence or absence
of U18666A or imipramine, and
14C-cholesterol ester formation was
quantified. SH-SY5Y cells showed a reduction in cholesterol
esterification by >80% with U18666A treatment and by >40% with
exposure to imipramine at all time points that were investigated (Fig.
1A). Cholesterol ester
levels in primary neurons decreased by ~60% (39.1% of control;
n = 3; p < 0.05) (Fig.
1B) with exposure to U18666A. In contrast, cellular 14C-cholesterol load was not changed
significantly, showing that the diminished esterification did not
result from a disruption of cholesterol internalization. These results
clearly show that cholesterol ester generation from internalized
cholesterol takes place in cultured neurons and that these cells, as
known from other cell types, show a marked inhibition of cholesterol
transfer to metabolizing compartments in response to amphiphiles.

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Figure 1.
Class 2 amphiphiles inhibit intracellular
cholesterol transport and decrease -cleavage of APP in neuronal
cells. SH-SY5Y cells (A) or mature rat cortical
neurons in culture (B) were labeled with
14C-cholesterol in LDL for 2-12 hr
(A) or 24 hr (B).
14C-cholesterol ester formation in cells incubated in the
presence or absence of 3 µg/ml (for neuroblastoma cells) or 0.75 µg/ml (for primary neurons) U18666A or 80 µM imipramine
was monitored by the extraction of lipids and subsequent TLC. Depicted
are densitometric quantifications of 14C-cholesterol ester
signal intensities as a percentage of the total 14C
activity per lane (means from three experiments). CE,
Cholesterol ester; Chol, cholesterol. C,
SFV-infected mature rat cortical neurons were incubated for 8 hr with
LDL at different concentrations of U18666A. Conditioned medium was
immunoprecipitated with W02, followed by Western blot detection with
W02. Immunoprecipitations of conditioned media from neurons exposed to
LDL and either 0.75 µg/ml U18666A (+) or not ( ) with antibodies
G2-10 or G2-11 were detected with G2-10 to visualize secretory A 40
and p3 or with W02 for the detection of secretory A 42, respectively.
D, Western blot of respective neuronal lysates with W02
(after W02 immunoprecipitation), anti-calnexin antibody, or antibody
95.23 against PS1 NTF. C, D, Quantifications of
intracellular (ic) and secreted (sec)
APP, CTF, and overall A levels (n = 4-7
experiments). Depicted are ratios of signal intensities from U18666A-
or imipramine-treated versus untreated primary cortical neurons or
SH-SY5Y cells. Error bars indicate 1 SD.
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We then investigated the effect of amphiphile-induced inhibition of
cholesterol transport on APP processing in neuronal cells. Primary
cultures of mixed cortical neurons were infected with recombinant SFV
encoding for full-length human APP695. This expression system has been
used widely to study sorting and processing of APP in neuronal cells
and did not affect neuronal viability within the duration of our
experiments (Tienari et al., 1996 ; De Strooper et al., 1998 ; Skovronsky
et al., 1998 ). Infected neurons were exposed for 8 hr to LDL in the
presence or absence of U18666A. As shown in Figure 1C, the
application of U18666A to cortical neurons in culture resulted in a
dose-dependent reduction in A secretion. In contrast, the secretion
of APP was reduced only slightly, arguing that diminished A levels
in the medium did not result from a general disruption of protein
secretion. At concentrations of 0.75 µg of U18666A per milliliter of
culture medium the levels of secretory A decreased by ~50%,
whereas APP levels remained essentially unaffected [0.491 ± 0.094, n = 4, p < 0.01 for secreted
A (A sec); 0.958 ± 0.08 for secretory APP (APPsec)]. These
observations were independent of the expression system or inhibiting
drug, because similar effects could be obtained for SH-SY5Y cells
stably expressing APP695 (0.633 ± 0.116, n = 5, p < 0.01 for A sec; 1.009 ± 0.085 for APPic)
as well as exposure of primary neurons to imipramine (0.661 ± 0.124, n = 7, p < 0.001 for A sec;
0.98 ± 0.139 for APPic). A diminished secretion was prominent for
both A 40 and A 42, indicating that none of the major -secretase
activities was perturbed in favor of the other. Reduced secretion of
A could not be explained by an increase in the -secretory
cleavage pathway of APP (Kojro et al., 2001 ), because we did not
observe a compensatory upregulation of p3 levels.
Regardless of the treatment, levels of intracellular APP, calnexin,
or PS1 fragments in neuronal lysates were unperturbed (Fig.
1D). However, we found remarkably less CTF with
exposure to U18666A. Quantification revealed a decrease in CTF
levels to an extent almost similar to intracellular A levels in rat primary neurons [0.524 ± 0.203, n = 4, p < 0.05 for CTF; 0.486 ± 0.195 for
intracellular A (A ic); 0.96 ± 0.244 for intracellular APP
(APPic)] and human SH-SY5Y cells exposed to U18666A (0.723 ± 0.163, n = 3, p < 0.05 for CTF;
0.64 ± 0.304 for A ic; 1.052 ± 0.053 for APPic). This
effect was not specific for U18666A but also could be found in primary
neurons exposed to imipramine (0.848 ± 0.1, n = 7, p < 0.01 for CTF; 0.755 ± 0.169 for
A ic; 0.991 ± 0.148 for APPic). Taken together, these results
show that A secretion and generation are reduced in neuronal cells
inhibited in intracellular cholesterol transport. The similar decrease
in A and CTF levels indicates that this effect is attributable to
a reduction in - rather than -cleavage of full-length APP.
Inhibition of cholesterol transport increases -secretase
cleavage in neuronal cells expressing APP C-terminal fragment
SP-C99
We now were interested in the specific effects that retention of
cholesterol in late endosomal/lysosomal compartments might have on
-secretase activity. Cleavage by -secretase depends on the
previous production of APP CTF, which is generated by -secretase.
Therefore, the inhibition of -secretase may conceal effects on
-secretase activity. The use of a truncated form of APP, SP-C99,
instead of the full-length molecule, which acts as an immediate
precursor for A and as a direct substrate for -secretase, allows
for an isolated assessment of -secretase activity and obviates
-secretase cleavage for A generation (Dyrks et al., 1993 ).
CTF-like constructs have been shown previously as suitable models
for studying -cleavage in the absence of -cleavage (Xia et al.,
2000 ).
We stably transfected SH-SY5Y cells with SP-C99 and exposed these cells
to LDL-enriched culture medium in the presence or absence of 3 µg/ml
U18666A. Western blot detection showed that levels of endogenously
synthesized secretory human APP (APPsec) in conditioned medium from
U18666A-treated cells primarily were unaffected compared with controls.
Surprisingly, however, secretory and intracellular A levels were
elevated markedly (1.56 ± 0.221, n = 5, p < 0.01 for A sec; 1.715 ± 0.172, n = 5, p < 0.0005 for A ic) (Fig.
2A,B). In contrast, no
major changes were found for secretory or intracellular endogenous APP
(1.155 ± 0.134 for APPsec; 0.969 ± 0.074 for APPic).
Similarly, treatment did not induce differences in C99 levels, the
substrate for -secretase after cotranslational cleavage of the
signal peptide from SP-C99 (1.059 ± 0.118 for C99). These results
indicate a highly significant increase of A in neuroblastoma cells
exposed to U18666A, indicating a strong upregulation of
-secretase activity in response to an altered subcellular
cholesterol distribution.

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Figure 2.
U18666A increases intracellular and secretory A
levels in SP-C99-transfected SH-SY5Y cells. Human SH-SY5Y neuroblastoma
cells stably transfected with APP C-terminal fragment SP-C99 were
incubated for 24 hr with 50 µg/ml LDL in the presence (+) or absence
( ) of 3 µg/ml U18666A. Conditioned medium (A)
and cell lysates (B) were immunoprecipitated with
antibody W02, followed by Western blot detection with W02. Graphs show
quantification of intracellular (ic) and secreted
(sec) endogenous APP, C99, and overall A levels
(n = 5 experiments). Depicted are ratios of signal
intensities from U18666A-treated versus untreated cells. Error
bars indicate 1 SD. C, Medium and lysates of SH-SY5Y
cells were immunoprecipitated with antibodies G2-10 and G2-11 specific
for A 40 and A 42, respectively, and were detected with W02.
Western blots with W02 show effects of U18666A treatment on secretory
and intracellular A species compared with C99.
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Because of this strong enlargement of overall intracellular and
secreted A pools, we were interested in which of the major A
species might contribute to this effect. We found a remarkable increase
in both A 40 and A 42 in cells exposed to U18666A compared with
controls (Fig. 2C). This increase was prominent for
secretory as well as for intracellular forms of both A species,
whereas no significant change could be found in the A 40/A 42 ratio.
Inhibition of cholesterol trafficking leads to an accumulation
of presenilin1 in vesicular organelles associated with late
endosomal/lysosomal compartments
Given this strong increase in the -secretase product A with
the inhibition of intracellular cholesterol transport, we were interested in whether this effect might correlate with changes in
proteins involved in -secretase cleavage. In view of the role for PS
in APP processing, we speculated that a stimulation of -cleavage
might correlate with an altered subcellular distribution of PS1 (De
Strooper and Annaert, 2001 ). PS1 has been localized to a number of
different subcellular compartments, depending on cell type and methods
used for its detection. In neuronal cells the majority of PS1 was
proposed to reside in the ER and the ER-Golgi intermediate compartment
(Annaert et al., 1999 ). To investigate whether PS1 is affected by
alterations in intracellular cholesterol distribution, we
exposed SH-SY5Y neuroblastoma cells to U18666A, and we
determined PS1 distribution by indirect immunofluorescence and confocal microscopy.
As expected for neuroblastoma cells (Kovacs et al., 1996 ; Culvenor et
al., 1997 ) and regardless of the presence of LDL, PS1 in untreated and
LDL-exposed cells showed a concentration in perinuclear and membranous
organelles, although minor signals also were found at the plasma
membrane and in vesicular compartments (Fig.
3A). Human vacuolar ATPase as
a marker for late endosomes and lysosomes was spread in small vesicular
structures throughout the cytosol (Fig. 3B), showing no
major colocalization with filipin (Fig. 3C,D), which allows
for visualization of cellular cholesterol (Neufeld et al., 1999 ).
However, when cholesterol transport was inhibited by U18666A,
v-ATPase-positive vesicles were enlarged and now retained the major
pool of cellular cholesterol (Fig. 3F,G). Surprisingly,
under these conditions a large fraction of PS1 signal could be seen in
vesicular structures that showed a remarkable overlap with enlarged
v-ATPase and filipin-positive vesicles (Fig. 3E-H).
This vesicular staining pattern for PS1 in U18666A-treated SH-SY5Y
cells was independent of the antibody that was used. Results were
identical with a polyclonal antibody directed to the cytosolic loop
region of PS1 CTF, and preimmunoabsorption of antibody 95.23 with PS1
NTF1-20 synthetic peptide abolished signals in both treated and
untreated cells (data not shown).

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Figure 3.
Inhibiting intracellular cholesterol transport
induces an accumulation of PS1 in vesicular compartments associated
with late endosomes and lysosomes. Human SH-SY5Y neuroblastoma cells
were incubated for 24 hr with 50 µg/ml LDL in the presence
(E-H) or absence (A-D) of
3 µg/ml U18666A. After fixation in paraformaldehyde the cells were
triple labeled with polyclonal PS1 antibody 95.23 (A, E;
green fluorescence), monoclonal antibody Osw2 to
v-ATPase as a late endosomal/lysosomal marker (B, F;
red fluorescence), and filipin for the detection of
cellular cholesterol (C, G; blue
fluorescence). Parental CHO-25RA cells (with regular sterol
distribution) and CHO-CT43 cells (expressing a nonfunctional NPC1
protein) were incubated with 50 µg/ml LDL for 24 hr, fixed with
paraformaldehyde, and triple labeled with PS1 antibody 95.23 (I,
M), filipin (K, O), and the monoclonal
antibody 6C4 against LBPA to visualize late endosomes (J,
N; red fluorescence). D, H, L, P,
Merged images. Arrows indicate selected regions positive
for all three markers. Scale bars, 10 µm.
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U18666A has been used widely to mimic a cholesterol-trafficking defect
naturally occurring in Niemann-Pick C disease (Lange et al., 2000 ). As
an alternative cellular model for NPC we used a mutant CHO cell line,
CHO-CT43 (Cruz et al., 2000 ), which expresses a nonfunctional
C-terminally truncated NPC1 protein and determined PS1 localization.
After 24 hr of incubation in culture medium containing FCS and LDL,
mutant CHO cells were fixed and stained for PS1 and cholesterol. As a
late endosomal marker the monoclonal antibody 6C4 was used, which
recognizes LBPA, a phospholipid highly enriched in internal membranes
of late endosomes (Kobayashi et al., 1998 ). Like in U18666A-treated
SH-SY5Y cells, PS1 frequently was associated with LBPA- and
cholesterol-rich compartments in CHO-CT43 cells (Fig.
3M-P). In contrast, a predominantly ER-like staining
pattern for PS1 was found in parental CHO-25RA cells, in which
transport of internalized cholesterol to cholesterol-metabolizing compartments is active (Cruz et al., 2000 ) (Fig. 3I-L).
These results from cholesterol-trafficking mutant stable cell lines show that effects of impaired cholesterol trafficking on PS1
localization are not attributable to potential short-term disturbances
in membrane lipid composition by U18666A and suggest a
correlation of cholesterol retention in late endosomal/lysosomal
compartments and PS1 compartmentalization.
A more detailed analysis of U18666A-induced PS1-containing structures
in SH-SY5Y cells revealed that PS1-containing compartments did not
overlap completely with v-ATPase and presumably cholesterol-filled compartments but frequently appeared to surround these in a ring-like manner (Fig. 4A-C).
Organelles positive for NPC1 and Rab7 with a very similar morphology
and involved in cholesterol sorting have been described in fibroblasts
enriched in LDL-derived cholesterol (Neufeld et al., 1999 ; Zhang et
al., 2001 ). We therefore made use of a human A431 cell line stably
expressing Rab7-GFP (M. de Bernard, unpublished data) and performed
coimmunolabeling with a monoclonal antibody directed to the cytosolic
loop region of PS1 CTF. As shown in Figure 4D-F,
U18666A-treated cells showed a prominent colocalization of Rab7 and PS1
in vesicular structures that were concentrated in perinuclear areas.
Colocalization with polyclonal antibody against PS2 showed that under
these conditions PS2 also localized to these compartments (Fig.
4G-I). However, these compartments were not
identical with lipid storage droplets (Pol et al., 2001 ) visualized
with the neutral lipid stain Oil red O (Fig. 4J-L).
Instead, with a localization near to the nucleus and a ring-like
morphology surrounding a central cavity reported previously (Neufeld et
al., 1999 ; Zhang et al., 2001 ), our findings argue strongly for an
accumulation of PS in vesicular compartments involved in intracellular
cholesterol distribution.

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Figure 4.
PS-containing compartments are positive for Rab7
and surround late endosomes in a ring-like manner. SH-SY5Y
(A-C) or A431 cells (D-L)
were incubated for 24 hr with 50 µg/ml LDL and 3 µg/ml
U18666A. After fixation in paraformaldehyde the SH-SY5Y cells
were stained against PS1 (A, C; green)
and v-ATPase (B, C; red). Fixed A431
cells stably overexpressing Rab7-GFP (E, H, K;
green) were labeled with a monoclonal PS1 antibody
(D, F; red), polyclonal PS2 antibody
(G, I; red), or Oil red O to visualize
neutral lipids (J, L; red). C, F,
I, L, Merged images. Scale bars, 8 µm. Arrows
indicate selected vesicles positive for both markers.
Insets show single sections from confocal stacks of
random vesicular structures in cell bodies. Scale bars in
insets, 1 µm.
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PS1 and A 42 colocalize in Rab7-positive vesicular compartments
in primary hippocampal neurons
We next analyzed the effects of U18666A on primary hippocampal
neurons in culture. Colabeling of the late endosomal marker LBPA and
filipin at higher magnification showed a notable overlap (Fig.
5C,E), confirming
LBPA-positive late endosomes as cholesterol-retaining organelles after
treatment of the cells with amphiphiles (Zhang et al., 2001 ). In
contrast, Rab7-positive organelles were associated spatially with, but
clearly distinct from, late endosomes enriched in cholesterol (Fig.
5F,H). Aggregated A had been described previously in Rab7-positive endosomal fractions in U18666A-treated peripheral cells (Yamazaki et al., 2001 ). Thus we tested whether PS1 and A
colocalized to the same vesicular compartments in hippocampal neurons.
As shown in Figure 5G and like in peripheral cells, PS1 in
U18666A-treated hippocampal neurons distributed to vesicular compartments most likely corresponding to Rab7-positive organelles. Under these conditions in a subset of neurons the predominant fraction
of endogenous A 42 localized to PS1-containing vesicular compartments
(Fig. 5G-I), indicating a close relationship of
cholesterol retention, PS1 distribution, and increased -secretase
activity.

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Figure 5.
Rab7-containing compartments after
U18666A exposure of hippocampal neurons are distinct from
cholesterol-retaining late endosomes and retain A 42 and PS1. Mature
hippocampal neurons were incubated with LDL and U18666A for 24 hr,
fixed, and stained with filipin (B, E;
red) and either monoclonal antibody 6C4 against LBPA
(A, C; green) or a polyclonal antibody
against Rab7 (D, F; green). G,
H, Coimmunostainings of 95.23 for PS1 and monoclonal antibody
G2-11 to detect cellular A 42. A-C and
insets in D-I show areas in the cell
body of a hippocampal neuron. C, Merged image from
A, B. F, Merged image from D,
E. I, Merged image from G,
H. Arrows indicate selected compartments.
Scale bars, 4 µm.
|
|
To determine the specificity of PS1 accumulation with the
exposure of neurons to U18666A, we performed coimmunolocalization with
markers for different subcellular compartments. '-COP as a component
of COP-I coats and parental Golgi membranes was largely excluded from
PS1 or cholesterol-containing organelles (Fig.
6A-D). Similarly, no
spatial correlation to filipin-positive compartments could be found for
ER resident BiP/GRP78 (Fig. 6E-H), suggesting that an accumulation in vesicular compartments is not a general response of ER proteins after preventing delivery of cholesterol to the
ER. Surprisingly, however, when we investigated the localization of ER
protein calnexin in response to U18666A (Fig.
6J), a fraction of calnexin became prominent in
punctuate structures associated with PS1-positive and
cholesterol-retaining compartments (Fig. 4D-F). Higher magnification suggested
that calnexin and PS1 partially colocalized to identical vesicular
organelles.

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Figure 6.
PS1-bearing vesicular compartments in hippocampal
neurons impaired in cholesterol transport exclude 'COP and BiP but
retain calnexin. Fully polarized rat hippocampal neurons in culture
were incubated with 50 µg/ml LDL and 0.75 µg/ml U18666A for 24 hr.
Neurons were fixed and triple labeled with antibody 95.23 (A, E,
I), filipin (C, G, K), and
monoclonal antibodies against 'COP (B),
BiP/GRP78 (F), or calnexin
(J). D, H, L, Merged
images. Bottom insets show selected regions of single
sections in the cell body of the depicted neuron (top
insets). Arrows indicate selected compartments.
Scale bars, 3 µm.
|
|
Finally, we tested whether the effects of U18666A on cholesterol
transport were attributable to potential direct effects on PS.
Fibroblasts from PS1 knock-out and PS1/PS2 double knock-out mice
(Armogida et al., 2001 ) were exposed to U18666A, and CE generation in
treated and untreated cells was determined. As shown in Figure 7, CE formation from internalized
cholesterol can occur regardless of PS1 expression. Furthermore,
U18666A decreased CE generation to a similar degree in wild-type
and knock-out cells. Correspondingly, retention of cholesterol in late
endosomes with the blocking of cholesterol transport by U18666A was
unchanged (data not shown). Together, these results suggest that,
although PS1 expression is not essential for an efficient transfer of
internalized cholesterol to metabolizing sites, PS1 localization in
hippocampal neurons correlates highly with the intracellular
distribution of cholesterol.

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Figure 7.
U18666A decreases cholesterol ester
formation independently of PS1 expression. Cultured mouse fibroblasts
from wild-type (PS1+/+PS2+/+), PS1 single knock-out (PS1 / PS2+/+),
and PS1/PS2 double knock-out (PS1 / PS2 / ) mice were labeled with
14C-cholesterol in LDL in the presence (+) or absence ( )
of 3 µg/ml U18666A for 24 hr. Lipids were extracted and separated by
TLC. Effects of U18666A on CE formation in treated cells at equal CE
levels in untreated cells are shown.
|
|
 |
DISCUSSION |
This study reports that the intracellular distribution of
cholesterol has substantial effects on the subcellular localization of
PS and the amyloidogenic processing of APP. Our results suggest that
the compartmentalization of cholesterol in neurons may play an
important role in how cholesterol alters A generation. We determined
the effects of intracellular cholesterol distribution on PS
localization and APP cleavage by two means, first by using compounds
that inhibit cholesterol transport from endocytic compartments to the
ER and second by examining cells expressing mutant NPC1.
We describe a dose-dependent reduction in both secreted and cellular
A species in neurons and neuroblastoma cells exposed to cholesterol
transport-inhibiting amphiphiles. For several reasons we propose that
the reduced formation of A is attributable to a reduced -cleavage
of APP. First, CTF levels decrease to an almost similar extent as
overall secreted and intracellular A , and A 40 and A 42 both
decrease to a similar degree. Second, levels in APPsec and p3 do not
rise, indicating that -secretase cleavage of APP was not increased.
Our results confirm previous data showing a strong correlation of
-secretase activity and cholesterol metabolism in neuronal cells
(Simons et al., 1998 ).
There are several possible mechanisms for how changes in subcellular
cholesterol distribution could alter the -secretase cleavage of APP.
We cannot exclude indirect effects on APP processing caused by
alterations in endosomal or TGN function (Pentchev et al., 1987 ) or
consecutive regulatory mechanisms after decreased transport of sterols
to the ER (DeBose-Boyd et al., 1999 ). However, intriguing possibilities
argue for a more direct role of the intracellular cholesterol transport
on A production. For example, reinternalization of surface APP
during A generation may be affected by a decreased cholesterol
content in the plasma membrane in response to cholesterol-depleting agents that also reduce cholesterol transport to the ER (Subtil et al.,
1999 ; H. Runz and T. Hartmann, unpublished results). Because the
-secretase BACE1 has been shown to localize to lipid rafts (Riddell
et al., 2001 ) and NPC1 plays a role in raft dynamics (Lusa et al.,
2001 ), retention of cholesterol in endosomal/lysosomal compartments
might interfere directly with -secretase function. Our findings of a
reduced -cleavage of APP after the inhibition of cholesterol
transport to the ER also correspond to a recent study showing a strong
correlation of A production and cellular CE levels (Puglielli et
al., 2001 ). Inhibition of ACAT was associated with a prominent
reduction in A generation, which resulted from an inhibition of all
three major processing events of APP.
Unexpectedly and in contrast to what we observed for -secretase
cleavage, we found a dramatic increase in -secretase activity accompanied by higher levels of secreted and intracellular A when
the transfer of LDL-derived cholesterol from endocytic compartments to
ACAT in the ER was inhibited. This increase was prominent in cells
expressing the CTF analog SP-C99 but was concealed in cells expressing full-length APP, where an increased -cleavage could not
compensate for a reduction in -cleavage as the rate-limiting step in
A generation. We cannot rule out that the effects on -secretase
are attributable to downstream effects on ACAT itself or mechanisms
important for CE formation. However, a direct influence of NPC1
function or the transport of free cholesterol or other lipids to the ER
on APP cleavage cannot be excluded.
This is supported further by the fact that regardless of how
cholesterol transport was inhibited, we found a prominent accumulation of PS in vesicular organelles positive for Rab7 and intimately associated, but not identical, with cholesterol-retaining late endosomes. During cholesterol transport from the plasma membrane to the
ER vesicular compartments are involved that contain NPC1 protein and
are associated spatially but that are distinct from endosomal/lysosomal
compartments required for the initial uptake of lipoprotein-derived
cholesterol (Neufeld et al., 1999 ). Whereas cholesterol-enriched late
endosomes are positive for lysosomal hydrolases, LBPA, and endocytic
fluorescent-labeled dyes, NPC1-containing structures exclude these
markers but are enriched instead in Rab7 and certain glycolipids (Zhang
et al., 2001 ). The NPC1 compartment was described as a membranous
organelle often surrounding cholesterol-laden late endosomes in a
ring-like manner that may have a role in cholesterol sorting and the
rapid transport of material between the plasma membrane and the ER
(Cruz et al., 2000 ; Ko et al., 2001 ). The colocalization of PS with
Rab7 as well as an identical morphology of PS-containing structures in
our experiments indicate that, on blocking intracellular cholesterol
transport, PS accumulates in these vesicular organelles involved in
cholesterol sorting.
The localization of PS in vesicular organelles was surprising, because
convincing evidence from neuronal cells shows a steady-state localization of PS1 predominantly in the ER (Kovacs et al., 1996 ; Culvenor et al., 1997 ; Annaert et al., 1999 ). Internalization of
lipoprotein-derived cholesterol by neurons was reported to be low
(Lütjohann et al., 1996 ). Nevertheless, neurons express LDL
receptor family members (Herz et al., 1988 ), NPC1 (Falk et al., 1999 )
and ACAT (Sakashita et al., 2000 ) and thus possess molecular equipment
involved in the uptake and utilization of lipoprotein-derived
cholesterol. Accordingly, in our experiments amphiphiles diminished
esterification of LDL-derived cholesterol in SH-SY5Y cells and primary
cortical neurons. The block in cholesterol transfer to ACAT-containing
compartments was sufficient to induce a massive accumulation of
cholesterol in late endosomes positive for LBPA but distinct from
Rab7-containing organelles. These results indicate that the
intracellular transport of internalized cholesterol in primary neurons
essentially follows identical routes as in peripheral cells (Zhang et
al., 2001 ). Correspondingly, PS1 localized to vesicular compartments in
the cell bodies of hippocampal neurons. Most interestingly, we also
could detect a large fraction of A 42 in these compartments. These
microscopic data from neuronal cells inhibited in intracellular
cholesterol transport are in accordance with a study showing a
significant accumulation of A in both NPC1 mutant CHO cells and NPC
mouse brain (Yamazaki et al., 2001 ). In addition to their results
proposing a pool of aggregated A 42 in cholesterol- and
Rab7-containing gradient fractions, our data showing a colocalization
of PS1 and A 42 raise the possibility that under these conditions
A 42 is produced in vesicular compartments involved in neuronal
cholesterol transport.
How might an inhibition of intracellular cholesterol transport induce a
shift in PS distribution and an increased -secretase activity? One
possibility is that alterations in subcellular cholesterol distribution
might induce changes in ER membrane composition that could alter ER
stability (Orci et al., 1984 ) and favor a relocalization of ER proteins
to compartments involved in cholesterol sorting. This might be a reason
for the unexpected localization of a fraction of ER membrane protein
calnexin to these organelles in hippocampal neurons. The accumulation
of PS and presumably other factors in Rab7- and NPC1-bearing organelles
also might favor the assembly of the active high-molecular-weight
-secretase complex, which might stimulate formation of A in these
compartments. Because the site for -cleavage of CTF is within the
membrane domain of APP, a unique lipid composition of PS- and
NPC1-containing compartments might favor A generation further.
Alternatively, the redistribution of PS to organelles involved in
cholesterol trafficking might support a proposed ER export model for
PS-dependent -cleavage of APP (De Strooper and Annaert, 2001 ).
Analogies between APP processing and sterol-dependent trafficking and
proteolysis in the regulation of sterol homeostasis are intriguing. When ER membranes are depleted from cholesterol, the sterol response element binding protein (SREBP) cleavage-activating protein (SCAP) escorts SREBP to the Golgi, where Site-1 protease activates SREBP, which subsequently is cleaved by an intramembranous proteolytic event
that is very similar to the -cleavage of APP (DeBose-Boyd et al.,
1999 ). Recent data from living cells demonstrate a close interaction of
NPC1-bearing organelles and the ER (Ko et al., 2001 ), and a threshold
concentration of cholesterol in the endosomal/lysosomal system was
proposed to induce a shift in NPC1 localization from a diffuse
membranous organelle to these compartments (Zhang et al., 2001 ).
In conclusion, our results show that the intracellular
compartmentalization of cholesterol is an important factor in
determining PS localization and the regulation of APP cleavage. Further
experiments in additional cellular and in vivo models
systems will be required to elucidate its potential physiological and
pathological implications on APP processing. In view of recent clinical
studies reporting a potential benefit of regulating cholesterol
metabolism as a strategy for preventing the onset of AD symptoms (Jick
et al., 2000 ; Wolozin et al., 2000 ), our findings may help to design
therapeutic approaches to cholesterol-dependent cellular events
associated with AD. In providing a plausible link between factors such
as ApoE or LRP in the endocytic limb and subsequent
cholesterol-regulating events in the ER where, under balanced
conditions, the major pool of PS is localized and -cleavage may
occur, we propose the intracellular cholesterol transport as a
potential crossroad in A generation.
 |
FOOTNOTES |
Received Nov. 5, 2001; revised Nov. 5, 2001; accepted Nov. 30, 2001.
This work was supported by the Deutsche Forschungsgemeinschaft. We
thank the following individuals for providing antibodies and reagents:
J. Culvenor, C. Elle, J. Gruenberg, M. Zerial, and J. McLauchlan. We
also thank B. De Strooper for the gift of PS mutant fibroblasts,
T. Y. Chang for providing mutant CHO cell lines, and D. Stephens
and G. W. Rebeck for critically reading this manuscript.
Correspondence should be addressed to Tobias Hartmann and Heiko Runz,
Center for Molecular Biology (ZMBH), University of Heidelberg, Im
Neuenheimer Feld 282, 69120 Heidelberg, Germany. E-mail:
tobias.hartmann{at}mail.zmbh.uni-heidelberg.de or
hrunz{at}ix.urz.uni-heidelberg.de.
 |
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