Alzheimers Dement. 2021 Dec;17 Suppl 3 e053170
BACKGROUND: The accumulation and aggregation of misfolded proteins in the human brain are known to be an essential feature of many neurodegenerative diseases, and presenilin-1 (PS1) mutations linked to Alzheimer's disease (AD) have been suggested to alter the misfolded protein response (UPR) due to stress on the endoplasmic reticulum. Moreover, to deal with the stress generated by protein aggregation, cells use a series of protection mechanisms. One of these biological responses to stress involves proteins called molecular chaperones that mediate protein folding, signaling, surveillance, and cell protection. These molecular changes of cellular stress have not only been seen in the neurons of brains from AD patients but also in the peripheral cells of patients with Alzheimer's disease, emphasizing the systemic nature of this pathology. Besides, due to the difficulties in studying dynamic processes in the human brain, peripheral cells are valuable for diagnosis and understanding the molecular mechanisms of AD.
METHODS: We cultured fibroblasts from patients affected with familial AD with a presenilin 1 mutation (M146L or A246E) and control subjects, in Minimum Essential Medium Eagle with 15% non-inactivated fetal bovine serum. These cells were characterized by immunodetection and karyotyping. Pathways related to neurodegeneration were analyzed by western blot. Finally, we carried out a proteomic study using mass spectrometry to study the fibroblast´s protein profile from familial AD and controls.
RESULTS: We identified differences in the expression of proteins related to the autophagic-lysosomal pathway in affected individual´s fibroblasts. We also identified changes in kinases related to hyperphosphorylation of tau protein. We analyzed the protein profile of fibroblasts derived from mass spectrometry and identified groups of proteins related to cellular stress (HSPA8, HSP90AB1, HSPD1, HSPE1) present only in fibroblasts affected with AD and not in controls. From the Western blot analysis, we confirmed the overexpression of HSP90, HSP70, and HSP60.
CONCLUSION: In summary, our results indicate that fibroblasts from patients with FAD-PS1 show altered pathways associated with cellular stress, autophagy, lysosomes, phosphorylation of tau protein, which shows that fibroblasts can be useful in the search and modeling of pathways related to neurodegeneration, as well as for the identification of early biomarkers related to AD.