Protective mutation A673T as a potential gene therapy for most forms of APP Familial Alzheimer's Disease

The accumulation of plaque in the brain leads to the onset and development of Alzheimers disease. The Amyloid precursor protein (APP) is usually cut by -secretase, however an abnormal cleavage profile by {beta}-secretase (BACE1) leads to the accumulation of A{beta} peptides, which forms these plaques. Numerous APP gene mutations favor plaque accumulation, causing Familial Alzheimer Disease (FAD). However, a variant of the APP gene (A673T) in Icelanders reduces BACE1 cleavage by 40 %. A library of plasmids containing APP genes with 29 FAD mutations with or without the additional A673T mutation was generated and transfected in neuroblastomas to assess the effect of this mutation on A{beta} peptide production. In most cases the production of A{beta} peptides was decreased by the co-dominant A673T mutation. The reduction of A{beta} peptide concentrations for the London mutation (V717I) even reached the same level as A673T carriers. These results suggest that the insertion of A673T in the APP gene of genetically susceptible FAD patients may prevent the onset of, slow down, or stop the progression of the disease.