Mutations in the amyloid -protein (A) precursor gene cause autosomal dominant Alzheimer disease in a number of kindreds. In two such kindreds, the English and the Tottori, the mutations produce amyloid -proteins containing amino acid substitutions, H6R and D7N, respectively, at the peptide N terminus. To elucidate the structural and biological effects of the mutations, we began by examining monomer conformational dynamics and oligomerization. Relative to their wild type homologues, and in both the A40 and A42 systems, the English and Tottori substitutions accelerated the kinetics of secondary structure change from statistical coil 3 ␣/ 3  and produced oligomer size distributions skewed to higher order. This skewing was reflected in increases in average oligomer size, as measured using electron microscopy and atomic force microscopy. Stabilization of peptide oligomers using in situ chemical crosslinking allowed detailed study of their properties. Each substitution produced an oligomer that displayed substantial -strand (H6R) or ␣/ (D7N) structure, in contrast to the predominately statistical coil structure of wild type A oligomers. Mutant oligomers functioned as fibril seeds, and with efficiencies significantly higher than those of their wild type homologues. Importantly, the mutant forms of both native and chemically stabilized oligomers were significantly more toxic in assays of cell physiology and death. The results show that the English and Tottori mutations alter A assembly at its earliest stages, monomer folding and oligomerization, and produce oligomers that are more toxic to cultured neuronal cells than are wild type oligomers.
Alzheimer disease (AD)2 is characterized by the accumulation of intraneuronal filaments formed by the microtubuleassociated protein Tau and by extracellular parenchymal and vascular amyloid deposits largely comprising the amyloid -protein (A) (1). A is produced by sequential proteolytic cleavage of the amyloid -protein precursor (APP) by -and ␥-secretase (2). In some kindreds, AD occurs in an autosomal dominant manner because of mutations in the genes encoding APP or ␥-secretase (3). These mutations alter the absolute or relative amounts of A40 or A42 that are produced or they alter peptide primary structure (4 -6).The first intra-A missense mutations that were observed all clustered within the APP gene region encoding amino acids Ala 21 -Asp 23 of A. These mutations included the Flemish (A21G), Dutch (E22Q), Italian (E22K), Arctic (E22G), and Iowa (D23N) (7-11). Each of these mutations alters peptide assembly or metabolism. For example, the Flemish mutation causes a decrease in the fibril extension rate (12). The Dutch, Italian, and Iowa mutations cause disease with fulminant vascular pathology (8, 9, 11). The Arctic mutation causes early onset AD that involves enhanced protofibril formation (13). Recently, a new mutation in the Ala 21 -Asp 23 region, causing a deletion of Glu 22 (⌬E22), was reported (14). This deletion causes enhanced peptide oligomerization b...