Deposition of amyloid  (A) in the brain is closely associated with Alzheimer disease (AD). A is generated from amyloid precursor protein (APP) by the actions of -and ␥-secretases. In addition to A deposition in the brain parenchyma, deposition of A in cerebral vessel walls, termed cerebral amyloid angiopathy, is observed in more than 80% of AD individuals. The mechanism for how A accumulates in blood vessels remains largely unknown. In the present study, we show that brain endothelial cells expressed APP770, a differently spliced APP mRNA isoform from neuronal APP695, and produced A40 and A42. Furthermore, we found that the endothelial APP770 had sialylated core 1 type O-glycans. Interestingly, ⌷-glycosylated APP770 was preferentially processed by both ␣-and -cleavage and secreted into the media, suggesting that O-glycosylation and APP processing involved related pathways. By immunostaining human brain sections with an anti-APP770 antibody, we found that APP770 was expressed in vascular endothelial cells. Because we were able to detect O-glycosylated sAPP770 in human cerebrospinal fluid, this unique soluble APP770 has the potential to serve as a marker for cortical dementias such as AD and vascular dementia.
Alzheimer disease (AD)3 is characterized by intracellular accumulation of neurofibrillary tangles and extracellular deposits of amyloid  (A) peptides in the brain (1, 2). A is generated from amyloid precursor protein (APP) by the sequential actions of -secretase, BACE1 (-site APP-cleaving enzyme 1) (3-6), and ␥-secretase (7). Because most earlyonset familial AD patients have gene mutations that influence the processing or aggregation of A, and the neurites associated with A plaques are often damaged (2), the process of A deposition in the brain seems to be strongly associated with AD pathogenesis. Even though APP has been proposed to have a receptor-like function and binds to multiple extracellular matrix proteins such as heparin and collagen (8, 9), understanding the biological functions of APP remains an important scientific and intellectual challenge (10). Two paralogs of APP are known in mammals and are designated APPlike proteins 1 and 2. Interestingly, triple knock-out mice lacking all three APP family members die shortly after birth (11), suggesting redundant functions of the APP family proteins.APP has three alternatively spliced isoforms: APP695, APP751, and APP770 (12, 13). Compared with APP695, APP751 contains an additional Kunitz-type protease inhibitor (KPI) domain, whereas APP770 contains a KPI domain plus an OX2 domain. APP695 is most abundantly expressed in neurons, whereas APP751 and APP770 show more ubiquitous expression patterns (14). The secreted form of APP containing a KPI domain, also known as the protease nexin 2, potentially inhibits certain serine proteases, most notably several prothrombotic enzymes (15); very limited information is available concerning the functions of the OX2 domain. In the present study, we show that brain microvascular endothelial cells (BME...