Alzheimer disease (AD), the most common senile dementia, is characterized by amyloid plaques, vascular amyloid, neurofibrillary tangles, and progressive neurodegeneration. Amyloid is mainly composed by amyloid- (A) peptides, which are derive from processing of the -amyloid precursor protein (APP), better named amyloid- precursor protein (APP), by secretases. The APP intracellular domain (AID), which is released together with A, has signaling function, since it modulates apoptosis and transcription. Despite its biological and pathological importance, the mechanisms regulating APP processing are poorly understood. As cleavage of other ␥-secretase substrates is regulated by membrane bound proteins, we have postulated the existence of integral membrane proteins that bind APP and regulate its processing. Here, we show that BRI2, a type II membrane protein, interacts with APP. Interestingly, 17 amino acids corresponding to the NH 2 -terminal portion of A are necessary for this interaction. Moreover, BRI2 expression regulates APP processing resulting in reduced A and AID levels. Altogether, these findings characterize the BRI2-APP interaction as a regulatory mechanism of APP processing that inhibits A production. Notably, BRI2 mutations cause familial British (FBD) and Danish dementias (FDD) that are clinically and pathologically similar to AD. Finding that BRI2 pathogenic mutations alter the regulatory function of BRI2 on APP processing would define dysregulation of APP cleavage as a pathogenic mechanism common to AD, FDD, and FBD.
APP1 is an ubiquitous type I transmembrane protein (1, 2) that undergoes a series of endoproteolytic events (3-5). APP is first cleaved at the plasma membrane or in intracellular organelles by -secretase (6). While the ectodomain is released extracellularly (sAPP) or into the lumen of intracellular compartments, the COOH-terminal fragment of 99 amino acids (C99) remains membrane bound. In a second, intramembranous proteolytic event, C99 is cleaved, with somewhat lax site specificity, by the ␥-secretase. Two peptides are released in a 1:1 stoichiometric ratio: the amyloidogenic A peptide, consisting of 2 major species of 40 and 42 amino acids (A40 and A42, respectively), and an intracellular product named AID or AICD, which is very short-lived and has been identified only recently (7-9). In an alternative, nonamyloidogenic proteolytic pathway, APP is first processed by ␣-secretase in the A sequence leading to the production of the sAPP␣ ectodomain and the membrane-bound COOH-terminal fragment of 83 amino acids (C83). C83 is also cleaved by the ␥-secretase into the P3 and AID peptides. While A is implicated in the pathogenesis of Alzheimer disease, AID mediates most of the APP signaling functions. A pathogenic role for APP processing in AD has been ascertained by the finding that mutations in presenilins (10 -13), key components of the ␥-secretase, and APP (14) cause autosomal dominant familial forms of AD. Thus, because of its biological and pathological import...