“…ª 2020 The Authors The EMBO Journal 39: e103791 | 2020 point of view, the failure to cleave C99 (Shen & Kelleher, 2007;Fig 6, lower panel) would result in a futile cycle of continuous uptake of cholesterol and its mobilization from the PM to the ER, resulting in the upregulation of MAM formation and activation, which in turn would cause the upregulation of SMases, ACAT1 activity, and lipid droplet deposition. Closing the cycle, this accumulation of cholesterol in the PM would also induce APP internalization and its interaction with, and cleavage by, BACE1 (Cossec et al, 2010;DelBove et al, 2019), and the downregulation of a-secretase activity (Wang et al, 2014). Interestingly, increases in exogenous cholesterol can mimic this scenario, resulting in APP internalization and elevations in C99 (Marquer et al, 2011), increases in the Ab 42:40 ratio (Marquer et al, 2014), Tau phosphorylation (van der Kant et al, 2019), and hippocampal atrophy and cognitive impairment (Djelti et al, 2015).…”