“…ERp57 is able to guarantee the correct folding of APP after glycosylation, but it could also be able to perform a regulatory function It could be speculated that in AD patients this regulation is lost, possibly because less ERp57 is secreted or the oxidative environment is not favorable, because of the aging process (Ghosh & Brewer, 2014) and therefore the Aβ, released outside the cell, is no longer digested by enzymes such as neprilysin (Campos et al, 2020) and Insulin Degrading Enzyme (Bulloj et al, 2010), triggering a fibrillation process that will eventually lead to the formation of amyloid aggregates (Erickson et al, 2005;Zhao et al, 2012). To date, it was reported that neuronal (Fontana et al, 2020) and SH-SY5Y cells are able to internalize Aβ (Ida et al, 1996) and pre-formed alpha-synuclein fibrils (Pantazopoulou et al, 2021) through endocytosis and clear them, so it could be hypothesized that ERp57, which is able to bind alpha-synuclein (Serrano et al, 2020), is released from the neuronal cells in order to bind the Aβ, prevent its aggregation and favor the endocytosis of this complex.…”