PMID- 19387119 OWN - NLM STAT- MEDLINE DCOM- 20090707 LR - 20171116 IS - 1387-2877 (Print) IS - 1387-2877 (Linking) VI - 16 IP - 4 DP - 2009 TI - Regulated proteolysis of RAGE and AbetaPP as possible link between type 2 diabetes mellitus and Alzheimer's disease. PG - 865-78 LID - 10.3233/JAD-2009-0998 [doi] AB - Epidemiological studies have linked type 2 diabetes mellitus (T2DM) with an increased risk of developing Alzheimer's disease (AD). In T2DM, the elevated blood glucose level promotes formation of advanced glycation end products (AGEs). The receptor for AGEs (RAGE) is a type I membrane-protein and is also able to import amyloid-beta (Abeta) from the blood across the blood-brain-barrier into the brain. Oligomeric Abeta peptides disturb synaptic function in the brain and are believed to contribute to the development of AD. Abeta peptides are released from the amyloid-beta protein precursor (AbetaPP) after sequential proteolysis by beta- and gamma-secretases but alpha-secretase-mediated cleavage of AbetaPP prevents Abeta generation. Insulin influences Abeta production by modulating alpha-secretase activity and Abeta degradation. Recent publications demonstrate that RAGE is subjected to protein ectodomain shedding. Proteolysis of RAGE occurs constitutively and is inducible by activation of protein kinase C. Alpha-secretase-like enzymes release the ligand binding domain of RAGE from the cell surface and after that gamma-secretase processes the membrane-remaining part of RAGE. Proteolysis of RAGE may represent a regulatory mechanism in RAGE signal transduction and in addition may prevent Abeta peptide transport across the blood-brain-barrier. Current data suggest that the sequential proteolysis of RAGE is homologous to AbetaPP processing. FAU - Kojro, Elzbieta AU - Kojro E AD - Institute of Biochemistry, Johannes Gutenberg University Mainz, Mainz, Germany. kojro@uni-mainz.de FAU - Postina, Rolf AU - Postina R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - Netherlands TA - J Alzheimers Dis JT - Journal of Alzheimer's disease : JAD JID - 9814863 RN - 0 (Amyloid beta-Peptides) RN - 0 (Amyloid beta-Protein Precursor) RN - 0 (Receptor for Advanced Glycation End Products) RN - 0 (Receptors, Immunologic) RN - 97C5T2UQ7J (Cholesterol) RN - EC 3.4.- (Amyloid Precursor Protein Secretases) SB - IM MH - Alzheimer Disease/etiology/*metabolism MH - Amyloid Precursor Protein Secretases/metabolism MH - Amyloid beta-Peptides/metabolism MH - Amyloid beta-Protein Precursor/*metabolism MH - Animals MH - Cholesterol/metabolism MH - Diabetes Mellitus, Type 2/etiology/*metabolism MH - Humans MH - Receptor for Advanced Glycation End Products MH - Receptors, Immunologic/*metabolism RF - 122 EDAT- 2009/04/24 09:00 MHDA- 2009/07/08 09:00 CRDT- 2009/04/24 09:00 PHST- 2009/04/24 09:00 [entrez] PHST- 2009/04/24 09:00 [pubmed] PHST- 2009/07/08 09:00 [medline] AID - Q1H7RW615R085V01 [pii] AID - 10.3233/JAD-2009-0998 [doi] PST - ppublish SO - J Alzheimers Dis. 2009;16(4):865-78. doi: 10.3233/JAD-2009-0998.