ABSTRACT

Alzheimer’s Disease ...............................................................................329 19.3 β-Amyloid Peptide is Generated by Proteolytic Processing of the

Amyloid Precursor Protein.....................................................................329 19.4 β-Amyloid Production and Secretion in the Major Regulated

Secretory Pathway of Neurons ...............................................................330 19.5 Regulated Cosecretion of β-Amyloid with Neurotransmitters

from Neuronal Chromaffin Cells in Primary Culture ............................330 19.6 Chromaffin Vesicles as Regulated Secretory Vesicles for

Identification of β-Secretase ..................................................................332

19.7 Cysteine Proteases for β-Secretase Activity in the Regulated Secretory Pathway of Neurons .............................................................333

19.8 Kinetic Studies of the Cysteine β-Secretases Demonstrate their Preference for Cleavage of the Wild-Type β-Secretase Site, Rather than the Swedish Mutant β-Secretase Site ...............................336

19.9 BACE 1 in the Minor Constitutive Secretory Pathway for Basal Secretion of β-Amyloid..............................................................337

19.10 Unifying Hypothesis for Distinct Proteases in the Regulated Compared to the Constitutive Secretory Pathways for β-Amyloid Production and Secretion: Strategies for Drug Inhibition of β-Secretase to Treat Alzheimer’s Disease............................................339

Acknowledgments .............................................................................................339 References .........................................................................................................340

Alzheimer’s disease (AD) is a progressive, long-term, debilitating mental disorder that causes loss of memory and cognitive functions. Over 4 million Americans are afflicted with AD and the disease costs the US economy billions of dollars every year. Currently, there is no effective treatment for the disease, and therefore, there is an urgent need for effective therapeutic agents to ameliorate the detrimental conditions of AD.