New insights into the pathogenesis of Alzheimer's disease could unlock novel therapeutic approaches and help to prevent the disease. A study led by Professors Marcus Grimm and Tobias Hartmann at the Rhineland Campus of the SRH University of Applied Health Sciences in Leverkusen and at Saarland University has shed light on a bidirectional interaction in the body's fat metabolism that could play an important role in the development of the disease. Dietary and other lifestyle factors such as smoking also play a role.

The research team has published its findings on the relationship between the amyloid precursor protein and fat metabolism in the journal Cell Chemical Biology.

Alzheimer's disease is one of the most common forms of dementia, affecting millions of people worldwide. Patients with Alzheimer's lose their memory, become disoriented, suffer speech and language impairments and become increasingly confused as the disease progresses. The disease, in which nerve cells in the brain become damaged and die, is currently incurable. As the disease develops, countless biochemical processes involving highly complex sequences of commands and signals take place inside the body's cells.

Scientists around the world are currently engaged in research into these complex neural pathways. Understanding what is happening in the body when Alzheimer's develops offers a chance to intervene and to slow, or ideally stop, the processes involved.

One protein that is known to play a key role in Alzheimer's disease is the amyloid-beta peptide. In the body of a healthy person, these proteins can be simply broken down. However, in those suffering from Alzheimer's, they clump together to form "plaques" that are deposited between the nerve cells of the brain.

"This small amyloid-beta protein accumulates in the form of hardened plaques within a patient's brain. Amyloid-beta is a key element in the development of Alzheimer's and leads to neurodegeneration," explains nutrition specialist Grimm, who teaches and researches at the Rhineland Campus of the SRH University of Applied Health Sciences in Leverkusen and at Saarland University, where he collaborates closely with Hartmann, who heads the German Institute for Dementia Prevention on the university's medical campus in Homburg, Saarland. Grimm heads a molecular and cell biology research lab at the Homburg institute.

Hartmann and Grimm have long been on the trail of how Alzheimer's and diet are connected, and their research team has now found new evidence supporting just such a link. The team has succeeded in identifying a previously unknown mechanism in the body's fat metabolism that can lead to the development of Alzheimer's.

They discovered that the production of the amyloid-beta protein influences the synthesis of certain fats, particularly a class of lipids known as sulfatides, and, conversely, that the quantity of sulfatides mediates the amount of amyloid-beta. This bidirectional interaction is of potentially major significance in Alzheimer's research, as the level of sulfatides is known to be depleted and the level of amyloid-beta elevated in the brains of Alzheimer's patients.

"Our study has identified a previously unknown physiological aspect of how the amyloid precursor protein (APP) is processed, and this is significant because APP plays a key role in regulating the metabolism of lipids, particularly sulfatides, in the brain. Sulfatides are special fats that are present in the food we eat but that can also be produced by the body itself," explained Grimm, who at SRH University of Applied Health Sciences also heads the Bachelor's degree program in Nutrition Therapy and Nutrition Counseling and the Master's degree program in Medical Nutrition Science and Nutrition Therapy.

"We have been able to demonstrate experimentally that amyloid-beta production influences the amount of sulfatides and vice versa. Our results show that the cleavage of the precursor protein to produce amyloid-beta also leads to the release of another protein fragment called AICD. AICD in turn inhibits expression of the enzyme Gal3st1/CST, which plays a central role in the body's own sulfatide synthesis," said Grimm, explaining the complex metabolic processes that occur in the cells of Alzheimer's patients.

Of particular interest to the researchers is the impact that diet and lifestyle may have on the disease. "Factors such as smoking can have a negative effect on sulfatide levels, whereas ensuring the body has an adequate supply of vitamin K or eating certain types of seafood can have a positive effect. These findings suggest possible approaches to developing preventive and therapeutic strategies in the fight against Alzheimer's disease," said Hartmann, a Professor of Experimental Neurology.

"Our study emphasizes the importance of an intact biochemical circuit that regulates sulfatide homeostasis and amyloid-beta production and shows that this regulatory circuit is disrupted in Alzheimer's patients." The new insights that this research offers into the physiological processes that accompany the development of Alzheimer's may open up new avenues in the treatment of the disease.

Provided by Universität des Saarlandes