Breaking the Cycle, Cholesterol Cycling, and Synapse Damage in Response to Amyloid-β

Soluble amyloid-β (Aβ) oligomers, a key driver of pathogenesis in Alzheimer disease, bind to cellular prion proteins (PrP(C)) expressed on synaptosomes resulting in increased cholesterol concentrations, movement of cytoplasmic phospholipase A(2) (cPLA(2)) to lipid rafts and activation of cPLA(2). The formation of Aβ-PrP(C)-cPLA(2) complexes was controlled by the cholesterol ester cycle. Thus, Aβ activated cholesterol ester hydrolases which released cholesterol from stores of cholesterol esters; the increased cholesterol concentrations stabilised Aβ-PrP(C)-cPLA(2) complexes. Conversely, cholesterol esterification reduced cholesterol concentrations causing the dispersal of Aβ-PrP(C)-cPLA(2). In cultured neurons, the cholesterol ester cycle regulated Aβ-induced synapse damage; inhibition of cholesterol ester hydrolases protected neurons, whereas inhibition of cholesterol esterification increased the Aβ-induced synapse damage. Here, I speculate that a failure to deactivate signalling pathways can lead to pathology. Consequently, the esterification of cholesterol is a key factor in the dispersal of Aβ-induced signalling platforms and synapse degeneration.