Accumulation of the beta-amyloid protein (A beta) in the brain is an import
ant step in the pathogenesis of Alzheimer's disease. However, the mechanism
of A beta toxicity remains unclear. A beta can bind to the extracellular m
atrix, a structure that regulates adhesive events such as neurite outgrowth
and synaptogenesis. The binding of A beta to the extracellular matrix sugg
ests that A beta may disrupt cell-substrate interactions. Therefore, the ef
fect of substrate-bound A beta on the growth of isolated chick sympathetic
and mouse cortical neurons was examined. A beta 1-40 and A beta 1-42 had do
se-dependent effects on cell morphology. When tissue culture plates were co
ated with 0.1-10 ng/well A beta, neurite outgrowth increased. Higher amount
s of A beta peptides (greater than or equal to 3 mu g/well) inhibited outgr
owth. The inhibitory effect was related to aggregation of the peptide, as p
reincubation of A beta 1-40 for 24 h at 37 degrees C (a process known to in
crease amyloid fibril formation) was necessary for inhibition-of neurite ou
tgrowth. A beta 29-42, but not A beta 1-28, also inhibited neurite outgrowt
h at high concentrations, demonstrating that the inhibitory domain is locat
ed within the hydrophobic C-terminal region. A beta 1-40, A beta 1-42, and
A beta 29-42 also inhibited cell-substrate adhesion, indicating that the ef
fect on neurite outgrowth may have been due to inhibition of cell adhesion.
The results suggest that accumulation of A beta may disrupt cell-adhesion
mechanisms in vive.