Alzheimer's disease (AD) is characterized by amyloid deposits within the ne
ocortical parenchyma and the cerebrovasculature. The main component of thes
e predominantly extracellular collections, A beta, which is normally a solu
ble component of all biological fluids, is cleaved out of a ubiquitously ex
pressed parent protein, the amyloid protein precursor (APP), one of the typ
e 1 integral membrane glycoproteins, Considerable evidence has indicated th
at there is zinc dyshomeostasis and abnormal cellular zinc mobilization in
AD. We have characterized both APP and A beta as copper/zinc metalloprotein
s, Zinc, copper and iron have recently been reported to be concentrated to
0.5 to 1 mmol/L in amyloid plaque. In vitro, rapid A beta aggregation is me
diated by Zn(ll), promoted by the alpha-helical structure of A beta, and is
reversible with chelation, In addition, A beta produces hydrogen peroxide
in a Cu(ll)/Fe(lll)-dependent manner, and the hydrogen peroxide formation i
s quenched by Zn(ll), Moreover, zinc preserves the nontoxic properties of A
beta, Although the zinc-binding proteins apolipoprotein E epsilon 4 allele
and alpha(2)-macroglobulin have been characterized as two genetic risk fac
tors for AD, zinc exposure as a risk factor for AD has not been rigorously
studied. Based on our findings, we envisage that zinc may serve twin roles
by both initiating amyloid deposition and then being involved in mechanisms
attempting to quench oxidative stress and neurotoxicity derived from the a
myloid mass. Hence, it remains debatable whether zinc supplementation is be
neficial or deleterious for AD until additional studies clarify the issue.