Signaling via notch receptors and their ligands is an evolutionary ancient
and highly conserved mechanism governing cell-fate decisions throughout the
animal kingdom. Upon ligand binding, notch receptors are subject to a two-
step proteolysis essential for signal transduction. First, the ectodomain i
s removed by an enzyme cleaving near the outer-membrane surface ("site2").
Consecutively, the notch intracellular domain is liberated by a second prot
ease cutting within the transmembrane sequence ("site3"). The intracellular
domain is then transferred to the nucleus to act as a transcriptional coac
tivator. The proteases involved in notch receptor activation are shared wit
h other proteins undergoing regulated intramembrane proteolysis, with intri
guing parallels to APP. Specifically, site3 cleavage of Notch, as well as g
amma -secretase processing of APP depend both critically on presenilins 1 a
nd 2. Moreover, ADAM 10 and ADAM 17, the proteases proposed to perform site
2 cleavage, are also the most probable candidate alpha -secretases to cleav
e APP.
While the biological significance of APP processing remains to be further e
lucidated, interference with notch signaling has been shown to have severe
consequences both in small animal models as well as in humans. Thus a growi
ng number of long known genetic syndromes like Alagille syndrome or Fallot'
s tetralogy can be caused by mutations of genes relevant for the notch sign
aling pathway. Likewise, the anticipated interference of gamma -secretase i
nhibitors with site3 cleavage may turn out to be a major obstacle for this
therapeutic approach to Alzheimer's disease.