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Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Effects of ACE Mutations Associated with Alzheimer’s Disease on Blood ACE Phenotype

Version 1 : Received: 7 June 2024 / Approved: 10 June 2024 / Online: 11 June 2024 (08:02:17 CEST)

How to cite: Kryukova, O. V.; Islanov, I. O.; Zaklyazminskaya, E. V.; Korostin, D. O.; Belova, V. A.; Cheranev, V. V.; Repinskaia, Z. A.; Tonevitskaya, S. A.; Tonevitsky, A. G.; Petukhov, P. A.; Dudek, S. M.; Kost, O. A.; Rebrikov, D. V.; Danilov, S. M. Effects of ACE Mutations Associated with Alzheimer’s Disease on Blood ACE Phenotype. Preprints 2024, 2024060599. https://doi.org/10.20944/preprints202406.0599.v1 Kryukova, O. V.; Islanov, I. O.; Zaklyazminskaya, E. V.; Korostin, D. O.; Belova, V. A.; Cheranev, V. V.; Repinskaia, Z. A.; Tonevitskaya, S. A.; Tonevitsky, A. G.; Petukhov, P. A.; Dudek, S. M.; Kost, O. A.; Rebrikov, D. V.; Danilov, S. M. Effects of ACE Mutations Associated with Alzheimer’s Disease on Blood ACE Phenotype. Preprints 2024, 2024060599. https://doi.org/10.20944/preprints202406.0599.v1

Abstract

An analysis of 1300+ existing ACE mutations revealed that 400+ are damaging and led us to hy-pothesize that carriers of heterozygous loss-of-function (LoF) ACE mutations (which result in low ACE levels) could be at risk for the development of late-onset Alzheimer’s disease (AD) [Danilov, 2024]. Here we quantified blood ACE levels in EDTA-plasma from 41patients with 10 different heterozygous ACE mutations, as well as 33 controls, and estimated the effect of these mutations on ACE phenotype using a set of mAbs to ACE and two ACE substrates. We found that relatively frequent (~1%) AD-associated ACE mutations in the N domain of ACE, Y215C and G325R are truly damaging and, likely, transport-deficient, with ACE levels in plasma only ~50% of controls. Another AD-associated ACE mutation, R1250Q, in the cytoplasmic tail, did not cause a decrease in ACE and, likely, did not affect surface ACE expression. We have also developed a method to identify patients with anti-catalytic mutations in the N domain. These mutations may result in reduced degradation of amyloid beta peptide Aβ42, an important component for amyloid deposition. Consequently, these could pose a risk factor for the development of AD. Therefore, a systematic analysis of blood ACE levels in patients with all ACE mutations has potential to identify individuals at an increased risk of late-onset AD. These individuals may benefit from future preventive or therapeutic interventions involving a combination of chemical and pharmacological chaperones, as well as proteasome inhibitors, aiming to enhance ACE protein traffic. This approach has been previously demonstrated in a cell model of the transport-deficient ACE mutation, Q1069R [Danilov, 2010].

Keywords

Angiotensin I-converting enzyme; mutations; conformational changes; blood ACE; screening; Alzheimer’s disease

Subject

Medicine and Pharmacology, Neuroscience and Neurology

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