Increased H-Bond Stability Relates to Altered ε-Cleavage Efficiency and Aβ Levels in the I45T Familial Alzheimer's Disease Mutant of APP

Cleavage of the amyloid precursor protein9s (APP) transmembrane domain (TMD) by γ-secretase is a crucial step in the etiology of Alzheimer9s Disease (AD). Mutations in the APP TMD alter cleavage and lead to familial forms of AD (FAD). The majority of FAD mutations shifts the preference of initial cleavage from e49 to e48, thus raising the AD-related Aβ42/Aβ40 ratio. The I45T mutation is among the few FAD mutations that do not alter e-site preference, while it dramatically reduces the efficiency of e-cleavage. Here we investigate the impact of the I45T mutation on the backbone dynamics of the substrate TMD. Amide exchange experiments and molecular dynamics simulations in solvent and a lipid bilayer reveal an increased stability of amide hydrogen bonds at the ζ- and γ-cleavage sites. Stiffening of the H-bond network is caused by an additional H-bond between the T45 side chain and the TMD backbone, which alters dynamics within the cleavage domain. In particular, the increased H-bond stability inhibits an upward movement of the e-sites in the I45T mutant. Thus, an altered presentation of e-sites to the active site of γ-secretase as a consequence of restricted local flexibility provides a rationale for reduced e-cleavage efficiency of the I45T mutant.