Cell Surface Expression of the Major Amyloid-β Peptide (Aβ)-degrading Enzyme, Neprilysin, Depends on Phosphorylation by Mitogen-activated Protein Kinase/Extracellular Signal-regulated Kinase Kinase (MEK) and Dephosphorylation by Protein Phosphatase 1a*

Background: Neprilysin is a major Aβ-degrading enzyme, the expression of which is reduced in the AD brain. Results: The phosphorylation status of the neprilysin intracellular domain regulates localization and cell surface activity. Conclusion: Regulation of neprilysin through phosphorylation influences Aβ levels. Significance: Our results indicate that neprilysin phosphorylation/dephosporylation could be one druggable target in the development of an AD-modifying treatment.

Impaired metabolism of amyloid ␤ peptide (A␤) 3 in the brain is likely to play a central role in the pathogenesis of Alzheimer disease (AD) (1). Genetically, causative genes in familial AD link mutations in amyloid precursor protein (APP) and presenilins to aberrant increased generation of A␤42 and A␤43, the 42and 43-mer forms of A␤, respectively. A␤42 and A␤43 have higher amyloidogenecity and neural toxicity than A␤40 (1)(2)(3)(4) and lead to the early onset of AD. However, A␤ amyloidosis in sporadic AD, which comprises over 90% of all AD cases, may be caused by a decline in A␤ degradation, A␤ clearance, or both (5). We previously identified neprilysin as a major physiological A␤-degrading enzyme that regulates the steady-state levels of A␤ species in the brain (6,7). Consistent with the increase in A␤ levels observed during aging and in AD, the expression levels of neprilysin in the brain decrease with age and in the early stages of AD (8 -12). Genetic ablation of neprilysin not only markedly accelerates amyloid plaque formation but also leads to increased impairment of synaptic plasticity and memory formation in APP transgenic mice (13,14). In contrast, elevation of neprilysin expression/activity promotes A␤ degradation and reduces the accumulation of both soluble and fibrillary A␤ in APP transgenic mice (15)(16)(17). Based on these observations, we previously searched for factors that could increase neprilysin activity pharmacologically, identifying somatostatin as a nepri-lysin up-regulator, although the underlining mechanisms remain unclear (18).
In this study, we investigated the effect of the neurotrophic factors brain-derived neurotrophic factor (BDNF), nerve growth factor (NGF), and neurotrophins 3 and 4 (NT-3 and -4) and found that they cause a reduction in cell surface neprilysin activity through MAPK signaling. Moreover, our results reveal that cell surface neprilysin activity and localization are regulated by phosphorylation and dephosphorylation at the neprilysin intracellular domain, with a reduction in neprilysin activity leading to an increase in A␤ levels. We therefore speculate that possible drug targets involving neprilysin could include factors involved in the phosphorylation/dephosphorylation of this A␤-lowering enzyme.
Cell Culture-Human SH-SY5Y neuroblastoma cells were obtained from the European Collection of Cell Cultures. Cells were cultured in 5% CO 2 at 37°C, as previously described (22). The medium comprised a 1:1 mixture of minimum essential medium and Ham's F-12 medium (Nacalai Tesque), supplemented with 1 M non-essential amino acids, 100 units/ml penicillin, 100 mg/ml streptomycin, and 15% fetal bovine serum (Invitrogen). Primary cortical/hippocampal neurons derived from wild-type or neprilysin-deficient mouse embryos were isolated as described previously (18). The neurons were plated at 5.0 ϫ 10 4 cells/well in 96-well plates, 2.0 ϫ 10 5 cells on glass coverslips (Hamanami) placed in 24-well plates, or 1.0 ϫ 10 6 cells/well in 6-well plates. After 14 days in vitro, primary neurons were subjected to the various assays.
Cell Surface and Whole-cell Neprilysin Activity-Activity staining of neprilysin using primary neurons was performed as described previously (18), with slight modifications. Because the endogenous neprilysin activity was too low in the primary neurons and SH-SY5Y cells, the cells were infected with Semliki Forest virus containing human neprilysin cDNA (SFV-hNEP), as previously described (25). Twenty-four h postinfection at day in vitro 14, neurotrophic factors or other reagents were added, and the cells were incubated for 24 h. They were then fixed with 1.5% paraformaldehyde in 50 mM phosphate buffer (pH 6.8) for 5 min at room temperature. The fixed neurons were incubated in substrate solution (0.25 mM glutaryl-Ala-Ala-Phe-methoxy-2-naphthylamide in 50 mM Tris-HCl, pH 7.4) at 37°C for 2 h. Leucine aminopeptidase (Sigma), phosphoramidon (Peptide Institute), and nitrosalicylaldehyde (Sigma-Aldrich) were then added to the substrate solution at a final concentration of 50 g/mg, 10 M, and 0.6 mM, respectively, and incubated for 30 min at 37°C. Quantification of the fluorescence signal arising from cell surface neprilysin activity was performed as described previously (18). Cell surface and whole-cell neprilysin activity of SH-SY5Y cells expressing mutant neprilysin were measured as described previously (26), with slight modifications (supplemental Fig. S5). Before the addition of neurotrophic factors, the cells were starved for 48 h to eliminate the effect of serum. After a 24-h treatment with neurotrophic factors, cells or lysates were incubated with substrate mixture (50 M suc-Ala-Ala-Phe-MCA (Peptide Institute) and 10 nM benzyloxycarbonyl (Z)-Leu-Leu-Leucinal in 50 mM MES, pH 6.5, with or without 10 M thiorphan (neprilysin-specific inhibitor)) at 37°C for 30 min. Following this, 0.1 mg/ml leucine aminopeptidase (Sigma) and 0.1 mM phosphoramidon were added, and the reaction mixture was incubated at 37°C for a further 30 min. 7-Amino-4-methylcoumarin fluorescence was measured at excitation and emission wavelengths of 380 and 460 nm, respectively. After measurement, cells were collected and subjected to Western blot analysis to evaluate neprilysin levels.
Cell Surface Biotinylation-The cell membrane of cortical/ hippocampal neurons or SH-SY5Y cells was biotinylated with sulfo-NHS-SS-biotin (Pierce), according to the manufacturer's instructions. The samples were subsequently subjected to immunocytochemical study or pull-down assay. Biotinylated cell surface proteins were pulled down using Biotin-Capture beads (Adar Biotech).
Immunocytochemical Study-To visualize and quantify neprilysin localization in cortical/hippocampal neurons, the cells were infected with SFV-hNEP, and the cell surface was labeled with biotin. The cells grown on coverslips were fixed with 100% ice-cold MeOH for 10 min at Ϫ20°C and permeabilized in 100% ice-cold acetone for 1 min at Ϫ20°C. After blocking with blocking buffer (phosphate-buffered saline containing 5% skim milk, 5% goat serum, and 0.05% Tween 20) for 30 min at room temperature, the samples were incubated with primary anti-human neprilysin antibody (1:100, Novocastra) in blocking buffer for 1 h at room temperature, followed by secondary anti-mouse Alexa 488 (1:500, Invitrogen) and Streptavidin-Alexa 546 (1:500; Molecular Probes) antibody for 30 min at room temperature. The fluorescence signals observed by confocal microscopy were quantified by counting signal dots, as described previously (27).
Immunoprecipitation and Western Blot Analysis-Cell lysates from primary cortical/hippocampal neurons infected with SFV-hNEP were immunoprecipitated with mouse monoclonal anti-human neprilysin (SN5c/L4 -1A1, Ancell). Samples were subjected to Western blot analysis using the following antibodies: phospho-human neprilysin antibodies (supplemen- A␤ ELISA-Conditioned medium from control cortical/hippocampal neurons or those treated with neurotrophic factors for 24 h and from SH-SY5Y cells transiently expressing wildtype neprilysin (WT-NEP), S6A-NEP, WT-PP1a, and T320A-PP1a were collected, and guanidine HCl was added as described previously (4). In order to achieve a measurable level of A␤40 in the conditioned medium from SH-SY5Y cells transfected with WT-NEP or S6A-NEP, 200 pM A␤40 peptide was added to the samples. Samples were analyzed using A␤-ELISA kits (Wako) FIGURE 1. Neurotrophic factors reduce cell surface neprilysin activity in primary cortical/hippocampal neurons. A, primary cortical/hippocampal neurons infected with SFV-hNEP were incubated with BDNF (100 ng/ml), NGF (100 ng/ml), NT-3 (100 ng/ml), or NT-4 (100 ng/ml) for 24 h, after which they were subjected to the neprilysin activity-staining assay. The top panels show fluorescence images representing neprilysin activity, and the bottom panels show phase-contrast images merged with the top panels. Scale bar, 100 m. B, quantification of the fluorescence signal areas, indicated as average Ϯ S.D. (error bars) (n ϭ 5). ***, p Ͻ 0.01 compared with control. C, primary neurons were incubated with BDNF (100 ng/ml), NGF (100 ng/ml), NT-3 (100 ng/ml), or NT-4 (100 ng/ml) for 30 min and then subjected to Western blot analysis to measure the phosphorylation level of the neurotrophic factor receptor, Trk, using antibodies against Trk receptor (bottom) and phosphorylated Trk (p-Trk; top). At least three independent experiments were repeated.
to quantify A␤40 and A␤42, according to the manufacturer's instructions.
Statistical Analysis-All of the values are presented as mean Ϯ S.D. Statistical analysis was performed by one-way analysis of variance with Scheffe's F test.

Neurotrophic Factors Reduce Neprilysin Activity via MAPK
Signal Transduction-Membrane-bound neprilysin located on the cell surface participates in extracellular A␤ degradation and therefore plays a key role in A␤ metabolism. We have previously established an activity-staining method for primary neurons that visualizes neprilysin activity on the cell surface (18,25). In a search for regulators of neprilysin activity, we identified somatostatin, which was found to exert an up-regulatory effect (18). To further unravel the mechanisms regulating neprilysin activity, we screened the neurotrophic factors BDNF, NGF, NT-3, and NT-4 using our activity-staining technique on primary cortical/hippocampal neurons. Representative images of such activity-staining experiments are shown in Fig. 1. Interestingly, BDNF, NT-3, and NT-4 all significantly reduced neprilysin activity, whereas NGF had no effect. However, given that cortical/hippocampal neurons do not express the TrkA receptor subtype to which NGF binds (28), we also examined the effect of NGF on primary neurons derived from the striatum. Indeed, exposing striatal primary neurons to NGF induced a reduction in neprilysin activity (supplemental Fig. S1, A and B). To confirm activation of the signal transduction pathway leading to a reduction in neprilysin, phosphorylation of Tyr-490 in Trk was measured (29). Upon exposure of the primary neurons to BDNF, NGF, NT-3, or NT-4, phosphorylation of Trk significantly increased ( Fig. 1C and supplemental Fig.  S1C), indicating that the Trk receptors were activated.
To further elucidate the Trk receptor-induced transduction pathway, we next investigated the effects of U0126, LY294002, and calphostin C, inhibitors of MAPK/ERK kinase 1/2 (MEK1/ 2), phosphatidylinositol-3 kinase, and protein kinase C, respectively, on cell surface neprilysin activity (30). First, we co-treated neurons with BDNF, NGF, NT-3, or NT-4 together with U0126 and found that U0126 completely inhibited the reduction in cell surface neprilysin activity induced by the neurotrophic factors (Fig. 2), indicating the involvement of MAPK/ ERK kinase in the signaling pathway. We then focused on NT-3 because it binds to all Trk receptor subtypes (i.e. TrkA, -B, and -C) (28). Simultaneous treatment of neurons with NT-3 and calphostin C did not inhibit the reduction in neprilysin activity. Finally, LY294002 treatment alone produced a decrease in cell surface neprilysin activity. However, because LY294002 in combination with NT-3 did not inhibit the NT-3-induced reduction in neprilysin activity (supplemental Fig. S1D), it is possible that the effect of LY294002 involves a pathway independent of the Trk signaling pathway. Thus, together these results indicate that neurotrophic factors reduce cell surface neprilysin activity in neurons via the MEK/ERK signaling pathway.
Although binding of neurotrophic factors to Trk receptors is known to activate the MAPK pathway within 30 min (31) (Fig.  1C), the levels of cell surface neprilysin activity remained unal-tered 30 min after the addition of the neurotrophic factors (supplemental Fig. S1E). Rather, the effect became clearly visible 24 h poststimulation (Fig. 1, A and B). Taken together, these findings indicate that neurotrophic factors reduce cell surface neprilysin activity by binding to neuronal Trk receptors and subsequent activation of the MAPK pathway. The mechanistic explanation behind the delayed effect is currently not known but could include changes in, for example, gene expression of additionally required factors.
Effect of NT-3 on A␤ Levels-A reduction in neprilysin induced by neurotrophic factors would presumably lead to increased A␤ levels. We therefore measured A␤ levels in conditioned medium from primary neurons infected with SFV-hNEP, using the same conditions as for the activity assay. How-FIGURE 2. Reduction of neprilysin activity by neurotrophic factors involves the MEK1/2 signaling pathway. A, primary cortical/hippocampal neurons infected with SFV-hNEP were co-incubated with BDNF (100 ng/ml), NGF (100 ng/ml), NT-3 (100 ng/ml), or NT-4 (100 ng/ml) and the MEK1/2 inhibitor U0126 (1 M), for 24 h, after which they were subjected to the neprilysin activity-staining assay. Representative fluorescence images merged with phase-contrast images are shown. Scale bar, 100 m. B, quantification of the fluorescence signal derived from neprilysin activity was performed, and the results are presented as average Ϯ S.D. (error bars) (n ϭ 5). ***, p Ͻ 0.01 compared with control. C, primary neurons were incubated with or without U0126, as indicated, and neurotrophic factors for 30 min and were then subjected to Western blot analysis to measure the phosphorylation levels of MAPK using antibodies against Erk1/2 (bottom) and phosphorylated Erk1/2 (p-Erk1/2; top). At least three independent experiments were repeated. ever, due to the high viral expression of neprilysin, the A␤ levels were too low to be detected. Therefore, we instead measured the conditioned medium from non-infected primary cortical/ hippocampal neurons. NT-3 treatment significantly increased the steady-state levels of A␤40 and A␤42, an effect that was abolished by the addition of U0126 (Fig. 3, A and B). Importantly, treating primary neurons derived from neprilysin-deficient mice with NT-3 did not affect A␤ levels, showing that the increased A␤ levels generated from wild-type neurons are due specifically to a decrease in neprilysin activity (Fig. 3, C and D). Furthermore, full-length APP levels and the levels of the C-terminal fragments of APP, CTF␣, CTF␤, and APP intracellular domain, which are produced by ␣-, ␤and ␥-secretase, respectively, and used as an index of secretase activity (32) were not altered by NT-3 treatment (Fig. 3, E and F). These results together suggest that the increased steady-state levels of A␤ upon NT-3 treatment are due specifically to a decrease in cell surface neprilysin activity rather than increased A␤ generation in the neurons. Finally, to ascertain that the increased A␤ levels observed upon NT-3 treatment were specifically due to decreased levels of cell surface neprilysin, the levels of the A␤-degrading enzymes endothelin-converting enzyme-1 (33) and insulin-degrading enzyme (34) were investigated. Neither the levels of endothelin-converting enzyme-1 and insulin- degrading enzyme nor the activity of insulin-degrading enzyme were affected by NT-3 treatment (supplemental Fig. S2, A and  B). These data, together with the lack of changes in A␤ levels secreted from primary neurons prepared from neprilysin knock-out mice and stimulated with neurotrophic factors, lead us to conclude that decreased levels in cell surface neprilysin expression are responsible for the increased A␤ levels.
NT-3 Alters Neprilysin Localization in Neurons-To address whether the NT-3-induced reduction in neprilysin was due to changes in neprilysin expression, we quantified neprilysin levels in whole-cell lysates before and after NT-3 treatment. Western blot data clearly showed that neprilysin expression levels were not altered after NT-3 treatment (Fig. 4, A and B). Therefore, we next performed immunocytochemical experiments to visualize neprilysin in the neurons. Proteins located on the cell surface were biotinylated, after which the cells were immunocytochemically stained with avidin and anti-neprilysin antibody and analyzed as described under "Experimental Procedures." Quantitative image analysis revealed that the level of neprilysin located on the cell surface was significantly reduced upon NT-3 treatment (Fig. 4, C and D). Importantly, the addition of U0126 restored this level to normal. Taken together, these results indicate that neurotrophic factors modulate neprilysin localization through MEK/ERK signaling, without affecting neprilysin expression levels, leading to a decrease in cell surface neprilysin activity and ultimately resulting in increased extracellular A␤ levels.
MEK/ERK Signaling Modulates the Phosphorylation State of the Neprilysin Intracellular Domain-The localization of plasma membrane-associated proteins is often regulated by phosphorylation/dephosphorylation at the intracellular domain (ICD) of the protein (35). Because neprilysin is a type II membrane protein, its N-terminal side is located in the cytoplasmic lumen. As shown in Fig. 5A, there are five potential amino acid residues in human neprilysin and four in mouse neprilysin ICD (NEP-ICD) that could possibly be phosphorylated. In order to accurately determine the phosphorylation state of the NEP-ICD, we first generated the phosphoserineand phosphothreonine-specific antibodies pS4-NEP, pS6-NEP, pT11-NEP, pT15-NEP, and pT25-NEP, which specifically recognize individual phosphorylated threonine and serine residues in the NEP-ICD, respectively. The specificities of these antibodies are summarized in supplemental Fig. S3. We then probed cell extracts of primary neurons using this battery of phospho-antibodies. Although the endogenous expression level of neprilysin is low, we were able to detect phosphorylation of Ser-4, Ser-6, and Thr-11 in neprilysin (Fig. 5). We were not able to detect pT25-NEP due to limited affinity of the antibody. Interestingly, upon exposing primary neurons to NT-3, phosphorylation of Ser-6 increases significantly. Simultaneously treating the cells with NT-3 and U0126 inhibited the increase in phosphorylation of Ser-6 induced by NT-3, implying that the MAPK pathway is involved in the regulation of NEP-ICD phosphorylation (Fig. 5, B and C).
Because the endogenous neprilysin level in primary neurons is low and our aim was to study the regulatory mechanism of human neprilysin, we continued our studies using SFV-hNEPinfected primary neurons. After infection, we investigated the phosphorylation state of NEP-ICD. Consistent with phosphorylation of Ser-6 of endogenous neprilysin, we detected that overexpressed human neprilysin also was phosphorylated at Ser-6 upon treatment with NT-3. Further, the effect was inhibited by the addition of U0126. In addition, a trend toward increased Ser-4 phosphorylation was detected together with increased phosphorylation of Thr-15 (Fig. 5, B  and C). Subsequently, we examined whether neprilysin localized to the cell surface exhibits different phosphorylation statuses compared with intracellularly located neprilysin. Biotinylated proteins located on the cell surface of SFV-hNEP-infected primary neurons were first pulled down from cell lysates using Biotin-Capture beads, after which intracellular neprilysin was collected using a neprilysin-specific antibody. Although all potential phosphorylation sites in the NEP-ICD of intracellularly located neprilysin were phosphorylated, no phosphorylation of Ser-6 or Thr-25 could be detected in neprilysin present in the cell surface fraction (Fig. 5D). These results together indicated that treating the cells with NT-3 for 24 h resulted in extensive phosphorylation of Ser-6 and Thr-15 of cell surface-located neprilysin. Although activation of Trk receptors was detected 30 min after the addition of NT-3 to the cells, there was no difference in the phosphorylation state of NEP-ICD after a 30-min treatment by NT-3 (data not shown). The reasons behind the delayed effect are currently not known. Furthermore, the increase in phosphorylation of Ser-4, Ser-6, and Thr-15 induced by NT-3 was inhibited by the addition of U0126, indicating the involvement of MAPK in the signaling pathway (Fig. 5, B and C). Together, the data indicate that phosphorylation of Ser-6 is involved in the regulation of cell surface neprilysin.
To further clarify the role of human NEP-ICD phosphorylation in neprilysin activity, we generated five mutants in which the putative serines/threonines in the NEP-ICD were substituted with alanines (i.e. S4A-, S6A-, T11A-, T15A-, and T25A-NEP, respectively) (Fig. 5A). The selection of a cell line for the mutational analysis was based on two criteria: 1) it should be a human neuronal cell line, and 2) it should express endogenous neprilysin to assure that the regulatory mechanisms of neprilysin are preserved. The endogenous expression of neprilysin in SH-SY5Y was confirmed with Western blot (Fig. S5A). Thus, the mutants were introduced into SH-SY5Y cells, and cell surface neprilysin activity was measured and normalized to expression levels. Interestingly, S6A-NEP transfectants showed significantly higher cell surface activity than S4A-, T11A-, T15A-, and WT-NEP transfectants ( Fig. 5E and supplemental  Fig. S4). The effect of T25A-NEP on neprilysin activity could not be evaluated due to its low expression (supplemental Fig.  S5). We also subsequently measured the amount of cell surfacelocated S6A-NEP and found it to be significantly higher than that of WT-NEP (Fig. 5F). In accordance with the increased cell surface activity of S6A-NEP, the extracellular A␤40 level in conditioned medium from S6A-NEP transfectants was significantly lower than that for WT-NEP transfectants (Fig.  5G). Furthermore, the total neprilysin activity, normalized to expression levels, in whole-cell lysates from WT-NEP and S6A-NEP transfectants were similar (Fig. 5H). This indicates that the increase in cell surface neprilysin activity observed in the case of S6A-NEP was not due to an allosteric effect induced by the mutation. Last, the cell surface neprilysin activity of S6A-NEP transfectants was not affected by NT-3 treatment (Fig. 5I). Taking all of the data together, we conclude that phosphorylation of Ser-6 of the NEP-ICD regulates neprilysin localization and thereby neprilysin cell surface activity via MEK/ERK signaling.
PP1a Facilitates Cell Surface Neprilysin Activity-Given that phosphorylation of Ser-6 in the NEP-ICD influences neprilysin cell surface localization, we next evaluated the effects of different phosphatase activities on neprilysin localization and activity. Primary cortical/hippocampal neurons infected with SFV-hNEP were treated with the following specific inhibitors for serine/threonine phosphatases: tautomycetin (PP1a inhibitor), fostriecin and okadaic acid (PP2A inhibitors), and cyclosporin A and FK-506 (PP2B/calcineurin inhibitors). Interestingly, treatment with the PP1a inhibitor tautomycetin resulted in significantly increased phosphorylation of the S6-NEP-ICD (Fig.  6, A and B) and decreased cell surface neprilysin activity (Fig.  6C). In addition to S6-NEP-ICD, phosphorylation of S4-and T11-NEP-ICDs was also increased by tautomycetin. However, phosphorylation of Ser-4 and Thr-11 did not influence cell surface neprilysin activity ( Fig. 5 and supplemental Fig. S6).
The increased phosphorylation of Ser-6 upon PP1a inhibition suggests an association of neprilysin and PP1a. Previously, PTEN (phosphatase and tensin homolog deleted from chromosome 10), which is a tumor suppressor and acts as a tyrosine phosphatase, has been shown to be associated with the NEP-ICD (36). Interestingly, an amino acid sequence found in the NEP-ICD, KKKQRW, is similar to a PP1a-interacting sequence (37,38). This finding prompted us to investigate a possible interaction between neprilysin and PP1a. We therefore performed immunoprecipitation experiments using SH-SY5Y cell lysates from mock and WT-NEP transfectants. The results revealed that neprilysin co-immunoprecipitates not only with PTEN but also with PP1a, indicating that the proteins are directly or indirectly associated (Fig. 6D).
To confirm the role of PP1a in neprilysin dephosphorylation and localization, and because PP1a is activated by dephosphorylation at the threonine 320 residue, we prepared a constitutive active mutant PP1a, which harbors a T320A mutation (Fig. 6E) (24). Expression of both WT-PP1a and T320A-PP1a in SFV-hNEP-infected SH-SY5Y cells induced an increase in cell surface neprilysin activity compared with mock transfectants. Moreover, constitutive active T320A-PP1a transfectants exhibited significantly higher cell surface neprilysin activity compared with WT-PP1a transfectants (Fig. 6F).
In addition, extracellular A␤ levels were significantly reduced by both WT-PP1a and T320A-PP1a expression (Fig. 6G). Taken together, these results suggest that activation of PP1a increases cell surface neprilysin activity/localization is due, at least partly, to dephosphorylation of Ser-6 in the NEP-ICD.

DISCUSSION
Pharmacological maintenance or enhancement of the major A␤-degrading enzyme neprilysin during aging could offer a possible treatment for the prevention of AD. Accumulating evi- dence indicates the feasibility of a neprilysin-based approach. For example, overexpression of neprilysin leads to a decrease in A␤ load and improved memory in AD model mice. Another factor that argues in favor of a neprilysin-based treatment is the limited number of possible side effects. For example, the levels of neuropeptides in neprilysin knock-out mice are unaltered, indicating that proteases other than neprilysin are involved in their metabolism. Furthermore, neprilysin transgenic mice do not display other behavioral abnormalities (15)(16)(17)39). However, in order to develop a neprilysin-based AD treatment, it is antibodies. SH-SY5Y cells were transfected with a mock or WT-NEP expression vector. Lysates were prepared and immunoprecipitated using PTEN and PP1a antibodies as indicated. The immunoprecipitates were subjected to Western blot analysis, using anti-neprilysin antibody for detection. E, verification of WTand T320A-PP1a expression in SH-SY5Y transfectants by Western blot and using antibodies as indicated to the right. F, the effect of PP1a activation on cell surface neprilysin activity. SH-SY5Y cells infected with SFV-hNEP were transfected with WT-or T320A-PP1a followed by measurement of cell surface neprilysin activity. Data represent the mean Ϯ S.D. (n ϭ 4). *, p Ͻ 0.05; **, p Ͻ 0.01 compared with control. G, effect of PP1a activation on A␤ levels. The A␤ levels in conditioned medium from WT-and T320A-PP1a-transfected SH-SY5Y cells, infected with SFV-hNEP, were quantified by ELISA. Data represent the mean Ϯ S.D. (n ϭ 4). **, p Ͻ 0.01 compared with control. essential to have a more detailed understanding of the mechanism of neprilysin activation and to identify a regulator of neprilysin activity.
In this report, we show that neurotrophic factors reduce cell surface neprilysin activity ( Fig. 1 and supplemental Fig. S1) through regulation of cell surface neprilysin localization (Fig. 4) and that the reduction of neprilysin activity leads to increased A␤ levels (Fig. 3). On the other hand, previous extensive studies have shown that neurotrophic factors, particularly BDNF, exhibit neuroprotective properties that contribute to neuronal survival and memory formation in both rodent and primate models of AD through amyloid-independent mechanisms (40). In addition, BDNF also supports neural stem cells, which have been demonstrated to improve cognition in a transgenic model of AD (41). Furthermore, oligomeric A␤ has been shown to decrease cortical BDNF levels and synaptic function in an AD model mouse (42,43). These findings together indicate that BDNF would be a useful adjunct in AD therapy to compensate for decreased levels of this neurotrophic factor in the brain and to ameliorate symptoms in the late stages of disease, whereas a strategy involving neprilysin activation could be effective in preventing or delaying the onset of AD because the facilitation of A␤ clearance would attenuate synaptic dysfunction and the reduction in BDNF levels. In fact, with accumulating knowledge, it appears that any treatment for AD is likely to be directed at several targets simultaneously. Our data show that a strategy involving any neurotrophic factor would have as a side effect increased A␤ levels that would have to be taken into account.
The use of neurotrophic factors in this study enabled us to unravel some of the mechanisms controlling neprilysin activity. We found that cell surface neprilysin activity is regulated through the localization of neprilysin to the cell surface, a process that in turn is mediated by phosphorylation/dephosphorylation of the NEP-ICD (Figs. 4 and 5). The regulation of neprilysin activity also involved MEK/ERK signaling, which resulted in phosphorylation of Ser-6 in the NEP-ICD (Figs. 2 and 5), although it remains unclear whether ERK directly phosphorylates the NEP-ICD. Interestingly, casein kinase 2 has been reported to act as a kinase for S6-NEP-ICD phosphorylation (44). Moreover, increased phosphorylation of neprilysin appeared after 24 h of stimulation, indicating that the expression of additional unknown factors might be required.
Although the mechanism remains unclear, metabolism of neprilysin itself would also influence its cell surface activity. Interestingly, T25A-NEP mutant protein could not be detected in transfected cells, despite the presence of the mRNA (supplemental Fig. S5). Speculatively, dephosphorylation of Thr-25 might induce degradation of neprilysin in the cells, as part of a quality control mechanism in the metabolic pathway of neprilysin, although Thr-25 was found to be dephosphorylated in neprilysin located at the cell surface (Fig. 5D). Alternatively, the introduced mutation could destabilize the protein and induce aggregation, although the S6A/T25A double mutant was normally expressed in the transfectants (data not shown).
The addition of the PP1a inhibitor tautomycetin to primary cortical/hippocampal neurons extensively increased the phosphorylation state of the NEP-ICD (Fig. 6, A and B) and reduced cell surface neprilysin activity (Fig. 6C). A closer examination of the NEP-ICD amino acid sequence revealed a peptide sequence, KKKQRW, similar to the PP1a binding motif, suggesting that the NEP-ICD might be a target of PP1a. Indeed, PP1a was found to be associated with neprilysin in SH-SY5Y cell extracts, and overexpression of PP1a stimulated cell surface neprilysin activity, leading to reduced A␤ levels (Fig. 6, D-G). Therefore, activation of PP1a (e.g. pharmacologically) would be a possible strategy to increase cell surface neprilysin activity. Interestingly, it has been reported that PP1a activity was regulated by DARPP32, an endogenous regulator of PP1a (45), and that DARPP32 levels are reduced in the brains of somatostatin receptor-1 (SSTR1) and SSTR5 double knock-out mice (46). These observations, considered together with our previous data showing that presynaptic localization of neprilysin is significantly decreased in the hippocampus of somatostatin-deficient mice (18), indicate that somatostatin possibly regulates neprilysin activity through PP1 activity. Thus, SSTR agonists might be successful drug candidates for the treatment of AD.
With the development of new gene therapy technologies, application of a neprilysin gene transfer strategy could be a potential way to decrease A␤ levels and delay the onset of amyloidosis. Considering the increased activity of S6-NEP, an alternative would be to introduce the S6A-NEP mutant, possibly leading to even more efficient A␤ degradation compared with that of WT-NEP.
In conclusion, our results show that the phosphorylation state of the intracellular domain regulates cell surface neprilysin activity and extracellular A␤ levels due to the modulation of neprilysin localization. We propose that enhancing cell surface neprilysin activity, for example by maintaining S6 of the NEP-ICD in a dephosphorylated state, either through activation of phosphatases or through inhibition of the kinase responsible for phosphorylation at the S6-NEP-ICD, would be beneficial for the prevention of A␤ amyloidosis.