The Asian Age

Imbalance in pH levels may cause Alzheimer’s disease

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Washington DC, Aug. 3: Imbalance in pH value may be a cause of Alzheimer’s disease, a study has found. A study conducted by Johns Hopkins Medicine scientists have found new evidence in lab- grown mouse brain cells, called astrocytes, that one root of Alzheimer’s disease may be a simple imbalance in acid- alkaline- or pH- chemistry inside endosomes, the nutrient and chemical cargo shuttles in cells. Astrocytes work to clear so- called amyloid beta proteins from the spaces between neurons, but decades of evidence has shown that if the clearing process goes awry, amyloid proteins pile up around neurons, leading to the characteri­stic amyloid plaques and nerve cell degenerati­on that are the hallmarks of memory- destroying Alzheimer’s disease.

The experiment successful­ly reversed the pH problem and improved the capacity for amyloid beta clearance. However, the scientists caution that even before any experiment­s can happen more research is needed to verify and explain the precise relationsh­ip between amyloid proteins and Alzheimer’s disease. The disease that affects 50 million people worldwide has no cure or no drugs, till date.

“By the time Alzheimer’s disease is diagnosed, most of the neurologic­al damage is done, and it’s likely too late to reverse the disease’s progressio­n,” said a lead researcher Rajini Rao.

“That’s why we need to focus on the earliest pathologic­al symptoms or markers of Alzheimer’s disease, and we know that the biology and chemistry of endosomes is an important factor long before cognitive decline sets in,” Rao added.

Nearly 20 years ago, scientists discovered that endosomes, circular compartmen­ts that ferry cargo within cells, are larger and far more abundant in brain cells of people destined to develop Alzheimer’s disease. It hinted at an underlying problem with endosomes that could lead to an accumulati­on of amyloid protein in spaces around neurons. To shuttle their cargo endosomes use chaperones, which are proteins that bind to specific cargo and bring them back and forth from the cell’s surface.

Embedded in the endosome membrane are proteins that shuttle charged hydrogen atoms, known as protons, in and out of it. The amount of protons inside the endosome determines its pH.

When fluids in the endosome become too acidic, the cargo is trapped within the endosome deep inside the cell. But when the endosome contents are more alkaline, the cargo lingers at the cell’s surface for too long. To help determine whether such pH imbalances occur in Alzheimer’s disease, researcher­s scoured scientific studies of Alzheimer’s disease looking for genes that were dialled down in diseased brains compared with normal ones. Comparing a dataset of 15 brains of Alzheimer’s disease patients with 12 normal ones, he found that 10 of the 100 most frequently down- regulated genes were related to the proton flow in the cell. In another set of brain tissue samples from 96 people with Alzheimer’s disease and 82 without it, gene expression of the proton shuttle in endosomes, known as NHE6, was approximat­ely 50 percent lower in people with Alzheimer’s disease compared with those with normal brains. In cells grown from people with Alzheimer’s disease and in mouse astrocytes engineered to carry a human Alzheimer’s disease gene variant, the amount of NHE6 was about half the amount found in normal cells. To measure the pH balance within endosomes without breaking open the astrocyte, researcher­s used pHsensitiv­e probes that are absorbed by endosomes and emit light based on pH levels. They found that mouse cell lines containing the Alzheimer’s disease gene variant had more acidic endosomes ( average of 5.37 pH) than cell lines without the gene variant ( average of 6.21 pH). — ANI

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