thathiah 13 gpr3 arr2
TRANSCRIPT
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NATURE MEDICINE VOLUME 19 | NUMBER 1 | JANUARY 2013 43
A R T I C L E S
Considerable insight into the genetic and molecular biological basis of
Alzheimerrsquos disease has yet to be translated into a new medication forthe disease Removal of tau12 or the Aβ peptide3ndash5 from the brain by
various vaccination strategies inhibition or modulation of the β- andγ -secretases which cleave the β-amyloid precursor protein (APP) to
generate the Aβ peptide or alterations in apolipoprotein E (APOE)
expression6 are the primary therapeutic avenues that are currentlypursued Unfortunately many therapeutic agents have failed at severalstages of development as a result of poor blood-brain barrier penetra-
tion or severe side effects3ndash57 Moreover new findings suggest the
need for very early symptomatic or presymptomatic treatment whichwill require the identification of alternative disease-modifying targets
to safely modulate the pathogenesis of Alzheimerrsquos disease3ndash57Central to many Aβ-directed therapeutic strategies is the
γ -secretase complex which is a multimeric aspartyl protease com-posed of four subunits presenilin 1 or 2 (PS1 or PS2) nicastrin (NCT)
APH-1A or APH-1B and PEN 2 (ref 8) The majority of cases ofearly onset familial Alzheimerrsquos disease are attributed to mutations
in the PS1 (Presenilin 1) PS2 (Presenilin 2) and APP genes9 pro-
viding the rationale for the therapeutic targeting of the proteinsthey encode However familial Alzheimerrsquos disease accounts forless than 05 of all Alzheimerrsquos disease cases10 The vast major-
ity of late-onset Alzheimerrsquos disease cases are sporadic and includeenvironmental and genetic risk factors among which the ε4 allele of
APOE accounts for more than 25 of the genetic risk InterestinglyAPOE4 also seems to modulate Aβ accumulation11 strengthening
the potential of Aβ-modulating agents in the early treatment of
Alzheimerrsquos disease3GPCRs also called seven transmembrane receptors (7TMRs)
comprise the largest family of membrane proteins12 and are the mostcommon target for therapeutic drugs13 Over 370 nonsensory GPCRs
have been identified14 of which more than 90 are expressed in the
brain where they have important roles in cognition mood appe-tite pain and synaptic transmission15 In the context of Alzheimerrsquosdisease GPCRs are associated with multiple stages of APP proteo-
lysis including modulation of processing of APP by the α- β- andγ -secretases and the regulation of Aβ degradation and Aβ-mediatedtoxicity 16 however the signaling mechanisms mediating these effects
remain at best only partially understood and the hypothesized regula-tion of the γ -secretase complex by GPCRs remains unexplained
From a drug discovery perspective GPCRs are very versatiletargets Drugs that directly target a GPCR have been classically
described as either agonists or antagonists for G protein signalingThe binding of an agonist to a GPCR promotes a conformational
change that results in the activation of receptor-associated hetero-
trimeric G proteins and consequent downstream signaling Howevera small family of multifunctional GPCR regulatory or adaptor pro-teins known as the β-arrestins which have an almost universal role
in facilitating traditional GPCR desensitization is also capableof initiating distinct independent signaling events17 These signals
are often both spatially and temporally different from the classicG protein signals and result in unique cellular and physiological or
1Vlaams Instituut voor Biotechnologie (VIB) Center for the Biology of Disease Leuven Belgium 2Center for Human Genetics and Leuven Institute for Neuroscience
and Disease (LIND) University of Leuven (KU Leuven) Leuven Belgium 3Neuroscience Department Johnson amp Johnson Pharmaceutical Research and
Development Janssen Pharmaceutica Beerse Belgium Correspondence should be addressed to AT (amanthathathiahcmevibkuleuvenbe) or
BDS (bartdestroopercmevib-kuleuvenbe)
Received 17 September accepted 7 November published online 2 December 2012 doi101038nm3023
β-arrestin 2 regulates Aβ generation and γ -secretaseactivity in Alzheimerrsquos disease
Amantha Thathiah12 Katrien Horreacute12 An Snellinx 12 Elke Vandewyer12 Yunhong Huang12Marta Ciesielska12 Gerdien De Kloe13 Sebastian Munck 12 amp Bart De Strooper12
b-arrestins are associated with numerous aspects of G proteinndashcoupled receptor (GPCR) signaling and regulation and accordingly
influence diverse physiological and pathophysiological processes Here we report that b-arrestin 2 expression is elevated in two
independent cohorts of individuals with Alzheimerrsquos disease Overexpression of b-arrestin 2 leads to an increase in amyloid-b
(Ab) peptide generation whereas genetic silencing of Arrb2 (encoding b-arrestin 2) reduces generation of Ab in cell cultures and
in Arrb2 minusminus mice Moreover in a transgenic mouse model of Alzheimerrsquos disease genetic deletion of Arrb2 leads to a reductionin the production of Ab40 and Ab42 Two GPCRs implicated previously in Alzheimerrsquos disease (GPR3 and the b2-adrenergic
receptor) mediate their effects on Ab generation through interaction with b-arrestin 2 b-arrestin 2 physically associates with the
Aph-1a subunit of the g-secretase complex and redistributes the complex toward detergent-resistant membranes increasing the
catalytic activity of the complex Collectively these studies identify b-arrestin 2 as a new therapeutic target for reducing amyloid
pathology and GPCR dysfunction in Alzheimerrsquos disease
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A R T I C L E S
44 VOLUME 19 | NUMBER 1 | JANUARY 2013 NATURE MEDICINE
pathophysiological consequences18 that can be exploited for the
therapeutic development of G proteinminus or β-arrestinndashbiased drugs
Differential regulation of β-arrestins is implicated in type 2 diabetes
and psychiatric disorders1920 for which pharmacological manipula-
tion of selective β-arrestinndashdependent complexes may provide thera-peutic benefits21 As mediators of GPCR desensitization trafficking
and cell signaling the β-arrestins could provide a putative basis to
understand GPCR dysfunction in Alzheimerrsquos disease Nevertheless
no study so far has documented a role for β-arrestins in Alzheimerrsquos
disease progression
RESULTS
b-arrestin 2 in Alzheimerrsquos disease and effects on Ab generation
We compared the expression of β-arrestins 1 and 2 in samples from
the hippocampus and entorhinal cortex of autopsied human brains
with Alzheimerrsquos disease (N = 18) and age-matched control subjects
(N = 20) Levels of β-arrestin 2 mRNA were significantly increased
(Fig 1a) whereas levels of β-arrestin 1 mRNA were decreased inthe Alzheimerrsquos disease samples compared to the control samples
(Fig 1b) We confirmed these observations in an independent group
of Braak-staged human brain samples (Braak 0ndash2 compared to Braak
5ndash6) (Supplementary Fig 1ab) Although there are limitations in
using postmortem tissue such as mRNA degradation and cellular
alterations during disease progression that complicate the interpreta-
tion of results these data suggest that β-arrestins 1 and 2 are differen-
tially regulated in brain areas affected in Alzheimerrsquos disease
We next determined whether the expression of β-arrestins 1 and
2 directly affects Aβ generation in a cellular context Expression of
β-arrestin 2 in the HEK293-APP695 cell line led to a significant
increase in Aβ40 and Aβ42 release (Fig 1cd) an effect that was
effectively abolished by the addition of L-685458 a highly selective
γ -secretase inhibitor22 Furthermore the release of Aβ40 and Aβ42
was not diminished in cells with reduced β-arrestin 1 expression
(Supplementary Fig 1cndashe) In contrast silencing of β-arrestin 2
efficiently suppressed Aβ secretion to 50 below that of controltransfected cells (Fig 1e) Furthermore the amounts of total soluble
APP and the α-secretasendashmediated cleavage product of APP
(Fig 1f g) and expression of the α- and β-secretases were unchanged
after expression or silencing of β-arrestin 2 (Fig 1hi) indicating
that the modulation of Aβ generation by β-arrestin 2 occurs down-
stream of β-secretase activity Expression of the NCT PS1 APH-1A
and PEN 2 subunits of the γ -secretase complex was also unaffected
by expression or silencing of β-arrestin 2 (Fig 1hi) Notably
accumulation of the APP C-terminal fragment (APP-CTF) which is
typically observed after a reduction in γ -secretase activity was only
modestly detectable raising the question of how β-arrestin 2 affects
Aβ generation (Fig 1hi)
To assess the physiological relevance of genetic silencing ofβ-arrestins 1 and 2 we isolated embryonic neuronal cultures from
wild-type Arrb1++ (encoding endogeneous β-arrestin 1) Arrb2++
Arrb1minusminus (ref 23) and Arrb2minusminus (ref 24) mice (Fig 2ab) The amounts
of endogenous Aβ40 and Aβ42 were substantially reduced in Arrb2minusminus
but not Arrb1minusminus neurons demonstrating that β-arrestin 2 is involved
endogenously in the modulation of neuronal Aβ production
GPCRs regulate Ab generation through b-arrestin 2
β-arrestins have traditionally been associated with the termination
of GPCR signaling and receptor desensitization2526 In parallel
β-arrestins can initiate a second set of G proteinndashindependent signals
resulting in receptor desensitization endocytosis and various cellular
a 30 β-arrestin 2
F o l d c h a n g e
( r e l a t i v e t o c o n t r o l ) 25
20
15
10
05
Control Alzheimerrsquos
disease
b β-arrestin 1
F o l d c h a n g e ( r e l a t i v e t o c o n t r o l )
20
Control Alzheimerrsquos
disease
15
10
05
c
V
e h i c l
e
L - 6 8 5
4 5 8
V
e h i c l
e
L - 6 8 5
4 5 8
Vector
β-arrestin 2
N o r m a l i z e d t o v e c t o r
( A β 4 0
)
20
15
10
05
d
V e h i c l e
L - 6 8 5
4 5 8
V e h i c l e
L - 6 8 5
4 5 8
Vector
β-arrestin 2
N o r m a l i z e d t o v e c t o r
( A β 4 2
) 15
20
10
05
e
β - a r r e s t i n 2 s
i R N A
β - a r r e s t i n 2 s
i R N A
N o n s i l e
n c i n g
s i R N A
N o n s i l e
n c i n g
s i R N A
N o r m a l i z e d t o
n o n s i l e n c i n g s i R N A ( A β )
Aβ40Aβ42
10
15
05
f
V e c t o r
β - a r r e s t i n
sAPPtotal
sAPPα
PEN 2
APP-CTF
APP-FL
β-actin
g
β-arrestin 2
siRNA
Nonsilencing
siRNA
sAPPtotal
sAPPα
h
L-685458 ndash ndash + ndash ndash +
Vector β-arrestin
β-arrestin 2
ADAM10
β-secretase
NCT
PS1-NTF
PS1-CTF
APH-1A
PEN 2
APP-CTF
APP-FL
β-actin
i
β-arrestin 2
ADAM10
β-secretase
NCT
PS1-NTF
PS1-CTF
APH-1A
Nonsilencing
siRNAβ-arrestin 2
siRNA
Figure 1 Expression of β-arrestin 2 is elevated in individuals with Alzheimerrsquos disease
and overexpression and silencing of β-arrestin 2 differentially regulate Aβ accumulation
(ab) Expression of β-arrestin 2 (a) and β-arrestin 1 (b) assessed by quantitative PCR (qPCR) in
brain samples from control individuals and individuals with Alzheimerrsquos disease P = 00089
P = 00002 by unpaired Studentrsquos t test n = 20 control individuals n = 18 individuals
with Alzheimerrsquos disease (cd) Amounts of Aβ40 (c) and Aβ42 (d) assessed by ELISA in culture
supernatants from HEK293-APP695 cells after overexpression of β-arrestin 2 and treatment
with the γ -secretase inhibitor L-685458 P lt 005 P lt 001 P lt 0001 by one-way analysis of variance (ANOVA) and Dunnettrsquos multiple
comparisons post test n = 4 experiments performed in triplicate Error bars sem (e) Amounts of Aβ40 (black bars) and Aβ42 (red bars) determined
by ELISA after silencing of β-arrestin 2 P lt 001 by ANOVA and Dunnettrsquos post test n = 5ndash6 experiments performed in triplicate Error bars sem
(fg) Amounts of total soluble APP (sAPPtotal) and the α-secretasendashmediated cleavage product of APP (sAPPα) from HEK293-APP695 cell culture
supernatants determined by immunoblot analysis after overexpression ( f) or silencing (g) of β-arrestin 2 (h) Expression of ADAM10 β-secretase
the γ -secretase complex APP-FL and APP-CTF evaluated by Immunoblot analysis after overexpression of β-arrestin 2 and treatment with L-685458
(i) Expression of ADAM10 β-secretase the γ -secretase complex APP-FL and APP-CTF evaluated by immunoblot analysis after silencing of β-arrestin 2
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A R T I C L E S
NATURE MEDICINE VOLUME 19 | NUMBER 1 | JANUARY 2013 45
responses172728 Thus far two GPCRs have been associated with the
γ -secretasendashmediated processing of APP and Aβ generation GPR3
(ref 29) and the β2-adrenergic receptor (β2-AR)30 In addition the
δ-opioid receptor has been implicated in modulation of theβ-secretasendash
mediated and subsequent γ -secretasendashmediated proteolysis of APP31
All three GPCRs seem to modulate Aβ generation independently of
G protein signaling29ndash31 Consequently we hypothesized that the
β-arrestins could regulate Aβ generation through modulation of their
interaction with these specific GPCRs We used the CHO-K1 cell line
which stably expresses β-arrestin 2 and GPR3 to monitor the direct
interaction between β-arrestin 2 and GPR3 using the PathHunter
technology 32 (Supplementary Fig 2a) In this cell line silencing of
β-arrestin 2 expression (Supplementary Fig 2b) led to a reduction
in the release of Aβ40 and Aβ42 (Supplementary Fig 2c) We used
APP-C99 which is directly cleaved by the γ -secretase to yield Aβ40
and Aβ42 in these assays further demonstrating that the β-arrestin
2ndashmediated effect on Aβ generation is downstream of the α- and
β-secretases This result is similar to the previously described effects of
GPR3 on APP processing29 β2-AR has also been reported to modulate
γ -secretasendashmediated Aβ release30 Therefore we used the CHO-K1
cell line which stably expresses β-arrestin 2 and the β2-AR to perform
a similar series of experiments Silencing of β-arrestin 2 expression
in this cell line resulted in reduced interaction between β-arrestin 2
and the β2-AR after treatment with the β2-AR agonist isoproterenol as
monitored with the PathHunter assay (Supplementary Fig 2d) and
a reduction in Aβ generation (Supplementary Fig 2ef )
bAβ40
Aβ42
A r r b 2
+ +
A r r b 2
+ +
A r r b 2 + ndash
A r r b 2 + ndash
A r r b 2 ndash ndash
A r r b 2 ndash ndash
15
10
05
N
o r m a l i z e d v a l u e
c
NS
A β 4 0
( n g m l ndash 1 )
15
10
05
A r r b 2 + +
A r r b 2 ndash ndash
Ad-GFP
Ad-GPR3
d
NS A β 4 2
( n g m l ndash 1 )
03
02
01
A r r b 2 + +
A r r b 2
ndash ndash
Ad-GFP
Ad-GPR3
e
G F P
G P R 3
G F P
G P R 3
Nct
Ps1-CTF
Pen 2
App-FL
App-CTF
GPR3
β-actin
Arrb2++
Arrb2ndashndash
15
aAβ40
Aβ42
10
NS NS
05
A r r b 1 + +
A r r b 1 ndash ndash
A r r b 1 + +
A r r b 1 ndash ndash
N
o r m a l i z e d v a l u e
Figure 2 Endogenous Aβ generation is reduced in β-arrestin 2ndashdeficient mice (a) Amounts of Aβ40 and Aβ42 measured by ELISA in culture supernatant
samples from primary cortical neuronal cultures from wild-type Arrb1++ and Arrb1minus minus embryonic day 14 fetal mice Data are normalized to the amount
of Aβ secreted from the wild-type cultures (Arrb1++ or Arrb2 ++ respectively) NS not significant by unpaired Studentrsquos t test n = 19 Arrb1++
n = 20 Arrb1minus minus Error bars sem (b) Amounts of Aβ40 and Aβ42 measured in Arrb2 + minus and Arrb2 minus minus primary neuronal cultures P lt 005 P lt 001
by ANOVA and Dunnettrsquos post test n = 11 wild-type Arrb2 ++ n = 18 Arrb2 + minus n = 20 Arrb2 minus minus Error bars sem (cd) Endogenous release of Aβ40 (c)
and Aβ42 (d) measured in culture supernatant samples from primary cortical neuronal cultures transduced with Ad-GPR3 (red bars) or Ad-GFP control
(black bars) P lt 001 NS not significant by ANOVA and Dunnettrsquos post test n = 18 Arrb2 ++ n = 18 Arrb2 minus minus Error bars sem (e) Expression of
the γ -secretase complex components in primary cortical neuronal cultures App-FL and App-CTF determined by immunoblot analysis in the absence of
β-arrestin 2 or after transduction with GPR3
a
Extracellular
domain
Plasma
membrane
Intracellular
domain
15000
b
10000
R L U
5000
C 9 9 a l o
n e
W T
G P R 3
+ C 9 9
G P R 3
D R Y
+ C 9 9
10000
d
8000
R L U
4000
2000
6000
C 9 9 a l o n
e
W T
G P R 3
+ C 9 9
G P R 3
s e r i n e + C 9
9
e
C 9 9 a l o n
e
W T
G P R 3
+ C 9 9
G P R 3
s e r i n e + C 9
9
C 9 9 a l o n
e
W T
G P R 3
+ C 9 9
G P R 3
s e r i n e + C 9
9
25
20
15
A β g
e n e r a t i o n n o r m a l i z e d t o C 9 9
05
10
Aβ40
Aβ42
c
C 9 9 a l o n
e
W T
G P R 3
+ C 9 9
G P R 3
D R Y
+ C 9 9
C 9 9 a l o n
e
W T
G P R 3
+ C 9 9
G P R 3
D R Y
+ C 9 9
40
30
20
A β g
e n e r a t i o n n o r m a l i z e d t o C 9 9
10
Aβ40
Aβ42
Figure 3 The C-terminal domain of GPR3 modulates the interaction with β-arrestin 2 and Aβ generation (a) Schematic representation of GPR3
The single-letter amino acid residue codes are used The DRY putative binding site for G proteins is indicated in red and was mutated to AAY (GPR3
DRYAAY mutant) Putative phosphorylation sites for G protein-coupled receptor kinases (GRKs) in the cytoplasmic tail are indicated in red These
serine residues were mutated to alanine to obtain the GPR3 serine mutant that does not interact with β-arrestin 2 (b) Interaction of WT GPR3 and the
GPR3 DRYAAY mutant (GPR3 DRY) with β-arrestin 2 in the CHO-K1 β-arrestin 2 cell line measured with the PathHunter assay as relative light units
(RLU) (c) Generation of Aβ40 (black bars) and Aβ42 (red bars) measured by ELISA in CHO-K1 β-arrestin 2 cells that express APP-C99 (C99) alone
WT GPR3 + APP-C99 or the GPR3 DRYAAY mutant + APP-C99 (d) Interaction of WT GPR3 and the GPR3 serine mutant with β-arrestin 2 in the
CHO-K1 β-arrestin 2 cell line measured with the PathHunter assay (e) Generation of Aβ40 (black bars) and Aβ42 (red bars) measured by ELISA in
CHO-K1 β-arrestin 2 cells that express APP-C99 alone WT GPR3 + APP-C99 or the GPR3 serine mutant + APP-C99 P lt 005 P lt 001
P lt 0001 by ANOVA and Dunnettrsquos post test Data are the mean plusmn sem of four to six independent experiments performed in triplicate
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A R T I C L E S
46 VOLUME 19 | NUMBER 1 | JANUARY 2013 NATURE MEDICINE
To genetically establish the requirement of β-arrestin 2 for the
modulation of Aβ generation by GPR3 we transduced wild-type
Arrb2++ and Arrb2minusminus neuronal cultures with a GPR3 adenoviral
vector (Ad-GPR3) Notably expression of Ad-GPR3 in the Arrb2minusminus
neuronal cultures failed to increase Aβ generation in contrast to the
elevation in Aβ generation observed in Arrb2++ neuronal cultures
(Fig 2cd) After GPR3 transduction GPR3 expression was equiva-
lent in the Arrb2++ and Arrb2minusminus neuronal cultures and expression
of the γ -secretase complex components and APP was unaffected by
the absence of β-arrestin 2 or transduction with GPR3 (Fig 2e)
Consistent with our previous work 29
overexpression of GPR3 resultedin a modest decrease in the amount of APP-CTF whereas deficiency
of Arrb2 tended to increase accumulation of APP-CTF (Fig 2e)
The C terminus of GPR3 is required for enhanced Ab generation
We further investigated the mechanism of the β-arrestin 2ndashmediated
effect on Aβ generation and γ -secretase activation by generating
mutations in GPR3 that alter either G protein activation or β-arrestin
recruitment29 Alanine substitution of the first two amino acids of
a conserved motif in the second intracellular loop of GPR3 (the
AspArgTyr (DRY) motif mutated to AlaAlaTyr (AAY) termed here
the GPR3 DRYAAY mutant) renders a GPCR incapable of activating
G proteins while retaining its ability to activateβ-arrestinndashmediated
cellular responses33ndash35 (Fig 3a) The GPR3 DRYAAY mutant did
not activate G protein signaling as measured by reduced intracel-
lular cyclic AMP (cAMP) generation (Supplementary Fig 3) The
expression and cellular distribution of the GPR3 DRYAAY mutant
were similar to those of wild-type (WT) GPR3 (data not shown)
establishing the involvement of this conserved motif in the activation
of GPR3 Notably mutation of the DRY motif also led to an increase
in β-arrestin 2 recruitment to GPR3 (Fig 3b) and release of Aβ40
and Aβ42 (Fig 3c)
We then mutated conserved serine residues in the C terminus of
GPR3 which could serve as putative binding sites for β-arrestin 2(Fig 3a) The GPR3 serine mutant was defective in its ability to inter-
act with β-arrestin 2 as measured with the PathHunter complementa-
tion assay (Fig 3d) The expression and cellular distribution of the
GPR3 serine mutant and WT GPR3 were similar (data not shown)
Mutation of these serine residues also resulted in a reduction in
the generation of Aβ40 and Aβ42 (Fig 3e) providing validation that
β-arrestin 2 recruitment to GPR3 is required for Aβ generation
Localization of b-arrestin 2 and the g-secretase complex in DRMs
The experiments described above indicate that the effect of β-arrestin 2
on Aβ generation is downstream of cleavage of APP by the α- and
β-secretases Previous observations also indicated that both GPR3
Vehiclea
U n t r a
n s f e c t e d
N o n s i l e
n c i n
g
β - a r r e s t i n
1
β - a r r e s t i n
2
U n t r a
n s f e c t e d
N o n s i l e
n c i n
g
β - a r r e s t i n
1
β - a r r e s t i n
2
Lactacystin
NCT
PS1-NTF
PS1-CTF
PEN 2
APP-FL
APP-CTF
β-actin
cVehicle
Arrb2++
Arrb2ndashndash
Arrb2++
Arrb2ndashndash
Lactacystin
Nct
Ps1-NTF
Ps1-CTF
Pen 2
App-FL
App-CTF
β-actin
b
N o n s i l e
n c i n
g s i R
N A
β - a r r e s t i n
1 s i R N A
β - a r r e s t i n
2 s i R N A
20
15
10
05
A P P - C T F a c c u m u l a t i o n
( n o r m
a l i z e d t o n o n s i l e n c i n g s i R N A )
NS
d
A r r b 2 + +
A r r b 2 ndash
ndash
20
15
10
05
A P P - C T F a c c u m u l a t i o n
( n o r m a l i z e d t o A r r b 2 + + )
h
N o r m a l i z e d i n t e n s i t y
( t o v e c t o r )
4
3
JC-8
JC-8 + X
2
1
V e c t
o r
β
- a r r e
s t i n
2
f25
20
Vector
β-arrestin 2
15
10
N o
r m a l i z e d i n t e n s i t y ( t o v e c t o r )
05
N C T
P S 1 -
C T F
A P H
- 1 A
P E N
2
e Vector
Fractions
β-arrestin 2
NCT
β-arrestin 2
PS1-NTF
PS1-CTF
APH-1A
PEN 2
Caveolin-1
GM130
EEA1
1 2 3 4 5 6 7 8 9 1 0 1 1 1 2 1 3 1 2 3 4 5 6 7 8 9 1 0 1 1 1 2 1 3
g Input
Raft
Non-raft
Vector β-arrestin 2
V e c t o r
β - a r r e s t i n 2
J C - 8
J C - 8 + X
J C - 8
J C - 8 + X
PS1-CTF
PS1-CTF
Figure 4 β-arrestin 2 and the active γ -secretase complex are enriched in DRMs (a) Immunoblot analysis of the γ -secretase complex and APP-FL
in HEK293-APP695 cells after silencing β-arrestin 1 or 2 treatment with lactacystin or both (b) Quantification of APP-CTF accumulation after
lactacystin treatment normalized to nonsilencing siRNA n = 3 independent experiments performed in triplicate (c) Immunoblot analysis of the
γ -secretase complex and App-FL in mouse neuronal cultures after treatment with vehicle or lactacystin (d) Quantification of APP-CTF accumulation
after lactacystin treatment normalized to Arrb2 ++ neuronal cultures n = 3 independent experiments with four to six brain cultures per experiment
(e) Sucrose gradient fractionation of HEK293 cells transfected with empty vector or β-arrestin 2ndashGFP complementary DNA (cDNA) Equivalent volumes
were assessed by immunoblot using antibodies that recognize γ -secretase complex subunits β-arrestin 2 or the organelle-specific markers GM130
(cis -Golgi) EEA1 (early endosomes) and Caveolin-1 (caveolae) ( f) Quantification of the expression of the γ -secretase complex subunits in pooled
fractions 3 and 4 from HEK293 cells transfected with empty vector or β-arrestin 2ndashGFP cDNA normalized to Caveolin 1 expression n = 4ndash6
independent experiments (g) Immunoblot analysis using a PS1-CTFndashspecific antibody of pooled raft and non-raft fractions incubated with JC-8
or JC-8 + L-685458 (JC-8 + X) followed by photoaffinity crosslinking (h) Quantification of the expression of the PS1-CTF in the raft and non-raft
fractions normalized to input n = 3 independent experiments P lt 005 P lt 001 P lt 0001 NS not significant by ANOVA and the Dunnettrsquospost test Error bars sem
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A R T I C L E S
NATURE MEDICINE VOLUME 19 | NUMBER 1 | JANUARY 2013 47
andβ2-AR affect γ -secretasendashmediated proteolysis of APP2930 Classic
inhibition of γ -secretase activity 36 leads to accumulation of APP-CTF
however genetic silencing of β-arrestin 2 leads to only a limited or
barely observable accumulation of APP-CTF (Figs 1i and 4) Todetermine whether β-arrestin 2 affects turnover of the APP-CTF
we treated HEK293-APP695 cells (after silencing β-arrestin 2) and
Arrb2minusminus neuronal cultures with the proteasome inhibitor lactacystin
and found an accumulation of the APP-CTF under these conditions
(Fig 4andashd) suggesting that downregulation of β-arrestin 2 leads not
only to inhibition of γ -secretase activity but also to increased APP-
CTF turnover through the proteasome Given the complexity of the
signaling pathways modulated by the β-arrestins an effect on Aβ
generation at multiple levels is not surprising Nevertheless from a
therapeutic point of view stimulation of APP-CTF turnover could
be advantageous given that accumulation of the APP-CTF correlates
with cognitive deficits in mice37
Previous studies indicated that GPCRs the γ -secretase complexand Aβ generation are localized in DRMs2938ndash42 Therefore we
assessed the distribution of the γ -secretase complex subunits and
β-arrestin 2 in lipid raft and nonndashlipid raft domains by differential
flotation after sucrose density gradient centrifugation The γ -secretase
complex subunits co-distributed in low-density fractions 3 and 4
Notably GPR3 (ref 29) and β-arrestin 2 also accumulated in
DRMs (Fig 4e) Moreover overexpression of β-arrestin 2 (Fig 4ef )
led to an enrichment of the γ -secretase subunits NCT PS1-CTF
APH-1A and PEN 2 in the detergent-resistant buoyant fractions
(Fig 4f ) In contrast silencing of β-arrestin 2 led to an appreciable
decrease in the distribution of the γ -secretase complex in DRMs
(Supplementary Fig 4ab)
We then determined whether increased localization of the indi-
vidual γ -secretase subunits in DRMs also coincided with the presence
of a more active γ -secretase complex in DRMs JC-8 is a photoreactive
biotinylated derivative of the highly specific and potent transition-state analog inhibitor L-685458 (ref 43) that only binds the cata-
lytically active γ -secretase complex44 We combined DRM fractions
2ndash4 and the nonndashlipid raft fractions (pooled fractions 9ndash12) from
empty vectorndashtransfected control and β-arrestin 2ndashtransfected cells
We normalized the fractions for γ -secretase expression and incubated
these fractions with JC-8 We used unlabeled L-685458 as a control
to compete with the biotinylated inhibitor and photoactivation to
crosslink the biotinylated inhibitor to the active γ -secretase complex45
Subsequent recovery of the biotinylated polypeptides revealed that the
photoprobe readily labeled the PS1-CTF in the lipid raft DRM frac-
tions (Fig 4g ) We were not able to detect labeling in the nonndashlipid
raft fractions (Fig 4g ) Overexpression of β-arrestin 2 resulted in a
twofold to threefold increase of the active γ -secretase complex poolin the DRMs (Fig 4h)
b-arrestin 2 interacts with the Aph-1a g-secretase subunit
To determine whether β-arrestin 2 physically associates with
the γ -secretase complex we performed coimmunoprecipitation exper-
iments in untransfected N2a neuroblastoma cells The γ -secretase
subunits Nct Ps1 Aph-1a and Pen 2 coimmunoprecipitated with
β-arrestin 2 in a 3-[(3-cholamidopropyl) dimethylammonio]-
2-hydroxy-1-propanesulfonate (CHAPSO)-containing buffer (Fig 5a)
which maintains the integrity of the intact γ -secretase complex4647
In contrast the detergent Triton X-100 (TX-100) dissociates the
γ -secretase complex48 In the presence of TX-100 β-arrestin 2 only
Input Bound Input Bound
IP Aph-1a
Input Bound
C o n t r
o l
β - a r r e s t i
n 2
IP
d
eIP β-arrestin 2
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
Nct
Ps1-NTF
Ps1-CTF
Aph-1a
β-arrestin 2
Nct
Aph-1a
β-arrestin 2
a
Nct
Input InputUnbound UnboundBound Bound
Ps1 Ps1 Aph-1a Aph-1aControl Control Control
IP Ps1-CTF IP Aph-1a
Control
Ps1-NTF
Ps1-CTF
Aph-1a
Pen 2
β-arrestin 2
Input Unbound Bound Input Unbound Bound
A ph -1 a A ph -1 aCon trol Con trol
IP Ps1-CTF IP Aph-1a
Ps1 Ps1Control Con trol
b
Nct
Ps1-NTF
Ps1-CTF
Aph-1a
Pen 2
β-arrestin 2
Input Bound
C o n t r
o l
β - a r r e s t i
n 2
IP
c
Nct
Ps1-NTF
Ps1-CTF
Aph-1a
β-arrestin 2
f
Input Bound Input Bound
IP Aph-1a IP β-arrestin 2
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
Nct
Aph-1a
β-arrestin 2
Figure 5 β-arrestin 2 interacts with the Aph-1a subunit of the γ -secretase complex (ab) Immunoprecipitation (IP) of cell lysates from the N2a
neuroblastoma cell line after extraction in 1 CHAPSO-containing (a) or 1 TX-100ndashcontaining (b) buffer with antibodies to Ps1-CTF (left) Aph-1a
(B803 right) or negative control antibodies and immunoblot analysis with the indicated antibodies to the γ -secretase complex subunits or β-arrestin 2
(cd) Immunoprecipitation of cell lysates from the N2a neuroblastoma cell line after extraction in 1 CHAPSO-containing (c) or 1 TX-100ndashcontaining
(d) buffer with β-arrestin 2ndashspecific or negative control antibodies and immunoblot analysis with the indicated antibodies to the γ -secretase complex
subunits or β-arrestin 2 (ef) Immunoprecipitation of cortical brain samples from WT Gpr3 minus minus and Arrb2 minus minus mice after extraction in 1 CHAPSO-
containing (e) or 1 TX-100ndashcontaining (f) buffer with antibodies to Aph-1a (B803 left) or β-arrestin 2 (right) and immunoblot analysis with the
indicated antibodies to the γ -secretase complex subunits or β-arrestin 2
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A R T I C L E S
48 VOLUME 19 | NUMBER 1 | JANUARY 2013 NATURE MEDICINE
coimmunoprecipitated with Aph-1a (Fig 5b) In the reciprocal
assay the interaction between β-arrestin 2 and the intact γ -secretase
complex was preserved in a CHAPSO-containing buffer (Fig 5c)
however β-arrestin 2 only coimmunoprecipitated with the Aph-1a
subunit (Fig 5d) in the presence of a TX-100 solubilization
buffer We confirmed this interaction in vivo showing that in the
presence of either CHAPSO (Fig 5e) or TX-100 detergent (Fig 5f )
β-arrestin 2 coimmunoprecipitated with the Aph-1a subunit of
the γ -secretase complex in extracts of cortical brain samples from WT
but not Gpr3minusminus or Arrb2minusminus mice Furthermore we observed colocali-
zation of β-arrestin and APH-1A after coexpression of β-arrestin 2and APH-1A in HeLa cells (Supplementary Fig 5) Collectively
these data suggest that expression of β-arrestin 2 regulates Aβ gen-
eration through interaction with the γ -secretase complex and redis-
tribution and accumulation of the active γ -secretase complex in
DRM domains
Genetic deletion of b-arrestin 2 reduces Ab generation
We then established the in vivo consequence of the absence of
β-arrestin 2 on Aβ generation in the APP PS1 transgenic mouse
model for Alzheimerrsquos disease This model coexpresses two familial
Alzheimerrsquos diseasendashlinked mutations APP with the KM670671NL
lsquoSwedishrsquo mutation and PS1 with the L166P mutation49 Both het-
erozygosity and complete genetic ablation of β-arrestin 2 expressionresulted in a marked reduction in Aβ40 and Aβ42 generation in the
hippocampus and cortex of 3-month-old APP PS1 Arrb2+minus and
APP PS1 Arrb2minusminus mice (Fig 6ab) with no effects on the expression
of NCT PS1 or APP-FL (Fig 6c) providing in vivo evidence for
the involvement of endogenous β-arrestin 2 in Aβ generation in an
Alzheimerrsquos disease mouse model
DISCUSSION
β-arrestins are scaffolding proteins that are intimately involved
in numerous aspects of GPCR signaling and regulation Here we
present evidence implicating this class of proteins in the regulation
of γ -secretase proteolytic activity and Aβ generation with potential
implications for the pathogenesis of Alzheimerrsquos disease β-arrestin 2
induces the redistribution of an inactive γ -secretase complex
toward a DRM-associated active γ -secretase pool through direct
interaction with Aph-1a We corroborated the overexpression studies
with several loss-of-function experiments that confirmed the overall
effects of β-arrestin 2 on γ -secretasendashmediated Aβ generation
Our data also suggest additional mechanisms including increased
APP-CTF turnover by which APP metabolism is affected byβ-arrestin 2 downregulation
This study provides insight into the mechanism of γ -secretase regu-
lation by GPR3 (ref 29) and β2-AR 30 two GPCRs that have previously
been implicated in the pathogenesis of Alzheimerrsquos disease Most nota-
bly we have determined that β-arrestins are aberrantly expressed in
the brain of individuals with Alzheimerrsquos disease and genetic deletion
of β-arrestin 2 reduces the accumulation of endogenous mouse Aβ
Furthermore in an Alzheimerrsquos disease mouse model we have shown
that β-arrestin 2 is also involved in Aβ generation which provides
evidence for the therapeutic potential of β-arrestins in Alzheimerrsquos
disease Ligands that show bias for either G proteinndashmediated
(G proteinndashbiased) or β-arrestinndashmediated (β-arrestinndashbiased) sig-
naling are being intensively investigated because they could selectively
promote beneficial signaling and even block or negate detrimental or
unwanted actions of receptor activation (for example side effects toxicity
or tolerance) Recently the GPCR M3-muscarinic receptorndashdependent
regulation of learning and memory has been shown to require receptor
phosphorylation and β-arrestin recruitment independent of G protein
signaling50 These data suggest that the development of biased ligands
could be beneficial for both learning and memory and potentially the
treatment of cognitive disorders such as Alzheimerrsquos disease
Arrb2minusminus mice develop normally in the absence of an apparent
Notch-deficiency phenotype Instead they show increased analge-
sia in response to morphine24 because of misregulated internali-
zation and desensitization of the micro-opioid receptor51 The current
study indicates that APP-CTF does not accumulate in APP PS1
Arrb2minusminus mice which has been suggested to occur after treatmentwith certain γ -secretase inhibitors37 Therefore a physiologically
relevant regulatory mechanism of the modulation of Aβ generation
by the γ -secretase potentially mediated through β-arrestin 2 could
be beneficial in preventing the adverse side effects associated with
direct γ -secretase inhibition such as interference with Notch signal-
ing52 or APP-CTF accumulation37 As it becomes increasingly evident
that presymptomatic andor very early symptomatic treatments are
necessary to prevent the onset of dementia the work here suggests
a previously unexplored avenue involving β-arrestin 2 inhibition for
therapeutic intervention and prevention in Alzheimerrsquos disease
METHODS
Methods and any associated references are available in the online version of the paper
Note Supplementary information is available in the online version of the paper
ACKNOWLEDGMENTSWe are grateful to RJ Lefkowitz and S Ahn (Duke University Medical CenterDurham North Carolina USA) for the generous gift of the β-arrestin 2 wild-typeand knockout mouse embryonic fibroblasts the Arrb1minusminus and Arrb2minusminus micethe β-arrestin 2ndashGFP-Flag cDNA and helpful discussion We thank M Jucker(University of Tuumlbingen Germany) for the gift of APP PS1 transgenic mice Wegreatly appreciate the kind gift of human control and Alzheimerrsquos disease brainsamples from K Bossers and DF Swaab (Netherlands Institute for NeuroscienceAmsterdam The Netherlands) and C Troakes (the London NeurodegenerativeDiseases Brain Bank London UK) We thank M Mercken (Johnson amp Johnson
15
a
10
05
H i p p
o c a m
p u s
C o r t e
x A β 4 0 n o r m a l i z e d v a l u e
( t o
A P P P S 1 A r r b b 2 + + )
+
H i p p
o c a m
p u s
C o r t e
x
APPPS1 Arrb2++
APPPS1 Arrb2+ndash
APPPS1 Arrb2ndashndash
b
15
10
05
A β 4 2 n o r m a l i z e d v a l u e
( t o
A P P P S 1 A r r b b 2 + + )
+
++
APPPS1 Arrb2++
APPPS1 Arrb2+ndash
APPPS1 Arrb2ndashndash
c
A P P P S
1 A r r b 2 + +
A P P P S
1 A r r b 2 + ndash
A P P P S
1 A r r b 2 ndash ndash
NCT
PS1-CTF
PS1-NTF
APP-FL
APP-CTF
β-actin
Figure 6 β-arrestin 2 contributes to Aβ generation in an Alzheimerrsquos
disease transgenic mouse model (ab) Hippocampal and cortical
concentrations of soluble Aβ40 (a) and Aβ42 (b) in 3-month-old APP PS1
transgenic mice crossed with wild-type Arrb2 ++ Arrb2 + minus or Arrb2 minus minus mice
determined by ELISA P lt 005 relative to Arrb2 ++ +P lt 001 relative
to Arrb2 ++ for hippocampal Aβ40 P lt 0001 relative to Arrb2 ++
P lt 00001 relative to Arrb2 ++ for cortical Aβ40 P lt 005 relative
to Arrb2 ++ +P lt 001 relative to Arrb2 ++ for hippocampal Aβ42
P lt 0005 relative to Arrb2 ++++P lt 0001 relative to Arrb2 ++ for
cortical Aβ42 by ANOVA and Dunnettrsquos post test n = 6 independent
female mice per cross Error bars sem (c) Immunoblot of the expression
of the γ -secretase complex components and APP in brain samples fromAPP PS1 Arrb2 ++ APP PS1 Arrb2 + minus and APP PS1 Arrb2 minus minus mice
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A R T I C L E S
NATURE MEDICINE VOLUME 19 | NUMBER 1 | JANUARY 2013 49
Pharmaceuticals Research and Development Beerse Belgium) for the antibodiesto Aβ We are grateful to Y Li (Memorial Sloan Kettering Cancer Center NewYork USA) for the k ind initial gift of JC-8 This work was supported by a MentoredNew Investigator Research grant from the Alzheimerrsquos Association to AT theFund for Scientific Research Flanders KU Leuven a Methusalem grant fromthe KU Leuven and the Flemish government and the Foundation for AlzheimerResearch (SAOFRMA) to BDS BDS is the Arthur Bax and Anna Vanluffelenchair for Alzheimerrsquos disease
AUTHOR CONTRIBUTIONSAT and BDS designed the experiments and wrote the manuscript AT KHAS EV and YH conducted the experiments MC conducted the qPCRexperiments GDK synthesized JC-8 SM conducted the immunofluorescence
image analysis
COMPETING FINANCIAL INTERESTSThe authors declare competing financial interests details are available in the online version of the paper
Published online at httpwwwnaturecomdoifinder101038nm3023
Reprints and permissions information is available online at httpwwwnaturecom
reprintsindexhtml
1 Ballatore C Lee VM amp Trojanowski JQ Tau-mediated neurodegeneration
in Alzheimerrsquos disease and related disorders Nat Rev Neurosci 8 663ndash672
(2007)2 Goumltz J Ittner A amp Ittner LM Tau-targeted treatment strategies in Alzheimerrsquos
disease Br J Pharmacol 165 1246ndash1259 (2012)
3 Holtzman DM Goate A Kelly J amp Sperling R Mapping the road forward in
Alzheimerrsquos disease Sci Transl Med 3 114ps148 (2011)
4 Golde TE Schneider LS amp Koo EH Anti-aβ therapeutics in Alzheimerrsquos disease
the need for a paradigm shift Neuron 69 203ndash213 (2011)
5 Karran E Mercken M amp De Strooper B The amyloid cascade hypothesis for
Alzheimerrsquos disease an appraisal for the development of therapeutics Nat Rev
Drug Discov 10 698ndash712 (2011)
6 Cramer PE et al ApoE-directed therapeutics rapidly clear β-amyloid and reverse
deficits in AD mouse models Science 335 1503ndash1506 (2012)
7 Selkoe DJ Resolving controversies on the path to Alzheimerrsquos therapeutics
Nat Med 17 1060ndash1065 (2011)
8 De Strooper B Aph-1 Pen-2 and Nicastrin with Presenilin generate an active
γ -Secretase complex Neuron 38 9ndash12 (2003)
9 Bertram L Lill CM amp Tanzi RE The genetics of Alzheimer disease back to
the future Neuron 68 270ndash281 (2010)
10 Bekris LM Yu CE Bird TD amp Tsuang DW Genetics of Alzheimer disease
J Geriatr Psychiatry Neurol 23 213ndash227 (2010)
11 Morris JC et al APOE predicts amyloid-β but not tau Alzheimer pathology in
cognitively normal aging Ann Neurol 67 122ndash131 (2010)
12 Fredriksson R amp Schioth HB The repertoire of G-proteinndashcoupled receptors in
fully sequenced genomes Mol Pharmacol 67 1414ndash1425 (2005)
13 Gudermann T Nurnberg B amp Schultz G Receptors and G proteins as primary
components of transmembrane signal transduction Part 1 G-proteinndashcoupled
receptors structure and function J Mol Med 73 51ndash63 (1995)
14 Watson SAS The G Protein-Coupled Receptor Factors Book (Academic San Diego
1994)
15 Vassilatis DK et al The G proteinndashcoupled receptor repertoires of human and
mouse Proc Natl Acad Sci USA 100 4903ndash4908 (2003)
16 Thathiah A amp De Strooper B The role of G proteinndashcoupled receptors in the
pathology of Alzheimerrsquos disease Nat Rev Neurosci 12 73ndash87 (2011)
17 DeWire SM Ahn S Lefkowitz RJ amp Shenoy SK β-arrestins and cell signaling
Annu Rev Physiol 69 483ndash510 (2007)
18 Whalen EJ Rajagopal S amp Lefkowitz RJ Therapeutic potential of β-arrestinndash
and G proteinndashbiased agonists Trends Mol Med 17 126ndash139 (2011)
19 Beaulieu JM et al An Akt β-arrestin 2PP2A signaling complex mediatesdopaminergic neurotransmission and behavior Cell 122 261ndash273 (2005)
20 Luan B et al Deficiency of a β-arrestinndash2 signal complex contributes to insulin
resistance Nature 457 1146ndash1149 (2009)
21 Beaulieu JM et al A β-arrestin 2 signaling complex mediates lithium action on
behavior Cell 132 125ndash136 (2008)
22 Shearman MS et al L-685458 an aspartyl protease transition state mimic is
a potent inhibitor of amyloid β-protein precursor γ -secretase activity Biochemistry 39
8698ndash8704 (2000)
23 Conner DA et al β-arrestin1 knockout mice appear normal but demonstrate
altered cardiac responses to β-adrenergic stimulation Circ Res 81 1021ndash1026
(1997)
24 Bohn LM et al Enhanced morphine analgesia in mice lacking β-arrestin 2 Science
286 2495ndash2498 (1999)
25 Ferguson SS et al Role of β-arrestin in mediating agonist-promoted G proteinndash
coupled receptor internalization Science 271 363ndash366 (1996)
26 Lohse MJ Lefkowitz RJ Caron MG amp Benovic JL Inhibition of β-adrenergic
receptor kinase prevents rapid homologous desensitization of β 2-adrenergic
receptors Proc Natl Acad Sci USA 86 3011ndash3015 (1989)
27 Ahn S Shenoy SK Wei H amp Lefkowitz RJ Differential kinetic and spatialpatterns of β-arrestin and G proteinndashmediated ERK activation by the angiotensin II
receptor J Biol Chem 279 35518ndash35525 (2004)
28 Luttrell LM et al β-arrestinndashdependent formation of β2 adrenergic receptor-Src
protein kinase complexes Science 283 655ndash661 (1999)
29 Thathiah A et al The orphan G proteinndashcoupled receptor 3 modulates amyloid-β
peptide generation in neurons Science 323 946ndash951 (2009)
30 Ni Y et al Activation of β2-adrenergic receptor stimulates γ -secretase activity and
accelerates amyloid plaque formation Nat Med 12 1390ndash1396 (2006)
31 Teng L Zhao J Wang F Ma L amp Pei GA GPCRsecretase complex regulates
β- and γ -secretase specificity for Aβ production and contributes to AD pathogenesis
Cell Res 20 138ndash153 (2010)
32 Olson KR amp Eglen RM β galactosidase complementation a cell-based
luminescent assay platform for drug discovery Assay Drug Dev Technol 5 137ndash144
(2007)
33 Gaacuteborik Z et al The role of a conserved region of the second intracellular loop in
AT1 angiotensin receptor activation and signaling Endocrinology 144 2220ndash2228
(2003)
34 Shenoy SK et al β-arrestinndashdependent G proteinndashindependent ERK12 activation
by the β2 adrenergic receptor J Biol Chem 281 1261ndash1273 (2006)35 Wei H et al Independent β-arrestin 2 and G proteinndashmediated pathways for
angiotensin II activation of extracellular signal-regulated kinases 1 and 2 Proc
Natl Acad Sci USA 100 10782ndash10787 (2003)
36 De Strooper B et al Deficiency of presenilin-1 inhibits the normal cleavage of
amyloid precursor protein Nature 391 387ndash390 (1998)
37 Mitani Y et al Differential effects between γ -secretase inhibitors and modulators
on cognitive function in amyloid precursor proteinndashtransgenic and nontransgenic
mice J Neurosci 32 2037ndash2050 (2012)
38 Chini B amp Parenti M G-protein coupled receptors in lipid rafts and caveolae
how when and why do they go there J Mol Endocrinol 32 325ndash338 (2004)
39 Vetrivel KS et al Association of γ -secretase with lipid rafts in post-Golgi and
endosome membranes J Biol Chem 279 44945ndash44954 (2004)
40 Wada S et al γ -secretase activity is present in rafts but is not cholesterol-
dependent Biochemistry 42 13977ndash13986 (2003)
41 Wahrle S et al Cholesterol-dependent γ -secretase activity in buoyant cholesterol-
rich membrane microdomains Neurobiol Dis 9 11ndash23 (2002)
42 Yagishita S Morishima-Kawashima M Ishiura S amp Ihara Y Aβ46 is processed
to Aβ40 and A
β43 but not to A
β42 in the low density membrane domains
J Biol Chem 283 733ndash738 (2008)
43 Chun J Yin YI Yang G Tarassishin L amp Li YM Stereoselective synthesis of
photoreactive peptidomimetic γ -secretase inhibitors J Org Chem 69 7344ndash7347
(2004)
44 Chau DM Crump CJ Villa JC Scheinberg DA amp Li YM Familial Alzheimer
disease presenilin-1 mutations alter the active site conformation of γ -secretase
J Biol Chem 287 17288ndash17296 (2012)
45 Vetrivel KS et al Spatial segregation of γ -secretase and substrates in distinct
membrane domains J Biol Chem 280 25892ndash25900 (2005)
46 Li YM et al Presenilin 1 is linked with γ -secretase activity in the detergent
solubilized state Proc Natl Acad Sci USA 97 6138ndash6143 (2000)
47 Esler WP et al Activity-dependent isolation of the presenilinndashγ -secretase complex
reveals nicastrin and a γ substrate Proc Natl Acad Sci USA 99 2720ndash2725
(2002)
48 Fraering PC et al Detergent-dependent dissociation of active γ -secretase reveals
an interaction between Pen-2 and PS1-NTF and offers a model for subunit
organization within the complex Biochemistry 43 323ndash333 (2004)
49 Radde R et al Aβ42-driven cerebral amyloidosis in transgenic mice reveals early
and robust pathology EMBO Rep 7 940ndash946 (2006)50 Poulin B et al The M3-muscarinic receptor regulates learning and memory in
a receptor phosphorylationarrestin-dependent manner Proc Natl Acad Sci USA
107 9440ndash9445 (2010)
51 Bohn LM Gainetdinov RR Lin FT Lefkowitz RJ amp Caron MG Mu-opioid
receptor desensitization by β-arrestinndash2 determines morphine tolerance but not
dependence Nature 408 720ndash723 (2000)
52 De Strooper B et al A presenilin-1ndashdependent γ -secretasendashlike protease mediates
release of Notch intracellular domain Nature 398 518ndash522 (1999)
892019 Thathiah 13 Gpr3 Arr2
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NATURE MEDICINE doi101038nm3023
ONLINE METHODSReagents Unless otherwise indicated chemicals were purchased from
Sigma-Aldrich
Antibodies and compounds Rabbit polyclonal antibodies to human PS1-NTF
(B145 11000) mouse PS1-NTF (B192 15000) APH-1AL (B803 11000)
PEN 2 (B1262 11000) and the APP C terminus (B635 15000) and the
monoclonal antibody 9C3 (13000) directed against the C terminus of NCT
have been previously described and were generated in house5354 ADAM10was detected using a polyclonal antiserum (B421 11000) generated against
the 17 C-terminal amino acid residues of ADAM10 and was generated in house
Antibodies to the following were purchased Flag (M2 Sigma 11000) 22C11
(Chemicon 11000) 6E10 (Sigma-Aldrich 11000) β-secretase (D10E5
Cell Signaling 11000) PK (DiscoveRx 1500) β-arrestin (BD Biosciences
1500) β-arrestin 2 (Cell Signaling 1250) β-arrestin 12 (Santa Cruz 1500)
Myc (9E10 11000) PS1-NTF (MAB1563 Chemicon) PS1-CTF (MAB5232
Chemicon) hemagglutinin (HA) (3F10 Roche) caveolin-1 (Santa Cruz)
calnexin GM130 and EEA1 (Transduction lab) and β-actin (Sigma) L-685458
was purchased from Calbiochem
Plasmid construction The human GPR3 plasmid was purchased from
DiscoveRx All mutations in GPR3 were generated with the XL Site-Directed
Mutagenesis Kit (Stratagene) and confirmed by DNA sequence analysis The
β-arrestin 2ndashGFP-Flag plasmid was the kind gift of RJ Lefkowitz (DukeUniversity Medical Center Durham North Carolina USA)
Cell lines The CHO-K1 CHO-K1 GPR3 and CHO-K1 ADRB2 β-arrestin cell
lines were purchased from DiscoveRx The WT HEK293 N2a and HeLa cell
lines were purchased from American Type Culture Collection
Mice The Arrb1minusminus and Arrb2minusminus mice (C57BL6J background) were kindly
provided by RJ Lefkowitz (Duke University Medical Center Durham North
Carolina USA) Wild-type C57BL6J mice or littermate mice were used as
controls for all of the experiments The APP PS1 transgenic mice (C57BL6J
background) were the kind gift of M Jucker (University of Tuumlbingen Tuumlbingen
Germany)49 The APP PS1 transgenic mice were crossed with Arrb2+minus and
Arrb2minusminus mice to obtain APP PS1 Arrb2+minus and APP PS1 Arrb2minusminus mice
respectively Only female mice were used for the studies The mouse studies
were approved by ethical committees of Leuven University and UZ Leuven(LA1210231)
qPCR qPCR was performed with the SYBR Green PCR Master Mix (Exiqon)
and the LightCycler 480 Real-Time PCR System (Roche Applied Science)
following the manufacturerrsquos protocol The primers for human β-arrestin 1
used were 5prime-TGTTGAGGGAAGGTGCCAACCG-3prime and 5prime-GATGCAAGA
TCTCCCAACAGGCCG-3prime The primers for human β-arrestin 2 used were
5prime-CCTGTAGATGGCGTGGTGCTTG-3prime and 5prime-CCAGGTCTTCACGGCCA
TAGCG-3prime The housekeeping primers used were to hypoxanthine guanine
phosphoribosyl transferase (HPRT) (5prime-TGACACTGGCAAAACAATGCA-3prime
and 5prime-GGTCCTTTTCACCAGCAAGCT-3 prime) ribosomal protein L13a (RPL13A)
(5prime-CCTGGAGGAGAAGAGGAAAGAGA-3 prime and 5prime-TTGAGGACCTCTG
TGTATTTGTCAA-3prime) and β2 microglobulin (β2M) (5prime-TGCTGTCTCCA
TGTTTGATGTATC-3prime and 5prime-TCTCTGCTCCCCACCTCTAAGT-3prime)
Neuronal cultures Primary mouse cortical or hippocampal cultures were estab-
lished from the brains of embryonic day 14 or 17 fetal mice respectively as
previously described55 Briefly the dissected brain cortices or hippocampi were
suspended in HBSS supplemented with 025 trypsin and incubated at 37 degC
for 15 min The tissues were then transferred to HBSS supplemented with 10
(vv) horse serum and dissociated by repeated trituration The dispersed cells
were counted and plated on poly-983140-lysinendashcoated six-well cell culture plates
in Neurobasal medium supplemented with B27 (Invitrogen) Forty-eight to
72 h after plating the cells were transduced with the recombinant adenoviral
vectors for 24 h The infection medium was replaced with fresh Neurobasal
medium and cells were maintained in culture for an additional 24 h Cell culture
supernatants were collected centrifuged for 10 min at 800 g and used for ELISA
measurements Cells were harvested in 1times PBS containing complete protease
inhibitors (Roche) centrifuged at 800 g for 10 min and lysed in 150 mM NaCl
50 mM 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES) pH 74
and 1 TX-100 supplemented with complete protease inhibitors for 30 min at
4 degC After centrifugation at 16000 g for 15 min the cleared cell extracts were
separated on 4ndash12 Bis-Tris gels (Invitrogen) transferred to nitrocellulose
membranes blocked and probed with the indicated antibodies for western blot
analysis Immunodetection was performed using horseradish peroxidase (HRP)-
coupled secondary antibodies (Bio-Rad) and the chemiluminescent detectionreagent Renaissance (PerkinElmer Life Sciences)
Patient samples Frozen hippocampal and entorhinal cortex tissue samples
were obtained from the London Neurodegenerative Diseases Brain Bank These
samples were pathologically confirmed but not further categorized according
to Braak stage The second cohort of patient samples consisted of snap-frozen
human medial frontal gyrus brain samples obtained from the Netherlands Brain
Bank Amsterdam (NBB) For these samples individual neuropathological
reports including Braak staging for neurofibrillary changes (NFC) and neuritic
plaques56 and clinical reports were available For each of the six Braak stages
seven individuals were included Furthermore seven individuals without any
NFC pathology were included as Braak stage 0 Samples were matched as closely
as possible for sex age postmortem interval cerebrospinal fluid pH and APOE
genotype Only samples with a relatively high RNA integrity number (gt7) were
included Tissue dissection was performed as previously described57 Total RNAwas isolated from both the London and the Netherlands Brain Bank samples
using a combination of TRIzol-based and mirVana RNA isolation methods
Briefly samples were homogenized in ice-cold TRIzol (Life Technologies) After
phase separation by the addition of chloroform the aqueous phase was mixed
with an equal volume of 70 RNase-free ethanol Samples were then applied to
a mirVana filter cartridge (AmbionLife Technologies) and processed according
to the manufacturerrsquos instructions RNA yields and purities were determined
using a NanoDrop ND-1000 spectrophotometer (NanoDrop Technologies)
RNA integrity was determined by the RNA integrity number as measured by
the Agilent 2100 bioanalyzer (Agilent Technologies) All brain samples were col-
lected according to legislation and ethical boards of the respective Brain Banks
The human study was evaluated and approved by ethical committees of Leuven
University and UZ Leuven (ML5919)
Ab ELISA screen Ninety-six-well plates were coated and incubated overnightwith the capture antibodies previously described29 and detected using the HRP-
labeled detection antibodies29 Brains of the mice with the respective genotypes
of the ages indicated (plusmn2 weeks) were dissected after transcardial perfusion with
ice-cold PBS The hippocampus and the cerebral cortex were removed separately
and homogenized in Tissue Protein Extraction reagent (Pierce) supplemented
with complete protease inhibitor and phosphatase inhibitor tablets (Roche
Applied Science) The homogenized samples were briefly sonicated to shear the
DNA and centrifuged at 4 degC for 1 h at 100000 g The supernatant was used for
immunoblot analysis and Aβ ELISA measurements Alternately the Aβ peptides
were allowed to accumulate in the absence of serum in the culture supernatants
from HEK293 HEK293-APP695 CHO-K1 GPR3 β-arrestin or CHO-K1 ADRB2
β-arrestin cells and neuronal cultures for 16ndash18 h before Aβ40 and Aβ42 ELISA
analysis of the culture supernatant samples
siRNA-mediated knockdown experiments The CHO-K1 GPR3 β-arrestin
CHO-K1 ADRB2 β-arrestin or WT HEK293 cell lines were transfected with
siRNA directed against β-arrestin 1 or β-arrestin 2 or with control siRNA
using GeneSilencer (Genlantis) according to the manufacturerrsquos instruc-
tions as described27 Chemically synthesized double-stranded siRNAs with
19-nucleotide duplex RNA and 2-nucleotide 3prime-dTdT overhangs were pur-
chased from Qiagen The siRNA sequences targeting human β-arrestin 1
and β-arrestin 2 were 5prime-AAAGCCUUCUGCGCGGAGAAU-3 prime and 5prime-AAG
GACCGCAAAGUGUUUGUG-3prime corresponding to positions 439ndash459 and
148ndash168 relative to the start codon respectively A nonsilencing RNA duplex
(5prime-AAUUCUCCGAACGUGUCACGU-3 prime) was used as a control Briefly the
cells were seeded on six-well plates at a cell density of 250000 cells per well One
day after seeding the cells were transfected with the siRNAs Two days after
892019 Thathiah 13 Gpr3 Arr2
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NATURE MEDICINEdoi101038nm3023
seeding the cells were infected with an adenoviral vector expressing enhanced
GFP (eGFP) or APP-C99 On day 5 the medium was refreshed with serum-free
medium and the cells were allowed to accumulate Aβ peptides in the condi-
tioned medium for 16ndash18 h before analysis of the culture supernatant samples
with the ELISA described above
b-arrestin assay The CHO-K1 GPR 3 β-arrestin or CHO-K1 ADRB2 β-arrestin
cell lines were seeded on 96-well plates at a cell density of 20000 cells per well
One day after seeding cells were transfected with the siRNAs as described aboveTwo days after seeding the cells were infected with an adenoviral vector express-
ing eGFP or APP-C99 On day 5 the medium was refreshed with serum-free
medium and the cells were allowed to accumulate Aβ peptides in the condi-
tioned medium for 24 h before analysis with the PathHunter β-arrestin assay
from DiscoveRx according to the manufacturerrsquos protocol
Coimmunoprecipitation experiments N2a cells were seeded in 10-cm plates
at a density of 2000000 cells per dish Cell lysates were prepared 48 h after seed-
ing in PBS with 1 TX-100 or 1 CHAPSO and protease inhibitors (Complete
Protease Inhibitor Cocktail Tablets Roche) Cell lysates were precleared with
protein G sepharose for 1 h at 4 degC followed by centrifugation at 10000 g for
15 min Immunoprecipitations were conducted overnight at 4 degC using the
appropriate antibodies or a negative control antibody (9E10) The beads were
washed four times with PBS with 1 TX-100 or 1 CHAPSO and once with
PBS Proteins were eluted with 1times lithium dodecyl sulfate (LDS) loading bufferMicrosomal membranes were prepared from fresh or frozen postmortem mouse
cortical brain samples first by homogenization using a Teflon homogenizer in
05 M sucrose PKM buffer (100 mM potassium phosphate 5 mM MgCl2 and
3 mM KCl pH 65) followed by centrifugation for 10 min at 8000 rpm The
protein concentration was determined by the Bradford dye-binding procedure
(Bio-Rad) and the samples were centrifuged at 100000 g for 1 h The mem-
brane pellets were each solubilized with the addition of an equal volume of
buffer containing 2 CHAPSO (Pierce) and incubated on ice for 1 h After
centrifugation at 100000 g for 1 h the immunoprecipitation was performed as
previously described58
Endogenous cAMP assessment CHO-K1β-arrestin cells were transfected with
empty vector WT GPR3 or the GPR3 mutant cDNA constructs (X-tremeGENE
HP Roche) Forty-eight hours after transfection the culture medium was replaced
with serum-free DMEM and the cells were treated with 100 microM forskolinin the presence or absence of 25 microM IBMX a phosphodiesterase inhibitor for
30ndash45 min Intracellular cAMP levels were then measured in cells using a spe-
cific cAMP assay kit (RampD Systems) according to the manufacturerrsquos protocol
Subcellular fractionation WT HEK293 cells were rinsed twice with ice-cold 1times
PBS solubilized in 2-(N -morpholino)ethanesulfonic acid (MES) buffer (25 mM
MES pH 65 and 150 mM NaCl) containing 1 CHAPSO and supplemented
with a complete protease inhibitor cocktail Cells were lysed by sequential pas-
sage through 18-gauge (five times) and 26-gauge (ten times) needles and then
placed on ice for 1 h After the removal of insoluble material by centrifugation
at 15000 g for 15 min the lysates were adjusted to a 45 sucrose concentration
and transferred to ultracentrifugation tubes A discontinuous sucrose gradient
was prepared by layering 35 and 5 sucrose in MES buffer Samples were
centrifuged at 100000 g for 16ndash18 h Thirteen 960-microl fractions were collected
from the top of the gradient and used for western blot analysis
Photoaffinity probe and crosslinking JC-8 was synthesized according to a
previously described procedure43 Fractions 2ndash4 and 9ndash12 from the subcellular
fractionation experiments described above were combined and the crosslinking
studies were performed as previously described45
Structured illumination microscopy and immunofluorescence HeLa cells
were plated on glass coverslips and transfected with β-arrestin 2ndashGFP and APH-
1A Twenty-four hours after transfection the cells were fixed (4 paraformalde-
hyde 10 min) blocked (2 BSA 2 FBS and 1 gelatin in PBS supplemented
with 5 serum) incubated with primary antibody (4 degC overnight) washed
(PBS) incubated with fluorophore-conjugated secondary antibody (room tem-
perature 1 h) rinsed and mounted in Mowiol-containing medium The second-
ary antibodies were conjugated with the following fluorophores Alexa-546 and
-647 Images were captured with a structured illumination microscope (ElyraS1 (Carl Zeiss Jena Germany) equipped with a 63times oil objective lens and a
14 numerical aperture (NA) and an Andor iXon 885 EMCCD camera) that
is capable of revealing information beyond the diffraction barrier that limits
conventional widefield and confocal microscopes β-arrestin 2 and APH-1A
were imaged at resolutions of ~110 nm and ~134 nm respectively
Statistical analyses The data are presented as means plusmn sem The data were
analyzed using two-tailed Studentrsquos t tests ANOVA was performed with the
GraphPad Prism 5 software
53 Annaert WG et al Interaction with telencephalin and the amyloid precursor protein
predicts a ring structure for presenilins Neuron 32 579ndash589 (2001)
54 Esselens C et al Presenilin 1 mediates the turnover of telencephalin in hippocampal
neurons via an autophagic degradative pathway J Cell Biol 166 1041ndash1054
(2004)55 Cai H et al BACE1 is the major β-secretase for generation of Aβ peptides by
neurons Nat Neurosci 4 233ndash234 (2001)
56 Braak H amp Braak E Neuropathological stageing of Alzheimer-related changes
Acta Neuropathol 82 239ndash259 (1991)
57 Bossers K et al Concerted changes in transcripts in the prefrontal cortex precede
neuropathology in Alzheimerrsquos disease Brain 133 3699ndash3723 (2010)
58 Heacutebert SS et al Coordinated and widespread expression of γ -secretase in vivo
evidence for size and molecular heterogeneity Neurobiol Dis 17 260ndash272 (2004)
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A R T I C L E S
44 VOLUME 19 | NUMBER 1 | JANUARY 2013 NATURE MEDICINE
pathophysiological consequences18 that can be exploited for the
therapeutic development of G proteinminus or β-arrestinndashbiased drugs
Differential regulation of β-arrestins is implicated in type 2 diabetes
and psychiatric disorders1920 for which pharmacological manipula-
tion of selective β-arrestinndashdependent complexes may provide thera-peutic benefits21 As mediators of GPCR desensitization trafficking
and cell signaling the β-arrestins could provide a putative basis to
understand GPCR dysfunction in Alzheimerrsquos disease Nevertheless
no study so far has documented a role for β-arrestins in Alzheimerrsquos
disease progression
RESULTS
b-arrestin 2 in Alzheimerrsquos disease and effects on Ab generation
We compared the expression of β-arrestins 1 and 2 in samples from
the hippocampus and entorhinal cortex of autopsied human brains
with Alzheimerrsquos disease (N = 18) and age-matched control subjects
(N = 20) Levels of β-arrestin 2 mRNA were significantly increased
(Fig 1a) whereas levels of β-arrestin 1 mRNA were decreased inthe Alzheimerrsquos disease samples compared to the control samples
(Fig 1b) We confirmed these observations in an independent group
of Braak-staged human brain samples (Braak 0ndash2 compared to Braak
5ndash6) (Supplementary Fig 1ab) Although there are limitations in
using postmortem tissue such as mRNA degradation and cellular
alterations during disease progression that complicate the interpreta-
tion of results these data suggest that β-arrestins 1 and 2 are differen-
tially regulated in brain areas affected in Alzheimerrsquos disease
We next determined whether the expression of β-arrestins 1 and
2 directly affects Aβ generation in a cellular context Expression of
β-arrestin 2 in the HEK293-APP695 cell line led to a significant
increase in Aβ40 and Aβ42 release (Fig 1cd) an effect that was
effectively abolished by the addition of L-685458 a highly selective
γ -secretase inhibitor22 Furthermore the release of Aβ40 and Aβ42
was not diminished in cells with reduced β-arrestin 1 expression
(Supplementary Fig 1cndashe) In contrast silencing of β-arrestin 2
efficiently suppressed Aβ secretion to 50 below that of controltransfected cells (Fig 1e) Furthermore the amounts of total soluble
APP and the α-secretasendashmediated cleavage product of APP
(Fig 1f g) and expression of the α- and β-secretases were unchanged
after expression or silencing of β-arrestin 2 (Fig 1hi) indicating
that the modulation of Aβ generation by β-arrestin 2 occurs down-
stream of β-secretase activity Expression of the NCT PS1 APH-1A
and PEN 2 subunits of the γ -secretase complex was also unaffected
by expression or silencing of β-arrestin 2 (Fig 1hi) Notably
accumulation of the APP C-terminal fragment (APP-CTF) which is
typically observed after a reduction in γ -secretase activity was only
modestly detectable raising the question of how β-arrestin 2 affects
Aβ generation (Fig 1hi)
To assess the physiological relevance of genetic silencing ofβ-arrestins 1 and 2 we isolated embryonic neuronal cultures from
wild-type Arrb1++ (encoding endogeneous β-arrestin 1) Arrb2++
Arrb1minusminus (ref 23) and Arrb2minusminus (ref 24) mice (Fig 2ab) The amounts
of endogenous Aβ40 and Aβ42 were substantially reduced in Arrb2minusminus
but not Arrb1minusminus neurons demonstrating that β-arrestin 2 is involved
endogenously in the modulation of neuronal Aβ production
GPCRs regulate Ab generation through b-arrestin 2
β-arrestins have traditionally been associated with the termination
of GPCR signaling and receptor desensitization2526 In parallel
β-arrestins can initiate a second set of G proteinndashindependent signals
resulting in receptor desensitization endocytosis and various cellular
a 30 β-arrestin 2
F o l d c h a n g e
( r e l a t i v e t o c o n t r o l ) 25
20
15
10
05
Control Alzheimerrsquos
disease
b β-arrestin 1
F o l d c h a n g e ( r e l a t i v e t o c o n t r o l )
20
Control Alzheimerrsquos
disease
15
10
05
c
V
e h i c l
e
L - 6 8 5
4 5 8
V
e h i c l
e
L - 6 8 5
4 5 8
Vector
β-arrestin 2
N o r m a l i z e d t o v e c t o r
( A β 4 0
)
20
15
10
05
d
V e h i c l e
L - 6 8 5
4 5 8
V e h i c l e
L - 6 8 5
4 5 8
Vector
β-arrestin 2
N o r m a l i z e d t o v e c t o r
( A β 4 2
) 15
20
10
05
e
β - a r r e s t i n 2 s
i R N A
β - a r r e s t i n 2 s
i R N A
N o n s i l e
n c i n g
s i R N A
N o n s i l e
n c i n g
s i R N A
N o r m a l i z e d t o
n o n s i l e n c i n g s i R N A ( A β )
Aβ40Aβ42
10
15
05
f
V e c t o r
β - a r r e s t i n
sAPPtotal
sAPPα
PEN 2
APP-CTF
APP-FL
β-actin
g
β-arrestin 2
siRNA
Nonsilencing
siRNA
sAPPtotal
sAPPα
h
L-685458 ndash ndash + ndash ndash +
Vector β-arrestin
β-arrestin 2
ADAM10
β-secretase
NCT
PS1-NTF
PS1-CTF
APH-1A
PEN 2
APP-CTF
APP-FL
β-actin
i
β-arrestin 2
ADAM10
β-secretase
NCT
PS1-NTF
PS1-CTF
APH-1A
Nonsilencing
siRNAβ-arrestin 2
siRNA
Figure 1 Expression of β-arrestin 2 is elevated in individuals with Alzheimerrsquos disease
and overexpression and silencing of β-arrestin 2 differentially regulate Aβ accumulation
(ab) Expression of β-arrestin 2 (a) and β-arrestin 1 (b) assessed by quantitative PCR (qPCR) in
brain samples from control individuals and individuals with Alzheimerrsquos disease P = 00089
P = 00002 by unpaired Studentrsquos t test n = 20 control individuals n = 18 individuals
with Alzheimerrsquos disease (cd) Amounts of Aβ40 (c) and Aβ42 (d) assessed by ELISA in culture
supernatants from HEK293-APP695 cells after overexpression of β-arrestin 2 and treatment
with the γ -secretase inhibitor L-685458 P lt 005 P lt 001 P lt 0001 by one-way analysis of variance (ANOVA) and Dunnettrsquos multiple
comparisons post test n = 4 experiments performed in triplicate Error bars sem (e) Amounts of Aβ40 (black bars) and Aβ42 (red bars) determined
by ELISA after silencing of β-arrestin 2 P lt 001 by ANOVA and Dunnettrsquos post test n = 5ndash6 experiments performed in triplicate Error bars sem
(fg) Amounts of total soluble APP (sAPPtotal) and the α-secretasendashmediated cleavage product of APP (sAPPα) from HEK293-APP695 cell culture
supernatants determined by immunoblot analysis after overexpression ( f) or silencing (g) of β-arrestin 2 (h) Expression of ADAM10 β-secretase
the γ -secretase complex APP-FL and APP-CTF evaluated by Immunoblot analysis after overexpression of β-arrestin 2 and treatment with L-685458
(i) Expression of ADAM10 β-secretase the γ -secretase complex APP-FL and APP-CTF evaluated by immunoblot analysis after silencing of β-arrestin 2
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A R T I C L E S
NATURE MEDICINE VOLUME 19 | NUMBER 1 | JANUARY 2013 45
responses172728 Thus far two GPCRs have been associated with the
γ -secretasendashmediated processing of APP and Aβ generation GPR3
(ref 29) and the β2-adrenergic receptor (β2-AR)30 In addition the
δ-opioid receptor has been implicated in modulation of theβ-secretasendash
mediated and subsequent γ -secretasendashmediated proteolysis of APP31
All three GPCRs seem to modulate Aβ generation independently of
G protein signaling29ndash31 Consequently we hypothesized that the
β-arrestins could regulate Aβ generation through modulation of their
interaction with these specific GPCRs We used the CHO-K1 cell line
which stably expresses β-arrestin 2 and GPR3 to monitor the direct
interaction between β-arrestin 2 and GPR3 using the PathHunter
technology 32 (Supplementary Fig 2a) In this cell line silencing of
β-arrestin 2 expression (Supplementary Fig 2b) led to a reduction
in the release of Aβ40 and Aβ42 (Supplementary Fig 2c) We used
APP-C99 which is directly cleaved by the γ -secretase to yield Aβ40
and Aβ42 in these assays further demonstrating that the β-arrestin
2ndashmediated effect on Aβ generation is downstream of the α- and
β-secretases This result is similar to the previously described effects of
GPR3 on APP processing29 β2-AR has also been reported to modulate
γ -secretasendashmediated Aβ release30 Therefore we used the CHO-K1
cell line which stably expresses β-arrestin 2 and the β2-AR to perform
a similar series of experiments Silencing of β-arrestin 2 expression
in this cell line resulted in reduced interaction between β-arrestin 2
and the β2-AR after treatment with the β2-AR agonist isoproterenol as
monitored with the PathHunter assay (Supplementary Fig 2d) and
a reduction in Aβ generation (Supplementary Fig 2ef )
bAβ40
Aβ42
A r r b 2
+ +
A r r b 2
+ +
A r r b 2 + ndash
A r r b 2 + ndash
A r r b 2 ndash ndash
A r r b 2 ndash ndash
15
10
05
N
o r m a l i z e d v a l u e
c
NS
A β 4 0
( n g m l ndash 1 )
15
10
05
A r r b 2 + +
A r r b 2 ndash ndash
Ad-GFP
Ad-GPR3
d
NS A β 4 2
( n g m l ndash 1 )
03
02
01
A r r b 2 + +
A r r b 2
ndash ndash
Ad-GFP
Ad-GPR3
e
G F P
G P R 3
G F P
G P R 3
Nct
Ps1-CTF
Pen 2
App-FL
App-CTF
GPR3
β-actin
Arrb2++
Arrb2ndashndash
15
aAβ40
Aβ42
10
NS NS
05
A r r b 1 + +
A r r b 1 ndash ndash
A r r b 1 + +
A r r b 1 ndash ndash
N
o r m a l i z e d v a l u e
Figure 2 Endogenous Aβ generation is reduced in β-arrestin 2ndashdeficient mice (a) Amounts of Aβ40 and Aβ42 measured by ELISA in culture supernatant
samples from primary cortical neuronal cultures from wild-type Arrb1++ and Arrb1minus minus embryonic day 14 fetal mice Data are normalized to the amount
of Aβ secreted from the wild-type cultures (Arrb1++ or Arrb2 ++ respectively) NS not significant by unpaired Studentrsquos t test n = 19 Arrb1++
n = 20 Arrb1minus minus Error bars sem (b) Amounts of Aβ40 and Aβ42 measured in Arrb2 + minus and Arrb2 minus minus primary neuronal cultures P lt 005 P lt 001
by ANOVA and Dunnettrsquos post test n = 11 wild-type Arrb2 ++ n = 18 Arrb2 + minus n = 20 Arrb2 minus minus Error bars sem (cd) Endogenous release of Aβ40 (c)
and Aβ42 (d) measured in culture supernatant samples from primary cortical neuronal cultures transduced with Ad-GPR3 (red bars) or Ad-GFP control
(black bars) P lt 001 NS not significant by ANOVA and Dunnettrsquos post test n = 18 Arrb2 ++ n = 18 Arrb2 minus minus Error bars sem (e) Expression of
the γ -secretase complex components in primary cortical neuronal cultures App-FL and App-CTF determined by immunoblot analysis in the absence of
β-arrestin 2 or after transduction with GPR3
a
Extracellular
domain
Plasma
membrane
Intracellular
domain
15000
b
10000
R L U
5000
C 9 9 a l o
n e
W T
G P R 3
+ C 9 9
G P R 3
D R Y
+ C 9 9
10000
d
8000
R L U
4000
2000
6000
C 9 9 a l o n
e
W T
G P R 3
+ C 9 9
G P R 3
s e r i n e + C 9
9
e
C 9 9 a l o n
e
W T
G P R 3
+ C 9 9
G P R 3
s e r i n e + C 9
9
C 9 9 a l o n
e
W T
G P R 3
+ C 9 9
G P R 3
s e r i n e + C 9
9
25
20
15
A β g
e n e r a t i o n n o r m a l i z e d t o C 9 9
05
10
Aβ40
Aβ42
c
C 9 9 a l o n
e
W T
G P R 3
+ C 9 9
G P R 3
D R Y
+ C 9 9
C 9 9 a l o n
e
W T
G P R 3
+ C 9 9
G P R 3
D R Y
+ C 9 9
40
30
20
A β g
e n e r a t i o n n o r m a l i z e d t o C 9 9
10
Aβ40
Aβ42
Figure 3 The C-terminal domain of GPR3 modulates the interaction with β-arrestin 2 and Aβ generation (a) Schematic representation of GPR3
The single-letter amino acid residue codes are used The DRY putative binding site for G proteins is indicated in red and was mutated to AAY (GPR3
DRYAAY mutant) Putative phosphorylation sites for G protein-coupled receptor kinases (GRKs) in the cytoplasmic tail are indicated in red These
serine residues were mutated to alanine to obtain the GPR3 serine mutant that does not interact with β-arrestin 2 (b) Interaction of WT GPR3 and the
GPR3 DRYAAY mutant (GPR3 DRY) with β-arrestin 2 in the CHO-K1 β-arrestin 2 cell line measured with the PathHunter assay as relative light units
(RLU) (c) Generation of Aβ40 (black bars) and Aβ42 (red bars) measured by ELISA in CHO-K1 β-arrestin 2 cells that express APP-C99 (C99) alone
WT GPR3 + APP-C99 or the GPR3 DRYAAY mutant + APP-C99 (d) Interaction of WT GPR3 and the GPR3 serine mutant with β-arrestin 2 in the
CHO-K1 β-arrestin 2 cell line measured with the PathHunter assay (e) Generation of Aβ40 (black bars) and Aβ42 (red bars) measured by ELISA in
CHO-K1 β-arrestin 2 cells that express APP-C99 alone WT GPR3 + APP-C99 or the GPR3 serine mutant + APP-C99 P lt 005 P lt 001
P lt 0001 by ANOVA and Dunnettrsquos post test Data are the mean plusmn sem of four to six independent experiments performed in triplicate
892019 Thathiah 13 Gpr3 Arr2
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A R T I C L E S
46 VOLUME 19 | NUMBER 1 | JANUARY 2013 NATURE MEDICINE
To genetically establish the requirement of β-arrestin 2 for the
modulation of Aβ generation by GPR3 we transduced wild-type
Arrb2++ and Arrb2minusminus neuronal cultures with a GPR3 adenoviral
vector (Ad-GPR3) Notably expression of Ad-GPR3 in the Arrb2minusminus
neuronal cultures failed to increase Aβ generation in contrast to the
elevation in Aβ generation observed in Arrb2++ neuronal cultures
(Fig 2cd) After GPR3 transduction GPR3 expression was equiva-
lent in the Arrb2++ and Arrb2minusminus neuronal cultures and expression
of the γ -secretase complex components and APP was unaffected by
the absence of β-arrestin 2 or transduction with GPR3 (Fig 2e)
Consistent with our previous work 29
overexpression of GPR3 resultedin a modest decrease in the amount of APP-CTF whereas deficiency
of Arrb2 tended to increase accumulation of APP-CTF (Fig 2e)
The C terminus of GPR3 is required for enhanced Ab generation
We further investigated the mechanism of the β-arrestin 2ndashmediated
effect on Aβ generation and γ -secretase activation by generating
mutations in GPR3 that alter either G protein activation or β-arrestin
recruitment29 Alanine substitution of the first two amino acids of
a conserved motif in the second intracellular loop of GPR3 (the
AspArgTyr (DRY) motif mutated to AlaAlaTyr (AAY) termed here
the GPR3 DRYAAY mutant) renders a GPCR incapable of activating
G proteins while retaining its ability to activateβ-arrestinndashmediated
cellular responses33ndash35 (Fig 3a) The GPR3 DRYAAY mutant did
not activate G protein signaling as measured by reduced intracel-
lular cyclic AMP (cAMP) generation (Supplementary Fig 3) The
expression and cellular distribution of the GPR3 DRYAAY mutant
were similar to those of wild-type (WT) GPR3 (data not shown)
establishing the involvement of this conserved motif in the activation
of GPR3 Notably mutation of the DRY motif also led to an increase
in β-arrestin 2 recruitment to GPR3 (Fig 3b) and release of Aβ40
and Aβ42 (Fig 3c)
We then mutated conserved serine residues in the C terminus of
GPR3 which could serve as putative binding sites for β-arrestin 2(Fig 3a) The GPR3 serine mutant was defective in its ability to inter-
act with β-arrestin 2 as measured with the PathHunter complementa-
tion assay (Fig 3d) The expression and cellular distribution of the
GPR3 serine mutant and WT GPR3 were similar (data not shown)
Mutation of these serine residues also resulted in a reduction in
the generation of Aβ40 and Aβ42 (Fig 3e) providing validation that
β-arrestin 2 recruitment to GPR3 is required for Aβ generation
Localization of b-arrestin 2 and the g-secretase complex in DRMs
The experiments described above indicate that the effect of β-arrestin 2
on Aβ generation is downstream of cleavage of APP by the α- and
β-secretases Previous observations also indicated that both GPR3
Vehiclea
U n t r a
n s f e c t e d
N o n s i l e
n c i n
g
β - a r r e s t i n
1
β - a r r e s t i n
2
U n t r a
n s f e c t e d
N o n s i l e
n c i n
g
β - a r r e s t i n
1
β - a r r e s t i n
2
Lactacystin
NCT
PS1-NTF
PS1-CTF
PEN 2
APP-FL
APP-CTF
β-actin
cVehicle
Arrb2++
Arrb2ndashndash
Arrb2++
Arrb2ndashndash
Lactacystin
Nct
Ps1-NTF
Ps1-CTF
Pen 2
App-FL
App-CTF
β-actin
b
N o n s i l e
n c i n
g s i R
N A
β - a r r e s t i n
1 s i R N A
β - a r r e s t i n
2 s i R N A
20
15
10
05
A P P - C T F a c c u m u l a t i o n
( n o r m
a l i z e d t o n o n s i l e n c i n g s i R N A )
NS
d
A r r b 2 + +
A r r b 2 ndash
ndash
20
15
10
05
A P P - C T F a c c u m u l a t i o n
( n o r m a l i z e d t o A r r b 2 + + )
h
N o r m a l i z e d i n t e n s i t y
( t o v e c t o r )
4
3
JC-8
JC-8 + X
2
1
V e c t
o r
β
- a r r e
s t i n
2
f25
20
Vector
β-arrestin 2
15
10
N o
r m a l i z e d i n t e n s i t y ( t o v e c t o r )
05
N C T
P S 1 -
C T F
A P H
- 1 A
P E N
2
e Vector
Fractions
β-arrestin 2
NCT
β-arrestin 2
PS1-NTF
PS1-CTF
APH-1A
PEN 2
Caveolin-1
GM130
EEA1
1 2 3 4 5 6 7 8 9 1 0 1 1 1 2 1 3 1 2 3 4 5 6 7 8 9 1 0 1 1 1 2 1 3
g Input
Raft
Non-raft
Vector β-arrestin 2
V e c t o r
β - a r r e s t i n 2
J C - 8
J C - 8 + X
J C - 8
J C - 8 + X
PS1-CTF
PS1-CTF
Figure 4 β-arrestin 2 and the active γ -secretase complex are enriched in DRMs (a) Immunoblot analysis of the γ -secretase complex and APP-FL
in HEK293-APP695 cells after silencing β-arrestin 1 or 2 treatment with lactacystin or both (b) Quantification of APP-CTF accumulation after
lactacystin treatment normalized to nonsilencing siRNA n = 3 independent experiments performed in triplicate (c) Immunoblot analysis of the
γ -secretase complex and App-FL in mouse neuronal cultures after treatment with vehicle or lactacystin (d) Quantification of APP-CTF accumulation
after lactacystin treatment normalized to Arrb2 ++ neuronal cultures n = 3 independent experiments with four to six brain cultures per experiment
(e) Sucrose gradient fractionation of HEK293 cells transfected with empty vector or β-arrestin 2ndashGFP complementary DNA (cDNA) Equivalent volumes
were assessed by immunoblot using antibodies that recognize γ -secretase complex subunits β-arrestin 2 or the organelle-specific markers GM130
(cis -Golgi) EEA1 (early endosomes) and Caveolin-1 (caveolae) ( f) Quantification of the expression of the γ -secretase complex subunits in pooled
fractions 3 and 4 from HEK293 cells transfected with empty vector or β-arrestin 2ndashGFP cDNA normalized to Caveolin 1 expression n = 4ndash6
independent experiments (g) Immunoblot analysis using a PS1-CTFndashspecific antibody of pooled raft and non-raft fractions incubated with JC-8
or JC-8 + L-685458 (JC-8 + X) followed by photoaffinity crosslinking (h) Quantification of the expression of the PS1-CTF in the raft and non-raft
fractions normalized to input n = 3 independent experiments P lt 005 P lt 001 P lt 0001 NS not significant by ANOVA and the Dunnettrsquospost test Error bars sem
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A R T I C L E S
NATURE MEDICINE VOLUME 19 | NUMBER 1 | JANUARY 2013 47
andβ2-AR affect γ -secretasendashmediated proteolysis of APP2930 Classic
inhibition of γ -secretase activity 36 leads to accumulation of APP-CTF
however genetic silencing of β-arrestin 2 leads to only a limited or
barely observable accumulation of APP-CTF (Figs 1i and 4) Todetermine whether β-arrestin 2 affects turnover of the APP-CTF
we treated HEK293-APP695 cells (after silencing β-arrestin 2) and
Arrb2minusminus neuronal cultures with the proteasome inhibitor lactacystin
and found an accumulation of the APP-CTF under these conditions
(Fig 4andashd) suggesting that downregulation of β-arrestin 2 leads not
only to inhibition of γ -secretase activity but also to increased APP-
CTF turnover through the proteasome Given the complexity of the
signaling pathways modulated by the β-arrestins an effect on Aβ
generation at multiple levels is not surprising Nevertheless from a
therapeutic point of view stimulation of APP-CTF turnover could
be advantageous given that accumulation of the APP-CTF correlates
with cognitive deficits in mice37
Previous studies indicated that GPCRs the γ -secretase complexand Aβ generation are localized in DRMs2938ndash42 Therefore we
assessed the distribution of the γ -secretase complex subunits and
β-arrestin 2 in lipid raft and nonndashlipid raft domains by differential
flotation after sucrose density gradient centrifugation The γ -secretase
complex subunits co-distributed in low-density fractions 3 and 4
Notably GPR3 (ref 29) and β-arrestin 2 also accumulated in
DRMs (Fig 4e) Moreover overexpression of β-arrestin 2 (Fig 4ef )
led to an enrichment of the γ -secretase subunits NCT PS1-CTF
APH-1A and PEN 2 in the detergent-resistant buoyant fractions
(Fig 4f ) In contrast silencing of β-arrestin 2 led to an appreciable
decrease in the distribution of the γ -secretase complex in DRMs
(Supplementary Fig 4ab)
We then determined whether increased localization of the indi-
vidual γ -secretase subunits in DRMs also coincided with the presence
of a more active γ -secretase complex in DRMs JC-8 is a photoreactive
biotinylated derivative of the highly specific and potent transition-state analog inhibitor L-685458 (ref 43) that only binds the cata-
lytically active γ -secretase complex44 We combined DRM fractions
2ndash4 and the nonndashlipid raft fractions (pooled fractions 9ndash12) from
empty vectorndashtransfected control and β-arrestin 2ndashtransfected cells
We normalized the fractions for γ -secretase expression and incubated
these fractions with JC-8 We used unlabeled L-685458 as a control
to compete with the biotinylated inhibitor and photoactivation to
crosslink the biotinylated inhibitor to the active γ -secretase complex45
Subsequent recovery of the biotinylated polypeptides revealed that the
photoprobe readily labeled the PS1-CTF in the lipid raft DRM frac-
tions (Fig 4g ) We were not able to detect labeling in the nonndashlipid
raft fractions (Fig 4g ) Overexpression of β-arrestin 2 resulted in a
twofold to threefold increase of the active γ -secretase complex poolin the DRMs (Fig 4h)
b-arrestin 2 interacts with the Aph-1a g-secretase subunit
To determine whether β-arrestin 2 physically associates with
the γ -secretase complex we performed coimmunoprecipitation exper-
iments in untransfected N2a neuroblastoma cells The γ -secretase
subunits Nct Ps1 Aph-1a and Pen 2 coimmunoprecipitated with
β-arrestin 2 in a 3-[(3-cholamidopropyl) dimethylammonio]-
2-hydroxy-1-propanesulfonate (CHAPSO)-containing buffer (Fig 5a)
which maintains the integrity of the intact γ -secretase complex4647
In contrast the detergent Triton X-100 (TX-100) dissociates the
γ -secretase complex48 In the presence of TX-100 β-arrestin 2 only
Input Bound Input Bound
IP Aph-1a
Input Bound
C o n t r
o l
β - a r r e s t i
n 2
IP
d
eIP β-arrestin 2
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
Nct
Ps1-NTF
Ps1-CTF
Aph-1a
β-arrestin 2
Nct
Aph-1a
β-arrestin 2
a
Nct
Input InputUnbound UnboundBound Bound
Ps1 Ps1 Aph-1a Aph-1aControl Control Control
IP Ps1-CTF IP Aph-1a
Control
Ps1-NTF
Ps1-CTF
Aph-1a
Pen 2
β-arrestin 2
Input Unbound Bound Input Unbound Bound
A ph -1 a A ph -1 aCon trol Con trol
IP Ps1-CTF IP Aph-1a
Ps1 Ps1Control Con trol
b
Nct
Ps1-NTF
Ps1-CTF
Aph-1a
Pen 2
β-arrestin 2
Input Bound
C o n t r
o l
β - a r r e s t i
n 2
IP
c
Nct
Ps1-NTF
Ps1-CTF
Aph-1a
β-arrestin 2
f
Input Bound Input Bound
IP Aph-1a IP β-arrestin 2
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
Nct
Aph-1a
β-arrestin 2
Figure 5 β-arrestin 2 interacts with the Aph-1a subunit of the γ -secretase complex (ab) Immunoprecipitation (IP) of cell lysates from the N2a
neuroblastoma cell line after extraction in 1 CHAPSO-containing (a) or 1 TX-100ndashcontaining (b) buffer with antibodies to Ps1-CTF (left) Aph-1a
(B803 right) or negative control antibodies and immunoblot analysis with the indicated antibodies to the γ -secretase complex subunits or β-arrestin 2
(cd) Immunoprecipitation of cell lysates from the N2a neuroblastoma cell line after extraction in 1 CHAPSO-containing (c) or 1 TX-100ndashcontaining
(d) buffer with β-arrestin 2ndashspecific or negative control antibodies and immunoblot analysis with the indicated antibodies to the γ -secretase complex
subunits or β-arrestin 2 (ef) Immunoprecipitation of cortical brain samples from WT Gpr3 minus minus and Arrb2 minus minus mice after extraction in 1 CHAPSO-
containing (e) or 1 TX-100ndashcontaining (f) buffer with antibodies to Aph-1a (B803 left) or β-arrestin 2 (right) and immunoblot analysis with the
indicated antibodies to the γ -secretase complex subunits or β-arrestin 2
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A R T I C L E S
48 VOLUME 19 | NUMBER 1 | JANUARY 2013 NATURE MEDICINE
coimmunoprecipitated with Aph-1a (Fig 5b) In the reciprocal
assay the interaction between β-arrestin 2 and the intact γ -secretase
complex was preserved in a CHAPSO-containing buffer (Fig 5c)
however β-arrestin 2 only coimmunoprecipitated with the Aph-1a
subunit (Fig 5d) in the presence of a TX-100 solubilization
buffer We confirmed this interaction in vivo showing that in the
presence of either CHAPSO (Fig 5e) or TX-100 detergent (Fig 5f )
β-arrestin 2 coimmunoprecipitated with the Aph-1a subunit of
the γ -secretase complex in extracts of cortical brain samples from WT
but not Gpr3minusminus or Arrb2minusminus mice Furthermore we observed colocali-
zation of β-arrestin and APH-1A after coexpression of β-arrestin 2and APH-1A in HeLa cells (Supplementary Fig 5) Collectively
these data suggest that expression of β-arrestin 2 regulates Aβ gen-
eration through interaction with the γ -secretase complex and redis-
tribution and accumulation of the active γ -secretase complex in
DRM domains
Genetic deletion of b-arrestin 2 reduces Ab generation
We then established the in vivo consequence of the absence of
β-arrestin 2 on Aβ generation in the APP PS1 transgenic mouse
model for Alzheimerrsquos disease This model coexpresses two familial
Alzheimerrsquos diseasendashlinked mutations APP with the KM670671NL
lsquoSwedishrsquo mutation and PS1 with the L166P mutation49 Both het-
erozygosity and complete genetic ablation of β-arrestin 2 expressionresulted in a marked reduction in Aβ40 and Aβ42 generation in the
hippocampus and cortex of 3-month-old APP PS1 Arrb2+minus and
APP PS1 Arrb2minusminus mice (Fig 6ab) with no effects on the expression
of NCT PS1 or APP-FL (Fig 6c) providing in vivo evidence for
the involvement of endogenous β-arrestin 2 in Aβ generation in an
Alzheimerrsquos disease mouse model
DISCUSSION
β-arrestins are scaffolding proteins that are intimately involved
in numerous aspects of GPCR signaling and regulation Here we
present evidence implicating this class of proteins in the regulation
of γ -secretase proteolytic activity and Aβ generation with potential
implications for the pathogenesis of Alzheimerrsquos disease β-arrestin 2
induces the redistribution of an inactive γ -secretase complex
toward a DRM-associated active γ -secretase pool through direct
interaction with Aph-1a We corroborated the overexpression studies
with several loss-of-function experiments that confirmed the overall
effects of β-arrestin 2 on γ -secretasendashmediated Aβ generation
Our data also suggest additional mechanisms including increased
APP-CTF turnover by which APP metabolism is affected byβ-arrestin 2 downregulation
This study provides insight into the mechanism of γ -secretase regu-
lation by GPR3 (ref 29) and β2-AR 30 two GPCRs that have previously
been implicated in the pathogenesis of Alzheimerrsquos disease Most nota-
bly we have determined that β-arrestins are aberrantly expressed in
the brain of individuals with Alzheimerrsquos disease and genetic deletion
of β-arrestin 2 reduces the accumulation of endogenous mouse Aβ
Furthermore in an Alzheimerrsquos disease mouse model we have shown
that β-arrestin 2 is also involved in Aβ generation which provides
evidence for the therapeutic potential of β-arrestins in Alzheimerrsquos
disease Ligands that show bias for either G proteinndashmediated
(G proteinndashbiased) or β-arrestinndashmediated (β-arrestinndashbiased) sig-
naling are being intensively investigated because they could selectively
promote beneficial signaling and even block or negate detrimental or
unwanted actions of receptor activation (for example side effects toxicity
or tolerance) Recently the GPCR M3-muscarinic receptorndashdependent
regulation of learning and memory has been shown to require receptor
phosphorylation and β-arrestin recruitment independent of G protein
signaling50 These data suggest that the development of biased ligands
could be beneficial for both learning and memory and potentially the
treatment of cognitive disorders such as Alzheimerrsquos disease
Arrb2minusminus mice develop normally in the absence of an apparent
Notch-deficiency phenotype Instead they show increased analge-
sia in response to morphine24 because of misregulated internali-
zation and desensitization of the micro-opioid receptor51 The current
study indicates that APP-CTF does not accumulate in APP PS1
Arrb2minusminus mice which has been suggested to occur after treatmentwith certain γ -secretase inhibitors37 Therefore a physiologically
relevant regulatory mechanism of the modulation of Aβ generation
by the γ -secretase potentially mediated through β-arrestin 2 could
be beneficial in preventing the adverse side effects associated with
direct γ -secretase inhibition such as interference with Notch signal-
ing52 or APP-CTF accumulation37 As it becomes increasingly evident
that presymptomatic andor very early symptomatic treatments are
necessary to prevent the onset of dementia the work here suggests
a previously unexplored avenue involving β-arrestin 2 inhibition for
therapeutic intervention and prevention in Alzheimerrsquos disease
METHODS
Methods and any associated references are available in the online version of the paper
Note Supplementary information is available in the online version of the paper
ACKNOWLEDGMENTSWe are grateful to RJ Lefkowitz and S Ahn (Duke University Medical CenterDurham North Carolina USA) for the generous gift of the β-arrestin 2 wild-typeand knockout mouse embryonic fibroblasts the Arrb1minusminus and Arrb2minusminus micethe β-arrestin 2ndashGFP-Flag cDNA and helpful discussion We thank M Jucker(University of Tuumlbingen Germany) for the gift of APP PS1 transgenic mice Wegreatly appreciate the kind gift of human control and Alzheimerrsquos disease brainsamples from K Bossers and DF Swaab (Netherlands Institute for NeuroscienceAmsterdam The Netherlands) and C Troakes (the London NeurodegenerativeDiseases Brain Bank London UK) We thank M Mercken (Johnson amp Johnson
15
a
10
05
H i p p
o c a m
p u s
C o r t e
x A β 4 0 n o r m a l i z e d v a l u e
( t o
A P P P S 1 A r r b b 2 + + )
+
H i p p
o c a m
p u s
C o r t e
x
APPPS1 Arrb2++
APPPS1 Arrb2+ndash
APPPS1 Arrb2ndashndash
b
15
10
05
A β 4 2 n o r m a l i z e d v a l u e
( t o
A P P P S 1 A r r b b 2 + + )
+
++
APPPS1 Arrb2++
APPPS1 Arrb2+ndash
APPPS1 Arrb2ndashndash
c
A P P P S
1 A r r b 2 + +
A P P P S
1 A r r b 2 + ndash
A P P P S
1 A r r b 2 ndash ndash
NCT
PS1-CTF
PS1-NTF
APP-FL
APP-CTF
β-actin
Figure 6 β-arrestin 2 contributes to Aβ generation in an Alzheimerrsquos
disease transgenic mouse model (ab) Hippocampal and cortical
concentrations of soluble Aβ40 (a) and Aβ42 (b) in 3-month-old APP PS1
transgenic mice crossed with wild-type Arrb2 ++ Arrb2 + minus or Arrb2 minus minus mice
determined by ELISA P lt 005 relative to Arrb2 ++ +P lt 001 relative
to Arrb2 ++ for hippocampal Aβ40 P lt 0001 relative to Arrb2 ++
P lt 00001 relative to Arrb2 ++ for cortical Aβ40 P lt 005 relative
to Arrb2 ++ +P lt 001 relative to Arrb2 ++ for hippocampal Aβ42
P lt 0005 relative to Arrb2 ++++P lt 0001 relative to Arrb2 ++ for
cortical Aβ42 by ANOVA and Dunnettrsquos post test n = 6 independent
female mice per cross Error bars sem (c) Immunoblot of the expression
of the γ -secretase complex components and APP in brain samples fromAPP PS1 Arrb2 ++ APP PS1 Arrb2 + minus and APP PS1 Arrb2 minus minus mice
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A R T I C L E S
NATURE MEDICINE VOLUME 19 | NUMBER 1 | JANUARY 2013 49
Pharmaceuticals Research and Development Beerse Belgium) for the antibodiesto Aβ We are grateful to Y Li (Memorial Sloan Kettering Cancer Center NewYork USA) for the k ind initial gift of JC-8 This work was supported by a MentoredNew Investigator Research grant from the Alzheimerrsquos Association to AT theFund for Scientific Research Flanders KU Leuven a Methusalem grant fromthe KU Leuven and the Flemish government and the Foundation for AlzheimerResearch (SAOFRMA) to BDS BDS is the Arthur Bax and Anna Vanluffelenchair for Alzheimerrsquos disease
AUTHOR CONTRIBUTIONSAT and BDS designed the experiments and wrote the manuscript AT KHAS EV and YH conducted the experiments MC conducted the qPCRexperiments GDK synthesized JC-8 SM conducted the immunofluorescence
image analysis
COMPETING FINANCIAL INTERESTSThe authors declare competing financial interests details are available in the online version of the paper
Published online at httpwwwnaturecomdoifinder101038nm3023
Reprints and permissions information is available online at httpwwwnaturecom
reprintsindexhtml
1 Ballatore C Lee VM amp Trojanowski JQ Tau-mediated neurodegeneration
in Alzheimerrsquos disease and related disorders Nat Rev Neurosci 8 663ndash672
(2007)2 Goumltz J Ittner A amp Ittner LM Tau-targeted treatment strategies in Alzheimerrsquos
disease Br J Pharmacol 165 1246ndash1259 (2012)
3 Holtzman DM Goate A Kelly J amp Sperling R Mapping the road forward in
Alzheimerrsquos disease Sci Transl Med 3 114ps148 (2011)
4 Golde TE Schneider LS amp Koo EH Anti-aβ therapeutics in Alzheimerrsquos disease
the need for a paradigm shift Neuron 69 203ndash213 (2011)
5 Karran E Mercken M amp De Strooper B The amyloid cascade hypothesis for
Alzheimerrsquos disease an appraisal for the development of therapeutics Nat Rev
Drug Discov 10 698ndash712 (2011)
6 Cramer PE et al ApoE-directed therapeutics rapidly clear β-amyloid and reverse
deficits in AD mouse models Science 335 1503ndash1506 (2012)
7 Selkoe DJ Resolving controversies on the path to Alzheimerrsquos therapeutics
Nat Med 17 1060ndash1065 (2011)
8 De Strooper B Aph-1 Pen-2 and Nicastrin with Presenilin generate an active
γ -Secretase complex Neuron 38 9ndash12 (2003)
9 Bertram L Lill CM amp Tanzi RE The genetics of Alzheimer disease back to
the future Neuron 68 270ndash281 (2010)
10 Bekris LM Yu CE Bird TD amp Tsuang DW Genetics of Alzheimer disease
J Geriatr Psychiatry Neurol 23 213ndash227 (2010)
11 Morris JC et al APOE predicts amyloid-β but not tau Alzheimer pathology in
cognitively normal aging Ann Neurol 67 122ndash131 (2010)
12 Fredriksson R amp Schioth HB The repertoire of G-proteinndashcoupled receptors in
fully sequenced genomes Mol Pharmacol 67 1414ndash1425 (2005)
13 Gudermann T Nurnberg B amp Schultz G Receptors and G proteins as primary
components of transmembrane signal transduction Part 1 G-proteinndashcoupled
receptors structure and function J Mol Med 73 51ndash63 (1995)
14 Watson SAS The G Protein-Coupled Receptor Factors Book (Academic San Diego
1994)
15 Vassilatis DK et al The G proteinndashcoupled receptor repertoires of human and
mouse Proc Natl Acad Sci USA 100 4903ndash4908 (2003)
16 Thathiah A amp De Strooper B The role of G proteinndashcoupled receptors in the
pathology of Alzheimerrsquos disease Nat Rev Neurosci 12 73ndash87 (2011)
17 DeWire SM Ahn S Lefkowitz RJ amp Shenoy SK β-arrestins and cell signaling
Annu Rev Physiol 69 483ndash510 (2007)
18 Whalen EJ Rajagopal S amp Lefkowitz RJ Therapeutic potential of β-arrestinndash
and G proteinndashbiased agonists Trends Mol Med 17 126ndash139 (2011)
19 Beaulieu JM et al An Akt β-arrestin 2PP2A signaling complex mediatesdopaminergic neurotransmission and behavior Cell 122 261ndash273 (2005)
20 Luan B et al Deficiency of a β-arrestinndash2 signal complex contributes to insulin
resistance Nature 457 1146ndash1149 (2009)
21 Beaulieu JM et al A β-arrestin 2 signaling complex mediates lithium action on
behavior Cell 132 125ndash136 (2008)
22 Shearman MS et al L-685458 an aspartyl protease transition state mimic is
a potent inhibitor of amyloid β-protein precursor γ -secretase activity Biochemistry 39
8698ndash8704 (2000)
23 Conner DA et al β-arrestin1 knockout mice appear normal but demonstrate
altered cardiac responses to β-adrenergic stimulation Circ Res 81 1021ndash1026
(1997)
24 Bohn LM et al Enhanced morphine analgesia in mice lacking β-arrestin 2 Science
286 2495ndash2498 (1999)
25 Ferguson SS et al Role of β-arrestin in mediating agonist-promoted G proteinndash
coupled receptor internalization Science 271 363ndash366 (1996)
26 Lohse MJ Lefkowitz RJ Caron MG amp Benovic JL Inhibition of β-adrenergic
receptor kinase prevents rapid homologous desensitization of β 2-adrenergic
receptors Proc Natl Acad Sci USA 86 3011ndash3015 (1989)
27 Ahn S Shenoy SK Wei H amp Lefkowitz RJ Differential kinetic and spatialpatterns of β-arrestin and G proteinndashmediated ERK activation by the angiotensin II
receptor J Biol Chem 279 35518ndash35525 (2004)
28 Luttrell LM et al β-arrestinndashdependent formation of β2 adrenergic receptor-Src
protein kinase complexes Science 283 655ndash661 (1999)
29 Thathiah A et al The orphan G proteinndashcoupled receptor 3 modulates amyloid-β
peptide generation in neurons Science 323 946ndash951 (2009)
30 Ni Y et al Activation of β2-adrenergic receptor stimulates γ -secretase activity and
accelerates amyloid plaque formation Nat Med 12 1390ndash1396 (2006)
31 Teng L Zhao J Wang F Ma L amp Pei GA GPCRsecretase complex regulates
β- and γ -secretase specificity for Aβ production and contributes to AD pathogenesis
Cell Res 20 138ndash153 (2010)
32 Olson KR amp Eglen RM β galactosidase complementation a cell-based
luminescent assay platform for drug discovery Assay Drug Dev Technol 5 137ndash144
(2007)
33 Gaacuteborik Z et al The role of a conserved region of the second intracellular loop in
AT1 angiotensin receptor activation and signaling Endocrinology 144 2220ndash2228
(2003)
34 Shenoy SK et al β-arrestinndashdependent G proteinndashindependent ERK12 activation
by the β2 adrenergic receptor J Biol Chem 281 1261ndash1273 (2006)35 Wei H et al Independent β-arrestin 2 and G proteinndashmediated pathways for
angiotensin II activation of extracellular signal-regulated kinases 1 and 2 Proc
Natl Acad Sci USA 100 10782ndash10787 (2003)
36 De Strooper B et al Deficiency of presenilin-1 inhibits the normal cleavage of
amyloid precursor protein Nature 391 387ndash390 (1998)
37 Mitani Y et al Differential effects between γ -secretase inhibitors and modulators
on cognitive function in amyloid precursor proteinndashtransgenic and nontransgenic
mice J Neurosci 32 2037ndash2050 (2012)
38 Chini B amp Parenti M G-protein coupled receptors in lipid rafts and caveolae
how when and why do they go there J Mol Endocrinol 32 325ndash338 (2004)
39 Vetrivel KS et al Association of γ -secretase with lipid rafts in post-Golgi and
endosome membranes J Biol Chem 279 44945ndash44954 (2004)
40 Wada S et al γ -secretase activity is present in rafts but is not cholesterol-
dependent Biochemistry 42 13977ndash13986 (2003)
41 Wahrle S et al Cholesterol-dependent γ -secretase activity in buoyant cholesterol-
rich membrane microdomains Neurobiol Dis 9 11ndash23 (2002)
42 Yagishita S Morishima-Kawashima M Ishiura S amp Ihara Y Aβ46 is processed
to Aβ40 and A
β43 but not to A
β42 in the low density membrane domains
J Biol Chem 283 733ndash738 (2008)
43 Chun J Yin YI Yang G Tarassishin L amp Li YM Stereoselective synthesis of
photoreactive peptidomimetic γ -secretase inhibitors J Org Chem 69 7344ndash7347
(2004)
44 Chau DM Crump CJ Villa JC Scheinberg DA amp Li YM Familial Alzheimer
disease presenilin-1 mutations alter the active site conformation of γ -secretase
J Biol Chem 287 17288ndash17296 (2012)
45 Vetrivel KS et al Spatial segregation of γ -secretase and substrates in distinct
membrane domains J Biol Chem 280 25892ndash25900 (2005)
46 Li YM et al Presenilin 1 is linked with γ -secretase activity in the detergent
solubilized state Proc Natl Acad Sci USA 97 6138ndash6143 (2000)
47 Esler WP et al Activity-dependent isolation of the presenilinndashγ -secretase complex
reveals nicastrin and a γ substrate Proc Natl Acad Sci USA 99 2720ndash2725
(2002)
48 Fraering PC et al Detergent-dependent dissociation of active γ -secretase reveals
an interaction between Pen-2 and PS1-NTF and offers a model for subunit
organization within the complex Biochemistry 43 323ndash333 (2004)
49 Radde R et al Aβ42-driven cerebral amyloidosis in transgenic mice reveals early
and robust pathology EMBO Rep 7 940ndash946 (2006)50 Poulin B et al The M3-muscarinic receptor regulates learning and memory in
a receptor phosphorylationarrestin-dependent manner Proc Natl Acad Sci USA
107 9440ndash9445 (2010)
51 Bohn LM Gainetdinov RR Lin FT Lefkowitz RJ amp Caron MG Mu-opioid
receptor desensitization by β-arrestinndash2 determines morphine tolerance but not
dependence Nature 408 720ndash723 (2000)
52 De Strooper B et al A presenilin-1ndashdependent γ -secretasendashlike protease mediates
release of Notch intracellular domain Nature 398 518ndash522 (1999)
892019 Thathiah 13 Gpr3 Arr2
httpslidepdfcomreaderfullthathiah-13-gpr3-arr2 89
NATURE MEDICINE doi101038nm3023
ONLINE METHODSReagents Unless otherwise indicated chemicals were purchased from
Sigma-Aldrich
Antibodies and compounds Rabbit polyclonal antibodies to human PS1-NTF
(B145 11000) mouse PS1-NTF (B192 15000) APH-1AL (B803 11000)
PEN 2 (B1262 11000) and the APP C terminus (B635 15000) and the
monoclonal antibody 9C3 (13000) directed against the C terminus of NCT
have been previously described and were generated in house5354 ADAM10was detected using a polyclonal antiserum (B421 11000) generated against
the 17 C-terminal amino acid residues of ADAM10 and was generated in house
Antibodies to the following were purchased Flag (M2 Sigma 11000) 22C11
(Chemicon 11000) 6E10 (Sigma-Aldrich 11000) β-secretase (D10E5
Cell Signaling 11000) PK (DiscoveRx 1500) β-arrestin (BD Biosciences
1500) β-arrestin 2 (Cell Signaling 1250) β-arrestin 12 (Santa Cruz 1500)
Myc (9E10 11000) PS1-NTF (MAB1563 Chemicon) PS1-CTF (MAB5232
Chemicon) hemagglutinin (HA) (3F10 Roche) caveolin-1 (Santa Cruz)
calnexin GM130 and EEA1 (Transduction lab) and β-actin (Sigma) L-685458
was purchased from Calbiochem
Plasmid construction The human GPR3 plasmid was purchased from
DiscoveRx All mutations in GPR3 were generated with the XL Site-Directed
Mutagenesis Kit (Stratagene) and confirmed by DNA sequence analysis The
β-arrestin 2ndashGFP-Flag plasmid was the kind gift of RJ Lefkowitz (DukeUniversity Medical Center Durham North Carolina USA)
Cell lines The CHO-K1 CHO-K1 GPR3 and CHO-K1 ADRB2 β-arrestin cell
lines were purchased from DiscoveRx The WT HEK293 N2a and HeLa cell
lines were purchased from American Type Culture Collection
Mice The Arrb1minusminus and Arrb2minusminus mice (C57BL6J background) were kindly
provided by RJ Lefkowitz (Duke University Medical Center Durham North
Carolina USA) Wild-type C57BL6J mice or littermate mice were used as
controls for all of the experiments The APP PS1 transgenic mice (C57BL6J
background) were the kind gift of M Jucker (University of Tuumlbingen Tuumlbingen
Germany)49 The APP PS1 transgenic mice were crossed with Arrb2+minus and
Arrb2minusminus mice to obtain APP PS1 Arrb2+minus and APP PS1 Arrb2minusminus mice
respectively Only female mice were used for the studies The mouse studies
were approved by ethical committees of Leuven University and UZ Leuven(LA1210231)
qPCR qPCR was performed with the SYBR Green PCR Master Mix (Exiqon)
and the LightCycler 480 Real-Time PCR System (Roche Applied Science)
following the manufacturerrsquos protocol The primers for human β-arrestin 1
used were 5prime-TGTTGAGGGAAGGTGCCAACCG-3prime and 5prime-GATGCAAGA
TCTCCCAACAGGCCG-3prime The primers for human β-arrestin 2 used were
5prime-CCTGTAGATGGCGTGGTGCTTG-3prime and 5prime-CCAGGTCTTCACGGCCA
TAGCG-3prime The housekeeping primers used were to hypoxanthine guanine
phosphoribosyl transferase (HPRT) (5prime-TGACACTGGCAAAACAATGCA-3prime
and 5prime-GGTCCTTTTCACCAGCAAGCT-3 prime) ribosomal protein L13a (RPL13A)
(5prime-CCTGGAGGAGAAGAGGAAAGAGA-3 prime and 5prime-TTGAGGACCTCTG
TGTATTTGTCAA-3prime) and β2 microglobulin (β2M) (5prime-TGCTGTCTCCA
TGTTTGATGTATC-3prime and 5prime-TCTCTGCTCCCCACCTCTAAGT-3prime)
Neuronal cultures Primary mouse cortical or hippocampal cultures were estab-
lished from the brains of embryonic day 14 or 17 fetal mice respectively as
previously described55 Briefly the dissected brain cortices or hippocampi were
suspended in HBSS supplemented with 025 trypsin and incubated at 37 degC
for 15 min The tissues were then transferred to HBSS supplemented with 10
(vv) horse serum and dissociated by repeated trituration The dispersed cells
were counted and plated on poly-983140-lysinendashcoated six-well cell culture plates
in Neurobasal medium supplemented with B27 (Invitrogen) Forty-eight to
72 h after plating the cells were transduced with the recombinant adenoviral
vectors for 24 h The infection medium was replaced with fresh Neurobasal
medium and cells were maintained in culture for an additional 24 h Cell culture
supernatants were collected centrifuged for 10 min at 800 g and used for ELISA
measurements Cells were harvested in 1times PBS containing complete protease
inhibitors (Roche) centrifuged at 800 g for 10 min and lysed in 150 mM NaCl
50 mM 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES) pH 74
and 1 TX-100 supplemented with complete protease inhibitors for 30 min at
4 degC After centrifugation at 16000 g for 15 min the cleared cell extracts were
separated on 4ndash12 Bis-Tris gels (Invitrogen) transferred to nitrocellulose
membranes blocked and probed with the indicated antibodies for western blot
analysis Immunodetection was performed using horseradish peroxidase (HRP)-
coupled secondary antibodies (Bio-Rad) and the chemiluminescent detectionreagent Renaissance (PerkinElmer Life Sciences)
Patient samples Frozen hippocampal and entorhinal cortex tissue samples
were obtained from the London Neurodegenerative Diseases Brain Bank These
samples were pathologically confirmed but not further categorized according
to Braak stage The second cohort of patient samples consisted of snap-frozen
human medial frontal gyrus brain samples obtained from the Netherlands Brain
Bank Amsterdam (NBB) For these samples individual neuropathological
reports including Braak staging for neurofibrillary changes (NFC) and neuritic
plaques56 and clinical reports were available For each of the six Braak stages
seven individuals were included Furthermore seven individuals without any
NFC pathology were included as Braak stage 0 Samples were matched as closely
as possible for sex age postmortem interval cerebrospinal fluid pH and APOE
genotype Only samples with a relatively high RNA integrity number (gt7) were
included Tissue dissection was performed as previously described57 Total RNAwas isolated from both the London and the Netherlands Brain Bank samples
using a combination of TRIzol-based and mirVana RNA isolation methods
Briefly samples were homogenized in ice-cold TRIzol (Life Technologies) After
phase separation by the addition of chloroform the aqueous phase was mixed
with an equal volume of 70 RNase-free ethanol Samples were then applied to
a mirVana filter cartridge (AmbionLife Technologies) and processed according
to the manufacturerrsquos instructions RNA yields and purities were determined
using a NanoDrop ND-1000 spectrophotometer (NanoDrop Technologies)
RNA integrity was determined by the RNA integrity number as measured by
the Agilent 2100 bioanalyzer (Agilent Technologies) All brain samples were col-
lected according to legislation and ethical boards of the respective Brain Banks
The human study was evaluated and approved by ethical committees of Leuven
University and UZ Leuven (ML5919)
Ab ELISA screen Ninety-six-well plates were coated and incubated overnightwith the capture antibodies previously described29 and detected using the HRP-
labeled detection antibodies29 Brains of the mice with the respective genotypes
of the ages indicated (plusmn2 weeks) were dissected after transcardial perfusion with
ice-cold PBS The hippocampus and the cerebral cortex were removed separately
and homogenized in Tissue Protein Extraction reagent (Pierce) supplemented
with complete protease inhibitor and phosphatase inhibitor tablets (Roche
Applied Science) The homogenized samples were briefly sonicated to shear the
DNA and centrifuged at 4 degC for 1 h at 100000 g The supernatant was used for
immunoblot analysis and Aβ ELISA measurements Alternately the Aβ peptides
were allowed to accumulate in the absence of serum in the culture supernatants
from HEK293 HEK293-APP695 CHO-K1 GPR3 β-arrestin or CHO-K1 ADRB2
β-arrestin cells and neuronal cultures for 16ndash18 h before Aβ40 and Aβ42 ELISA
analysis of the culture supernatant samples
siRNA-mediated knockdown experiments The CHO-K1 GPR3 β-arrestin
CHO-K1 ADRB2 β-arrestin or WT HEK293 cell lines were transfected with
siRNA directed against β-arrestin 1 or β-arrestin 2 or with control siRNA
using GeneSilencer (Genlantis) according to the manufacturerrsquos instruc-
tions as described27 Chemically synthesized double-stranded siRNAs with
19-nucleotide duplex RNA and 2-nucleotide 3prime-dTdT overhangs were pur-
chased from Qiagen The siRNA sequences targeting human β-arrestin 1
and β-arrestin 2 were 5prime-AAAGCCUUCUGCGCGGAGAAU-3 prime and 5prime-AAG
GACCGCAAAGUGUUUGUG-3prime corresponding to positions 439ndash459 and
148ndash168 relative to the start codon respectively A nonsilencing RNA duplex
(5prime-AAUUCUCCGAACGUGUCACGU-3 prime) was used as a control Briefly the
cells were seeded on six-well plates at a cell density of 250000 cells per well One
day after seeding the cells were transfected with the siRNAs Two days after
892019 Thathiah 13 Gpr3 Arr2
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NATURE MEDICINEdoi101038nm3023
seeding the cells were infected with an adenoviral vector expressing enhanced
GFP (eGFP) or APP-C99 On day 5 the medium was refreshed with serum-free
medium and the cells were allowed to accumulate Aβ peptides in the condi-
tioned medium for 16ndash18 h before analysis of the culture supernatant samples
with the ELISA described above
b-arrestin assay The CHO-K1 GPR 3 β-arrestin or CHO-K1 ADRB2 β-arrestin
cell lines were seeded on 96-well plates at a cell density of 20000 cells per well
One day after seeding cells were transfected with the siRNAs as described aboveTwo days after seeding the cells were infected with an adenoviral vector express-
ing eGFP or APP-C99 On day 5 the medium was refreshed with serum-free
medium and the cells were allowed to accumulate Aβ peptides in the condi-
tioned medium for 24 h before analysis with the PathHunter β-arrestin assay
from DiscoveRx according to the manufacturerrsquos protocol
Coimmunoprecipitation experiments N2a cells were seeded in 10-cm plates
at a density of 2000000 cells per dish Cell lysates were prepared 48 h after seed-
ing in PBS with 1 TX-100 or 1 CHAPSO and protease inhibitors (Complete
Protease Inhibitor Cocktail Tablets Roche) Cell lysates were precleared with
protein G sepharose for 1 h at 4 degC followed by centrifugation at 10000 g for
15 min Immunoprecipitations were conducted overnight at 4 degC using the
appropriate antibodies or a negative control antibody (9E10) The beads were
washed four times with PBS with 1 TX-100 or 1 CHAPSO and once with
PBS Proteins were eluted with 1times lithium dodecyl sulfate (LDS) loading bufferMicrosomal membranes were prepared from fresh or frozen postmortem mouse
cortical brain samples first by homogenization using a Teflon homogenizer in
05 M sucrose PKM buffer (100 mM potassium phosphate 5 mM MgCl2 and
3 mM KCl pH 65) followed by centrifugation for 10 min at 8000 rpm The
protein concentration was determined by the Bradford dye-binding procedure
(Bio-Rad) and the samples were centrifuged at 100000 g for 1 h The mem-
brane pellets were each solubilized with the addition of an equal volume of
buffer containing 2 CHAPSO (Pierce) and incubated on ice for 1 h After
centrifugation at 100000 g for 1 h the immunoprecipitation was performed as
previously described58
Endogenous cAMP assessment CHO-K1β-arrestin cells were transfected with
empty vector WT GPR3 or the GPR3 mutant cDNA constructs (X-tremeGENE
HP Roche) Forty-eight hours after transfection the culture medium was replaced
with serum-free DMEM and the cells were treated with 100 microM forskolinin the presence or absence of 25 microM IBMX a phosphodiesterase inhibitor for
30ndash45 min Intracellular cAMP levels were then measured in cells using a spe-
cific cAMP assay kit (RampD Systems) according to the manufacturerrsquos protocol
Subcellular fractionation WT HEK293 cells were rinsed twice with ice-cold 1times
PBS solubilized in 2-(N -morpholino)ethanesulfonic acid (MES) buffer (25 mM
MES pH 65 and 150 mM NaCl) containing 1 CHAPSO and supplemented
with a complete protease inhibitor cocktail Cells were lysed by sequential pas-
sage through 18-gauge (five times) and 26-gauge (ten times) needles and then
placed on ice for 1 h After the removal of insoluble material by centrifugation
at 15000 g for 15 min the lysates were adjusted to a 45 sucrose concentration
and transferred to ultracentrifugation tubes A discontinuous sucrose gradient
was prepared by layering 35 and 5 sucrose in MES buffer Samples were
centrifuged at 100000 g for 16ndash18 h Thirteen 960-microl fractions were collected
from the top of the gradient and used for western blot analysis
Photoaffinity probe and crosslinking JC-8 was synthesized according to a
previously described procedure43 Fractions 2ndash4 and 9ndash12 from the subcellular
fractionation experiments described above were combined and the crosslinking
studies were performed as previously described45
Structured illumination microscopy and immunofluorescence HeLa cells
were plated on glass coverslips and transfected with β-arrestin 2ndashGFP and APH-
1A Twenty-four hours after transfection the cells were fixed (4 paraformalde-
hyde 10 min) blocked (2 BSA 2 FBS and 1 gelatin in PBS supplemented
with 5 serum) incubated with primary antibody (4 degC overnight) washed
(PBS) incubated with fluorophore-conjugated secondary antibody (room tem-
perature 1 h) rinsed and mounted in Mowiol-containing medium The second-
ary antibodies were conjugated with the following fluorophores Alexa-546 and
-647 Images were captured with a structured illumination microscope (ElyraS1 (Carl Zeiss Jena Germany) equipped with a 63times oil objective lens and a
14 numerical aperture (NA) and an Andor iXon 885 EMCCD camera) that
is capable of revealing information beyond the diffraction barrier that limits
conventional widefield and confocal microscopes β-arrestin 2 and APH-1A
were imaged at resolutions of ~110 nm and ~134 nm respectively
Statistical analyses The data are presented as means plusmn sem The data were
analyzed using two-tailed Studentrsquos t tests ANOVA was performed with the
GraphPad Prism 5 software
53 Annaert WG et al Interaction with telencephalin and the amyloid precursor protein
predicts a ring structure for presenilins Neuron 32 579ndash589 (2001)
54 Esselens C et al Presenilin 1 mediates the turnover of telencephalin in hippocampal
neurons via an autophagic degradative pathway J Cell Biol 166 1041ndash1054
(2004)55 Cai H et al BACE1 is the major β-secretase for generation of Aβ peptides by
neurons Nat Neurosci 4 233ndash234 (2001)
56 Braak H amp Braak E Neuropathological stageing of Alzheimer-related changes
Acta Neuropathol 82 239ndash259 (1991)
57 Bossers K et al Concerted changes in transcripts in the prefrontal cortex precede
neuropathology in Alzheimerrsquos disease Brain 133 3699ndash3723 (2010)
58 Heacutebert SS et al Coordinated and widespread expression of γ -secretase in vivo
evidence for size and molecular heterogeneity Neurobiol Dis 17 260ndash272 (2004)
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NATURE MEDICINE VOLUME 19 | NUMBER 1 | JANUARY 2013 45
responses172728 Thus far two GPCRs have been associated with the
γ -secretasendashmediated processing of APP and Aβ generation GPR3
(ref 29) and the β2-adrenergic receptor (β2-AR)30 In addition the
δ-opioid receptor has been implicated in modulation of theβ-secretasendash
mediated and subsequent γ -secretasendashmediated proteolysis of APP31
All three GPCRs seem to modulate Aβ generation independently of
G protein signaling29ndash31 Consequently we hypothesized that the
β-arrestins could regulate Aβ generation through modulation of their
interaction with these specific GPCRs We used the CHO-K1 cell line
which stably expresses β-arrestin 2 and GPR3 to monitor the direct
interaction between β-arrestin 2 and GPR3 using the PathHunter
technology 32 (Supplementary Fig 2a) In this cell line silencing of
β-arrestin 2 expression (Supplementary Fig 2b) led to a reduction
in the release of Aβ40 and Aβ42 (Supplementary Fig 2c) We used
APP-C99 which is directly cleaved by the γ -secretase to yield Aβ40
and Aβ42 in these assays further demonstrating that the β-arrestin
2ndashmediated effect on Aβ generation is downstream of the α- and
β-secretases This result is similar to the previously described effects of
GPR3 on APP processing29 β2-AR has also been reported to modulate
γ -secretasendashmediated Aβ release30 Therefore we used the CHO-K1
cell line which stably expresses β-arrestin 2 and the β2-AR to perform
a similar series of experiments Silencing of β-arrestin 2 expression
in this cell line resulted in reduced interaction between β-arrestin 2
and the β2-AR after treatment with the β2-AR agonist isoproterenol as
monitored with the PathHunter assay (Supplementary Fig 2d) and
a reduction in Aβ generation (Supplementary Fig 2ef )
bAβ40
Aβ42
A r r b 2
+ +
A r r b 2
+ +
A r r b 2 + ndash
A r r b 2 + ndash
A r r b 2 ndash ndash
A r r b 2 ndash ndash
15
10
05
N
o r m a l i z e d v a l u e
c
NS
A β 4 0
( n g m l ndash 1 )
15
10
05
A r r b 2 + +
A r r b 2 ndash ndash
Ad-GFP
Ad-GPR3
d
NS A β 4 2
( n g m l ndash 1 )
03
02
01
A r r b 2 + +
A r r b 2
ndash ndash
Ad-GFP
Ad-GPR3
e
G F P
G P R 3
G F P
G P R 3
Nct
Ps1-CTF
Pen 2
App-FL
App-CTF
GPR3
β-actin
Arrb2++
Arrb2ndashndash
15
aAβ40
Aβ42
10
NS NS
05
A r r b 1 + +
A r r b 1 ndash ndash
A r r b 1 + +
A r r b 1 ndash ndash
N
o r m a l i z e d v a l u e
Figure 2 Endogenous Aβ generation is reduced in β-arrestin 2ndashdeficient mice (a) Amounts of Aβ40 and Aβ42 measured by ELISA in culture supernatant
samples from primary cortical neuronal cultures from wild-type Arrb1++ and Arrb1minus minus embryonic day 14 fetal mice Data are normalized to the amount
of Aβ secreted from the wild-type cultures (Arrb1++ or Arrb2 ++ respectively) NS not significant by unpaired Studentrsquos t test n = 19 Arrb1++
n = 20 Arrb1minus minus Error bars sem (b) Amounts of Aβ40 and Aβ42 measured in Arrb2 + minus and Arrb2 minus minus primary neuronal cultures P lt 005 P lt 001
by ANOVA and Dunnettrsquos post test n = 11 wild-type Arrb2 ++ n = 18 Arrb2 + minus n = 20 Arrb2 minus minus Error bars sem (cd) Endogenous release of Aβ40 (c)
and Aβ42 (d) measured in culture supernatant samples from primary cortical neuronal cultures transduced with Ad-GPR3 (red bars) or Ad-GFP control
(black bars) P lt 001 NS not significant by ANOVA and Dunnettrsquos post test n = 18 Arrb2 ++ n = 18 Arrb2 minus minus Error bars sem (e) Expression of
the γ -secretase complex components in primary cortical neuronal cultures App-FL and App-CTF determined by immunoblot analysis in the absence of
β-arrestin 2 or after transduction with GPR3
a
Extracellular
domain
Plasma
membrane
Intracellular
domain
15000
b
10000
R L U
5000
C 9 9 a l o
n e
W T
G P R 3
+ C 9 9
G P R 3
D R Y
+ C 9 9
10000
d
8000
R L U
4000
2000
6000
C 9 9 a l o n
e
W T
G P R 3
+ C 9 9
G P R 3
s e r i n e + C 9
9
e
C 9 9 a l o n
e
W T
G P R 3
+ C 9 9
G P R 3
s e r i n e + C 9
9
C 9 9 a l o n
e
W T
G P R 3
+ C 9 9
G P R 3
s e r i n e + C 9
9
25
20
15
A β g
e n e r a t i o n n o r m a l i z e d t o C 9 9
05
10
Aβ40
Aβ42
c
C 9 9 a l o n
e
W T
G P R 3
+ C 9 9
G P R 3
D R Y
+ C 9 9
C 9 9 a l o n
e
W T
G P R 3
+ C 9 9
G P R 3
D R Y
+ C 9 9
40
30
20
A β g
e n e r a t i o n n o r m a l i z e d t o C 9 9
10
Aβ40
Aβ42
Figure 3 The C-terminal domain of GPR3 modulates the interaction with β-arrestin 2 and Aβ generation (a) Schematic representation of GPR3
The single-letter amino acid residue codes are used The DRY putative binding site for G proteins is indicated in red and was mutated to AAY (GPR3
DRYAAY mutant) Putative phosphorylation sites for G protein-coupled receptor kinases (GRKs) in the cytoplasmic tail are indicated in red These
serine residues were mutated to alanine to obtain the GPR3 serine mutant that does not interact with β-arrestin 2 (b) Interaction of WT GPR3 and the
GPR3 DRYAAY mutant (GPR3 DRY) with β-arrestin 2 in the CHO-K1 β-arrestin 2 cell line measured with the PathHunter assay as relative light units
(RLU) (c) Generation of Aβ40 (black bars) and Aβ42 (red bars) measured by ELISA in CHO-K1 β-arrestin 2 cells that express APP-C99 (C99) alone
WT GPR3 + APP-C99 or the GPR3 DRYAAY mutant + APP-C99 (d) Interaction of WT GPR3 and the GPR3 serine mutant with β-arrestin 2 in the
CHO-K1 β-arrestin 2 cell line measured with the PathHunter assay (e) Generation of Aβ40 (black bars) and Aβ42 (red bars) measured by ELISA in
CHO-K1 β-arrestin 2 cells that express APP-C99 alone WT GPR3 + APP-C99 or the GPR3 serine mutant + APP-C99 P lt 005 P lt 001
P lt 0001 by ANOVA and Dunnettrsquos post test Data are the mean plusmn sem of four to six independent experiments performed in triplicate
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46 VOLUME 19 | NUMBER 1 | JANUARY 2013 NATURE MEDICINE
To genetically establish the requirement of β-arrestin 2 for the
modulation of Aβ generation by GPR3 we transduced wild-type
Arrb2++ and Arrb2minusminus neuronal cultures with a GPR3 adenoviral
vector (Ad-GPR3) Notably expression of Ad-GPR3 in the Arrb2minusminus
neuronal cultures failed to increase Aβ generation in contrast to the
elevation in Aβ generation observed in Arrb2++ neuronal cultures
(Fig 2cd) After GPR3 transduction GPR3 expression was equiva-
lent in the Arrb2++ and Arrb2minusminus neuronal cultures and expression
of the γ -secretase complex components and APP was unaffected by
the absence of β-arrestin 2 or transduction with GPR3 (Fig 2e)
Consistent with our previous work 29
overexpression of GPR3 resultedin a modest decrease in the amount of APP-CTF whereas deficiency
of Arrb2 tended to increase accumulation of APP-CTF (Fig 2e)
The C terminus of GPR3 is required for enhanced Ab generation
We further investigated the mechanism of the β-arrestin 2ndashmediated
effect on Aβ generation and γ -secretase activation by generating
mutations in GPR3 that alter either G protein activation or β-arrestin
recruitment29 Alanine substitution of the first two amino acids of
a conserved motif in the second intracellular loop of GPR3 (the
AspArgTyr (DRY) motif mutated to AlaAlaTyr (AAY) termed here
the GPR3 DRYAAY mutant) renders a GPCR incapable of activating
G proteins while retaining its ability to activateβ-arrestinndashmediated
cellular responses33ndash35 (Fig 3a) The GPR3 DRYAAY mutant did
not activate G protein signaling as measured by reduced intracel-
lular cyclic AMP (cAMP) generation (Supplementary Fig 3) The
expression and cellular distribution of the GPR3 DRYAAY mutant
were similar to those of wild-type (WT) GPR3 (data not shown)
establishing the involvement of this conserved motif in the activation
of GPR3 Notably mutation of the DRY motif also led to an increase
in β-arrestin 2 recruitment to GPR3 (Fig 3b) and release of Aβ40
and Aβ42 (Fig 3c)
We then mutated conserved serine residues in the C terminus of
GPR3 which could serve as putative binding sites for β-arrestin 2(Fig 3a) The GPR3 serine mutant was defective in its ability to inter-
act with β-arrestin 2 as measured with the PathHunter complementa-
tion assay (Fig 3d) The expression and cellular distribution of the
GPR3 serine mutant and WT GPR3 were similar (data not shown)
Mutation of these serine residues also resulted in a reduction in
the generation of Aβ40 and Aβ42 (Fig 3e) providing validation that
β-arrestin 2 recruitment to GPR3 is required for Aβ generation
Localization of b-arrestin 2 and the g-secretase complex in DRMs
The experiments described above indicate that the effect of β-arrestin 2
on Aβ generation is downstream of cleavage of APP by the α- and
β-secretases Previous observations also indicated that both GPR3
Vehiclea
U n t r a
n s f e c t e d
N o n s i l e
n c i n
g
β - a r r e s t i n
1
β - a r r e s t i n
2
U n t r a
n s f e c t e d
N o n s i l e
n c i n
g
β - a r r e s t i n
1
β - a r r e s t i n
2
Lactacystin
NCT
PS1-NTF
PS1-CTF
PEN 2
APP-FL
APP-CTF
β-actin
cVehicle
Arrb2++
Arrb2ndashndash
Arrb2++
Arrb2ndashndash
Lactacystin
Nct
Ps1-NTF
Ps1-CTF
Pen 2
App-FL
App-CTF
β-actin
b
N o n s i l e
n c i n
g s i R
N A
β - a r r e s t i n
1 s i R N A
β - a r r e s t i n
2 s i R N A
20
15
10
05
A P P - C T F a c c u m u l a t i o n
( n o r m
a l i z e d t o n o n s i l e n c i n g s i R N A )
NS
d
A r r b 2 + +
A r r b 2 ndash
ndash
20
15
10
05
A P P - C T F a c c u m u l a t i o n
( n o r m a l i z e d t o A r r b 2 + + )
h
N o r m a l i z e d i n t e n s i t y
( t o v e c t o r )
4
3
JC-8
JC-8 + X
2
1
V e c t
o r
β
- a r r e
s t i n
2
f25
20
Vector
β-arrestin 2
15
10
N o
r m a l i z e d i n t e n s i t y ( t o v e c t o r )
05
N C T
P S 1 -
C T F
A P H
- 1 A
P E N
2
e Vector
Fractions
β-arrestin 2
NCT
β-arrestin 2
PS1-NTF
PS1-CTF
APH-1A
PEN 2
Caveolin-1
GM130
EEA1
1 2 3 4 5 6 7 8 9 1 0 1 1 1 2 1 3 1 2 3 4 5 6 7 8 9 1 0 1 1 1 2 1 3
g Input
Raft
Non-raft
Vector β-arrestin 2
V e c t o r
β - a r r e s t i n 2
J C - 8
J C - 8 + X
J C - 8
J C - 8 + X
PS1-CTF
PS1-CTF
Figure 4 β-arrestin 2 and the active γ -secretase complex are enriched in DRMs (a) Immunoblot analysis of the γ -secretase complex and APP-FL
in HEK293-APP695 cells after silencing β-arrestin 1 or 2 treatment with lactacystin or both (b) Quantification of APP-CTF accumulation after
lactacystin treatment normalized to nonsilencing siRNA n = 3 independent experiments performed in triplicate (c) Immunoblot analysis of the
γ -secretase complex and App-FL in mouse neuronal cultures after treatment with vehicle or lactacystin (d) Quantification of APP-CTF accumulation
after lactacystin treatment normalized to Arrb2 ++ neuronal cultures n = 3 independent experiments with four to six brain cultures per experiment
(e) Sucrose gradient fractionation of HEK293 cells transfected with empty vector or β-arrestin 2ndashGFP complementary DNA (cDNA) Equivalent volumes
were assessed by immunoblot using antibodies that recognize γ -secretase complex subunits β-arrestin 2 or the organelle-specific markers GM130
(cis -Golgi) EEA1 (early endosomes) and Caveolin-1 (caveolae) ( f) Quantification of the expression of the γ -secretase complex subunits in pooled
fractions 3 and 4 from HEK293 cells transfected with empty vector or β-arrestin 2ndashGFP cDNA normalized to Caveolin 1 expression n = 4ndash6
independent experiments (g) Immunoblot analysis using a PS1-CTFndashspecific antibody of pooled raft and non-raft fractions incubated with JC-8
or JC-8 + L-685458 (JC-8 + X) followed by photoaffinity crosslinking (h) Quantification of the expression of the PS1-CTF in the raft and non-raft
fractions normalized to input n = 3 independent experiments P lt 005 P lt 001 P lt 0001 NS not significant by ANOVA and the Dunnettrsquospost test Error bars sem
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A R T I C L E S
NATURE MEDICINE VOLUME 19 | NUMBER 1 | JANUARY 2013 47
andβ2-AR affect γ -secretasendashmediated proteolysis of APP2930 Classic
inhibition of γ -secretase activity 36 leads to accumulation of APP-CTF
however genetic silencing of β-arrestin 2 leads to only a limited or
barely observable accumulation of APP-CTF (Figs 1i and 4) Todetermine whether β-arrestin 2 affects turnover of the APP-CTF
we treated HEK293-APP695 cells (after silencing β-arrestin 2) and
Arrb2minusminus neuronal cultures with the proteasome inhibitor lactacystin
and found an accumulation of the APP-CTF under these conditions
(Fig 4andashd) suggesting that downregulation of β-arrestin 2 leads not
only to inhibition of γ -secretase activity but also to increased APP-
CTF turnover through the proteasome Given the complexity of the
signaling pathways modulated by the β-arrestins an effect on Aβ
generation at multiple levels is not surprising Nevertheless from a
therapeutic point of view stimulation of APP-CTF turnover could
be advantageous given that accumulation of the APP-CTF correlates
with cognitive deficits in mice37
Previous studies indicated that GPCRs the γ -secretase complexand Aβ generation are localized in DRMs2938ndash42 Therefore we
assessed the distribution of the γ -secretase complex subunits and
β-arrestin 2 in lipid raft and nonndashlipid raft domains by differential
flotation after sucrose density gradient centrifugation The γ -secretase
complex subunits co-distributed in low-density fractions 3 and 4
Notably GPR3 (ref 29) and β-arrestin 2 also accumulated in
DRMs (Fig 4e) Moreover overexpression of β-arrestin 2 (Fig 4ef )
led to an enrichment of the γ -secretase subunits NCT PS1-CTF
APH-1A and PEN 2 in the detergent-resistant buoyant fractions
(Fig 4f ) In contrast silencing of β-arrestin 2 led to an appreciable
decrease in the distribution of the γ -secretase complex in DRMs
(Supplementary Fig 4ab)
We then determined whether increased localization of the indi-
vidual γ -secretase subunits in DRMs also coincided with the presence
of a more active γ -secretase complex in DRMs JC-8 is a photoreactive
biotinylated derivative of the highly specific and potent transition-state analog inhibitor L-685458 (ref 43) that only binds the cata-
lytically active γ -secretase complex44 We combined DRM fractions
2ndash4 and the nonndashlipid raft fractions (pooled fractions 9ndash12) from
empty vectorndashtransfected control and β-arrestin 2ndashtransfected cells
We normalized the fractions for γ -secretase expression and incubated
these fractions with JC-8 We used unlabeled L-685458 as a control
to compete with the biotinylated inhibitor and photoactivation to
crosslink the biotinylated inhibitor to the active γ -secretase complex45
Subsequent recovery of the biotinylated polypeptides revealed that the
photoprobe readily labeled the PS1-CTF in the lipid raft DRM frac-
tions (Fig 4g ) We were not able to detect labeling in the nonndashlipid
raft fractions (Fig 4g ) Overexpression of β-arrestin 2 resulted in a
twofold to threefold increase of the active γ -secretase complex poolin the DRMs (Fig 4h)
b-arrestin 2 interacts with the Aph-1a g-secretase subunit
To determine whether β-arrestin 2 physically associates with
the γ -secretase complex we performed coimmunoprecipitation exper-
iments in untransfected N2a neuroblastoma cells The γ -secretase
subunits Nct Ps1 Aph-1a and Pen 2 coimmunoprecipitated with
β-arrestin 2 in a 3-[(3-cholamidopropyl) dimethylammonio]-
2-hydroxy-1-propanesulfonate (CHAPSO)-containing buffer (Fig 5a)
which maintains the integrity of the intact γ -secretase complex4647
In contrast the detergent Triton X-100 (TX-100) dissociates the
γ -secretase complex48 In the presence of TX-100 β-arrestin 2 only
Input Bound Input Bound
IP Aph-1a
Input Bound
C o n t r
o l
β - a r r e s t i
n 2
IP
d
eIP β-arrestin 2
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
Nct
Ps1-NTF
Ps1-CTF
Aph-1a
β-arrestin 2
Nct
Aph-1a
β-arrestin 2
a
Nct
Input InputUnbound UnboundBound Bound
Ps1 Ps1 Aph-1a Aph-1aControl Control Control
IP Ps1-CTF IP Aph-1a
Control
Ps1-NTF
Ps1-CTF
Aph-1a
Pen 2
β-arrestin 2
Input Unbound Bound Input Unbound Bound
A ph -1 a A ph -1 aCon trol Con trol
IP Ps1-CTF IP Aph-1a
Ps1 Ps1Control Con trol
b
Nct
Ps1-NTF
Ps1-CTF
Aph-1a
Pen 2
β-arrestin 2
Input Bound
C o n t r
o l
β - a r r e s t i
n 2
IP
c
Nct
Ps1-NTF
Ps1-CTF
Aph-1a
β-arrestin 2
f
Input Bound Input Bound
IP Aph-1a IP β-arrestin 2
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
Nct
Aph-1a
β-arrestin 2
Figure 5 β-arrestin 2 interacts with the Aph-1a subunit of the γ -secretase complex (ab) Immunoprecipitation (IP) of cell lysates from the N2a
neuroblastoma cell line after extraction in 1 CHAPSO-containing (a) or 1 TX-100ndashcontaining (b) buffer with antibodies to Ps1-CTF (left) Aph-1a
(B803 right) or negative control antibodies and immunoblot analysis with the indicated antibodies to the γ -secretase complex subunits or β-arrestin 2
(cd) Immunoprecipitation of cell lysates from the N2a neuroblastoma cell line after extraction in 1 CHAPSO-containing (c) or 1 TX-100ndashcontaining
(d) buffer with β-arrestin 2ndashspecific or negative control antibodies and immunoblot analysis with the indicated antibodies to the γ -secretase complex
subunits or β-arrestin 2 (ef) Immunoprecipitation of cortical brain samples from WT Gpr3 minus minus and Arrb2 minus minus mice after extraction in 1 CHAPSO-
containing (e) or 1 TX-100ndashcontaining (f) buffer with antibodies to Aph-1a (B803 left) or β-arrestin 2 (right) and immunoblot analysis with the
indicated antibodies to the γ -secretase complex subunits or β-arrestin 2
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A R T I C L E S
48 VOLUME 19 | NUMBER 1 | JANUARY 2013 NATURE MEDICINE
coimmunoprecipitated with Aph-1a (Fig 5b) In the reciprocal
assay the interaction between β-arrestin 2 and the intact γ -secretase
complex was preserved in a CHAPSO-containing buffer (Fig 5c)
however β-arrestin 2 only coimmunoprecipitated with the Aph-1a
subunit (Fig 5d) in the presence of a TX-100 solubilization
buffer We confirmed this interaction in vivo showing that in the
presence of either CHAPSO (Fig 5e) or TX-100 detergent (Fig 5f )
β-arrestin 2 coimmunoprecipitated with the Aph-1a subunit of
the γ -secretase complex in extracts of cortical brain samples from WT
but not Gpr3minusminus or Arrb2minusminus mice Furthermore we observed colocali-
zation of β-arrestin and APH-1A after coexpression of β-arrestin 2and APH-1A in HeLa cells (Supplementary Fig 5) Collectively
these data suggest that expression of β-arrestin 2 regulates Aβ gen-
eration through interaction with the γ -secretase complex and redis-
tribution and accumulation of the active γ -secretase complex in
DRM domains
Genetic deletion of b-arrestin 2 reduces Ab generation
We then established the in vivo consequence of the absence of
β-arrestin 2 on Aβ generation in the APP PS1 transgenic mouse
model for Alzheimerrsquos disease This model coexpresses two familial
Alzheimerrsquos diseasendashlinked mutations APP with the KM670671NL
lsquoSwedishrsquo mutation and PS1 with the L166P mutation49 Both het-
erozygosity and complete genetic ablation of β-arrestin 2 expressionresulted in a marked reduction in Aβ40 and Aβ42 generation in the
hippocampus and cortex of 3-month-old APP PS1 Arrb2+minus and
APP PS1 Arrb2minusminus mice (Fig 6ab) with no effects on the expression
of NCT PS1 or APP-FL (Fig 6c) providing in vivo evidence for
the involvement of endogenous β-arrestin 2 in Aβ generation in an
Alzheimerrsquos disease mouse model
DISCUSSION
β-arrestins are scaffolding proteins that are intimately involved
in numerous aspects of GPCR signaling and regulation Here we
present evidence implicating this class of proteins in the regulation
of γ -secretase proteolytic activity and Aβ generation with potential
implications for the pathogenesis of Alzheimerrsquos disease β-arrestin 2
induces the redistribution of an inactive γ -secretase complex
toward a DRM-associated active γ -secretase pool through direct
interaction with Aph-1a We corroborated the overexpression studies
with several loss-of-function experiments that confirmed the overall
effects of β-arrestin 2 on γ -secretasendashmediated Aβ generation
Our data also suggest additional mechanisms including increased
APP-CTF turnover by which APP metabolism is affected byβ-arrestin 2 downregulation
This study provides insight into the mechanism of γ -secretase regu-
lation by GPR3 (ref 29) and β2-AR 30 two GPCRs that have previously
been implicated in the pathogenesis of Alzheimerrsquos disease Most nota-
bly we have determined that β-arrestins are aberrantly expressed in
the brain of individuals with Alzheimerrsquos disease and genetic deletion
of β-arrestin 2 reduces the accumulation of endogenous mouse Aβ
Furthermore in an Alzheimerrsquos disease mouse model we have shown
that β-arrestin 2 is also involved in Aβ generation which provides
evidence for the therapeutic potential of β-arrestins in Alzheimerrsquos
disease Ligands that show bias for either G proteinndashmediated
(G proteinndashbiased) or β-arrestinndashmediated (β-arrestinndashbiased) sig-
naling are being intensively investigated because they could selectively
promote beneficial signaling and even block or negate detrimental or
unwanted actions of receptor activation (for example side effects toxicity
or tolerance) Recently the GPCR M3-muscarinic receptorndashdependent
regulation of learning and memory has been shown to require receptor
phosphorylation and β-arrestin recruitment independent of G protein
signaling50 These data suggest that the development of biased ligands
could be beneficial for both learning and memory and potentially the
treatment of cognitive disorders such as Alzheimerrsquos disease
Arrb2minusminus mice develop normally in the absence of an apparent
Notch-deficiency phenotype Instead they show increased analge-
sia in response to morphine24 because of misregulated internali-
zation and desensitization of the micro-opioid receptor51 The current
study indicates that APP-CTF does not accumulate in APP PS1
Arrb2minusminus mice which has been suggested to occur after treatmentwith certain γ -secretase inhibitors37 Therefore a physiologically
relevant regulatory mechanism of the modulation of Aβ generation
by the γ -secretase potentially mediated through β-arrestin 2 could
be beneficial in preventing the adverse side effects associated with
direct γ -secretase inhibition such as interference with Notch signal-
ing52 or APP-CTF accumulation37 As it becomes increasingly evident
that presymptomatic andor very early symptomatic treatments are
necessary to prevent the onset of dementia the work here suggests
a previously unexplored avenue involving β-arrestin 2 inhibition for
therapeutic intervention and prevention in Alzheimerrsquos disease
METHODS
Methods and any associated references are available in the online version of the paper
Note Supplementary information is available in the online version of the paper
ACKNOWLEDGMENTSWe are grateful to RJ Lefkowitz and S Ahn (Duke University Medical CenterDurham North Carolina USA) for the generous gift of the β-arrestin 2 wild-typeand knockout mouse embryonic fibroblasts the Arrb1minusminus and Arrb2minusminus micethe β-arrestin 2ndashGFP-Flag cDNA and helpful discussion We thank M Jucker(University of Tuumlbingen Germany) for the gift of APP PS1 transgenic mice Wegreatly appreciate the kind gift of human control and Alzheimerrsquos disease brainsamples from K Bossers and DF Swaab (Netherlands Institute for NeuroscienceAmsterdam The Netherlands) and C Troakes (the London NeurodegenerativeDiseases Brain Bank London UK) We thank M Mercken (Johnson amp Johnson
15
a
10
05
H i p p
o c a m
p u s
C o r t e
x A β 4 0 n o r m a l i z e d v a l u e
( t o
A P P P S 1 A r r b b 2 + + )
+
H i p p
o c a m
p u s
C o r t e
x
APPPS1 Arrb2++
APPPS1 Arrb2+ndash
APPPS1 Arrb2ndashndash
b
15
10
05
A β 4 2 n o r m a l i z e d v a l u e
( t o
A P P P S 1 A r r b b 2 + + )
+
++
APPPS1 Arrb2++
APPPS1 Arrb2+ndash
APPPS1 Arrb2ndashndash
c
A P P P S
1 A r r b 2 + +
A P P P S
1 A r r b 2 + ndash
A P P P S
1 A r r b 2 ndash ndash
NCT
PS1-CTF
PS1-NTF
APP-FL
APP-CTF
β-actin
Figure 6 β-arrestin 2 contributes to Aβ generation in an Alzheimerrsquos
disease transgenic mouse model (ab) Hippocampal and cortical
concentrations of soluble Aβ40 (a) and Aβ42 (b) in 3-month-old APP PS1
transgenic mice crossed with wild-type Arrb2 ++ Arrb2 + minus or Arrb2 minus minus mice
determined by ELISA P lt 005 relative to Arrb2 ++ +P lt 001 relative
to Arrb2 ++ for hippocampal Aβ40 P lt 0001 relative to Arrb2 ++
P lt 00001 relative to Arrb2 ++ for cortical Aβ40 P lt 005 relative
to Arrb2 ++ +P lt 001 relative to Arrb2 ++ for hippocampal Aβ42
P lt 0005 relative to Arrb2 ++++P lt 0001 relative to Arrb2 ++ for
cortical Aβ42 by ANOVA and Dunnettrsquos post test n = 6 independent
female mice per cross Error bars sem (c) Immunoblot of the expression
of the γ -secretase complex components and APP in brain samples fromAPP PS1 Arrb2 ++ APP PS1 Arrb2 + minus and APP PS1 Arrb2 minus minus mice
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A R T I C L E S
NATURE MEDICINE VOLUME 19 | NUMBER 1 | JANUARY 2013 49
Pharmaceuticals Research and Development Beerse Belgium) for the antibodiesto Aβ We are grateful to Y Li (Memorial Sloan Kettering Cancer Center NewYork USA) for the k ind initial gift of JC-8 This work was supported by a MentoredNew Investigator Research grant from the Alzheimerrsquos Association to AT theFund for Scientific Research Flanders KU Leuven a Methusalem grant fromthe KU Leuven and the Flemish government and the Foundation for AlzheimerResearch (SAOFRMA) to BDS BDS is the Arthur Bax and Anna Vanluffelenchair for Alzheimerrsquos disease
AUTHOR CONTRIBUTIONSAT and BDS designed the experiments and wrote the manuscript AT KHAS EV and YH conducted the experiments MC conducted the qPCRexperiments GDK synthesized JC-8 SM conducted the immunofluorescence
image analysis
COMPETING FINANCIAL INTERESTSThe authors declare competing financial interests details are available in the online version of the paper
Published online at httpwwwnaturecomdoifinder101038nm3023
Reprints and permissions information is available online at httpwwwnaturecom
reprintsindexhtml
1 Ballatore C Lee VM amp Trojanowski JQ Tau-mediated neurodegeneration
in Alzheimerrsquos disease and related disorders Nat Rev Neurosci 8 663ndash672
(2007)2 Goumltz J Ittner A amp Ittner LM Tau-targeted treatment strategies in Alzheimerrsquos
disease Br J Pharmacol 165 1246ndash1259 (2012)
3 Holtzman DM Goate A Kelly J amp Sperling R Mapping the road forward in
Alzheimerrsquos disease Sci Transl Med 3 114ps148 (2011)
4 Golde TE Schneider LS amp Koo EH Anti-aβ therapeutics in Alzheimerrsquos disease
the need for a paradigm shift Neuron 69 203ndash213 (2011)
5 Karran E Mercken M amp De Strooper B The amyloid cascade hypothesis for
Alzheimerrsquos disease an appraisal for the development of therapeutics Nat Rev
Drug Discov 10 698ndash712 (2011)
6 Cramer PE et al ApoE-directed therapeutics rapidly clear β-amyloid and reverse
deficits in AD mouse models Science 335 1503ndash1506 (2012)
7 Selkoe DJ Resolving controversies on the path to Alzheimerrsquos therapeutics
Nat Med 17 1060ndash1065 (2011)
8 De Strooper B Aph-1 Pen-2 and Nicastrin with Presenilin generate an active
γ -Secretase complex Neuron 38 9ndash12 (2003)
9 Bertram L Lill CM amp Tanzi RE The genetics of Alzheimer disease back to
the future Neuron 68 270ndash281 (2010)
10 Bekris LM Yu CE Bird TD amp Tsuang DW Genetics of Alzheimer disease
J Geriatr Psychiatry Neurol 23 213ndash227 (2010)
11 Morris JC et al APOE predicts amyloid-β but not tau Alzheimer pathology in
cognitively normal aging Ann Neurol 67 122ndash131 (2010)
12 Fredriksson R amp Schioth HB The repertoire of G-proteinndashcoupled receptors in
fully sequenced genomes Mol Pharmacol 67 1414ndash1425 (2005)
13 Gudermann T Nurnberg B amp Schultz G Receptors and G proteins as primary
components of transmembrane signal transduction Part 1 G-proteinndashcoupled
receptors structure and function J Mol Med 73 51ndash63 (1995)
14 Watson SAS The G Protein-Coupled Receptor Factors Book (Academic San Diego
1994)
15 Vassilatis DK et al The G proteinndashcoupled receptor repertoires of human and
mouse Proc Natl Acad Sci USA 100 4903ndash4908 (2003)
16 Thathiah A amp De Strooper B The role of G proteinndashcoupled receptors in the
pathology of Alzheimerrsquos disease Nat Rev Neurosci 12 73ndash87 (2011)
17 DeWire SM Ahn S Lefkowitz RJ amp Shenoy SK β-arrestins and cell signaling
Annu Rev Physiol 69 483ndash510 (2007)
18 Whalen EJ Rajagopal S amp Lefkowitz RJ Therapeutic potential of β-arrestinndash
and G proteinndashbiased agonists Trends Mol Med 17 126ndash139 (2011)
19 Beaulieu JM et al An Akt β-arrestin 2PP2A signaling complex mediatesdopaminergic neurotransmission and behavior Cell 122 261ndash273 (2005)
20 Luan B et al Deficiency of a β-arrestinndash2 signal complex contributes to insulin
resistance Nature 457 1146ndash1149 (2009)
21 Beaulieu JM et al A β-arrestin 2 signaling complex mediates lithium action on
behavior Cell 132 125ndash136 (2008)
22 Shearman MS et al L-685458 an aspartyl protease transition state mimic is
a potent inhibitor of amyloid β-protein precursor γ -secretase activity Biochemistry 39
8698ndash8704 (2000)
23 Conner DA et al β-arrestin1 knockout mice appear normal but demonstrate
altered cardiac responses to β-adrenergic stimulation Circ Res 81 1021ndash1026
(1997)
24 Bohn LM et al Enhanced morphine analgesia in mice lacking β-arrestin 2 Science
286 2495ndash2498 (1999)
25 Ferguson SS et al Role of β-arrestin in mediating agonist-promoted G proteinndash
coupled receptor internalization Science 271 363ndash366 (1996)
26 Lohse MJ Lefkowitz RJ Caron MG amp Benovic JL Inhibition of β-adrenergic
receptor kinase prevents rapid homologous desensitization of β 2-adrenergic
receptors Proc Natl Acad Sci USA 86 3011ndash3015 (1989)
27 Ahn S Shenoy SK Wei H amp Lefkowitz RJ Differential kinetic and spatialpatterns of β-arrestin and G proteinndashmediated ERK activation by the angiotensin II
receptor J Biol Chem 279 35518ndash35525 (2004)
28 Luttrell LM et al β-arrestinndashdependent formation of β2 adrenergic receptor-Src
protein kinase complexes Science 283 655ndash661 (1999)
29 Thathiah A et al The orphan G proteinndashcoupled receptor 3 modulates amyloid-β
peptide generation in neurons Science 323 946ndash951 (2009)
30 Ni Y et al Activation of β2-adrenergic receptor stimulates γ -secretase activity and
accelerates amyloid plaque formation Nat Med 12 1390ndash1396 (2006)
31 Teng L Zhao J Wang F Ma L amp Pei GA GPCRsecretase complex regulates
β- and γ -secretase specificity for Aβ production and contributes to AD pathogenesis
Cell Res 20 138ndash153 (2010)
32 Olson KR amp Eglen RM β galactosidase complementation a cell-based
luminescent assay platform for drug discovery Assay Drug Dev Technol 5 137ndash144
(2007)
33 Gaacuteborik Z et al The role of a conserved region of the second intracellular loop in
AT1 angiotensin receptor activation and signaling Endocrinology 144 2220ndash2228
(2003)
34 Shenoy SK et al β-arrestinndashdependent G proteinndashindependent ERK12 activation
by the β2 adrenergic receptor J Biol Chem 281 1261ndash1273 (2006)35 Wei H et al Independent β-arrestin 2 and G proteinndashmediated pathways for
angiotensin II activation of extracellular signal-regulated kinases 1 and 2 Proc
Natl Acad Sci USA 100 10782ndash10787 (2003)
36 De Strooper B et al Deficiency of presenilin-1 inhibits the normal cleavage of
amyloid precursor protein Nature 391 387ndash390 (1998)
37 Mitani Y et al Differential effects between γ -secretase inhibitors and modulators
on cognitive function in amyloid precursor proteinndashtransgenic and nontransgenic
mice J Neurosci 32 2037ndash2050 (2012)
38 Chini B amp Parenti M G-protein coupled receptors in lipid rafts and caveolae
how when and why do they go there J Mol Endocrinol 32 325ndash338 (2004)
39 Vetrivel KS et al Association of γ -secretase with lipid rafts in post-Golgi and
endosome membranes J Biol Chem 279 44945ndash44954 (2004)
40 Wada S et al γ -secretase activity is present in rafts but is not cholesterol-
dependent Biochemistry 42 13977ndash13986 (2003)
41 Wahrle S et al Cholesterol-dependent γ -secretase activity in buoyant cholesterol-
rich membrane microdomains Neurobiol Dis 9 11ndash23 (2002)
42 Yagishita S Morishima-Kawashima M Ishiura S amp Ihara Y Aβ46 is processed
to Aβ40 and A
β43 but not to A
β42 in the low density membrane domains
J Biol Chem 283 733ndash738 (2008)
43 Chun J Yin YI Yang G Tarassishin L amp Li YM Stereoselective synthesis of
photoreactive peptidomimetic γ -secretase inhibitors J Org Chem 69 7344ndash7347
(2004)
44 Chau DM Crump CJ Villa JC Scheinberg DA amp Li YM Familial Alzheimer
disease presenilin-1 mutations alter the active site conformation of γ -secretase
J Biol Chem 287 17288ndash17296 (2012)
45 Vetrivel KS et al Spatial segregation of γ -secretase and substrates in distinct
membrane domains J Biol Chem 280 25892ndash25900 (2005)
46 Li YM et al Presenilin 1 is linked with γ -secretase activity in the detergent
solubilized state Proc Natl Acad Sci USA 97 6138ndash6143 (2000)
47 Esler WP et al Activity-dependent isolation of the presenilinndashγ -secretase complex
reveals nicastrin and a γ substrate Proc Natl Acad Sci USA 99 2720ndash2725
(2002)
48 Fraering PC et al Detergent-dependent dissociation of active γ -secretase reveals
an interaction between Pen-2 and PS1-NTF and offers a model for subunit
organization within the complex Biochemistry 43 323ndash333 (2004)
49 Radde R et al Aβ42-driven cerebral amyloidosis in transgenic mice reveals early
and robust pathology EMBO Rep 7 940ndash946 (2006)50 Poulin B et al The M3-muscarinic receptor regulates learning and memory in
a receptor phosphorylationarrestin-dependent manner Proc Natl Acad Sci USA
107 9440ndash9445 (2010)
51 Bohn LM Gainetdinov RR Lin FT Lefkowitz RJ amp Caron MG Mu-opioid
receptor desensitization by β-arrestinndash2 determines morphine tolerance but not
dependence Nature 408 720ndash723 (2000)
52 De Strooper B et al A presenilin-1ndashdependent γ -secretasendashlike protease mediates
release of Notch intracellular domain Nature 398 518ndash522 (1999)
892019 Thathiah 13 Gpr3 Arr2
httpslidepdfcomreaderfullthathiah-13-gpr3-arr2 89
NATURE MEDICINE doi101038nm3023
ONLINE METHODSReagents Unless otherwise indicated chemicals were purchased from
Sigma-Aldrich
Antibodies and compounds Rabbit polyclonal antibodies to human PS1-NTF
(B145 11000) mouse PS1-NTF (B192 15000) APH-1AL (B803 11000)
PEN 2 (B1262 11000) and the APP C terminus (B635 15000) and the
monoclonal antibody 9C3 (13000) directed against the C terminus of NCT
have been previously described and were generated in house5354 ADAM10was detected using a polyclonal antiserum (B421 11000) generated against
the 17 C-terminal amino acid residues of ADAM10 and was generated in house
Antibodies to the following were purchased Flag (M2 Sigma 11000) 22C11
(Chemicon 11000) 6E10 (Sigma-Aldrich 11000) β-secretase (D10E5
Cell Signaling 11000) PK (DiscoveRx 1500) β-arrestin (BD Biosciences
1500) β-arrestin 2 (Cell Signaling 1250) β-arrestin 12 (Santa Cruz 1500)
Myc (9E10 11000) PS1-NTF (MAB1563 Chemicon) PS1-CTF (MAB5232
Chemicon) hemagglutinin (HA) (3F10 Roche) caveolin-1 (Santa Cruz)
calnexin GM130 and EEA1 (Transduction lab) and β-actin (Sigma) L-685458
was purchased from Calbiochem
Plasmid construction The human GPR3 plasmid was purchased from
DiscoveRx All mutations in GPR3 were generated with the XL Site-Directed
Mutagenesis Kit (Stratagene) and confirmed by DNA sequence analysis The
β-arrestin 2ndashGFP-Flag plasmid was the kind gift of RJ Lefkowitz (DukeUniversity Medical Center Durham North Carolina USA)
Cell lines The CHO-K1 CHO-K1 GPR3 and CHO-K1 ADRB2 β-arrestin cell
lines were purchased from DiscoveRx The WT HEK293 N2a and HeLa cell
lines were purchased from American Type Culture Collection
Mice The Arrb1minusminus and Arrb2minusminus mice (C57BL6J background) were kindly
provided by RJ Lefkowitz (Duke University Medical Center Durham North
Carolina USA) Wild-type C57BL6J mice or littermate mice were used as
controls for all of the experiments The APP PS1 transgenic mice (C57BL6J
background) were the kind gift of M Jucker (University of Tuumlbingen Tuumlbingen
Germany)49 The APP PS1 transgenic mice were crossed with Arrb2+minus and
Arrb2minusminus mice to obtain APP PS1 Arrb2+minus and APP PS1 Arrb2minusminus mice
respectively Only female mice were used for the studies The mouse studies
were approved by ethical committees of Leuven University and UZ Leuven(LA1210231)
qPCR qPCR was performed with the SYBR Green PCR Master Mix (Exiqon)
and the LightCycler 480 Real-Time PCR System (Roche Applied Science)
following the manufacturerrsquos protocol The primers for human β-arrestin 1
used were 5prime-TGTTGAGGGAAGGTGCCAACCG-3prime and 5prime-GATGCAAGA
TCTCCCAACAGGCCG-3prime The primers for human β-arrestin 2 used were
5prime-CCTGTAGATGGCGTGGTGCTTG-3prime and 5prime-CCAGGTCTTCACGGCCA
TAGCG-3prime The housekeeping primers used were to hypoxanthine guanine
phosphoribosyl transferase (HPRT) (5prime-TGACACTGGCAAAACAATGCA-3prime
and 5prime-GGTCCTTTTCACCAGCAAGCT-3 prime) ribosomal protein L13a (RPL13A)
(5prime-CCTGGAGGAGAAGAGGAAAGAGA-3 prime and 5prime-TTGAGGACCTCTG
TGTATTTGTCAA-3prime) and β2 microglobulin (β2M) (5prime-TGCTGTCTCCA
TGTTTGATGTATC-3prime and 5prime-TCTCTGCTCCCCACCTCTAAGT-3prime)
Neuronal cultures Primary mouse cortical or hippocampal cultures were estab-
lished from the brains of embryonic day 14 or 17 fetal mice respectively as
previously described55 Briefly the dissected brain cortices or hippocampi were
suspended in HBSS supplemented with 025 trypsin and incubated at 37 degC
for 15 min The tissues were then transferred to HBSS supplemented with 10
(vv) horse serum and dissociated by repeated trituration The dispersed cells
were counted and plated on poly-983140-lysinendashcoated six-well cell culture plates
in Neurobasal medium supplemented with B27 (Invitrogen) Forty-eight to
72 h after plating the cells were transduced with the recombinant adenoviral
vectors for 24 h The infection medium was replaced with fresh Neurobasal
medium and cells were maintained in culture for an additional 24 h Cell culture
supernatants were collected centrifuged for 10 min at 800 g and used for ELISA
measurements Cells were harvested in 1times PBS containing complete protease
inhibitors (Roche) centrifuged at 800 g for 10 min and lysed in 150 mM NaCl
50 mM 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES) pH 74
and 1 TX-100 supplemented with complete protease inhibitors for 30 min at
4 degC After centrifugation at 16000 g for 15 min the cleared cell extracts were
separated on 4ndash12 Bis-Tris gels (Invitrogen) transferred to nitrocellulose
membranes blocked and probed with the indicated antibodies for western blot
analysis Immunodetection was performed using horseradish peroxidase (HRP)-
coupled secondary antibodies (Bio-Rad) and the chemiluminescent detectionreagent Renaissance (PerkinElmer Life Sciences)
Patient samples Frozen hippocampal and entorhinal cortex tissue samples
were obtained from the London Neurodegenerative Diseases Brain Bank These
samples were pathologically confirmed but not further categorized according
to Braak stage The second cohort of patient samples consisted of snap-frozen
human medial frontal gyrus brain samples obtained from the Netherlands Brain
Bank Amsterdam (NBB) For these samples individual neuropathological
reports including Braak staging for neurofibrillary changes (NFC) and neuritic
plaques56 and clinical reports were available For each of the six Braak stages
seven individuals were included Furthermore seven individuals without any
NFC pathology were included as Braak stage 0 Samples were matched as closely
as possible for sex age postmortem interval cerebrospinal fluid pH and APOE
genotype Only samples with a relatively high RNA integrity number (gt7) were
included Tissue dissection was performed as previously described57 Total RNAwas isolated from both the London and the Netherlands Brain Bank samples
using a combination of TRIzol-based and mirVana RNA isolation methods
Briefly samples were homogenized in ice-cold TRIzol (Life Technologies) After
phase separation by the addition of chloroform the aqueous phase was mixed
with an equal volume of 70 RNase-free ethanol Samples were then applied to
a mirVana filter cartridge (AmbionLife Technologies) and processed according
to the manufacturerrsquos instructions RNA yields and purities were determined
using a NanoDrop ND-1000 spectrophotometer (NanoDrop Technologies)
RNA integrity was determined by the RNA integrity number as measured by
the Agilent 2100 bioanalyzer (Agilent Technologies) All brain samples were col-
lected according to legislation and ethical boards of the respective Brain Banks
The human study was evaluated and approved by ethical committees of Leuven
University and UZ Leuven (ML5919)
Ab ELISA screen Ninety-six-well plates were coated and incubated overnightwith the capture antibodies previously described29 and detected using the HRP-
labeled detection antibodies29 Brains of the mice with the respective genotypes
of the ages indicated (plusmn2 weeks) were dissected after transcardial perfusion with
ice-cold PBS The hippocampus and the cerebral cortex were removed separately
and homogenized in Tissue Protein Extraction reagent (Pierce) supplemented
with complete protease inhibitor and phosphatase inhibitor tablets (Roche
Applied Science) The homogenized samples were briefly sonicated to shear the
DNA and centrifuged at 4 degC for 1 h at 100000 g The supernatant was used for
immunoblot analysis and Aβ ELISA measurements Alternately the Aβ peptides
were allowed to accumulate in the absence of serum in the culture supernatants
from HEK293 HEK293-APP695 CHO-K1 GPR3 β-arrestin or CHO-K1 ADRB2
β-arrestin cells and neuronal cultures for 16ndash18 h before Aβ40 and Aβ42 ELISA
analysis of the culture supernatant samples
siRNA-mediated knockdown experiments The CHO-K1 GPR3 β-arrestin
CHO-K1 ADRB2 β-arrestin or WT HEK293 cell lines were transfected with
siRNA directed against β-arrestin 1 or β-arrestin 2 or with control siRNA
using GeneSilencer (Genlantis) according to the manufacturerrsquos instruc-
tions as described27 Chemically synthesized double-stranded siRNAs with
19-nucleotide duplex RNA and 2-nucleotide 3prime-dTdT overhangs were pur-
chased from Qiagen The siRNA sequences targeting human β-arrestin 1
and β-arrestin 2 were 5prime-AAAGCCUUCUGCGCGGAGAAU-3 prime and 5prime-AAG
GACCGCAAAGUGUUUGUG-3prime corresponding to positions 439ndash459 and
148ndash168 relative to the start codon respectively A nonsilencing RNA duplex
(5prime-AAUUCUCCGAACGUGUCACGU-3 prime) was used as a control Briefly the
cells were seeded on six-well plates at a cell density of 250000 cells per well One
day after seeding the cells were transfected with the siRNAs Two days after
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NATURE MEDICINEdoi101038nm3023
seeding the cells were infected with an adenoviral vector expressing enhanced
GFP (eGFP) or APP-C99 On day 5 the medium was refreshed with serum-free
medium and the cells were allowed to accumulate Aβ peptides in the condi-
tioned medium for 16ndash18 h before analysis of the culture supernatant samples
with the ELISA described above
b-arrestin assay The CHO-K1 GPR 3 β-arrestin or CHO-K1 ADRB2 β-arrestin
cell lines were seeded on 96-well plates at a cell density of 20000 cells per well
One day after seeding cells were transfected with the siRNAs as described aboveTwo days after seeding the cells were infected with an adenoviral vector express-
ing eGFP or APP-C99 On day 5 the medium was refreshed with serum-free
medium and the cells were allowed to accumulate Aβ peptides in the condi-
tioned medium for 24 h before analysis with the PathHunter β-arrestin assay
from DiscoveRx according to the manufacturerrsquos protocol
Coimmunoprecipitation experiments N2a cells were seeded in 10-cm plates
at a density of 2000000 cells per dish Cell lysates were prepared 48 h after seed-
ing in PBS with 1 TX-100 or 1 CHAPSO and protease inhibitors (Complete
Protease Inhibitor Cocktail Tablets Roche) Cell lysates were precleared with
protein G sepharose for 1 h at 4 degC followed by centrifugation at 10000 g for
15 min Immunoprecipitations were conducted overnight at 4 degC using the
appropriate antibodies or a negative control antibody (9E10) The beads were
washed four times with PBS with 1 TX-100 or 1 CHAPSO and once with
PBS Proteins were eluted with 1times lithium dodecyl sulfate (LDS) loading bufferMicrosomal membranes were prepared from fresh or frozen postmortem mouse
cortical brain samples first by homogenization using a Teflon homogenizer in
05 M sucrose PKM buffer (100 mM potassium phosphate 5 mM MgCl2 and
3 mM KCl pH 65) followed by centrifugation for 10 min at 8000 rpm The
protein concentration was determined by the Bradford dye-binding procedure
(Bio-Rad) and the samples were centrifuged at 100000 g for 1 h The mem-
brane pellets were each solubilized with the addition of an equal volume of
buffer containing 2 CHAPSO (Pierce) and incubated on ice for 1 h After
centrifugation at 100000 g for 1 h the immunoprecipitation was performed as
previously described58
Endogenous cAMP assessment CHO-K1β-arrestin cells were transfected with
empty vector WT GPR3 or the GPR3 mutant cDNA constructs (X-tremeGENE
HP Roche) Forty-eight hours after transfection the culture medium was replaced
with serum-free DMEM and the cells were treated with 100 microM forskolinin the presence or absence of 25 microM IBMX a phosphodiesterase inhibitor for
30ndash45 min Intracellular cAMP levels were then measured in cells using a spe-
cific cAMP assay kit (RampD Systems) according to the manufacturerrsquos protocol
Subcellular fractionation WT HEK293 cells were rinsed twice with ice-cold 1times
PBS solubilized in 2-(N -morpholino)ethanesulfonic acid (MES) buffer (25 mM
MES pH 65 and 150 mM NaCl) containing 1 CHAPSO and supplemented
with a complete protease inhibitor cocktail Cells were lysed by sequential pas-
sage through 18-gauge (five times) and 26-gauge (ten times) needles and then
placed on ice for 1 h After the removal of insoluble material by centrifugation
at 15000 g for 15 min the lysates were adjusted to a 45 sucrose concentration
and transferred to ultracentrifugation tubes A discontinuous sucrose gradient
was prepared by layering 35 and 5 sucrose in MES buffer Samples were
centrifuged at 100000 g for 16ndash18 h Thirteen 960-microl fractions were collected
from the top of the gradient and used for western blot analysis
Photoaffinity probe and crosslinking JC-8 was synthesized according to a
previously described procedure43 Fractions 2ndash4 and 9ndash12 from the subcellular
fractionation experiments described above were combined and the crosslinking
studies were performed as previously described45
Structured illumination microscopy and immunofluorescence HeLa cells
were plated on glass coverslips and transfected with β-arrestin 2ndashGFP and APH-
1A Twenty-four hours after transfection the cells were fixed (4 paraformalde-
hyde 10 min) blocked (2 BSA 2 FBS and 1 gelatin in PBS supplemented
with 5 serum) incubated with primary antibody (4 degC overnight) washed
(PBS) incubated with fluorophore-conjugated secondary antibody (room tem-
perature 1 h) rinsed and mounted in Mowiol-containing medium The second-
ary antibodies were conjugated with the following fluorophores Alexa-546 and
-647 Images were captured with a structured illumination microscope (ElyraS1 (Carl Zeiss Jena Germany) equipped with a 63times oil objective lens and a
14 numerical aperture (NA) and an Andor iXon 885 EMCCD camera) that
is capable of revealing information beyond the diffraction barrier that limits
conventional widefield and confocal microscopes β-arrestin 2 and APH-1A
were imaged at resolutions of ~110 nm and ~134 nm respectively
Statistical analyses The data are presented as means plusmn sem The data were
analyzed using two-tailed Studentrsquos t tests ANOVA was performed with the
GraphPad Prism 5 software
53 Annaert WG et al Interaction with telencephalin and the amyloid precursor protein
predicts a ring structure for presenilins Neuron 32 579ndash589 (2001)
54 Esselens C et al Presenilin 1 mediates the turnover of telencephalin in hippocampal
neurons via an autophagic degradative pathway J Cell Biol 166 1041ndash1054
(2004)55 Cai H et al BACE1 is the major β-secretase for generation of Aβ peptides by
neurons Nat Neurosci 4 233ndash234 (2001)
56 Braak H amp Braak E Neuropathological stageing of Alzheimer-related changes
Acta Neuropathol 82 239ndash259 (1991)
57 Bossers K et al Concerted changes in transcripts in the prefrontal cortex precede
neuropathology in Alzheimerrsquos disease Brain 133 3699ndash3723 (2010)
58 Heacutebert SS et al Coordinated and widespread expression of γ -secretase in vivo
evidence for size and molecular heterogeneity Neurobiol Dis 17 260ndash272 (2004)
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A R T I C L E S
46 VOLUME 19 | NUMBER 1 | JANUARY 2013 NATURE MEDICINE
To genetically establish the requirement of β-arrestin 2 for the
modulation of Aβ generation by GPR3 we transduced wild-type
Arrb2++ and Arrb2minusminus neuronal cultures with a GPR3 adenoviral
vector (Ad-GPR3) Notably expression of Ad-GPR3 in the Arrb2minusminus
neuronal cultures failed to increase Aβ generation in contrast to the
elevation in Aβ generation observed in Arrb2++ neuronal cultures
(Fig 2cd) After GPR3 transduction GPR3 expression was equiva-
lent in the Arrb2++ and Arrb2minusminus neuronal cultures and expression
of the γ -secretase complex components and APP was unaffected by
the absence of β-arrestin 2 or transduction with GPR3 (Fig 2e)
Consistent with our previous work 29
overexpression of GPR3 resultedin a modest decrease in the amount of APP-CTF whereas deficiency
of Arrb2 tended to increase accumulation of APP-CTF (Fig 2e)
The C terminus of GPR3 is required for enhanced Ab generation
We further investigated the mechanism of the β-arrestin 2ndashmediated
effect on Aβ generation and γ -secretase activation by generating
mutations in GPR3 that alter either G protein activation or β-arrestin
recruitment29 Alanine substitution of the first two amino acids of
a conserved motif in the second intracellular loop of GPR3 (the
AspArgTyr (DRY) motif mutated to AlaAlaTyr (AAY) termed here
the GPR3 DRYAAY mutant) renders a GPCR incapable of activating
G proteins while retaining its ability to activateβ-arrestinndashmediated
cellular responses33ndash35 (Fig 3a) The GPR3 DRYAAY mutant did
not activate G protein signaling as measured by reduced intracel-
lular cyclic AMP (cAMP) generation (Supplementary Fig 3) The
expression and cellular distribution of the GPR3 DRYAAY mutant
were similar to those of wild-type (WT) GPR3 (data not shown)
establishing the involvement of this conserved motif in the activation
of GPR3 Notably mutation of the DRY motif also led to an increase
in β-arrestin 2 recruitment to GPR3 (Fig 3b) and release of Aβ40
and Aβ42 (Fig 3c)
We then mutated conserved serine residues in the C terminus of
GPR3 which could serve as putative binding sites for β-arrestin 2(Fig 3a) The GPR3 serine mutant was defective in its ability to inter-
act with β-arrestin 2 as measured with the PathHunter complementa-
tion assay (Fig 3d) The expression and cellular distribution of the
GPR3 serine mutant and WT GPR3 were similar (data not shown)
Mutation of these serine residues also resulted in a reduction in
the generation of Aβ40 and Aβ42 (Fig 3e) providing validation that
β-arrestin 2 recruitment to GPR3 is required for Aβ generation
Localization of b-arrestin 2 and the g-secretase complex in DRMs
The experiments described above indicate that the effect of β-arrestin 2
on Aβ generation is downstream of cleavage of APP by the α- and
β-secretases Previous observations also indicated that both GPR3
Vehiclea
U n t r a
n s f e c t e d
N o n s i l e
n c i n
g
β - a r r e s t i n
1
β - a r r e s t i n
2
U n t r a
n s f e c t e d
N o n s i l e
n c i n
g
β - a r r e s t i n
1
β - a r r e s t i n
2
Lactacystin
NCT
PS1-NTF
PS1-CTF
PEN 2
APP-FL
APP-CTF
β-actin
cVehicle
Arrb2++
Arrb2ndashndash
Arrb2++
Arrb2ndashndash
Lactacystin
Nct
Ps1-NTF
Ps1-CTF
Pen 2
App-FL
App-CTF
β-actin
b
N o n s i l e
n c i n
g s i R
N A
β - a r r e s t i n
1 s i R N A
β - a r r e s t i n
2 s i R N A
20
15
10
05
A P P - C T F a c c u m u l a t i o n
( n o r m
a l i z e d t o n o n s i l e n c i n g s i R N A )
NS
d
A r r b 2 + +
A r r b 2 ndash
ndash
20
15
10
05
A P P - C T F a c c u m u l a t i o n
( n o r m a l i z e d t o A r r b 2 + + )
h
N o r m a l i z e d i n t e n s i t y
( t o v e c t o r )
4
3
JC-8
JC-8 + X
2
1
V e c t
o r
β
- a r r e
s t i n
2
f25
20
Vector
β-arrestin 2
15
10
N o
r m a l i z e d i n t e n s i t y ( t o v e c t o r )
05
N C T
P S 1 -
C T F
A P H
- 1 A
P E N
2
e Vector
Fractions
β-arrestin 2
NCT
β-arrestin 2
PS1-NTF
PS1-CTF
APH-1A
PEN 2
Caveolin-1
GM130
EEA1
1 2 3 4 5 6 7 8 9 1 0 1 1 1 2 1 3 1 2 3 4 5 6 7 8 9 1 0 1 1 1 2 1 3
g Input
Raft
Non-raft
Vector β-arrestin 2
V e c t o r
β - a r r e s t i n 2
J C - 8
J C - 8 + X
J C - 8
J C - 8 + X
PS1-CTF
PS1-CTF
Figure 4 β-arrestin 2 and the active γ -secretase complex are enriched in DRMs (a) Immunoblot analysis of the γ -secretase complex and APP-FL
in HEK293-APP695 cells after silencing β-arrestin 1 or 2 treatment with lactacystin or both (b) Quantification of APP-CTF accumulation after
lactacystin treatment normalized to nonsilencing siRNA n = 3 independent experiments performed in triplicate (c) Immunoblot analysis of the
γ -secretase complex and App-FL in mouse neuronal cultures after treatment with vehicle or lactacystin (d) Quantification of APP-CTF accumulation
after lactacystin treatment normalized to Arrb2 ++ neuronal cultures n = 3 independent experiments with four to six brain cultures per experiment
(e) Sucrose gradient fractionation of HEK293 cells transfected with empty vector or β-arrestin 2ndashGFP complementary DNA (cDNA) Equivalent volumes
were assessed by immunoblot using antibodies that recognize γ -secretase complex subunits β-arrestin 2 or the organelle-specific markers GM130
(cis -Golgi) EEA1 (early endosomes) and Caveolin-1 (caveolae) ( f) Quantification of the expression of the γ -secretase complex subunits in pooled
fractions 3 and 4 from HEK293 cells transfected with empty vector or β-arrestin 2ndashGFP cDNA normalized to Caveolin 1 expression n = 4ndash6
independent experiments (g) Immunoblot analysis using a PS1-CTFndashspecific antibody of pooled raft and non-raft fractions incubated with JC-8
or JC-8 + L-685458 (JC-8 + X) followed by photoaffinity crosslinking (h) Quantification of the expression of the PS1-CTF in the raft and non-raft
fractions normalized to input n = 3 independent experiments P lt 005 P lt 001 P lt 0001 NS not significant by ANOVA and the Dunnettrsquospost test Error bars sem
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A R T I C L E S
NATURE MEDICINE VOLUME 19 | NUMBER 1 | JANUARY 2013 47
andβ2-AR affect γ -secretasendashmediated proteolysis of APP2930 Classic
inhibition of γ -secretase activity 36 leads to accumulation of APP-CTF
however genetic silencing of β-arrestin 2 leads to only a limited or
barely observable accumulation of APP-CTF (Figs 1i and 4) Todetermine whether β-arrestin 2 affects turnover of the APP-CTF
we treated HEK293-APP695 cells (after silencing β-arrestin 2) and
Arrb2minusminus neuronal cultures with the proteasome inhibitor lactacystin
and found an accumulation of the APP-CTF under these conditions
(Fig 4andashd) suggesting that downregulation of β-arrestin 2 leads not
only to inhibition of γ -secretase activity but also to increased APP-
CTF turnover through the proteasome Given the complexity of the
signaling pathways modulated by the β-arrestins an effect on Aβ
generation at multiple levels is not surprising Nevertheless from a
therapeutic point of view stimulation of APP-CTF turnover could
be advantageous given that accumulation of the APP-CTF correlates
with cognitive deficits in mice37
Previous studies indicated that GPCRs the γ -secretase complexand Aβ generation are localized in DRMs2938ndash42 Therefore we
assessed the distribution of the γ -secretase complex subunits and
β-arrestin 2 in lipid raft and nonndashlipid raft domains by differential
flotation after sucrose density gradient centrifugation The γ -secretase
complex subunits co-distributed in low-density fractions 3 and 4
Notably GPR3 (ref 29) and β-arrestin 2 also accumulated in
DRMs (Fig 4e) Moreover overexpression of β-arrestin 2 (Fig 4ef )
led to an enrichment of the γ -secretase subunits NCT PS1-CTF
APH-1A and PEN 2 in the detergent-resistant buoyant fractions
(Fig 4f ) In contrast silencing of β-arrestin 2 led to an appreciable
decrease in the distribution of the γ -secretase complex in DRMs
(Supplementary Fig 4ab)
We then determined whether increased localization of the indi-
vidual γ -secretase subunits in DRMs also coincided with the presence
of a more active γ -secretase complex in DRMs JC-8 is a photoreactive
biotinylated derivative of the highly specific and potent transition-state analog inhibitor L-685458 (ref 43) that only binds the cata-
lytically active γ -secretase complex44 We combined DRM fractions
2ndash4 and the nonndashlipid raft fractions (pooled fractions 9ndash12) from
empty vectorndashtransfected control and β-arrestin 2ndashtransfected cells
We normalized the fractions for γ -secretase expression and incubated
these fractions with JC-8 We used unlabeled L-685458 as a control
to compete with the biotinylated inhibitor and photoactivation to
crosslink the biotinylated inhibitor to the active γ -secretase complex45
Subsequent recovery of the biotinylated polypeptides revealed that the
photoprobe readily labeled the PS1-CTF in the lipid raft DRM frac-
tions (Fig 4g ) We were not able to detect labeling in the nonndashlipid
raft fractions (Fig 4g ) Overexpression of β-arrestin 2 resulted in a
twofold to threefold increase of the active γ -secretase complex poolin the DRMs (Fig 4h)
b-arrestin 2 interacts with the Aph-1a g-secretase subunit
To determine whether β-arrestin 2 physically associates with
the γ -secretase complex we performed coimmunoprecipitation exper-
iments in untransfected N2a neuroblastoma cells The γ -secretase
subunits Nct Ps1 Aph-1a and Pen 2 coimmunoprecipitated with
β-arrestin 2 in a 3-[(3-cholamidopropyl) dimethylammonio]-
2-hydroxy-1-propanesulfonate (CHAPSO)-containing buffer (Fig 5a)
which maintains the integrity of the intact γ -secretase complex4647
In contrast the detergent Triton X-100 (TX-100) dissociates the
γ -secretase complex48 In the presence of TX-100 β-arrestin 2 only
Input Bound Input Bound
IP Aph-1a
Input Bound
C o n t r
o l
β - a r r e s t i
n 2
IP
d
eIP β-arrestin 2
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
Nct
Ps1-NTF
Ps1-CTF
Aph-1a
β-arrestin 2
Nct
Aph-1a
β-arrestin 2
a
Nct
Input InputUnbound UnboundBound Bound
Ps1 Ps1 Aph-1a Aph-1aControl Control Control
IP Ps1-CTF IP Aph-1a
Control
Ps1-NTF
Ps1-CTF
Aph-1a
Pen 2
β-arrestin 2
Input Unbound Bound Input Unbound Bound
A ph -1 a A ph -1 aCon trol Con trol
IP Ps1-CTF IP Aph-1a
Ps1 Ps1Control Con trol
b
Nct
Ps1-NTF
Ps1-CTF
Aph-1a
Pen 2
β-arrestin 2
Input Bound
C o n t r
o l
β - a r r e s t i
n 2
IP
c
Nct
Ps1-NTF
Ps1-CTF
Aph-1a
β-arrestin 2
f
Input Bound Input Bound
IP Aph-1a IP β-arrestin 2
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
Nct
Aph-1a
β-arrestin 2
Figure 5 β-arrestin 2 interacts with the Aph-1a subunit of the γ -secretase complex (ab) Immunoprecipitation (IP) of cell lysates from the N2a
neuroblastoma cell line after extraction in 1 CHAPSO-containing (a) or 1 TX-100ndashcontaining (b) buffer with antibodies to Ps1-CTF (left) Aph-1a
(B803 right) or negative control antibodies and immunoblot analysis with the indicated antibodies to the γ -secretase complex subunits or β-arrestin 2
(cd) Immunoprecipitation of cell lysates from the N2a neuroblastoma cell line after extraction in 1 CHAPSO-containing (c) or 1 TX-100ndashcontaining
(d) buffer with β-arrestin 2ndashspecific or negative control antibodies and immunoblot analysis with the indicated antibodies to the γ -secretase complex
subunits or β-arrestin 2 (ef) Immunoprecipitation of cortical brain samples from WT Gpr3 minus minus and Arrb2 minus minus mice after extraction in 1 CHAPSO-
containing (e) or 1 TX-100ndashcontaining (f) buffer with antibodies to Aph-1a (B803 left) or β-arrestin 2 (right) and immunoblot analysis with the
indicated antibodies to the γ -secretase complex subunits or β-arrestin 2
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A R T I C L E S
48 VOLUME 19 | NUMBER 1 | JANUARY 2013 NATURE MEDICINE
coimmunoprecipitated with Aph-1a (Fig 5b) In the reciprocal
assay the interaction between β-arrestin 2 and the intact γ -secretase
complex was preserved in a CHAPSO-containing buffer (Fig 5c)
however β-arrestin 2 only coimmunoprecipitated with the Aph-1a
subunit (Fig 5d) in the presence of a TX-100 solubilization
buffer We confirmed this interaction in vivo showing that in the
presence of either CHAPSO (Fig 5e) or TX-100 detergent (Fig 5f )
β-arrestin 2 coimmunoprecipitated with the Aph-1a subunit of
the γ -secretase complex in extracts of cortical brain samples from WT
but not Gpr3minusminus or Arrb2minusminus mice Furthermore we observed colocali-
zation of β-arrestin and APH-1A after coexpression of β-arrestin 2and APH-1A in HeLa cells (Supplementary Fig 5) Collectively
these data suggest that expression of β-arrestin 2 regulates Aβ gen-
eration through interaction with the γ -secretase complex and redis-
tribution and accumulation of the active γ -secretase complex in
DRM domains
Genetic deletion of b-arrestin 2 reduces Ab generation
We then established the in vivo consequence of the absence of
β-arrestin 2 on Aβ generation in the APP PS1 transgenic mouse
model for Alzheimerrsquos disease This model coexpresses two familial
Alzheimerrsquos diseasendashlinked mutations APP with the KM670671NL
lsquoSwedishrsquo mutation and PS1 with the L166P mutation49 Both het-
erozygosity and complete genetic ablation of β-arrestin 2 expressionresulted in a marked reduction in Aβ40 and Aβ42 generation in the
hippocampus and cortex of 3-month-old APP PS1 Arrb2+minus and
APP PS1 Arrb2minusminus mice (Fig 6ab) with no effects on the expression
of NCT PS1 or APP-FL (Fig 6c) providing in vivo evidence for
the involvement of endogenous β-arrestin 2 in Aβ generation in an
Alzheimerrsquos disease mouse model
DISCUSSION
β-arrestins are scaffolding proteins that are intimately involved
in numerous aspects of GPCR signaling and regulation Here we
present evidence implicating this class of proteins in the regulation
of γ -secretase proteolytic activity and Aβ generation with potential
implications for the pathogenesis of Alzheimerrsquos disease β-arrestin 2
induces the redistribution of an inactive γ -secretase complex
toward a DRM-associated active γ -secretase pool through direct
interaction with Aph-1a We corroborated the overexpression studies
with several loss-of-function experiments that confirmed the overall
effects of β-arrestin 2 on γ -secretasendashmediated Aβ generation
Our data also suggest additional mechanisms including increased
APP-CTF turnover by which APP metabolism is affected byβ-arrestin 2 downregulation
This study provides insight into the mechanism of γ -secretase regu-
lation by GPR3 (ref 29) and β2-AR 30 two GPCRs that have previously
been implicated in the pathogenesis of Alzheimerrsquos disease Most nota-
bly we have determined that β-arrestins are aberrantly expressed in
the brain of individuals with Alzheimerrsquos disease and genetic deletion
of β-arrestin 2 reduces the accumulation of endogenous mouse Aβ
Furthermore in an Alzheimerrsquos disease mouse model we have shown
that β-arrestin 2 is also involved in Aβ generation which provides
evidence for the therapeutic potential of β-arrestins in Alzheimerrsquos
disease Ligands that show bias for either G proteinndashmediated
(G proteinndashbiased) or β-arrestinndashmediated (β-arrestinndashbiased) sig-
naling are being intensively investigated because they could selectively
promote beneficial signaling and even block or negate detrimental or
unwanted actions of receptor activation (for example side effects toxicity
or tolerance) Recently the GPCR M3-muscarinic receptorndashdependent
regulation of learning and memory has been shown to require receptor
phosphorylation and β-arrestin recruitment independent of G protein
signaling50 These data suggest that the development of biased ligands
could be beneficial for both learning and memory and potentially the
treatment of cognitive disorders such as Alzheimerrsquos disease
Arrb2minusminus mice develop normally in the absence of an apparent
Notch-deficiency phenotype Instead they show increased analge-
sia in response to morphine24 because of misregulated internali-
zation and desensitization of the micro-opioid receptor51 The current
study indicates that APP-CTF does not accumulate in APP PS1
Arrb2minusminus mice which has been suggested to occur after treatmentwith certain γ -secretase inhibitors37 Therefore a physiologically
relevant regulatory mechanism of the modulation of Aβ generation
by the γ -secretase potentially mediated through β-arrestin 2 could
be beneficial in preventing the adverse side effects associated with
direct γ -secretase inhibition such as interference with Notch signal-
ing52 or APP-CTF accumulation37 As it becomes increasingly evident
that presymptomatic andor very early symptomatic treatments are
necessary to prevent the onset of dementia the work here suggests
a previously unexplored avenue involving β-arrestin 2 inhibition for
therapeutic intervention and prevention in Alzheimerrsquos disease
METHODS
Methods and any associated references are available in the online version of the paper
Note Supplementary information is available in the online version of the paper
ACKNOWLEDGMENTSWe are grateful to RJ Lefkowitz and S Ahn (Duke University Medical CenterDurham North Carolina USA) for the generous gift of the β-arrestin 2 wild-typeand knockout mouse embryonic fibroblasts the Arrb1minusminus and Arrb2minusminus micethe β-arrestin 2ndashGFP-Flag cDNA and helpful discussion We thank M Jucker(University of Tuumlbingen Germany) for the gift of APP PS1 transgenic mice Wegreatly appreciate the kind gift of human control and Alzheimerrsquos disease brainsamples from K Bossers and DF Swaab (Netherlands Institute for NeuroscienceAmsterdam The Netherlands) and C Troakes (the London NeurodegenerativeDiseases Brain Bank London UK) We thank M Mercken (Johnson amp Johnson
15
a
10
05
H i p p
o c a m
p u s
C o r t e
x A β 4 0 n o r m a l i z e d v a l u e
( t o
A P P P S 1 A r r b b 2 + + )
+
H i p p
o c a m
p u s
C o r t e
x
APPPS1 Arrb2++
APPPS1 Arrb2+ndash
APPPS1 Arrb2ndashndash
b
15
10
05
A β 4 2 n o r m a l i z e d v a l u e
( t o
A P P P S 1 A r r b b 2 + + )
+
++
APPPS1 Arrb2++
APPPS1 Arrb2+ndash
APPPS1 Arrb2ndashndash
c
A P P P S
1 A r r b 2 + +
A P P P S
1 A r r b 2 + ndash
A P P P S
1 A r r b 2 ndash ndash
NCT
PS1-CTF
PS1-NTF
APP-FL
APP-CTF
β-actin
Figure 6 β-arrestin 2 contributes to Aβ generation in an Alzheimerrsquos
disease transgenic mouse model (ab) Hippocampal and cortical
concentrations of soluble Aβ40 (a) and Aβ42 (b) in 3-month-old APP PS1
transgenic mice crossed with wild-type Arrb2 ++ Arrb2 + minus or Arrb2 minus minus mice
determined by ELISA P lt 005 relative to Arrb2 ++ +P lt 001 relative
to Arrb2 ++ for hippocampal Aβ40 P lt 0001 relative to Arrb2 ++
P lt 00001 relative to Arrb2 ++ for cortical Aβ40 P lt 005 relative
to Arrb2 ++ +P lt 001 relative to Arrb2 ++ for hippocampal Aβ42
P lt 0005 relative to Arrb2 ++++P lt 0001 relative to Arrb2 ++ for
cortical Aβ42 by ANOVA and Dunnettrsquos post test n = 6 independent
female mice per cross Error bars sem (c) Immunoblot of the expression
of the γ -secretase complex components and APP in brain samples fromAPP PS1 Arrb2 ++ APP PS1 Arrb2 + minus and APP PS1 Arrb2 minus minus mice
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A R T I C L E S
NATURE MEDICINE VOLUME 19 | NUMBER 1 | JANUARY 2013 49
Pharmaceuticals Research and Development Beerse Belgium) for the antibodiesto Aβ We are grateful to Y Li (Memorial Sloan Kettering Cancer Center NewYork USA) for the k ind initial gift of JC-8 This work was supported by a MentoredNew Investigator Research grant from the Alzheimerrsquos Association to AT theFund for Scientific Research Flanders KU Leuven a Methusalem grant fromthe KU Leuven and the Flemish government and the Foundation for AlzheimerResearch (SAOFRMA) to BDS BDS is the Arthur Bax and Anna Vanluffelenchair for Alzheimerrsquos disease
AUTHOR CONTRIBUTIONSAT and BDS designed the experiments and wrote the manuscript AT KHAS EV and YH conducted the experiments MC conducted the qPCRexperiments GDK synthesized JC-8 SM conducted the immunofluorescence
image analysis
COMPETING FINANCIAL INTERESTSThe authors declare competing financial interests details are available in the online version of the paper
Published online at httpwwwnaturecomdoifinder101038nm3023
Reprints and permissions information is available online at httpwwwnaturecom
reprintsindexhtml
1 Ballatore C Lee VM amp Trojanowski JQ Tau-mediated neurodegeneration
in Alzheimerrsquos disease and related disorders Nat Rev Neurosci 8 663ndash672
(2007)2 Goumltz J Ittner A amp Ittner LM Tau-targeted treatment strategies in Alzheimerrsquos
disease Br J Pharmacol 165 1246ndash1259 (2012)
3 Holtzman DM Goate A Kelly J amp Sperling R Mapping the road forward in
Alzheimerrsquos disease Sci Transl Med 3 114ps148 (2011)
4 Golde TE Schneider LS amp Koo EH Anti-aβ therapeutics in Alzheimerrsquos disease
the need for a paradigm shift Neuron 69 203ndash213 (2011)
5 Karran E Mercken M amp De Strooper B The amyloid cascade hypothesis for
Alzheimerrsquos disease an appraisal for the development of therapeutics Nat Rev
Drug Discov 10 698ndash712 (2011)
6 Cramer PE et al ApoE-directed therapeutics rapidly clear β-amyloid and reverse
deficits in AD mouse models Science 335 1503ndash1506 (2012)
7 Selkoe DJ Resolving controversies on the path to Alzheimerrsquos therapeutics
Nat Med 17 1060ndash1065 (2011)
8 De Strooper B Aph-1 Pen-2 and Nicastrin with Presenilin generate an active
γ -Secretase complex Neuron 38 9ndash12 (2003)
9 Bertram L Lill CM amp Tanzi RE The genetics of Alzheimer disease back to
the future Neuron 68 270ndash281 (2010)
10 Bekris LM Yu CE Bird TD amp Tsuang DW Genetics of Alzheimer disease
J Geriatr Psychiatry Neurol 23 213ndash227 (2010)
11 Morris JC et al APOE predicts amyloid-β but not tau Alzheimer pathology in
cognitively normal aging Ann Neurol 67 122ndash131 (2010)
12 Fredriksson R amp Schioth HB The repertoire of G-proteinndashcoupled receptors in
fully sequenced genomes Mol Pharmacol 67 1414ndash1425 (2005)
13 Gudermann T Nurnberg B amp Schultz G Receptors and G proteins as primary
components of transmembrane signal transduction Part 1 G-proteinndashcoupled
receptors structure and function J Mol Med 73 51ndash63 (1995)
14 Watson SAS The G Protein-Coupled Receptor Factors Book (Academic San Diego
1994)
15 Vassilatis DK et al The G proteinndashcoupled receptor repertoires of human and
mouse Proc Natl Acad Sci USA 100 4903ndash4908 (2003)
16 Thathiah A amp De Strooper B The role of G proteinndashcoupled receptors in the
pathology of Alzheimerrsquos disease Nat Rev Neurosci 12 73ndash87 (2011)
17 DeWire SM Ahn S Lefkowitz RJ amp Shenoy SK β-arrestins and cell signaling
Annu Rev Physiol 69 483ndash510 (2007)
18 Whalen EJ Rajagopal S amp Lefkowitz RJ Therapeutic potential of β-arrestinndash
and G proteinndashbiased agonists Trends Mol Med 17 126ndash139 (2011)
19 Beaulieu JM et al An Akt β-arrestin 2PP2A signaling complex mediatesdopaminergic neurotransmission and behavior Cell 122 261ndash273 (2005)
20 Luan B et al Deficiency of a β-arrestinndash2 signal complex contributes to insulin
resistance Nature 457 1146ndash1149 (2009)
21 Beaulieu JM et al A β-arrestin 2 signaling complex mediates lithium action on
behavior Cell 132 125ndash136 (2008)
22 Shearman MS et al L-685458 an aspartyl protease transition state mimic is
a potent inhibitor of amyloid β-protein precursor γ -secretase activity Biochemistry 39
8698ndash8704 (2000)
23 Conner DA et al β-arrestin1 knockout mice appear normal but demonstrate
altered cardiac responses to β-adrenergic stimulation Circ Res 81 1021ndash1026
(1997)
24 Bohn LM et al Enhanced morphine analgesia in mice lacking β-arrestin 2 Science
286 2495ndash2498 (1999)
25 Ferguson SS et al Role of β-arrestin in mediating agonist-promoted G proteinndash
coupled receptor internalization Science 271 363ndash366 (1996)
26 Lohse MJ Lefkowitz RJ Caron MG amp Benovic JL Inhibition of β-adrenergic
receptor kinase prevents rapid homologous desensitization of β 2-adrenergic
receptors Proc Natl Acad Sci USA 86 3011ndash3015 (1989)
27 Ahn S Shenoy SK Wei H amp Lefkowitz RJ Differential kinetic and spatialpatterns of β-arrestin and G proteinndashmediated ERK activation by the angiotensin II
receptor J Biol Chem 279 35518ndash35525 (2004)
28 Luttrell LM et al β-arrestinndashdependent formation of β2 adrenergic receptor-Src
protein kinase complexes Science 283 655ndash661 (1999)
29 Thathiah A et al The orphan G proteinndashcoupled receptor 3 modulates amyloid-β
peptide generation in neurons Science 323 946ndash951 (2009)
30 Ni Y et al Activation of β2-adrenergic receptor stimulates γ -secretase activity and
accelerates amyloid plaque formation Nat Med 12 1390ndash1396 (2006)
31 Teng L Zhao J Wang F Ma L amp Pei GA GPCRsecretase complex regulates
β- and γ -secretase specificity for Aβ production and contributes to AD pathogenesis
Cell Res 20 138ndash153 (2010)
32 Olson KR amp Eglen RM β galactosidase complementation a cell-based
luminescent assay platform for drug discovery Assay Drug Dev Technol 5 137ndash144
(2007)
33 Gaacuteborik Z et al The role of a conserved region of the second intracellular loop in
AT1 angiotensin receptor activation and signaling Endocrinology 144 2220ndash2228
(2003)
34 Shenoy SK et al β-arrestinndashdependent G proteinndashindependent ERK12 activation
by the β2 adrenergic receptor J Biol Chem 281 1261ndash1273 (2006)35 Wei H et al Independent β-arrestin 2 and G proteinndashmediated pathways for
angiotensin II activation of extracellular signal-regulated kinases 1 and 2 Proc
Natl Acad Sci USA 100 10782ndash10787 (2003)
36 De Strooper B et al Deficiency of presenilin-1 inhibits the normal cleavage of
amyloid precursor protein Nature 391 387ndash390 (1998)
37 Mitani Y et al Differential effects between γ -secretase inhibitors and modulators
on cognitive function in amyloid precursor proteinndashtransgenic and nontransgenic
mice J Neurosci 32 2037ndash2050 (2012)
38 Chini B amp Parenti M G-protein coupled receptors in lipid rafts and caveolae
how when and why do they go there J Mol Endocrinol 32 325ndash338 (2004)
39 Vetrivel KS et al Association of γ -secretase with lipid rafts in post-Golgi and
endosome membranes J Biol Chem 279 44945ndash44954 (2004)
40 Wada S et al γ -secretase activity is present in rafts but is not cholesterol-
dependent Biochemistry 42 13977ndash13986 (2003)
41 Wahrle S et al Cholesterol-dependent γ -secretase activity in buoyant cholesterol-
rich membrane microdomains Neurobiol Dis 9 11ndash23 (2002)
42 Yagishita S Morishima-Kawashima M Ishiura S amp Ihara Y Aβ46 is processed
to Aβ40 and A
β43 but not to A
β42 in the low density membrane domains
J Biol Chem 283 733ndash738 (2008)
43 Chun J Yin YI Yang G Tarassishin L amp Li YM Stereoselective synthesis of
photoreactive peptidomimetic γ -secretase inhibitors J Org Chem 69 7344ndash7347
(2004)
44 Chau DM Crump CJ Villa JC Scheinberg DA amp Li YM Familial Alzheimer
disease presenilin-1 mutations alter the active site conformation of γ -secretase
J Biol Chem 287 17288ndash17296 (2012)
45 Vetrivel KS et al Spatial segregation of γ -secretase and substrates in distinct
membrane domains J Biol Chem 280 25892ndash25900 (2005)
46 Li YM et al Presenilin 1 is linked with γ -secretase activity in the detergent
solubilized state Proc Natl Acad Sci USA 97 6138ndash6143 (2000)
47 Esler WP et al Activity-dependent isolation of the presenilinndashγ -secretase complex
reveals nicastrin and a γ substrate Proc Natl Acad Sci USA 99 2720ndash2725
(2002)
48 Fraering PC et al Detergent-dependent dissociation of active γ -secretase reveals
an interaction between Pen-2 and PS1-NTF and offers a model for subunit
organization within the complex Biochemistry 43 323ndash333 (2004)
49 Radde R et al Aβ42-driven cerebral amyloidosis in transgenic mice reveals early
and robust pathology EMBO Rep 7 940ndash946 (2006)50 Poulin B et al The M3-muscarinic receptor regulates learning and memory in
a receptor phosphorylationarrestin-dependent manner Proc Natl Acad Sci USA
107 9440ndash9445 (2010)
51 Bohn LM Gainetdinov RR Lin FT Lefkowitz RJ amp Caron MG Mu-opioid
receptor desensitization by β-arrestinndash2 determines morphine tolerance but not
dependence Nature 408 720ndash723 (2000)
52 De Strooper B et al A presenilin-1ndashdependent γ -secretasendashlike protease mediates
release of Notch intracellular domain Nature 398 518ndash522 (1999)
892019 Thathiah 13 Gpr3 Arr2
httpslidepdfcomreaderfullthathiah-13-gpr3-arr2 89
NATURE MEDICINE doi101038nm3023
ONLINE METHODSReagents Unless otherwise indicated chemicals were purchased from
Sigma-Aldrich
Antibodies and compounds Rabbit polyclonal antibodies to human PS1-NTF
(B145 11000) mouse PS1-NTF (B192 15000) APH-1AL (B803 11000)
PEN 2 (B1262 11000) and the APP C terminus (B635 15000) and the
monoclonal antibody 9C3 (13000) directed against the C terminus of NCT
have been previously described and were generated in house5354 ADAM10was detected using a polyclonal antiserum (B421 11000) generated against
the 17 C-terminal amino acid residues of ADAM10 and was generated in house
Antibodies to the following were purchased Flag (M2 Sigma 11000) 22C11
(Chemicon 11000) 6E10 (Sigma-Aldrich 11000) β-secretase (D10E5
Cell Signaling 11000) PK (DiscoveRx 1500) β-arrestin (BD Biosciences
1500) β-arrestin 2 (Cell Signaling 1250) β-arrestin 12 (Santa Cruz 1500)
Myc (9E10 11000) PS1-NTF (MAB1563 Chemicon) PS1-CTF (MAB5232
Chemicon) hemagglutinin (HA) (3F10 Roche) caveolin-1 (Santa Cruz)
calnexin GM130 and EEA1 (Transduction lab) and β-actin (Sigma) L-685458
was purchased from Calbiochem
Plasmid construction The human GPR3 plasmid was purchased from
DiscoveRx All mutations in GPR3 were generated with the XL Site-Directed
Mutagenesis Kit (Stratagene) and confirmed by DNA sequence analysis The
β-arrestin 2ndashGFP-Flag plasmid was the kind gift of RJ Lefkowitz (DukeUniversity Medical Center Durham North Carolina USA)
Cell lines The CHO-K1 CHO-K1 GPR3 and CHO-K1 ADRB2 β-arrestin cell
lines were purchased from DiscoveRx The WT HEK293 N2a and HeLa cell
lines were purchased from American Type Culture Collection
Mice The Arrb1minusminus and Arrb2minusminus mice (C57BL6J background) were kindly
provided by RJ Lefkowitz (Duke University Medical Center Durham North
Carolina USA) Wild-type C57BL6J mice or littermate mice were used as
controls for all of the experiments The APP PS1 transgenic mice (C57BL6J
background) were the kind gift of M Jucker (University of Tuumlbingen Tuumlbingen
Germany)49 The APP PS1 transgenic mice were crossed with Arrb2+minus and
Arrb2minusminus mice to obtain APP PS1 Arrb2+minus and APP PS1 Arrb2minusminus mice
respectively Only female mice were used for the studies The mouse studies
were approved by ethical committees of Leuven University and UZ Leuven(LA1210231)
qPCR qPCR was performed with the SYBR Green PCR Master Mix (Exiqon)
and the LightCycler 480 Real-Time PCR System (Roche Applied Science)
following the manufacturerrsquos protocol The primers for human β-arrestin 1
used were 5prime-TGTTGAGGGAAGGTGCCAACCG-3prime and 5prime-GATGCAAGA
TCTCCCAACAGGCCG-3prime The primers for human β-arrestin 2 used were
5prime-CCTGTAGATGGCGTGGTGCTTG-3prime and 5prime-CCAGGTCTTCACGGCCA
TAGCG-3prime The housekeeping primers used were to hypoxanthine guanine
phosphoribosyl transferase (HPRT) (5prime-TGACACTGGCAAAACAATGCA-3prime
and 5prime-GGTCCTTTTCACCAGCAAGCT-3 prime) ribosomal protein L13a (RPL13A)
(5prime-CCTGGAGGAGAAGAGGAAAGAGA-3 prime and 5prime-TTGAGGACCTCTG
TGTATTTGTCAA-3prime) and β2 microglobulin (β2M) (5prime-TGCTGTCTCCA
TGTTTGATGTATC-3prime and 5prime-TCTCTGCTCCCCACCTCTAAGT-3prime)
Neuronal cultures Primary mouse cortical or hippocampal cultures were estab-
lished from the brains of embryonic day 14 or 17 fetal mice respectively as
previously described55 Briefly the dissected brain cortices or hippocampi were
suspended in HBSS supplemented with 025 trypsin and incubated at 37 degC
for 15 min The tissues were then transferred to HBSS supplemented with 10
(vv) horse serum and dissociated by repeated trituration The dispersed cells
were counted and plated on poly-983140-lysinendashcoated six-well cell culture plates
in Neurobasal medium supplemented with B27 (Invitrogen) Forty-eight to
72 h after plating the cells were transduced with the recombinant adenoviral
vectors for 24 h The infection medium was replaced with fresh Neurobasal
medium and cells were maintained in culture for an additional 24 h Cell culture
supernatants were collected centrifuged for 10 min at 800 g and used for ELISA
measurements Cells were harvested in 1times PBS containing complete protease
inhibitors (Roche) centrifuged at 800 g for 10 min and lysed in 150 mM NaCl
50 mM 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES) pH 74
and 1 TX-100 supplemented with complete protease inhibitors for 30 min at
4 degC After centrifugation at 16000 g for 15 min the cleared cell extracts were
separated on 4ndash12 Bis-Tris gels (Invitrogen) transferred to nitrocellulose
membranes blocked and probed with the indicated antibodies for western blot
analysis Immunodetection was performed using horseradish peroxidase (HRP)-
coupled secondary antibodies (Bio-Rad) and the chemiluminescent detectionreagent Renaissance (PerkinElmer Life Sciences)
Patient samples Frozen hippocampal and entorhinal cortex tissue samples
were obtained from the London Neurodegenerative Diseases Brain Bank These
samples were pathologically confirmed but not further categorized according
to Braak stage The second cohort of patient samples consisted of snap-frozen
human medial frontal gyrus brain samples obtained from the Netherlands Brain
Bank Amsterdam (NBB) For these samples individual neuropathological
reports including Braak staging for neurofibrillary changes (NFC) and neuritic
plaques56 and clinical reports were available For each of the six Braak stages
seven individuals were included Furthermore seven individuals without any
NFC pathology were included as Braak stage 0 Samples were matched as closely
as possible for sex age postmortem interval cerebrospinal fluid pH and APOE
genotype Only samples with a relatively high RNA integrity number (gt7) were
included Tissue dissection was performed as previously described57 Total RNAwas isolated from both the London and the Netherlands Brain Bank samples
using a combination of TRIzol-based and mirVana RNA isolation methods
Briefly samples were homogenized in ice-cold TRIzol (Life Technologies) After
phase separation by the addition of chloroform the aqueous phase was mixed
with an equal volume of 70 RNase-free ethanol Samples were then applied to
a mirVana filter cartridge (AmbionLife Technologies) and processed according
to the manufacturerrsquos instructions RNA yields and purities were determined
using a NanoDrop ND-1000 spectrophotometer (NanoDrop Technologies)
RNA integrity was determined by the RNA integrity number as measured by
the Agilent 2100 bioanalyzer (Agilent Technologies) All brain samples were col-
lected according to legislation and ethical boards of the respective Brain Banks
The human study was evaluated and approved by ethical committees of Leuven
University and UZ Leuven (ML5919)
Ab ELISA screen Ninety-six-well plates were coated and incubated overnightwith the capture antibodies previously described29 and detected using the HRP-
labeled detection antibodies29 Brains of the mice with the respective genotypes
of the ages indicated (plusmn2 weeks) were dissected after transcardial perfusion with
ice-cold PBS The hippocampus and the cerebral cortex were removed separately
and homogenized in Tissue Protein Extraction reagent (Pierce) supplemented
with complete protease inhibitor and phosphatase inhibitor tablets (Roche
Applied Science) The homogenized samples were briefly sonicated to shear the
DNA and centrifuged at 4 degC for 1 h at 100000 g The supernatant was used for
immunoblot analysis and Aβ ELISA measurements Alternately the Aβ peptides
were allowed to accumulate in the absence of serum in the culture supernatants
from HEK293 HEK293-APP695 CHO-K1 GPR3 β-arrestin or CHO-K1 ADRB2
β-arrestin cells and neuronal cultures for 16ndash18 h before Aβ40 and Aβ42 ELISA
analysis of the culture supernatant samples
siRNA-mediated knockdown experiments The CHO-K1 GPR3 β-arrestin
CHO-K1 ADRB2 β-arrestin or WT HEK293 cell lines were transfected with
siRNA directed against β-arrestin 1 or β-arrestin 2 or with control siRNA
using GeneSilencer (Genlantis) according to the manufacturerrsquos instruc-
tions as described27 Chemically synthesized double-stranded siRNAs with
19-nucleotide duplex RNA and 2-nucleotide 3prime-dTdT overhangs were pur-
chased from Qiagen The siRNA sequences targeting human β-arrestin 1
and β-arrestin 2 were 5prime-AAAGCCUUCUGCGCGGAGAAU-3 prime and 5prime-AAG
GACCGCAAAGUGUUUGUG-3prime corresponding to positions 439ndash459 and
148ndash168 relative to the start codon respectively A nonsilencing RNA duplex
(5prime-AAUUCUCCGAACGUGUCACGU-3 prime) was used as a control Briefly the
cells were seeded on six-well plates at a cell density of 250000 cells per well One
day after seeding the cells were transfected with the siRNAs Two days after
892019 Thathiah 13 Gpr3 Arr2
httpslidepdfcomreaderfullthathiah-13-gpr3-arr2 99
NATURE MEDICINEdoi101038nm3023
seeding the cells were infected with an adenoviral vector expressing enhanced
GFP (eGFP) or APP-C99 On day 5 the medium was refreshed with serum-free
medium and the cells were allowed to accumulate Aβ peptides in the condi-
tioned medium for 16ndash18 h before analysis of the culture supernatant samples
with the ELISA described above
b-arrestin assay The CHO-K1 GPR 3 β-arrestin or CHO-K1 ADRB2 β-arrestin
cell lines were seeded on 96-well plates at a cell density of 20000 cells per well
One day after seeding cells were transfected with the siRNAs as described aboveTwo days after seeding the cells were infected with an adenoviral vector express-
ing eGFP or APP-C99 On day 5 the medium was refreshed with serum-free
medium and the cells were allowed to accumulate Aβ peptides in the condi-
tioned medium for 24 h before analysis with the PathHunter β-arrestin assay
from DiscoveRx according to the manufacturerrsquos protocol
Coimmunoprecipitation experiments N2a cells were seeded in 10-cm plates
at a density of 2000000 cells per dish Cell lysates were prepared 48 h after seed-
ing in PBS with 1 TX-100 or 1 CHAPSO and protease inhibitors (Complete
Protease Inhibitor Cocktail Tablets Roche) Cell lysates were precleared with
protein G sepharose for 1 h at 4 degC followed by centrifugation at 10000 g for
15 min Immunoprecipitations were conducted overnight at 4 degC using the
appropriate antibodies or a negative control antibody (9E10) The beads were
washed four times with PBS with 1 TX-100 or 1 CHAPSO and once with
PBS Proteins were eluted with 1times lithium dodecyl sulfate (LDS) loading bufferMicrosomal membranes were prepared from fresh or frozen postmortem mouse
cortical brain samples first by homogenization using a Teflon homogenizer in
05 M sucrose PKM buffer (100 mM potassium phosphate 5 mM MgCl2 and
3 mM KCl pH 65) followed by centrifugation for 10 min at 8000 rpm The
protein concentration was determined by the Bradford dye-binding procedure
(Bio-Rad) and the samples were centrifuged at 100000 g for 1 h The mem-
brane pellets were each solubilized with the addition of an equal volume of
buffer containing 2 CHAPSO (Pierce) and incubated on ice for 1 h After
centrifugation at 100000 g for 1 h the immunoprecipitation was performed as
previously described58
Endogenous cAMP assessment CHO-K1β-arrestin cells were transfected with
empty vector WT GPR3 or the GPR3 mutant cDNA constructs (X-tremeGENE
HP Roche) Forty-eight hours after transfection the culture medium was replaced
with serum-free DMEM and the cells were treated with 100 microM forskolinin the presence or absence of 25 microM IBMX a phosphodiesterase inhibitor for
30ndash45 min Intracellular cAMP levels were then measured in cells using a spe-
cific cAMP assay kit (RampD Systems) according to the manufacturerrsquos protocol
Subcellular fractionation WT HEK293 cells were rinsed twice with ice-cold 1times
PBS solubilized in 2-(N -morpholino)ethanesulfonic acid (MES) buffer (25 mM
MES pH 65 and 150 mM NaCl) containing 1 CHAPSO and supplemented
with a complete protease inhibitor cocktail Cells were lysed by sequential pas-
sage through 18-gauge (five times) and 26-gauge (ten times) needles and then
placed on ice for 1 h After the removal of insoluble material by centrifugation
at 15000 g for 15 min the lysates were adjusted to a 45 sucrose concentration
and transferred to ultracentrifugation tubes A discontinuous sucrose gradient
was prepared by layering 35 and 5 sucrose in MES buffer Samples were
centrifuged at 100000 g for 16ndash18 h Thirteen 960-microl fractions were collected
from the top of the gradient and used for western blot analysis
Photoaffinity probe and crosslinking JC-8 was synthesized according to a
previously described procedure43 Fractions 2ndash4 and 9ndash12 from the subcellular
fractionation experiments described above were combined and the crosslinking
studies were performed as previously described45
Structured illumination microscopy and immunofluorescence HeLa cells
were plated on glass coverslips and transfected with β-arrestin 2ndashGFP and APH-
1A Twenty-four hours after transfection the cells were fixed (4 paraformalde-
hyde 10 min) blocked (2 BSA 2 FBS and 1 gelatin in PBS supplemented
with 5 serum) incubated with primary antibody (4 degC overnight) washed
(PBS) incubated with fluorophore-conjugated secondary antibody (room tem-
perature 1 h) rinsed and mounted in Mowiol-containing medium The second-
ary antibodies were conjugated with the following fluorophores Alexa-546 and
-647 Images were captured with a structured illumination microscope (ElyraS1 (Carl Zeiss Jena Germany) equipped with a 63times oil objective lens and a
14 numerical aperture (NA) and an Andor iXon 885 EMCCD camera) that
is capable of revealing information beyond the diffraction barrier that limits
conventional widefield and confocal microscopes β-arrestin 2 and APH-1A
were imaged at resolutions of ~110 nm and ~134 nm respectively
Statistical analyses The data are presented as means plusmn sem The data were
analyzed using two-tailed Studentrsquos t tests ANOVA was performed with the
GraphPad Prism 5 software
53 Annaert WG et al Interaction with telencephalin and the amyloid precursor protein
predicts a ring structure for presenilins Neuron 32 579ndash589 (2001)
54 Esselens C et al Presenilin 1 mediates the turnover of telencephalin in hippocampal
neurons via an autophagic degradative pathway J Cell Biol 166 1041ndash1054
(2004)55 Cai H et al BACE1 is the major β-secretase for generation of Aβ peptides by
neurons Nat Neurosci 4 233ndash234 (2001)
56 Braak H amp Braak E Neuropathological stageing of Alzheimer-related changes
Acta Neuropathol 82 239ndash259 (1991)
57 Bossers K et al Concerted changes in transcripts in the prefrontal cortex precede
neuropathology in Alzheimerrsquos disease Brain 133 3699ndash3723 (2010)
58 Heacutebert SS et al Coordinated and widespread expression of γ -secretase in vivo
evidence for size and molecular heterogeneity Neurobiol Dis 17 260ndash272 (2004)
892019 Thathiah 13 Gpr3 Arr2
httpslidepdfcomreaderfullthathiah-13-gpr3-arr2 59
A R T I C L E S
NATURE MEDICINE VOLUME 19 | NUMBER 1 | JANUARY 2013 47
andβ2-AR affect γ -secretasendashmediated proteolysis of APP2930 Classic
inhibition of γ -secretase activity 36 leads to accumulation of APP-CTF
however genetic silencing of β-arrestin 2 leads to only a limited or
barely observable accumulation of APP-CTF (Figs 1i and 4) Todetermine whether β-arrestin 2 affects turnover of the APP-CTF
we treated HEK293-APP695 cells (after silencing β-arrestin 2) and
Arrb2minusminus neuronal cultures with the proteasome inhibitor lactacystin
and found an accumulation of the APP-CTF under these conditions
(Fig 4andashd) suggesting that downregulation of β-arrestin 2 leads not
only to inhibition of γ -secretase activity but also to increased APP-
CTF turnover through the proteasome Given the complexity of the
signaling pathways modulated by the β-arrestins an effect on Aβ
generation at multiple levels is not surprising Nevertheless from a
therapeutic point of view stimulation of APP-CTF turnover could
be advantageous given that accumulation of the APP-CTF correlates
with cognitive deficits in mice37
Previous studies indicated that GPCRs the γ -secretase complexand Aβ generation are localized in DRMs2938ndash42 Therefore we
assessed the distribution of the γ -secretase complex subunits and
β-arrestin 2 in lipid raft and nonndashlipid raft domains by differential
flotation after sucrose density gradient centrifugation The γ -secretase
complex subunits co-distributed in low-density fractions 3 and 4
Notably GPR3 (ref 29) and β-arrestin 2 also accumulated in
DRMs (Fig 4e) Moreover overexpression of β-arrestin 2 (Fig 4ef )
led to an enrichment of the γ -secretase subunits NCT PS1-CTF
APH-1A and PEN 2 in the detergent-resistant buoyant fractions
(Fig 4f ) In contrast silencing of β-arrestin 2 led to an appreciable
decrease in the distribution of the γ -secretase complex in DRMs
(Supplementary Fig 4ab)
We then determined whether increased localization of the indi-
vidual γ -secretase subunits in DRMs also coincided with the presence
of a more active γ -secretase complex in DRMs JC-8 is a photoreactive
biotinylated derivative of the highly specific and potent transition-state analog inhibitor L-685458 (ref 43) that only binds the cata-
lytically active γ -secretase complex44 We combined DRM fractions
2ndash4 and the nonndashlipid raft fractions (pooled fractions 9ndash12) from
empty vectorndashtransfected control and β-arrestin 2ndashtransfected cells
We normalized the fractions for γ -secretase expression and incubated
these fractions with JC-8 We used unlabeled L-685458 as a control
to compete with the biotinylated inhibitor and photoactivation to
crosslink the biotinylated inhibitor to the active γ -secretase complex45
Subsequent recovery of the biotinylated polypeptides revealed that the
photoprobe readily labeled the PS1-CTF in the lipid raft DRM frac-
tions (Fig 4g ) We were not able to detect labeling in the nonndashlipid
raft fractions (Fig 4g ) Overexpression of β-arrestin 2 resulted in a
twofold to threefold increase of the active γ -secretase complex poolin the DRMs (Fig 4h)
b-arrestin 2 interacts with the Aph-1a g-secretase subunit
To determine whether β-arrestin 2 physically associates with
the γ -secretase complex we performed coimmunoprecipitation exper-
iments in untransfected N2a neuroblastoma cells The γ -secretase
subunits Nct Ps1 Aph-1a and Pen 2 coimmunoprecipitated with
β-arrestin 2 in a 3-[(3-cholamidopropyl) dimethylammonio]-
2-hydroxy-1-propanesulfonate (CHAPSO)-containing buffer (Fig 5a)
which maintains the integrity of the intact γ -secretase complex4647
In contrast the detergent Triton X-100 (TX-100) dissociates the
γ -secretase complex48 In the presence of TX-100 β-arrestin 2 only
Input Bound Input Bound
IP Aph-1a
Input Bound
C o n t r
o l
β - a r r e s t i
n 2
IP
d
eIP β-arrestin 2
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
Nct
Ps1-NTF
Ps1-CTF
Aph-1a
β-arrestin 2
Nct
Aph-1a
β-arrestin 2
a
Nct
Input InputUnbound UnboundBound Bound
Ps1 Ps1 Aph-1a Aph-1aControl Control Control
IP Ps1-CTF IP Aph-1a
Control
Ps1-NTF
Ps1-CTF
Aph-1a
Pen 2
β-arrestin 2
Input Unbound Bound Input Unbound Bound
A ph -1 a A ph -1 aCon trol Con trol
IP Ps1-CTF IP Aph-1a
Ps1 Ps1Control Con trol
b
Nct
Ps1-NTF
Ps1-CTF
Aph-1a
Pen 2
β-arrestin 2
Input Bound
C o n t r
o l
β - a r r e s t i
n 2
IP
c
Nct
Ps1-NTF
Ps1-CTF
Aph-1a
β-arrestin 2
f
Input Bound Input Bound
IP Aph-1a IP β-arrestin 2
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
W T
G p r 3 ndash ndash
A r r b 2 ndash ndash
Nct
Aph-1a
β-arrestin 2
Figure 5 β-arrestin 2 interacts with the Aph-1a subunit of the γ -secretase complex (ab) Immunoprecipitation (IP) of cell lysates from the N2a
neuroblastoma cell line after extraction in 1 CHAPSO-containing (a) or 1 TX-100ndashcontaining (b) buffer with antibodies to Ps1-CTF (left) Aph-1a
(B803 right) or negative control antibodies and immunoblot analysis with the indicated antibodies to the γ -secretase complex subunits or β-arrestin 2
(cd) Immunoprecipitation of cell lysates from the N2a neuroblastoma cell line after extraction in 1 CHAPSO-containing (c) or 1 TX-100ndashcontaining
(d) buffer with β-arrestin 2ndashspecific or negative control antibodies and immunoblot analysis with the indicated antibodies to the γ -secretase complex
subunits or β-arrestin 2 (ef) Immunoprecipitation of cortical brain samples from WT Gpr3 minus minus and Arrb2 minus minus mice after extraction in 1 CHAPSO-
containing (e) or 1 TX-100ndashcontaining (f) buffer with antibodies to Aph-1a (B803 left) or β-arrestin 2 (right) and immunoblot analysis with the
indicated antibodies to the γ -secretase complex subunits or β-arrestin 2
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A R T I C L E S
48 VOLUME 19 | NUMBER 1 | JANUARY 2013 NATURE MEDICINE
coimmunoprecipitated with Aph-1a (Fig 5b) In the reciprocal
assay the interaction between β-arrestin 2 and the intact γ -secretase
complex was preserved in a CHAPSO-containing buffer (Fig 5c)
however β-arrestin 2 only coimmunoprecipitated with the Aph-1a
subunit (Fig 5d) in the presence of a TX-100 solubilization
buffer We confirmed this interaction in vivo showing that in the
presence of either CHAPSO (Fig 5e) or TX-100 detergent (Fig 5f )
β-arrestin 2 coimmunoprecipitated with the Aph-1a subunit of
the γ -secretase complex in extracts of cortical brain samples from WT
but not Gpr3minusminus or Arrb2minusminus mice Furthermore we observed colocali-
zation of β-arrestin and APH-1A after coexpression of β-arrestin 2and APH-1A in HeLa cells (Supplementary Fig 5) Collectively
these data suggest that expression of β-arrestin 2 regulates Aβ gen-
eration through interaction with the γ -secretase complex and redis-
tribution and accumulation of the active γ -secretase complex in
DRM domains
Genetic deletion of b-arrestin 2 reduces Ab generation
We then established the in vivo consequence of the absence of
β-arrestin 2 on Aβ generation in the APP PS1 transgenic mouse
model for Alzheimerrsquos disease This model coexpresses two familial
Alzheimerrsquos diseasendashlinked mutations APP with the KM670671NL
lsquoSwedishrsquo mutation and PS1 with the L166P mutation49 Both het-
erozygosity and complete genetic ablation of β-arrestin 2 expressionresulted in a marked reduction in Aβ40 and Aβ42 generation in the
hippocampus and cortex of 3-month-old APP PS1 Arrb2+minus and
APP PS1 Arrb2minusminus mice (Fig 6ab) with no effects on the expression
of NCT PS1 or APP-FL (Fig 6c) providing in vivo evidence for
the involvement of endogenous β-arrestin 2 in Aβ generation in an
Alzheimerrsquos disease mouse model
DISCUSSION
β-arrestins are scaffolding proteins that are intimately involved
in numerous aspects of GPCR signaling and regulation Here we
present evidence implicating this class of proteins in the regulation
of γ -secretase proteolytic activity and Aβ generation with potential
implications for the pathogenesis of Alzheimerrsquos disease β-arrestin 2
induces the redistribution of an inactive γ -secretase complex
toward a DRM-associated active γ -secretase pool through direct
interaction with Aph-1a We corroborated the overexpression studies
with several loss-of-function experiments that confirmed the overall
effects of β-arrestin 2 on γ -secretasendashmediated Aβ generation
Our data also suggest additional mechanisms including increased
APP-CTF turnover by which APP metabolism is affected byβ-arrestin 2 downregulation
This study provides insight into the mechanism of γ -secretase regu-
lation by GPR3 (ref 29) and β2-AR 30 two GPCRs that have previously
been implicated in the pathogenesis of Alzheimerrsquos disease Most nota-
bly we have determined that β-arrestins are aberrantly expressed in
the brain of individuals with Alzheimerrsquos disease and genetic deletion
of β-arrestin 2 reduces the accumulation of endogenous mouse Aβ
Furthermore in an Alzheimerrsquos disease mouse model we have shown
that β-arrestin 2 is also involved in Aβ generation which provides
evidence for the therapeutic potential of β-arrestins in Alzheimerrsquos
disease Ligands that show bias for either G proteinndashmediated
(G proteinndashbiased) or β-arrestinndashmediated (β-arrestinndashbiased) sig-
naling are being intensively investigated because they could selectively
promote beneficial signaling and even block or negate detrimental or
unwanted actions of receptor activation (for example side effects toxicity
or tolerance) Recently the GPCR M3-muscarinic receptorndashdependent
regulation of learning and memory has been shown to require receptor
phosphorylation and β-arrestin recruitment independent of G protein
signaling50 These data suggest that the development of biased ligands
could be beneficial for both learning and memory and potentially the
treatment of cognitive disorders such as Alzheimerrsquos disease
Arrb2minusminus mice develop normally in the absence of an apparent
Notch-deficiency phenotype Instead they show increased analge-
sia in response to morphine24 because of misregulated internali-
zation and desensitization of the micro-opioid receptor51 The current
study indicates that APP-CTF does not accumulate in APP PS1
Arrb2minusminus mice which has been suggested to occur after treatmentwith certain γ -secretase inhibitors37 Therefore a physiologically
relevant regulatory mechanism of the modulation of Aβ generation
by the γ -secretase potentially mediated through β-arrestin 2 could
be beneficial in preventing the adverse side effects associated with
direct γ -secretase inhibition such as interference with Notch signal-
ing52 or APP-CTF accumulation37 As it becomes increasingly evident
that presymptomatic andor very early symptomatic treatments are
necessary to prevent the onset of dementia the work here suggests
a previously unexplored avenue involving β-arrestin 2 inhibition for
therapeutic intervention and prevention in Alzheimerrsquos disease
METHODS
Methods and any associated references are available in the online version of the paper
Note Supplementary information is available in the online version of the paper
ACKNOWLEDGMENTSWe are grateful to RJ Lefkowitz and S Ahn (Duke University Medical CenterDurham North Carolina USA) for the generous gift of the β-arrestin 2 wild-typeand knockout mouse embryonic fibroblasts the Arrb1minusminus and Arrb2minusminus micethe β-arrestin 2ndashGFP-Flag cDNA and helpful discussion We thank M Jucker(University of Tuumlbingen Germany) for the gift of APP PS1 transgenic mice Wegreatly appreciate the kind gift of human control and Alzheimerrsquos disease brainsamples from K Bossers and DF Swaab (Netherlands Institute for NeuroscienceAmsterdam The Netherlands) and C Troakes (the London NeurodegenerativeDiseases Brain Bank London UK) We thank M Mercken (Johnson amp Johnson
15
a
10
05
H i p p
o c a m
p u s
C o r t e
x A β 4 0 n o r m a l i z e d v a l u e
( t o
A P P P S 1 A r r b b 2 + + )
+
H i p p
o c a m
p u s
C o r t e
x
APPPS1 Arrb2++
APPPS1 Arrb2+ndash
APPPS1 Arrb2ndashndash
b
15
10
05
A β 4 2 n o r m a l i z e d v a l u e
( t o
A P P P S 1 A r r b b 2 + + )
+
++
APPPS1 Arrb2++
APPPS1 Arrb2+ndash
APPPS1 Arrb2ndashndash
c
A P P P S
1 A r r b 2 + +
A P P P S
1 A r r b 2 + ndash
A P P P S
1 A r r b 2 ndash ndash
NCT
PS1-CTF
PS1-NTF
APP-FL
APP-CTF
β-actin
Figure 6 β-arrestin 2 contributes to Aβ generation in an Alzheimerrsquos
disease transgenic mouse model (ab) Hippocampal and cortical
concentrations of soluble Aβ40 (a) and Aβ42 (b) in 3-month-old APP PS1
transgenic mice crossed with wild-type Arrb2 ++ Arrb2 + minus or Arrb2 minus minus mice
determined by ELISA P lt 005 relative to Arrb2 ++ +P lt 001 relative
to Arrb2 ++ for hippocampal Aβ40 P lt 0001 relative to Arrb2 ++
P lt 00001 relative to Arrb2 ++ for cortical Aβ40 P lt 005 relative
to Arrb2 ++ +P lt 001 relative to Arrb2 ++ for hippocampal Aβ42
P lt 0005 relative to Arrb2 ++++P lt 0001 relative to Arrb2 ++ for
cortical Aβ42 by ANOVA and Dunnettrsquos post test n = 6 independent
female mice per cross Error bars sem (c) Immunoblot of the expression
of the γ -secretase complex components and APP in brain samples fromAPP PS1 Arrb2 ++ APP PS1 Arrb2 + minus and APP PS1 Arrb2 minus minus mice
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A R T I C L E S
NATURE MEDICINE VOLUME 19 | NUMBER 1 | JANUARY 2013 49
Pharmaceuticals Research and Development Beerse Belgium) for the antibodiesto Aβ We are grateful to Y Li (Memorial Sloan Kettering Cancer Center NewYork USA) for the k ind initial gift of JC-8 This work was supported by a MentoredNew Investigator Research grant from the Alzheimerrsquos Association to AT theFund for Scientific Research Flanders KU Leuven a Methusalem grant fromthe KU Leuven and the Flemish government and the Foundation for AlzheimerResearch (SAOFRMA) to BDS BDS is the Arthur Bax and Anna Vanluffelenchair for Alzheimerrsquos disease
AUTHOR CONTRIBUTIONSAT and BDS designed the experiments and wrote the manuscript AT KHAS EV and YH conducted the experiments MC conducted the qPCRexperiments GDK synthesized JC-8 SM conducted the immunofluorescence
image analysis
COMPETING FINANCIAL INTERESTSThe authors declare competing financial interests details are available in the online version of the paper
Published online at httpwwwnaturecomdoifinder101038nm3023
Reprints and permissions information is available online at httpwwwnaturecom
reprintsindexhtml
1 Ballatore C Lee VM amp Trojanowski JQ Tau-mediated neurodegeneration
in Alzheimerrsquos disease and related disorders Nat Rev Neurosci 8 663ndash672
(2007)2 Goumltz J Ittner A amp Ittner LM Tau-targeted treatment strategies in Alzheimerrsquos
disease Br J Pharmacol 165 1246ndash1259 (2012)
3 Holtzman DM Goate A Kelly J amp Sperling R Mapping the road forward in
Alzheimerrsquos disease Sci Transl Med 3 114ps148 (2011)
4 Golde TE Schneider LS amp Koo EH Anti-aβ therapeutics in Alzheimerrsquos disease
the need for a paradigm shift Neuron 69 203ndash213 (2011)
5 Karran E Mercken M amp De Strooper B The amyloid cascade hypothesis for
Alzheimerrsquos disease an appraisal for the development of therapeutics Nat Rev
Drug Discov 10 698ndash712 (2011)
6 Cramer PE et al ApoE-directed therapeutics rapidly clear β-amyloid and reverse
deficits in AD mouse models Science 335 1503ndash1506 (2012)
7 Selkoe DJ Resolving controversies on the path to Alzheimerrsquos therapeutics
Nat Med 17 1060ndash1065 (2011)
8 De Strooper B Aph-1 Pen-2 and Nicastrin with Presenilin generate an active
γ -Secretase complex Neuron 38 9ndash12 (2003)
9 Bertram L Lill CM amp Tanzi RE The genetics of Alzheimer disease back to
the future Neuron 68 270ndash281 (2010)
10 Bekris LM Yu CE Bird TD amp Tsuang DW Genetics of Alzheimer disease
J Geriatr Psychiatry Neurol 23 213ndash227 (2010)
11 Morris JC et al APOE predicts amyloid-β but not tau Alzheimer pathology in
cognitively normal aging Ann Neurol 67 122ndash131 (2010)
12 Fredriksson R amp Schioth HB The repertoire of G-proteinndashcoupled receptors in
fully sequenced genomes Mol Pharmacol 67 1414ndash1425 (2005)
13 Gudermann T Nurnberg B amp Schultz G Receptors and G proteins as primary
components of transmembrane signal transduction Part 1 G-proteinndashcoupled
receptors structure and function J Mol Med 73 51ndash63 (1995)
14 Watson SAS The G Protein-Coupled Receptor Factors Book (Academic San Diego
1994)
15 Vassilatis DK et al The G proteinndashcoupled receptor repertoires of human and
mouse Proc Natl Acad Sci USA 100 4903ndash4908 (2003)
16 Thathiah A amp De Strooper B The role of G proteinndashcoupled receptors in the
pathology of Alzheimerrsquos disease Nat Rev Neurosci 12 73ndash87 (2011)
17 DeWire SM Ahn S Lefkowitz RJ amp Shenoy SK β-arrestins and cell signaling
Annu Rev Physiol 69 483ndash510 (2007)
18 Whalen EJ Rajagopal S amp Lefkowitz RJ Therapeutic potential of β-arrestinndash
and G proteinndashbiased agonists Trends Mol Med 17 126ndash139 (2011)
19 Beaulieu JM et al An Akt β-arrestin 2PP2A signaling complex mediatesdopaminergic neurotransmission and behavior Cell 122 261ndash273 (2005)
20 Luan B et al Deficiency of a β-arrestinndash2 signal complex contributes to insulin
resistance Nature 457 1146ndash1149 (2009)
21 Beaulieu JM et al A β-arrestin 2 signaling complex mediates lithium action on
behavior Cell 132 125ndash136 (2008)
22 Shearman MS et al L-685458 an aspartyl protease transition state mimic is
a potent inhibitor of amyloid β-protein precursor γ -secretase activity Biochemistry 39
8698ndash8704 (2000)
23 Conner DA et al β-arrestin1 knockout mice appear normal but demonstrate
altered cardiac responses to β-adrenergic stimulation Circ Res 81 1021ndash1026
(1997)
24 Bohn LM et al Enhanced morphine analgesia in mice lacking β-arrestin 2 Science
286 2495ndash2498 (1999)
25 Ferguson SS et al Role of β-arrestin in mediating agonist-promoted G proteinndash
coupled receptor internalization Science 271 363ndash366 (1996)
26 Lohse MJ Lefkowitz RJ Caron MG amp Benovic JL Inhibition of β-adrenergic
receptor kinase prevents rapid homologous desensitization of β 2-adrenergic
receptors Proc Natl Acad Sci USA 86 3011ndash3015 (1989)
27 Ahn S Shenoy SK Wei H amp Lefkowitz RJ Differential kinetic and spatialpatterns of β-arrestin and G proteinndashmediated ERK activation by the angiotensin II
receptor J Biol Chem 279 35518ndash35525 (2004)
28 Luttrell LM et al β-arrestinndashdependent formation of β2 adrenergic receptor-Src
protein kinase complexes Science 283 655ndash661 (1999)
29 Thathiah A et al The orphan G proteinndashcoupled receptor 3 modulates amyloid-β
peptide generation in neurons Science 323 946ndash951 (2009)
30 Ni Y et al Activation of β2-adrenergic receptor stimulates γ -secretase activity and
accelerates amyloid plaque formation Nat Med 12 1390ndash1396 (2006)
31 Teng L Zhao J Wang F Ma L amp Pei GA GPCRsecretase complex regulates
β- and γ -secretase specificity for Aβ production and contributes to AD pathogenesis
Cell Res 20 138ndash153 (2010)
32 Olson KR amp Eglen RM β galactosidase complementation a cell-based
luminescent assay platform for drug discovery Assay Drug Dev Technol 5 137ndash144
(2007)
33 Gaacuteborik Z et al The role of a conserved region of the second intracellular loop in
AT1 angiotensin receptor activation and signaling Endocrinology 144 2220ndash2228
(2003)
34 Shenoy SK et al β-arrestinndashdependent G proteinndashindependent ERK12 activation
by the β2 adrenergic receptor J Biol Chem 281 1261ndash1273 (2006)35 Wei H et al Independent β-arrestin 2 and G proteinndashmediated pathways for
angiotensin II activation of extracellular signal-regulated kinases 1 and 2 Proc
Natl Acad Sci USA 100 10782ndash10787 (2003)
36 De Strooper B et al Deficiency of presenilin-1 inhibits the normal cleavage of
amyloid precursor protein Nature 391 387ndash390 (1998)
37 Mitani Y et al Differential effects between γ -secretase inhibitors and modulators
on cognitive function in amyloid precursor proteinndashtransgenic and nontransgenic
mice J Neurosci 32 2037ndash2050 (2012)
38 Chini B amp Parenti M G-protein coupled receptors in lipid rafts and caveolae
how when and why do they go there J Mol Endocrinol 32 325ndash338 (2004)
39 Vetrivel KS et al Association of γ -secretase with lipid rafts in post-Golgi and
endosome membranes J Biol Chem 279 44945ndash44954 (2004)
40 Wada S et al γ -secretase activity is present in rafts but is not cholesterol-
dependent Biochemistry 42 13977ndash13986 (2003)
41 Wahrle S et al Cholesterol-dependent γ -secretase activity in buoyant cholesterol-
rich membrane microdomains Neurobiol Dis 9 11ndash23 (2002)
42 Yagishita S Morishima-Kawashima M Ishiura S amp Ihara Y Aβ46 is processed
to Aβ40 and A
β43 but not to A
β42 in the low density membrane domains
J Biol Chem 283 733ndash738 (2008)
43 Chun J Yin YI Yang G Tarassishin L amp Li YM Stereoselective synthesis of
photoreactive peptidomimetic γ -secretase inhibitors J Org Chem 69 7344ndash7347
(2004)
44 Chau DM Crump CJ Villa JC Scheinberg DA amp Li YM Familial Alzheimer
disease presenilin-1 mutations alter the active site conformation of γ -secretase
J Biol Chem 287 17288ndash17296 (2012)
45 Vetrivel KS et al Spatial segregation of γ -secretase and substrates in distinct
membrane domains J Biol Chem 280 25892ndash25900 (2005)
46 Li YM et al Presenilin 1 is linked with γ -secretase activity in the detergent
solubilized state Proc Natl Acad Sci USA 97 6138ndash6143 (2000)
47 Esler WP et al Activity-dependent isolation of the presenilinndashγ -secretase complex
reveals nicastrin and a γ substrate Proc Natl Acad Sci USA 99 2720ndash2725
(2002)
48 Fraering PC et al Detergent-dependent dissociation of active γ -secretase reveals
an interaction between Pen-2 and PS1-NTF and offers a model for subunit
organization within the complex Biochemistry 43 323ndash333 (2004)
49 Radde R et al Aβ42-driven cerebral amyloidosis in transgenic mice reveals early
and robust pathology EMBO Rep 7 940ndash946 (2006)50 Poulin B et al The M3-muscarinic receptor regulates learning and memory in
a receptor phosphorylationarrestin-dependent manner Proc Natl Acad Sci USA
107 9440ndash9445 (2010)
51 Bohn LM Gainetdinov RR Lin FT Lefkowitz RJ amp Caron MG Mu-opioid
receptor desensitization by β-arrestinndash2 determines morphine tolerance but not
dependence Nature 408 720ndash723 (2000)
52 De Strooper B et al A presenilin-1ndashdependent γ -secretasendashlike protease mediates
release of Notch intracellular domain Nature 398 518ndash522 (1999)
892019 Thathiah 13 Gpr3 Arr2
httpslidepdfcomreaderfullthathiah-13-gpr3-arr2 89
NATURE MEDICINE doi101038nm3023
ONLINE METHODSReagents Unless otherwise indicated chemicals were purchased from
Sigma-Aldrich
Antibodies and compounds Rabbit polyclonal antibodies to human PS1-NTF
(B145 11000) mouse PS1-NTF (B192 15000) APH-1AL (B803 11000)
PEN 2 (B1262 11000) and the APP C terminus (B635 15000) and the
monoclonal antibody 9C3 (13000) directed against the C terminus of NCT
have been previously described and were generated in house5354 ADAM10was detected using a polyclonal antiserum (B421 11000) generated against
the 17 C-terminal amino acid residues of ADAM10 and was generated in house
Antibodies to the following were purchased Flag (M2 Sigma 11000) 22C11
(Chemicon 11000) 6E10 (Sigma-Aldrich 11000) β-secretase (D10E5
Cell Signaling 11000) PK (DiscoveRx 1500) β-arrestin (BD Biosciences
1500) β-arrestin 2 (Cell Signaling 1250) β-arrestin 12 (Santa Cruz 1500)
Myc (9E10 11000) PS1-NTF (MAB1563 Chemicon) PS1-CTF (MAB5232
Chemicon) hemagglutinin (HA) (3F10 Roche) caveolin-1 (Santa Cruz)
calnexin GM130 and EEA1 (Transduction lab) and β-actin (Sigma) L-685458
was purchased from Calbiochem
Plasmid construction The human GPR3 plasmid was purchased from
DiscoveRx All mutations in GPR3 were generated with the XL Site-Directed
Mutagenesis Kit (Stratagene) and confirmed by DNA sequence analysis The
β-arrestin 2ndashGFP-Flag plasmid was the kind gift of RJ Lefkowitz (DukeUniversity Medical Center Durham North Carolina USA)
Cell lines The CHO-K1 CHO-K1 GPR3 and CHO-K1 ADRB2 β-arrestin cell
lines were purchased from DiscoveRx The WT HEK293 N2a and HeLa cell
lines were purchased from American Type Culture Collection
Mice The Arrb1minusminus and Arrb2minusminus mice (C57BL6J background) were kindly
provided by RJ Lefkowitz (Duke University Medical Center Durham North
Carolina USA) Wild-type C57BL6J mice or littermate mice were used as
controls for all of the experiments The APP PS1 transgenic mice (C57BL6J
background) were the kind gift of M Jucker (University of Tuumlbingen Tuumlbingen
Germany)49 The APP PS1 transgenic mice were crossed with Arrb2+minus and
Arrb2minusminus mice to obtain APP PS1 Arrb2+minus and APP PS1 Arrb2minusminus mice
respectively Only female mice were used for the studies The mouse studies
were approved by ethical committees of Leuven University and UZ Leuven(LA1210231)
qPCR qPCR was performed with the SYBR Green PCR Master Mix (Exiqon)
and the LightCycler 480 Real-Time PCR System (Roche Applied Science)
following the manufacturerrsquos protocol The primers for human β-arrestin 1
used were 5prime-TGTTGAGGGAAGGTGCCAACCG-3prime and 5prime-GATGCAAGA
TCTCCCAACAGGCCG-3prime The primers for human β-arrestin 2 used were
5prime-CCTGTAGATGGCGTGGTGCTTG-3prime and 5prime-CCAGGTCTTCACGGCCA
TAGCG-3prime The housekeeping primers used were to hypoxanthine guanine
phosphoribosyl transferase (HPRT) (5prime-TGACACTGGCAAAACAATGCA-3prime
and 5prime-GGTCCTTTTCACCAGCAAGCT-3 prime) ribosomal protein L13a (RPL13A)
(5prime-CCTGGAGGAGAAGAGGAAAGAGA-3 prime and 5prime-TTGAGGACCTCTG
TGTATTTGTCAA-3prime) and β2 microglobulin (β2M) (5prime-TGCTGTCTCCA
TGTTTGATGTATC-3prime and 5prime-TCTCTGCTCCCCACCTCTAAGT-3prime)
Neuronal cultures Primary mouse cortical or hippocampal cultures were estab-
lished from the brains of embryonic day 14 or 17 fetal mice respectively as
previously described55 Briefly the dissected brain cortices or hippocampi were
suspended in HBSS supplemented with 025 trypsin and incubated at 37 degC
for 15 min The tissues were then transferred to HBSS supplemented with 10
(vv) horse serum and dissociated by repeated trituration The dispersed cells
were counted and plated on poly-983140-lysinendashcoated six-well cell culture plates
in Neurobasal medium supplemented with B27 (Invitrogen) Forty-eight to
72 h after plating the cells were transduced with the recombinant adenoviral
vectors for 24 h The infection medium was replaced with fresh Neurobasal
medium and cells were maintained in culture for an additional 24 h Cell culture
supernatants were collected centrifuged for 10 min at 800 g and used for ELISA
measurements Cells were harvested in 1times PBS containing complete protease
inhibitors (Roche) centrifuged at 800 g for 10 min and lysed in 150 mM NaCl
50 mM 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES) pH 74
and 1 TX-100 supplemented with complete protease inhibitors for 30 min at
4 degC After centrifugation at 16000 g for 15 min the cleared cell extracts were
separated on 4ndash12 Bis-Tris gels (Invitrogen) transferred to nitrocellulose
membranes blocked and probed with the indicated antibodies for western blot
analysis Immunodetection was performed using horseradish peroxidase (HRP)-
coupled secondary antibodies (Bio-Rad) and the chemiluminescent detectionreagent Renaissance (PerkinElmer Life Sciences)
Patient samples Frozen hippocampal and entorhinal cortex tissue samples
were obtained from the London Neurodegenerative Diseases Brain Bank These
samples were pathologically confirmed but not further categorized according
to Braak stage The second cohort of patient samples consisted of snap-frozen
human medial frontal gyrus brain samples obtained from the Netherlands Brain
Bank Amsterdam (NBB) For these samples individual neuropathological
reports including Braak staging for neurofibrillary changes (NFC) and neuritic
plaques56 and clinical reports were available For each of the six Braak stages
seven individuals were included Furthermore seven individuals without any
NFC pathology were included as Braak stage 0 Samples were matched as closely
as possible for sex age postmortem interval cerebrospinal fluid pH and APOE
genotype Only samples with a relatively high RNA integrity number (gt7) were
included Tissue dissection was performed as previously described57 Total RNAwas isolated from both the London and the Netherlands Brain Bank samples
using a combination of TRIzol-based and mirVana RNA isolation methods
Briefly samples were homogenized in ice-cold TRIzol (Life Technologies) After
phase separation by the addition of chloroform the aqueous phase was mixed
with an equal volume of 70 RNase-free ethanol Samples were then applied to
a mirVana filter cartridge (AmbionLife Technologies) and processed according
to the manufacturerrsquos instructions RNA yields and purities were determined
using a NanoDrop ND-1000 spectrophotometer (NanoDrop Technologies)
RNA integrity was determined by the RNA integrity number as measured by
the Agilent 2100 bioanalyzer (Agilent Technologies) All brain samples were col-
lected according to legislation and ethical boards of the respective Brain Banks
The human study was evaluated and approved by ethical committees of Leuven
University and UZ Leuven (ML5919)
Ab ELISA screen Ninety-six-well plates were coated and incubated overnightwith the capture antibodies previously described29 and detected using the HRP-
labeled detection antibodies29 Brains of the mice with the respective genotypes
of the ages indicated (plusmn2 weeks) were dissected after transcardial perfusion with
ice-cold PBS The hippocampus and the cerebral cortex were removed separately
and homogenized in Tissue Protein Extraction reagent (Pierce) supplemented
with complete protease inhibitor and phosphatase inhibitor tablets (Roche
Applied Science) The homogenized samples were briefly sonicated to shear the
DNA and centrifuged at 4 degC for 1 h at 100000 g The supernatant was used for
immunoblot analysis and Aβ ELISA measurements Alternately the Aβ peptides
were allowed to accumulate in the absence of serum in the culture supernatants
from HEK293 HEK293-APP695 CHO-K1 GPR3 β-arrestin or CHO-K1 ADRB2
β-arrestin cells and neuronal cultures for 16ndash18 h before Aβ40 and Aβ42 ELISA
analysis of the culture supernatant samples
siRNA-mediated knockdown experiments The CHO-K1 GPR3 β-arrestin
CHO-K1 ADRB2 β-arrestin or WT HEK293 cell lines were transfected with
siRNA directed against β-arrestin 1 or β-arrestin 2 or with control siRNA
using GeneSilencer (Genlantis) according to the manufacturerrsquos instruc-
tions as described27 Chemically synthesized double-stranded siRNAs with
19-nucleotide duplex RNA and 2-nucleotide 3prime-dTdT overhangs were pur-
chased from Qiagen The siRNA sequences targeting human β-arrestin 1
and β-arrestin 2 were 5prime-AAAGCCUUCUGCGCGGAGAAU-3 prime and 5prime-AAG
GACCGCAAAGUGUUUGUG-3prime corresponding to positions 439ndash459 and
148ndash168 relative to the start codon respectively A nonsilencing RNA duplex
(5prime-AAUUCUCCGAACGUGUCACGU-3 prime) was used as a control Briefly the
cells were seeded on six-well plates at a cell density of 250000 cells per well One
day after seeding the cells were transfected with the siRNAs Two days after
892019 Thathiah 13 Gpr3 Arr2
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NATURE MEDICINEdoi101038nm3023
seeding the cells were infected with an adenoviral vector expressing enhanced
GFP (eGFP) or APP-C99 On day 5 the medium was refreshed with serum-free
medium and the cells were allowed to accumulate Aβ peptides in the condi-
tioned medium for 16ndash18 h before analysis of the culture supernatant samples
with the ELISA described above
b-arrestin assay The CHO-K1 GPR 3 β-arrestin or CHO-K1 ADRB2 β-arrestin
cell lines were seeded on 96-well plates at a cell density of 20000 cells per well
One day after seeding cells were transfected with the siRNAs as described aboveTwo days after seeding the cells were infected with an adenoviral vector express-
ing eGFP or APP-C99 On day 5 the medium was refreshed with serum-free
medium and the cells were allowed to accumulate Aβ peptides in the condi-
tioned medium for 24 h before analysis with the PathHunter β-arrestin assay
from DiscoveRx according to the manufacturerrsquos protocol
Coimmunoprecipitation experiments N2a cells were seeded in 10-cm plates
at a density of 2000000 cells per dish Cell lysates were prepared 48 h after seed-
ing in PBS with 1 TX-100 or 1 CHAPSO and protease inhibitors (Complete
Protease Inhibitor Cocktail Tablets Roche) Cell lysates were precleared with
protein G sepharose for 1 h at 4 degC followed by centrifugation at 10000 g for
15 min Immunoprecipitations were conducted overnight at 4 degC using the
appropriate antibodies or a negative control antibody (9E10) The beads were
washed four times with PBS with 1 TX-100 or 1 CHAPSO and once with
PBS Proteins were eluted with 1times lithium dodecyl sulfate (LDS) loading bufferMicrosomal membranes were prepared from fresh or frozen postmortem mouse
cortical brain samples first by homogenization using a Teflon homogenizer in
05 M sucrose PKM buffer (100 mM potassium phosphate 5 mM MgCl2 and
3 mM KCl pH 65) followed by centrifugation for 10 min at 8000 rpm The
protein concentration was determined by the Bradford dye-binding procedure
(Bio-Rad) and the samples were centrifuged at 100000 g for 1 h The mem-
brane pellets were each solubilized with the addition of an equal volume of
buffer containing 2 CHAPSO (Pierce) and incubated on ice for 1 h After
centrifugation at 100000 g for 1 h the immunoprecipitation was performed as
previously described58
Endogenous cAMP assessment CHO-K1β-arrestin cells were transfected with
empty vector WT GPR3 or the GPR3 mutant cDNA constructs (X-tremeGENE
HP Roche) Forty-eight hours after transfection the culture medium was replaced
with serum-free DMEM and the cells were treated with 100 microM forskolinin the presence or absence of 25 microM IBMX a phosphodiesterase inhibitor for
30ndash45 min Intracellular cAMP levels were then measured in cells using a spe-
cific cAMP assay kit (RampD Systems) according to the manufacturerrsquos protocol
Subcellular fractionation WT HEK293 cells were rinsed twice with ice-cold 1times
PBS solubilized in 2-(N -morpholino)ethanesulfonic acid (MES) buffer (25 mM
MES pH 65 and 150 mM NaCl) containing 1 CHAPSO and supplemented
with a complete protease inhibitor cocktail Cells were lysed by sequential pas-
sage through 18-gauge (five times) and 26-gauge (ten times) needles and then
placed on ice for 1 h After the removal of insoluble material by centrifugation
at 15000 g for 15 min the lysates were adjusted to a 45 sucrose concentration
and transferred to ultracentrifugation tubes A discontinuous sucrose gradient
was prepared by layering 35 and 5 sucrose in MES buffer Samples were
centrifuged at 100000 g for 16ndash18 h Thirteen 960-microl fractions were collected
from the top of the gradient and used for western blot analysis
Photoaffinity probe and crosslinking JC-8 was synthesized according to a
previously described procedure43 Fractions 2ndash4 and 9ndash12 from the subcellular
fractionation experiments described above were combined and the crosslinking
studies were performed as previously described45
Structured illumination microscopy and immunofluorescence HeLa cells
were plated on glass coverslips and transfected with β-arrestin 2ndashGFP and APH-
1A Twenty-four hours after transfection the cells were fixed (4 paraformalde-
hyde 10 min) blocked (2 BSA 2 FBS and 1 gelatin in PBS supplemented
with 5 serum) incubated with primary antibody (4 degC overnight) washed
(PBS) incubated with fluorophore-conjugated secondary antibody (room tem-
perature 1 h) rinsed and mounted in Mowiol-containing medium The second-
ary antibodies were conjugated with the following fluorophores Alexa-546 and
-647 Images were captured with a structured illumination microscope (ElyraS1 (Carl Zeiss Jena Germany) equipped with a 63times oil objective lens and a
14 numerical aperture (NA) and an Andor iXon 885 EMCCD camera) that
is capable of revealing information beyond the diffraction barrier that limits
conventional widefield and confocal microscopes β-arrestin 2 and APH-1A
were imaged at resolutions of ~110 nm and ~134 nm respectively
Statistical analyses The data are presented as means plusmn sem The data were
analyzed using two-tailed Studentrsquos t tests ANOVA was performed with the
GraphPad Prism 5 software
53 Annaert WG et al Interaction with telencephalin and the amyloid precursor protein
predicts a ring structure for presenilins Neuron 32 579ndash589 (2001)
54 Esselens C et al Presenilin 1 mediates the turnover of telencephalin in hippocampal
neurons via an autophagic degradative pathway J Cell Biol 166 1041ndash1054
(2004)55 Cai H et al BACE1 is the major β-secretase for generation of Aβ peptides by
neurons Nat Neurosci 4 233ndash234 (2001)
56 Braak H amp Braak E Neuropathological stageing of Alzheimer-related changes
Acta Neuropathol 82 239ndash259 (1991)
57 Bossers K et al Concerted changes in transcripts in the prefrontal cortex precede
neuropathology in Alzheimerrsquos disease Brain 133 3699ndash3723 (2010)
58 Heacutebert SS et al Coordinated and widespread expression of γ -secretase in vivo
evidence for size and molecular heterogeneity Neurobiol Dis 17 260ndash272 (2004)
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A R T I C L E S
48 VOLUME 19 | NUMBER 1 | JANUARY 2013 NATURE MEDICINE
coimmunoprecipitated with Aph-1a (Fig 5b) In the reciprocal
assay the interaction between β-arrestin 2 and the intact γ -secretase
complex was preserved in a CHAPSO-containing buffer (Fig 5c)
however β-arrestin 2 only coimmunoprecipitated with the Aph-1a
subunit (Fig 5d) in the presence of a TX-100 solubilization
buffer We confirmed this interaction in vivo showing that in the
presence of either CHAPSO (Fig 5e) or TX-100 detergent (Fig 5f )
β-arrestin 2 coimmunoprecipitated with the Aph-1a subunit of
the γ -secretase complex in extracts of cortical brain samples from WT
but not Gpr3minusminus or Arrb2minusminus mice Furthermore we observed colocali-
zation of β-arrestin and APH-1A after coexpression of β-arrestin 2and APH-1A in HeLa cells (Supplementary Fig 5) Collectively
these data suggest that expression of β-arrestin 2 regulates Aβ gen-
eration through interaction with the γ -secretase complex and redis-
tribution and accumulation of the active γ -secretase complex in
DRM domains
Genetic deletion of b-arrestin 2 reduces Ab generation
We then established the in vivo consequence of the absence of
β-arrestin 2 on Aβ generation in the APP PS1 transgenic mouse
model for Alzheimerrsquos disease This model coexpresses two familial
Alzheimerrsquos diseasendashlinked mutations APP with the KM670671NL
lsquoSwedishrsquo mutation and PS1 with the L166P mutation49 Both het-
erozygosity and complete genetic ablation of β-arrestin 2 expressionresulted in a marked reduction in Aβ40 and Aβ42 generation in the
hippocampus and cortex of 3-month-old APP PS1 Arrb2+minus and
APP PS1 Arrb2minusminus mice (Fig 6ab) with no effects on the expression
of NCT PS1 or APP-FL (Fig 6c) providing in vivo evidence for
the involvement of endogenous β-arrestin 2 in Aβ generation in an
Alzheimerrsquos disease mouse model
DISCUSSION
β-arrestins are scaffolding proteins that are intimately involved
in numerous aspects of GPCR signaling and regulation Here we
present evidence implicating this class of proteins in the regulation
of γ -secretase proteolytic activity and Aβ generation with potential
implications for the pathogenesis of Alzheimerrsquos disease β-arrestin 2
induces the redistribution of an inactive γ -secretase complex
toward a DRM-associated active γ -secretase pool through direct
interaction with Aph-1a We corroborated the overexpression studies
with several loss-of-function experiments that confirmed the overall
effects of β-arrestin 2 on γ -secretasendashmediated Aβ generation
Our data also suggest additional mechanisms including increased
APP-CTF turnover by which APP metabolism is affected byβ-arrestin 2 downregulation
This study provides insight into the mechanism of γ -secretase regu-
lation by GPR3 (ref 29) and β2-AR 30 two GPCRs that have previously
been implicated in the pathogenesis of Alzheimerrsquos disease Most nota-
bly we have determined that β-arrestins are aberrantly expressed in
the brain of individuals with Alzheimerrsquos disease and genetic deletion
of β-arrestin 2 reduces the accumulation of endogenous mouse Aβ
Furthermore in an Alzheimerrsquos disease mouse model we have shown
that β-arrestin 2 is also involved in Aβ generation which provides
evidence for the therapeutic potential of β-arrestins in Alzheimerrsquos
disease Ligands that show bias for either G proteinndashmediated
(G proteinndashbiased) or β-arrestinndashmediated (β-arrestinndashbiased) sig-
naling are being intensively investigated because they could selectively
promote beneficial signaling and even block or negate detrimental or
unwanted actions of receptor activation (for example side effects toxicity
or tolerance) Recently the GPCR M3-muscarinic receptorndashdependent
regulation of learning and memory has been shown to require receptor
phosphorylation and β-arrestin recruitment independent of G protein
signaling50 These data suggest that the development of biased ligands
could be beneficial for both learning and memory and potentially the
treatment of cognitive disorders such as Alzheimerrsquos disease
Arrb2minusminus mice develop normally in the absence of an apparent
Notch-deficiency phenotype Instead they show increased analge-
sia in response to morphine24 because of misregulated internali-
zation and desensitization of the micro-opioid receptor51 The current
study indicates that APP-CTF does not accumulate in APP PS1
Arrb2minusminus mice which has been suggested to occur after treatmentwith certain γ -secretase inhibitors37 Therefore a physiologically
relevant regulatory mechanism of the modulation of Aβ generation
by the γ -secretase potentially mediated through β-arrestin 2 could
be beneficial in preventing the adverse side effects associated with
direct γ -secretase inhibition such as interference with Notch signal-
ing52 or APP-CTF accumulation37 As it becomes increasingly evident
that presymptomatic andor very early symptomatic treatments are
necessary to prevent the onset of dementia the work here suggests
a previously unexplored avenue involving β-arrestin 2 inhibition for
therapeutic intervention and prevention in Alzheimerrsquos disease
METHODS
Methods and any associated references are available in the online version of the paper
Note Supplementary information is available in the online version of the paper
ACKNOWLEDGMENTSWe are grateful to RJ Lefkowitz and S Ahn (Duke University Medical CenterDurham North Carolina USA) for the generous gift of the β-arrestin 2 wild-typeand knockout mouse embryonic fibroblasts the Arrb1minusminus and Arrb2minusminus micethe β-arrestin 2ndashGFP-Flag cDNA and helpful discussion We thank M Jucker(University of Tuumlbingen Germany) for the gift of APP PS1 transgenic mice Wegreatly appreciate the kind gift of human control and Alzheimerrsquos disease brainsamples from K Bossers and DF Swaab (Netherlands Institute for NeuroscienceAmsterdam The Netherlands) and C Troakes (the London NeurodegenerativeDiseases Brain Bank London UK) We thank M Mercken (Johnson amp Johnson
15
a
10
05
H i p p
o c a m
p u s
C o r t e
x A β 4 0 n o r m a l i z e d v a l u e
( t o
A P P P S 1 A r r b b 2 + + )
+
H i p p
o c a m
p u s
C o r t e
x
APPPS1 Arrb2++
APPPS1 Arrb2+ndash
APPPS1 Arrb2ndashndash
b
15
10
05
A β 4 2 n o r m a l i z e d v a l u e
( t o
A P P P S 1 A r r b b 2 + + )
+
++
APPPS1 Arrb2++
APPPS1 Arrb2+ndash
APPPS1 Arrb2ndashndash
c
A P P P S
1 A r r b 2 + +
A P P P S
1 A r r b 2 + ndash
A P P P S
1 A r r b 2 ndash ndash
NCT
PS1-CTF
PS1-NTF
APP-FL
APP-CTF
β-actin
Figure 6 β-arrestin 2 contributes to Aβ generation in an Alzheimerrsquos
disease transgenic mouse model (ab) Hippocampal and cortical
concentrations of soluble Aβ40 (a) and Aβ42 (b) in 3-month-old APP PS1
transgenic mice crossed with wild-type Arrb2 ++ Arrb2 + minus or Arrb2 minus minus mice
determined by ELISA P lt 005 relative to Arrb2 ++ +P lt 001 relative
to Arrb2 ++ for hippocampal Aβ40 P lt 0001 relative to Arrb2 ++
P lt 00001 relative to Arrb2 ++ for cortical Aβ40 P lt 005 relative
to Arrb2 ++ +P lt 001 relative to Arrb2 ++ for hippocampal Aβ42
P lt 0005 relative to Arrb2 ++++P lt 0001 relative to Arrb2 ++ for
cortical Aβ42 by ANOVA and Dunnettrsquos post test n = 6 independent
female mice per cross Error bars sem (c) Immunoblot of the expression
of the γ -secretase complex components and APP in brain samples fromAPP PS1 Arrb2 ++ APP PS1 Arrb2 + minus and APP PS1 Arrb2 minus minus mice
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A R T I C L E S
NATURE MEDICINE VOLUME 19 | NUMBER 1 | JANUARY 2013 49
Pharmaceuticals Research and Development Beerse Belgium) for the antibodiesto Aβ We are grateful to Y Li (Memorial Sloan Kettering Cancer Center NewYork USA) for the k ind initial gift of JC-8 This work was supported by a MentoredNew Investigator Research grant from the Alzheimerrsquos Association to AT theFund for Scientific Research Flanders KU Leuven a Methusalem grant fromthe KU Leuven and the Flemish government and the Foundation for AlzheimerResearch (SAOFRMA) to BDS BDS is the Arthur Bax and Anna Vanluffelenchair for Alzheimerrsquos disease
AUTHOR CONTRIBUTIONSAT and BDS designed the experiments and wrote the manuscript AT KHAS EV and YH conducted the experiments MC conducted the qPCRexperiments GDK synthesized JC-8 SM conducted the immunofluorescence
image analysis
COMPETING FINANCIAL INTERESTSThe authors declare competing financial interests details are available in the online version of the paper
Published online at httpwwwnaturecomdoifinder101038nm3023
Reprints and permissions information is available online at httpwwwnaturecom
reprintsindexhtml
1 Ballatore C Lee VM amp Trojanowski JQ Tau-mediated neurodegeneration
in Alzheimerrsquos disease and related disorders Nat Rev Neurosci 8 663ndash672
(2007)2 Goumltz J Ittner A amp Ittner LM Tau-targeted treatment strategies in Alzheimerrsquos
disease Br J Pharmacol 165 1246ndash1259 (2012)
3 Holtzman DM Goate A Kelly J amp Sperling R Mapping the road forward in
Alzheimerrsquos disease Sci Transl Med 3 114ps148 (2011)
4 Golde TE Schneider LS amp Koo EH Anti-aβ therapeutics in Alzheimerrsquos disease
the need for a paradigm shift Neuron 69 203ndash213 (2011)
5 Karran E Mercken M amp De Strooper B The amyloid cascade hypothesis for
Alzheimerrsquos disease an appraisal for the development of therapeutics Nat Rev
Drug Discov 10 698ndash712 (2011)
6 Cramer PE et al ApoE-directed therapeutics rapidly clear β-amyloid and reverse
deficits in AD mouse models Science 335 1503ndash1506 (2012)
7 Selkoe DJ Resolving controversies on the path to Alzheimerrsquos therapeutics
Nat Med 17 1060ndash1065 (2011)
8 De Strooper B Aph-1 Pen-2 and Nicastrin with Presenilin generate an active
γ -Secretase complex Neuron 38 9ndash12 (2003)
9 Bertram L Lill CM amp Tanzi RE The genetics of Alzheimer disease back to
the future Neuron 68 270ndash281 (2010)
10 Bekris LM Yu CE Bird TD amp Tsuang DW Genetics of Alzheimer disease
J Geriatr Psychiatry Neurol 23 213ndash227 (2010)
11 Morris JC et al APOE predicts amyloid-β but not tau Alzheimer pathology in
cognitively normal aging Ann Neurol 67 122ndash131 (2010)
12 Fredriksson R amp Schioth HB The repertoire of G-proteinndashcoupled receptors in
fully sequenced genomes Mol Pharmacol 67 1414ndash1425 (2005)
13 Gudermann T Nurnberg B amp Schultz G Receptors and G proteins as primary
components of transmembrane signal transduction Part 1 G-proteinndashcoupled
receptors structure and function J Mol Med 73 51ndash63 (1995)
14 Watson SAS The G Protein-Coupled Receptor Factors Book (Academic San Diego
1994)
15 Vassilatis DK et al The G proteinndashcoupled receptor repertoires of human and
mouse Proc Natl Acad Sci USA 100 4903ndash4908 (2003)
16 Thathiah A amp De Strooper B The role of G proteinndashcoupled receptors in the
pathology of Alzheimerrsquos disease Nat Rev Neurosci 12 73ndash87 (2011)
17 DeWire SM Ahn S Lefkowitz RJ amp Shenoy SK β-arrestins and cell signaling
Annu Rev Physiol 69 483ndash510 (2007)
18 Whalen EJ Rajagopal S amp Lefkowitz RJ Therapeutic potential of β-arrestinndash
and G proteinndashbiased agonists Trends Mol Med 17 126ndash139 (2011)
19 Beaulieu JM et al An Akt β-arrestin 2PP2A signaling complex mediatesdopaminergic neurotransmission and behavior Cell 122 261ndash273 (2005)
20 Luan B et al Deficiency of a β-arrestinndash2 signal complex contributes to insulin
resistance Nature 457 1146ndash1149 (2009)
21 Beaulieu JM et al A β-arrestin 2 signaling complex mediates lithium action on
behavior Cell 132 125ndash136 (2008)
22 Shearman MS et al L-685458 an aspartyl protease transition state mimic is
a potent inhibitor of amyloid β-protein precursor γ -secretase activity Biochemistry 39
8698ndash8704 (2000)
23 Conner DA et al β-arrestin1 knockout mice appear normal but demonstrate
altered cardiac responses to β-adrenergic stimulation Circ Res 81 1021ndash1026
(1997)
24 Bohn LM et al Enhanced morphine analgesia in mice lacking β-arrestin 2 Science
286 2495ndash2498 (1999)
25 Ferguson SS et al Role of β-arrestin in mediating agonist-promoted G proteinndash
coupled receptor internalization Science 271 363ndash366 (1996)
26 Lohse MJ Lefkowitz RJ Caron MG amp Benovic JL Inhibition of β-adrenergic
receptor kinase prevents rapid homologous desensitization of β 2-adrenergic
receptors Proc Natl Acad Sci USA 86 3011ndash3015 (1989)
27 Ahn S Shenoy SK Wei H amp Lefkowitz RJ Differential kinetic and spatialpatterns of β-arrestin and G proteinndashmediated ERK activation by the angiotensin II
receptor J Biol Chem 279 35518ndash35525 (2004)
28 Luttrell LM et al β-arrestinndashdependent formation of β2 adrenergic receptor-Src
protein kinase complexes Science 283 655ndash661 (1999)
29 Thathiah A et al The orphan G proteinndashcoupled receptor 3 modulates amyloid-β
peptide generation in neurons Science 323 946ndash951 (2009)
30 Ni Y et al Activation of β2-adrenergic receptor stimulates γ -secretase activity and
accelerates amyloid plaque formation Nat Med 12 1390ndash1396 (2006)
31 Teng L Zhao J Wang F Ma L amp Pei GA GPCRsecretase complex regulates
β- and γ -secretase specificity for Aβ production and contributes to AD pathogenesis
Cell Res 20 138ndash153 (2010)
32 Olson KR amp Eglen RM β galactosidase complementation a cell-based
luminescent assay platform for drug discovery Assay Drug Dev Technol 5 137ndash144
(2007)
33 Gaacuteborik Z et al The role of a conserved region of the second intracellular loop in
AT1 angiotensin receptor activation and signaling Endocrinology 144 2220ndash2228
(2003)
34 Shenoy SK et al β-arrestinndashdependent G proteinndashindependent ERK12 activation
by the β2 adrenergic receptor J Biol Chem 281 1261ndash1273 (2006)35 Wei H et al Independent β-arrestin 2 and G proteinndashmediated pathways for
angiotensin II activation of extracellular signal-regulated kinases 1 and 2 Proc
Natl Acad Sci USA 100 10782ndash10787 (2003)
36 De Strooper B et al Deficiency of presenilin-1 inhibits the normal cleavage of
amyloid precursor protein Nature 391 387ndash390 (1998)
37 Mitani Y et al Differential effects between γ -secretase inhibitors and modulators
on cognitive function in amyloid precursor proteinndashtransgenic and nontransgenic
mice J Neurosci 32 2037ndash2050 (2012)
38 Chini B amp Parenti M G-protein coupled receptors in lipid rafts and caveolae
how when and why do they go there J Mol Endocrinol 32 325ndash338 (2004)
39 Vetrivel KS et al Association of γ -secretase with lipid rafts in post-Golgi and
endosome membranes J Biol Chem 279 44945ndash44954 (2004)
40 Wada S et al γ -secretase activity is present in rafts but is not cholesterol-
dependent Biochemistry 42 13977ndash13986 (2003)
41 Wahrle S et al Cholesterol-dependent γ -secretase activity in buoyant cholesterol-
rich membrane microdomains Neurobiol Dis 9 11ndash23 (2002)
42 Yagishita S Morishima-Kawashima M Ishiura S amp Ihara Y Aβ46 is processed
to Aβ40 and A
β43 but not to A
β42 in the low density membrane domains
J Biol Chem 283 733ndash738 (2008)
43 Chun J Yin YI Yang G Tarassishin L amp Li YM Stereoselective synthesis of
photoreactive peptidomimetic γ -secretase inhibitors J Org Chem 69 7344ndash7347
(2004)
44 Chau DM Crump CJ Villa JC Scheinberg DA amp Li YM Familial Alzheimer
disease presenilin-1 mutations alter the active site conformation of γ -secretase
J Biol Chem 287 17288ndash17296 (2012)
45 Vetrivel KS et al Spatial segregation of γ -secretase and substrates in distinct
membrane domains J Biol Chem 280 25892ndash25900 (2005)
46 Li YM et al Presenilin 1 is linked with γ -secretase activity in the detergent
solubilized state Proc Natl Acad Sci USA 97 6138ndash6143 (2000)
47 Esler WP et al Activity-dependent isolation of the presenilinndashγ -secretase complex
reveals nicastrin and a γ substrate Proc Natl Acad Sci USA 99 2720ndash2725
(2002)
48 Fraering PC et al Detergent-dependent dissociation of active γ -secretase reveals
an interaction between Pen-2 and PS1-NTF and offers a model for subunit
organization within the complex Biochemistry 43 323ndash333 (2004)
49 Radde R et al Aβ42-driven cerebral amyloidosis in transgenic mice reveals early
and robust pathology EMBO Rep 7 940ndash946 (2006)50 Poulin B et al The M3-muscarinic receptor regulates learning and memory in
a receptor phosphorylationarrestin-dependent manner Proc Natl Acad Sci USA
107 9440ndash9445 (2010)
51 Bohn LM Gainetdinov RR Lin FT Lefkowitz RJ amp Caron MG Mu-opioid
receptor desensitization by β-arrestinndash2 determines morphine tolerance but not
dependence Nature 408 720ndash723 (2000)
52 De Strooper B et al A presenilin-1ndashdependent γ -secretasendashlike protease mediates
release of Notch intracellular domain Nature 398 518ndash522 (1999)
892019 Thathiah 13 Gpr3 Arr2
httpslidepdfcomreaderfullthathiah-13-gpr3-arr2 89
NATURE MEDICINE doi101038nm3023
ONLINE METHODSReagents Unless otherwise indicated chemicals were purchased from
Sigma-Aldrich
Antibodies and compounds Rabbit polyclonal antibodies to human PS1-NTF
(B145 11000) mouse PS1-NTF (B192 15000) APH-1AL (B803 11000)
PEN 2 (B1262 11000) and the APP C terminus (B635 15000) and the
monoclonal antibody 9C3 (13000) directed against the C terminus of NCT
have been previously described and were generated in house5354 ADAM10was detected using a polyclonal antiserum (B421 11000) generated against
the 17 C-terminal amino acid residues of ADAM10 and was generated in house
Antibodies to the following were purchased Flag (M2 Sigma 11000) 22C11
(Chemicon 11000) 6E10 (Sigma-Aldrich 11000) β-secretase (D10E5
Cell Signaling 11000) PK (DiscoveRx 1500) β-arrestin (BD Biosciences
1500) β-arrestin 2 (Cell Signaling 1250) β-arrestin 12 (Santa Cruz 1500)
Myc (9E10 11000) PS1-NTF (MAB1563 Chemicon) PS1-CTF (MAB5232
Chemicon) hemagglutinin (HA) (3F10 Roche) caveolin-1 (Santa Cruz)
calnexin GM130 and EEA1 (Transduction lab) and β-actin (Sigma) L-685458
was purchased from Calbiochem
Plasmid construction The human GPR3 plasmid was purchased from
DiscoveRx All mutations in GPR3 were generated with the XL Site-Directed
Mutagenesis Kit (Stratagene) and confirmed by DNA sequence analysis The
β-arrestin 2ndashGFP-Flag plasmid was the kind gift of RJ Lefkowitz (DukeUniversity Medical Center Durham North Carolina USA)
Cell lines The CHO-K1 CHO-K1 GPR3 and CHO-K1 ADRB2 β-arrestin cell
lines were purchased from DiscoveRx The WT HEK293 N2a and HeLa cell
lines were purchased from American Type Culture Collection
Mice The Arrb1minusminus and Arrb2minusminus mice (C57BL6J background) were kindly
provided by RJ Lefkowitz (Duke University Medical Center Durham North
Carolina USA) Wild-type C57BL6J mice or littermate mice were used as
controls for all of the experiments The APP PS1 transgenic mice (C57BL6J
background) were the kind gift of M Jucker (University of Tuumlbingen Tuumlbingen
Germany)49 The APP PS1 transgenic mice were crossed with Arrb2+minus and
Arrb2minusminus mice to obtain APP PS1 Arrb2+minus and APP PS1 Arrb2minusminus mice
respectively Only female mice were used for the studies The mouse studies
were approved by ethical committees of Leuven University and UZ Leuven(LA1210231)
qPCR qPCR was performed with the SYBR Green PCR Master Mix (Exiqon)
and the LightCycler 480 Real-Time PCR System (Roche Applied Science)
following the manufacturerrsquos protocol The primers for human β-arrestin 1
used were 5prime-TGTTGAGGGAAGGTGCCAACCG-3prime and 5prime-GATGCAAGA
TCTCCCAACAGGCCG-3prime The primers for human β-arrestin 2 used were
5prime-CCTGTAGATGGCGTGGTGCTTG-3prime and 5prime-CCAGGTCTTCACGGCCA
TAGCG-3prime The housekeeping primers used were to hypoxanthine guanine
phosphoribosyl transferase (HPRT) (5prime-TGACACTGGCAAAACAATGCA-3prime
and 5prime-GGTCCTTTTCACCAGCAAGCT-3 prime) ribosomal protein L13a (RPL13A)
(5prime-CCTGGAGGAGAAGAGGAAAGAGA-3 prime and 5prime-TTGAGGACCTCTG
TGTATTTGTCAA-3prime) and β2 microglobulin (β2M) (5prime-TGCTGTCTCCA
TGTTTGATGTATC-3prime and 5prime-TCTCTGCTCCCCACCTCTAAGT-3prime)
Neuronal cultures Primary mouse cortical or hippocampal cultures were estab-
lished from the brains of embryonic day 14 or 17 fetal mice respectively as
previously described55 Briefly the dissected brain cortices or hippocampi were
suspended in HBSS supplemented with 025 trypsin and incubated at 37 degC
for 15 min The tissues were then transferred to HBSS supplemented with 10
(vv) horse serum and dissociated by repeated trituration The dispersed cells
were counted and plated on poly-983140-lysinendashcoated six-well cell culture plates
in Neurobasal medium supplemented with B27 (Invitrogen) Forty-eight to
72 h after plating the cells were transduced with the recombinant adenoviral
vectors for 24 h The infection medium was replaced with fresh Neurobasal
medium and cells were maintained in culture for an additional 24 h Cell culture
supernatants were collected centrifuged for 10 min at 800 g and used for ELISA
measurements Cells were harvested in 1times PBS containing complete protease
inhibitors (Roche) centrifuged at 800 g for 10 min and lysed in 150 mM NaCl
50 mM 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES) pH 74
and 1 TX-100 supplemented with complete protease inhibitors for 30 min at
4 degC After centrifugation at 16000 g for 15 min the cleared cell extracts were
separated on 4ndash12 Bis-Tris gels (Invitrogen) transferred to nitrocellulose
membranes blocked and probed with the indicated antibodies for western blot
analysis Immunodetection was performed using horseradish peroxidase (HRP)-
coupled secondary antibodies (Bio-Rad) and the chemiluminescent detectionreagent Renaissance (PerkinElmer Life Sciences)
Patient samples Frozen hippocampal and entorhinal cortex tissue samples
were obtained from the London Neurodegenerative Diseases Brain Bank These
samples were pathologically confirmed but not further categorized according
to Braak stage The second cohort of patient samples consisted of snap-frozen
human medial frontal gyrus brain samples obtained from the Netherlands Brain
Bank Amsterdam (NBB) For these samples individual neuropathological
reports including Braak staging for neurofibrillary changes (NFC) and neuritic
plaques56 and clinical reports were available For each of the six Braak stages
seven individuals were included Furthermore seven individuals without any
NFC pathology were included as Braak stage 0 Samples were matched as closely
as possible for sex age postmortem interval cerebrospinal fluid pH and APOE
genotype Only samples with a relatively high RNA integrity number (gt7) were
included Tissue dissection was performed as previously described57 Total RNAwas isolated from both the London and the Netherlands Brain Bank samples
using a combination of TRIzol-based and mirVana RNA isolation methods
Briefly samples were homogenized in ice-cold TRIzol (Life Technologies) After
phase separation by the addition of chloroform the aqueous phase was mixed
with an equal volume of 70 RNase-free ethanol Samples were then applied to
a mirVana filter cartridge (AmbionLife Technologies) and processed according
to the manufacturerrsquos instructions RNA yields and purities were determined
using a NanoDrop ND-1000 spectrophotometer (NanoDrop Technologies)
RNA integrity was determined by the RNA integrity number as measured by
the Agilent 2100 bioanalyzer (Agilent Technologies) All brain samples were col-
lected according to legislation and ethical boards of the respective Brain Banks
The human study was evaluated and approved by ethical committees of Leuven
University and UZ Leuven (ML5919)
Ab ELISA screen Ninety-six-well plates were coated and incubated overnightwith the capture antibodies previously described29 and detected using the HRP-
labeled detection antibodies29 Brains of the mice with the respective genotypes
of the ages indicated (plusmn2 weeks) were dissected after transcardial perfusion with
ice-cold PBS The hippocampus and the cerebral cortex were removed separately
and homogenized in Tissue Protein Extraction reagent (Pierce) supplemented
with complete protease inhibitor and phosphatase inhibitor tablets (Roche
Applied Science) The homogenized samples were briefly sonicated to shear the
DNA and centrifuged at 4 degC for 1 h at 100000 g The supernatant was used for
immunoblot analysis and Aβ ELISA measurements Alternately the Aβ peptides
were allowed to accumulate in the absence of serum in the culture supernatants
from HEK293 HEK293-APP695 CHO-K1 GPR3 β-arrestin or CHO-K1 ADRB2
β-arrestin cells and neuronal cultures for 16ndash18 h before Aβ40 and Aβ42 ELISA
analysis of the culture supernatant samples
siRNA-mediated knockdown experiments The CHO-K1 GPR3 β-arrestin
CHO-K1 ADRB2 β-arrestin or WT HEK293 cell lines were transfected with
siRNA directed against β-arrestin 1 or β-arrestin 2 or with control siRNA
using GeneSilencer (Genlantis) according to the manufacturerrsquos instruc-
tions as described27 Chemically synthesized double-stranded siRNAs with
19-nucleotide duplex RNA and 2-nucleotide 3prime-dTdT overhangs were pur-
chased from Qiagen The siRNA sequences targeting human β-arrestin 1
and β-arrestin 2 were 5prime-AAAGCCUUCUGCGCGGAGAAU-3 prime and 5prime-AAG
GACCGCAAAGUGUUUGUG-3prime corresponding to positions 439ndash459 and
148ndash168 relative to the start codon respectively A nonsilencing RNA duplex
(5prime-AAUUCUCCGAACGUGUCACGU-3 prime) was used as a control Briefly the
cells were seeded on six-well plates at a cell density of 250000 cells per well One
day after seeding the cells were transfected with the siRNAs Two days after
892019 Thathiah 13 Gpr3 Arr2
httpslidepdfcomreaderfullthathiah-13-gpr3-arr2 99
NATURE MEDICINEdoi101038nm3023
seeding the cells were infected with an adenoviral vector expressing enhanced
GFP (eGFP) or APP-C99 On day 5 the medium was refreshed with serum-free
medium and the cells were allowed to accumulate Aβ peptides in the condi-
tioned medium for 16ndash18 h before analysis of the culture supernatant samples
with the ELISA described above
b-arrestin assay The CHO-K1 GPR 3 β-arrestin or CHO-K1 ADRB2 β-arrestin
cell lines were seeded on 96-well plates at a cell density of 20000 cells per well
One day after seeding cells were transfected with the siRNAs as described aboveTwo days after seeding the cells were infected with an adenoviral vector express-
ing eGFP or APP-C99 On day 5 the medium was refreshed with serum-free
medium and the cells were allowed to accumulate Aβ peptides in the condi-
tioned medium for 24 h before analysis with the PathHunter β-arrestin assay
from DiscoveRx according to the manufacturerrsquos protocol
Coimmunoprecipitation experiments N2a cells were seeded in 10-cm plates
at a density of 2000000 cells per dish Cell lysates were prepared 48 h after seed-
ing in PBS with 1 TX-100 or 1 CHAPSO and protease inhibitors (Complete
Protease Inhibitor Cocktail Tablets Roche) Cell lysates were precleared with
protein G sepharose for 1 h at 4 degC followed by centrifugation at 10000 g for
15 min Immunoprecipitations were conducted overnight at 4 degC using the
appropriate antibodies or a negative control antibody (9E10) The beads were
washed four times with PBS with 1 TX-100 or 1 CHAPSO and once with
PBS Proteins were eluted with 1times lithium dodecyl sulfate (LDS) loading bufferMicrosomal membranes were prepared from fresh or frozen postmortem mouse
cortical brain samples first by homogenization using a Teflon homogenizer in
05 M sucrose PKM buffer (100 mM potassium phosphate 5 mM MgCl2 and
3 mM KCl pH 65) followed by centrifugation for 10 min at 8000 rpm The
protein concentration was determined by the Bradford dye-binding procedure
(Bio-Rad) and the samples were centrifuged at 100000 g for 1 h The mem-
brane pellets were each solubilized with the addition of an equal volume of
buffer containing 2 CHAPSO (Pierce) and incubated on ice for 1 h After
centrifugation at 100000 g for 1 h the immunoprecipitation was performed as
previously described58
Endogenous cAMP assessment CHO-K1β-arrestin cells were transfected with
empty vector WT GPR3 or the GPR3 mutant cDNA constructs (X-tremeGENE
HP Roche) Forty-eight hours after transfection the culture medium was replaced
with serum-free DMEM and the cells were treated with 100 microM forskolinin the presence or absence of 25 microM IBMX a phosphodiesterase inhibitor for
30ndash45 min Intracellular cAMP levels were then measured in cells using a spe-
cific cAMP assay kit (RampD Systems) according to the manufacturerrsquos protocol
Subcellular fractionation WT HEK293 cells were rinsed twice with ice-cold 1times
PBS solubilized in 2-(N -morpholino)ethanesulfonic acid (MES) buffer (25 mM
MES pH 65 and 150 mM NaCl) containing 1 CHAPSO and supplemented
with a complete protease inhibitor cocktail Cells were lysed by sequential pas-
sage through 18-gauge (five times) and 26-gauge (ten times) needles and then
placed on ice for 1 h After the removal of insoluble material by centrifugation
at 15000 g for 15 min the lysates were adjusted to a 45 sucrose concentration
and transferred to ultracentrifugation tubes A discontinuous sucrose gradient
was prepared by layering 35 and 5 sucrose in MES buffer Samples were
centrifuged at 100000 g for 16ndash18 h Thirteen 960-microl fractions were collected
from the top of the gradient and used for western blot analysis
Photoaffinity probe and crosslinking JC-8 was synthesized according to a
previously described procedure43 Fractions 2ndash4 and 9ndash12 from the subcellular
fractionation experiments described above were combined and the crosslinking
studies were performed as previously described45
Structured illumination microscopy and immunofluorescence HeLa cells
were plated on glass coverslips and transfected with β-arrestin 2ndashGFP and APH-
1A Twenty-four hours after transfection the cells were fixed (4 paraformalde-
hyde 10 min) blocked (2 BSA 2 FBS and 1 gelatin in PBS supplemented
with 5 serum) incubated with primary antibody (4 degC overnight) washed
(PBS) incubated with fluorophore-conjugated secondary antibody (room tem-
perature 1 h) rinsed and mounted in Mowiol-containing medium The second-
ary antibodies were conjugated with the following fluorophores Alexa-546 and
-647 Images were captured with a structured illumination microscope (ElyraS1 (Carl Zeiss Jena Germany) equipped with a 63times oil objective lens and a
14 numerical aperture (NA) and an Andor iXon 885 EMCCD camera) that
is capable of revealing information beyond the diffraction barrier that limits
conventional widefield and confocal microscopes β-arrestin 2 and APH-1A
were imaged at resolutions of ~110 nm and ~134 nm respectively
Statistical analyses The data are presented as means plusmn sem The data were
analyzed using two-tailed Studentrsquos t tests ANOVA was performed with the
GraphPad Prism 5 software
53 Annaert WG et al Interaction with telencephalin and the amyloid precursor protein
predicts a ring structure for presenilins Neuron 32 579ndash589 (2001)
54 Esselens C et al Presenilin 1 mediates the turnover of telencephalin in hippocampal
neurons via an autophagic degradative pathway J Cell Biol 166 1041ndash1054
(2004)55 Cai H et al BACE1 is the major β-secretase for generation of Aβ peptides by
neurons Nat Neurosci 4 233ndash234 (2001)
56 Braak H amp Braak E Neuropathological stageing of Alzheimer-related changes
Acta Neuropathol 82 239ndash259 (1991)
57 Bossers K et al Concerted changes in transcripts in the prefrontal cortex precede
neuropathology in Alzheimerrsquos disease Brain 133 3699ndash3723 (2010)
58 Heacutebert SS et al Coordinated and widespread expression of γ -secretase in vivo
evidence for size and molecular heterogeneity Neurobiol Dis 17 260ndash272 (2004)
892019 Thathiah 13 Gpr3 Arr2
httpslidepdfcomreaderfullthathiah-13-gpr3-arr2 79
A R T I C L E S
NATURE MEDICINE VOLUME 19 | NUMBER 1 | JANUARY 2013 49
Pharmaceuticals Research and Development Beerse Belgium) for the antibodiesto Aβ We are grateful to Y Li (Memorial Sloan Kettering Cancer Center NewYork USA) for the k ind initial gift of JC-8 This work was supported by a MentoredNew Investigator Research grant from the Alzheimerrsquos Association to AT theFund for Scientific Research Flanders KU Leuven a Methusalem grant fromthe KU Leuven and the Flemish government and the Foundation for AlzheimerResearch (SAOFRMA) to BDS BDS is the Arthur Bax and Anna Vanluffelenchair for Alzheimerrsquos disease
AUTHOR CONTRIBUTIONSAT and BDS designed the experiments and wrote the manuscript AT KHAS EV and YH conducted the experiments MC conducted the qPCRexperiments GDK synthesized JC-8 SM conducted the immunofluorescence
image analysis
COMPETING FINANCIAL INTERESTSThe authors declare competing financial interests details are available in the online version of the paper
Published online at httpwwwnaturecomdoifinder101038nm3023
Reprints and permissions information is available online at httpwwwnaturecom
reprintsindexhtml
1 Ballatore C Lee VM amp Trojanowski JQ Tau-mediated neurodegeneration
in Alzheimerrsquos disease and related disorders Nat Rev Neurosci 8 663ndash672
(2007)2 Goumltz J Ittner A amp Ittner LM Tau-targeted treatment strategies in Alzheimerrsquos
disease Br J Pharmacol 165 1246ndash1259 (2012)
3 Holtzman DM Goate A Kelly J amp Sperling R Mapping the road forward in
Alzheimerrsquos disease Sci Transl Med 3 114ps148 (2011)
4 Golde TE Schneider LS amp Koo EH Anti-aβ therapeutics in Alzheimerrsquos disease
the need for a paradigm shift Neuron 69 203ndash213 (2011)
5 Karran E Mercken M amp De Strooper B The amyloid cascade hypothesis for
Alzheimerrsquos disease an appraisal for the development of therapeutics Nat Rev
Drug Discov 10 698ndash712 (2011)
6 Cramer PE et al ApoE-directed therapeutics rapidly clear β-amyloid and reverse
deficits in AD mouse models Science 335 1503ndash1506 (2012)
7 Selkoe DJ Resolving controversies on the path to Alzheimerrsquos therapeutics
Nat Med 17 1060ndash1065 (2011)
8 De Strooper B Aph-1 Pen-2 and Nicastrin with Presenilin generate an active
γ -Secretase complex Neuron 38 9ndash12 (2003)
9 Bertram L Lill CM amp Tanzi RE The genetics of Alzheimer disease back to
the future Neuron 68 270ndash281 (2010)
10 Bekris LM Yu CE Bird TD amp Tsuang DW Genetics of Alzheimer disease
J Geriatr Psychiatry Neurol 23 213ndash227 (2010)
11 Morris JC et al APOE predicts amyloid-β but not tau Alzheimer pathology in
cognitively normal aging Ann Neurol 67 122ndash131 (2010)
12 Fredriksson R amp Schioth HB The repertoire of G-proteinndashcoupled receptors in
fully sequenced genomes Mol Pharmacol 67 1414ndash1425 (2005)
13 Gudermann T Nurnberg B amp Schultz G Receptors and G proteins as primary
components of transmembrane signal transduction Part 1 G-proteinndashcoupled
receptors structure and function J Mol Med 73 51ndash63 (1995)
14 Watson SAS The G Protein-Coupled Receptor Factors Book (Academic San Diego
1994)
15 Vassilatis DK et al The G proteinndashcoupled receptor repertoires of human and
mouse Proc Natl Acad Sci USA 100 4903ndash4908 (2003)
16 Thathiah A amp De Strooper B The role of G proteinndashcoupled receptors in the
pathology of Alzheimerrsquos disease Nat Rev Neurosci 12 73ndash87 (2011)
17 DeWire SM Ahn S Lefkowitz RJ amp Shenoy SK β-arrestins and cell signaling
Annu Rev Physiol 69 483ndash510 (2007)
18 Whalen EJ Rajagopal S amp Lefkowitz RJ Therapeutic potential of β-arrestinndash
and G proteinndashbiased agonists Trends Mol Med 17 126ndash139 (2011)
19 Beaulieu JM et al An Akt β-arrestin 2PP2A signaling complex mediatesdopaminergic neurotransmission and behavior Cell 122 261ndash273 (2005)
20 Luan B et al Deficiency of a β-arrestinndash2 signal complex contributes to insulin
resistance Nature 457 1146ndash1149 (2009)
21 Beaulieu JM et al A β-arrestin 2 signaling complex mediates lithium action on
behavior Cell 132 125ndash136 (2008)
22 Shearman MS et al L-685458 an aspartyl protease transition state mimic is
a potent inhibitor of amyloid β-protein precursor γ -secretase activity Biochemistry 39
8698ndash8704 (2000)
23 Conner DA et al β-arrestin1 knockout mice appear normal but demonstrate
altered cardiac responses to β-adrenergic stimulation Circ Res 81 1021ndash1026
(1997)
24 Bohn LM et al Enhanced morphine analgesia in mice lacking β-arrestin 2 Science
286 2495ndash2498 (1999)
25 Ferguson SS et al Role of β-arrestin in mediating agonist-promoted G proteinndash
coupled receptor internalization Science 271 363ndash366 (1996)
26 Lohse MJ Lefkowitz RJ Caron MG amp Benovic JL Inhibition of β-adrenergic
receptor kinase prevents rapid homologous desensitization of β 2-adrenergic
receptors Proc Natl Acad Sci USA 86 3011ndash3015 (1989)
27 Ahn S Shenoy SK Wei H amp Lefkowitz RJ Differential kinetic and spatialpatterns of β-arrestin and G proteinndashmediated ERK activation by the angiotensin II
receptor J Biol Chem 279 35518ndash35525 (2004)
28 Luttrell LM et al β-arrestinndashdependent formation of β2 adrenergic receptor-Src
protein kinase complexes Science 283 655ndash661 (1999)
29 Thathiah A et al The orphan G proteinndashcoupled receptor 3 modulates amyloid-β
peptide generation in neurons Science 323 946ndash951 (2009)
30 Ni Y et al Activation of β2-adrenergic receptor stimulates γ -secretase activity and
accelerates amyloid plaque formation Nat Med 12 1390ndash1396 (2006)
31 Teng L Zhao J Wang F Ma L amp Pei GA GPCRsecretase complex regulates
β- and γ -secretase specificity for Aβ production and contributes to AD pathogenesis
Cell Res 20 138ndash153 (2010)
32 Olson KR amp Eglen RM β galactosidase complementation a cell-based
luminescent assay platform for drug discovery Assay Drug Dev Technol 5 137ndash144
(2007)
33 Gaacuteborik Z et al The role of a conserved region of the second intracellular loop in
AT1 angiotensin receptor activation and signaling Endocrinology 144 2220ndash2228
(2003)
34 Shenoy SK et al β-arrestinndashdependent G proteinndashindependent ERK12 activation
by the β2 adrenergic receptor J Biol Chem 281 1261ndash1273 (2006)35 Wei H et al Independent β-arrestin 2 and G proteinndashmediated pathways for
angiotensin II activation of extracellular signal-regulated kinases 1 and 2 Proc
Natl Acad Sci USA 100 10782ndash10787 (2003)
36 De Strooper B et al Deficiency of presenilin-1 inhibits the normal cleavage of
amyloid precursor protein Nature 391 387ndash390 (1998)
37 Mitani Y et al Differential effects between γ -secretase inhibitors and modulators
on cognitive function in amyloid precursor proteinndashtransgenic and nontransgenic
mice J Neurosci 32 2037ndash2050 (2012)
38 Chini B amp Parenti M G-protein coupled receptors in lipid rafts and caveolae
how when and why do they go there J Mol Endocrinol 32 325ndash338 (2004)
39 Vetrivel KS et al Association of γ -secretase with lipid rafts in post-Golgi and
endosome membranes J Biol Chem 279 44945ndash44954 (2004)
40 Wada S et al γ -secretase activity is present in rafts but is not cholesterol-
dependent Biochemistry 42 13977ndash13986 (2003)
41 Wahrle S et al Cholesterol-dependent γ -secretase activity in buoyant cholesterol-
rich membrane microdomains Neurobiol Dis 9 11ndash23 (2002)
42 Yagishita S Morishima-Kawashima M Ishiura S amp Ihara Y Aβ46 is processed
to Aβ40 and A
β43 but not to A
β42 in the low density membrane domains
J Biol Chem 283 733ndash738 (2008)
43 Chun J Yin YI Yang G Tarassishin L amp Li YM Stereoselective synthesis of
photoreactive peptidomimetic γ -secretase inhibitors J Org Chem 69 7344ndash7347
(2004)
44 Chau DM Crump CJ Villa JC Scheinberg DA amp Li YM Familial Alzheimer
disease presenilin-1 mutations alter the active site conformation of γ -secretase
J Biol Chem 287 17288ndash17296 (2012)
45 Vetrivel KS et al Spatial segregation of γ -secretase and substrates in distinct
membrane domains J Biol Chem 280 25892ndash25900 (2005)
46 Li YM et al Presenilin 1 is linked with γ -secretase activity in the detergent
solubilized state Proc Natl Acad Sci USA 97 6138ndash6143 (2000)
47 Esler WP et al Activity-dependent isolation of the presenilinndashγ -secretase complex
reveals nicastrin and a γ substrate Proc Natl Acad Sci USA 99 2720ndash2725
(2002)
48 Fraering PC et al Detergent-dependent dissociation of active γ -secretase reveals
an interaction between Pen-2 and PS1-NTF and offers a model for subunit
organization within the complex Biochemistry 43 323ndash333 (2004)
49 Radde R et al Aβ42-driven cerebral amyloidosis in transgenic mice reveals early
and robust pathology EMBO Rep 7 940ndash946 (2006)50 Poulin B et al The M3-muscarinic receptor regulates learning and memory in
a receptor phosphorylationarrestin-dependent manner Proc Natl Acad Sci USA
107 9440ndash9445 (2010)
51 Bohn LM Gainetdinov RR Lin FT Lefkowitz RJ amp Caron MG Mu-opioid
receptor desensitization by β-arrestinndash2 determines morphine tolerance but not
dependence Nature 408 720ndash723 (2000)
52 De Strooper B et al A presenilin-1ndashdependent γ -secretasendashlike protease mediates
release of Notch intracellular domain Nature 398 518ndash522 (1999)
892019 Thathiah 13 Gpr3 Arr2
httpslidepdfcomreaderfullthathiah-13-gpr3-arr2 89
NATURE MEDICINE doi101038nm3023
ONLINE METHODSReagents Unless otherwise indicated chemicals were purchased from
Sigma-Aldrich
Antibodies and compounds Rabbit polyclonal antibodies to human PS1-NTF
(B145 11000) mouse PS1-NTF (B192 15000) APH-1AL (B803 11000)
PEN 2 (B1262 11000) and the APP C terminus (B635 15000) and the
monoclonal antibody 9C3 (13000) directed against the C terminus of NCT
have been previously described and were generated in house5354 ADAM10was detected using a polyclonal antiserum (B421 11000) generated against
the 17 C-terminal amino acid residues of ADAM10 and was generated in house
Antibodies to the following were purchased Flag (M2 Sigma 11000) 22C11
(Chemicon 11000) 6E10 (Sigma-Aldrich 11000) β-secretase (D10E5
Cell Signaling 11000) PK (DiscoveRx 1500) β-arrestin (BD Biosciences
1500) β-arrestin 2 (Cell Signaling 1250) β-arrestin 12 (Santa Cruz 1500)
Myc (9E10 11000) PS1-NTF (MAB1563 Chemicon) PS1-CTF (MAB5232
Chemicon) hemagglutinin (HA) (3F10 Roche) caveolin-1 (Santa Cruz)
calnexin GM130 and EEA1 (Transduction lab) and β-actin (Sigma) L-685458
was purchased from Calbiochem
Plasmid construction The human GPR3 plasmid was purchased from
DiscoveRx All mutations in GPR3 were generated with the XL Site-Directed
Mutagenesis Kit (Stratagene) and confirmed by DNA sequence analysis The
β-arrestin 2ndashGFP-Flag plasmid was the kind gift of RJ Lefkowitz (DukeUniversity Medical Center Durham North Carolina USA)
Cell lines The CHO-K1 CHO-K1 GPR3 and CHO-K1 ADRB2 β-arrestin cell
lines were purchased from DiscoveRx The WT HEK293 N2a and HeLa cell
lines were purchased from American Type Culture Collection
Mice The Arrb1minusminus and Arrb2minusminus mice (C57BL6J background) were kindly
provided by RJ Lefkowitz (Duke University Medical Center Durham North
Carolina USA) Wild-type C57BL6J mice or littermate mice were used as
controls for all of the experiments The APP PS1 transgenic mice (C57BL6J
background) were the kind gift of M Jucker (University of Tuumlbingen Tuumlbingen
Germany)49 The APP PS1 transgenic mice were crossed with Arrb2+minus and
Arrb2minusminus mice to obtain APP PS1 Arrb2+minus and APP PS1 Arrb2minusminus mice
respectively Only female mice were used for the studies The mouse studies
were approved by ethical committees of Leuven University and UZ Leuven(LA1210231)
qPCR qPCR was performed with the SYBR Green PCR Master Mix (Exiqon)
and the LightCycler 480 Real-Time PCR System (Roche Applied Science)
following the manufacturerrsquos protocol The primers for human β-arrestin 1
used were 5prime-TGTTGAGGGAAGGTGCCAACCG-3prime and 5prime-GATGCAAGA
TCTCCCAACAGGCCG-3prime The primers for human β-arrestin 2 used were
5prime-CCTGTAGATGGCGTGGTGCTTG-3prime and 5prime-CCAGGTCTTCACGGCCA
TAGCG-3prime The housekeeping primers used were to hypoxanthine guanine
phosphoribosyl transferase (HPRT) (5prime-TGACACTGGCAAAACAATGCA-3prime
and 5prime-GGTCCTTTTCACCAGCAAGCT-3 prime) ribosomal protein L13a (RPL13A)
(5prime-CCTGGAGGAGAAGAGGAAAGAGA-3 prime and 5prime-TTGAGGACCTCTG
TGTATTTGTCAA-3prime) and β2 microglobulin (β2M) (5prime-TGCTGTCTCCA
TGTTTGATGTATC-3prime and 5prime-TCTCTGCTCCCCACCTCTAAGT-3prime)
Neuronal cultures Primary mouse cortical or hippocampal cultures were estab-
lished from the brains of embryonic day 14 or 17 fetal mice respectively as
previously described55 Briefly the dissected brain cortices or hippocampi were
suspended in HBSS supplemented with 025 trypsin and incubated at 37 degC
for 15 min The tissues were then transferred to HBSS supplemented with 10
(vv) horse serum and dissociated by repeated trituration The dispersed cells
were counted and plated on poly-983140-lysinendashcoated six-well cell culture plates
in Neurobasal medium supplemented with B27 (Invitrogen) Forty-eight to
72 h after plating the cells were transduced with the recombinant adenoviral
vectors for 24 h The infection medium was replaced with fresh Neurobasal
medium and cells were maintained in culture for an additional 24 h Cell culture
supernatants were collected centrifuged for 10 min at 800 g and used for ELISA
measurements Cells were harvested in 1times PBS containing complete protease
inhibitors (Roche) centrifuged at 800 g for 10 min and lysed in 150 mM NaCl
50 mM 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES) pH 74
and 1 TX-100 supplemented with complete protease inhibitors for 30 min at
4 degC After centrifugation at 16000 g for 15 min the cleared cell extracts were
separated on 4ndash12 Bis-Tris gels (Invitrogen) transferred to nitrocellulose
membranes blocked and probed with the indicated antibodies for western blot
analysis Immunodetection was performed using horseradish peroxidase (HRP)-
coupled secondary antibodies (Bio-Rad) and the chemiluminescent detectionreagent Renaissance (PerkinElmer Life Sciences)
Patient samples Frozen hippocampal and entorhinal cortex tissue samples
were obtained from the London Neurodegenerative Diseases Brain Bank These
samples were pathologically confirmed but not further categorized according
to Braak stage The second cohort of patient samples consisted of snap-frozen
human medial frontal gyrus brain samples obtained from the Netherlands Brain
Bank Amsterdam (NBB) For these samples individual neuropathological
reports including Braak staging for neurofibrillary changes (NFC) and neuritic
plaques56 and clinical reports were available For each of the six Braak stages
seven individuals were included Furthermore seven individuals without any
NFC pathology were included as Braak stage 0 Samples were matched as closely
as possible for sex age postmortem interval cerebrospinal fluid pH and APOE
genotype Only samples with a relatively high RNA integrity number (gt7) were
included Tissue dissection was performed as previously described57 Total RNAwas isolated from both the London and the Netherlands Brain Bank samples
using a combination of TRIzol-based and mirVana RNA isolation methods
Briefly samples were homogenized in ice-cold TRIzol (Life Technologies) After
phase separation by the addition of chloroform the aqueous phase was mixed
with an equal volume of 70 RNase-free ethanol Samples were then applied to
a mirVana filter cartridge (AmbionLife Technologies) and processed according
to the manufacturerrsquos instructions RNA yields and purities were determined
using a NanoDrop ND-1000 spectrophotometer (NanoDrop Technologies)
RNA integrity was determined by the RNA integrity number as measured by
the Agilent 2100 bioanalyzer (Agilent Technologies) All brain samples were col-
lected according to legislation and ethical boards of the respective Brain Banks
The human study was evaluated and approved by ethical committees of Leuven
University and UZ Leuven (ML5919)
Ab ELISA screen Ninety-six-well plates were coated and incubated overnightwith the capture antibodies previously described29 and detected using the HRP-
labeled detection antibodies29 Brains of the mice with the respective genotypes
of the ages indicated (plusmn2 weeks) were dissected after transcardial perfusion with
ice-cold PBS The hippocampus and the cerebral cortex were removed separately
and homogenized in Tissue Protein Extraction reagent (Pierce) supplemented
with complete protease inhibitor and phosphatase inhibitor tablets (Roche
Applied Science) The homogenized samples were briefly sonicated to shear the
DNA and centrifuged at 4 degC for 1 h at 100000 g The supernatant was used for
immunoblot analysis and Aβ ELISA measurements Alternately the Aβ peptides
were allowed to accumulate in the absence of serum in the culture supernatants
from HEK293 HEK293-APP695 CHO-K1 GPR3 β-arrestin or CHO-K1 ADRB2
β-arrestin cells and neuronal cultures for 16ndash18 h before Aβ40 and Aβ42 ELISA
analysis of the culture supernatant samples
siRNA-mediated knockdown experiments The CHO-K1 GPR3 β-arrestin
CHO-K1 ADRB2 β-arrestin or WT HEK293 cell lines were transfected with
siRNA directed against β-arrestin 1 or β-arrestin 2 or with control siRNA
using GeneSilencer (Genlantis) according to the manufacturerrsquos instruc-
tions as described27 Chemically synthesized double-stranded siRNAs with
19-nucleotide duplex RNA and 2-nucleotide 3prime-dTdT overhangs were pur-
chased from Qiagen The siRNA sequences targeting human β-arrestin 1
and β-arrestin 2 were 5prime-AAAGCCUUCUGCGCGGAGAAU-3 prime and 5prime-AAG
GACCGCAAAGUGUUUGUG-3prime corresponding to positions 439ndash459 and
148ndash168 relative to the start codon respectively A nonsilencing RNA duplex
(5prime-AAUUCUCCGAACGUGUCACGU-3 prime) was used as a control Briefly the
cells were seeded on six-well plates at a cell density of 250000 cells per well One
day after seeding the cells were transfected with the siRNAs Two days after
892019 Thathiah 13 Gpr3 Arr2
httpslidepdfcomreaderfullthathiah-13-gpr3-arr2 99
NATURE MEDICINEdoi101038nm3023
seeding the cells were infected with an adenoviral vector expressing enhanced
GFP (eGFP) or APP-C99 On day 5 the medium was refreshed with serum-free
medium and the cells were allowed to accumulate Aβ peptides in the condi-
tioned medium for 16ndash18 h before analysis of the culture supernatant samples
with the ELISA described above
b-arrestin assay The CHO-K1 GPR 3 β-arrestin or CHO-K1 ADRB2 β-arrestin
cell lines were seeded on 96-well plates at a cell density of 20000 cells per well
One day after seeding cells were transfected with the siRNAs as described aboveTwo days after seeding the cells were infected with an adenoviral vector express-
ing eGFP or APP-C99 On day 5 the medium was refreshed with serum-free
medium and the cells were allowed to accumulate Aβ peptides in the condi-
tioned medium for 24 h before analysis with the PathHunter β-arrestin assay
from DiscoveRx according to the manufacturerrsquos protocol
Coimmunoprecipitation experiments N2a cells were seeded in 10-cm plates
at a density of 2000000 cells per dish Cell lysates were prepared 48 h after seed-
ing in PBS with 1 TX-100 or 1 CHAPSO and protease inhibitors (Complete
Protease Inhibitor Cocktail Tablets Roche) Cell lysates were precleared with
protein G sepharose for 1 h at 4 degC followed by centrifugation at 10000 g for
15 min Immunoprecipitations were conducted overnight at 4 degC using the
appropriate antibodies or a negative control antibody (9E10) The beads were
washed four times with PBS with 1 TX-100 or 1 CHAPSO and once with
PBS Proteins were eluted with 1times lithium dodecyl sulfate (LDS) loading bufferMicrosomal membranes were prepared from fresh or frozen postmortem mouse
cortical brain samples first by homogenization using a Teflon homogenizer in
05 M sucrose PKM buffer (100 mM potassium phosphate 5 mM MgCl2 and
3 mM KCl pH 65) followed by centrifugation for 10 min at 8000 rpm The
protein concentration was determined by the Bradford dye-binding procedure
(Bio-Rad) and the samples were centrifuged at 100000 g for 1 h The mem-
brane pellets were each solubilized with the addition of an equal volume of
buffer containing 2 CHAPSO (Pierce) and incubated on ice for 1 h After
centrifugation at 100000 g for 1 h the immunoprecipitation was performed as
previously described58
Endogenous cAMP assessment CHO-K1β-arrestin cells were transfected with
empty vector WT GPR3 or the GPR3 mutant cDNA constructs (X-tremeGENE
HP Roche) Forty-eight hours after transfection the culture medium was replaced
with serum-free DMEM and the cells were treated with 100 microM forskolinin the presence or absence of 25 microM IBMX a phosphodiesterase inhibitor for
30ndash45 min Intracellular cAMP levels were then measured in cells using a spe-
cific cAMP assay kit (RampD Systems) according to the manufacturerrsquos protocol
Subcellular fractionation WT HEK293 cells were rinsed twice with ice-cold 1times
PBS solubilized in 2-(N -morpholino)ethanesulfonic acid (MES) buffer (25 mM
MES pH 65 and 150 mM NaCl) containing 1 CHAPSO and supplemented
with a complete protease inhibitor cocktail Cells were lysed by sequential pas-
sage through 18-gauge (five times) and 26-gauge (ten times) needles and then
placed on ice for 1 h After the removal of insoluble material by centrifugation
at 15000 g for 15 min the lysates were adjusted to a 45 sucrose concentration
and transferred to ultracentrifugation tubes A discontinuous sucrose gradient
was prepared by layering 35 and 5 sucrose in MES buffer Samples were
centrifuged at 100000 g for 16ndash18 h Thirteen 960-microl fractions were collected
from the top of the gradient and used for western blot analysis
Photoaffinity probe and crosslinking JC-8 was synthesized according to a
previously described procedure43 Fractions 2ndash4 and 9ndash12 from the subcellular
fractionation experiments described above were combined and the crosslinking
studies were performed as previously described45
Structured illumination microscopy and immunofluorescence HeLa cells
were plated on glass coverslips and transfected with β-arrestin 2ndashGFP and APH-
1A Twenty-four hours after transfection the cells were fixed (4 paraformalde-
hyde 10 min) blocked (2 BSA 2 FBS and 1 gelatin in PBS supplemented
with 5 serum) incubated with primary antibody (4 degC overnight) washed
(PBS) incubated with fluorophore-conjugated secondary antibody (room tem-
perature 1 h) rinsed and mounted in Mowiol-containing medium The second-
ary antibodies were conjugated with the following fluorophores Alexa-546 and
-647 Images were captured with a structured illumination microscope (ElyraS1 (Carl Zeiss Jena Germany) equipped with a 63times oil objective lens and a
14 numerical aperture (NA) and an Andor iXon 885 EMCCD camera) that
is capable of revealing information beyond the diffraction barrier that limits
conventional widefield and confocal microscopes β-arrestin 2 and APH-1A
were imaged at resolutions of ~110 nm and ~134 nm respectively
Statistical analyses The data are presented as means plusmn sem The data were
analyzed using two-tailed Studentrsquos t tests ANOVA was performed with the
GraphPad Prism 5 software
53 Annaert WG et al Interaction with telencephalin and the amyloid precursor protein
predicts a ring structure for presenilins Neuron 32 579ndash589 (2001)
54 Esselens C et al Presenilin 1 mediates the turnover of telencephalin in hippocampal
neurons via an autophagic degradative pathway J Cell Biol 166 1041ndash1054
(2004)55 Cai H et al BACE1 is the major β-secretase for generation of Aβ peptides by
neurons Nat Neurosci 4 233ndash234 (2001)
56 Braak H amp Braak E Neuropathological stageing of Alzheimer-related changes
Acta Neuropathol 82 239ndash259 (1991)
57 Bossers K et al Concerted changes in transcripts in the prefrontal cortex precede
neuropathology in Alzheimerrsquos disease Brain 133 3699ndash3723 (2010)
58 Heacutebert SS et al Coordinated and widespread expression of γ -secretase in vivo
evidence for size and molecular heterogeneity Neurobiol Dis 17 260ndash272 (2004)
892019 Thathiah 13 Gpr3 Arr2
httpslidepdfcomreaderfullthathiah-13-gpr3-arr2 89
NATURE MEDICINE doi101038nm3023
ONLINE METHODSReagents Unless otherwise indicated chemicals were purchased from
Sigma-Aldrich
Antibodies and compounds Rabbit polyclonal antibodies to human PS1-NTF
(B145 11000) mouse PS1-NTF (B192 15000) APH-1AL (B803 11000)
PEN 2 (B1262 11000) and the APP C terminus (B635 15000) and the
monoclonal antibody 9C3 (13000) directed against the C terminus of NCT
have been previously described and were generated in house5354 ADAM10was detected using a polyclonal antiserum (B421 11000) generated against
the 17 C-terminal amino acid residues of ADAM10 and was generated in house
Antibodies to the following were purchased Flag (M2 Sigma 11000) 22C11
(Chemicon 11000) 6E10 (Sigma-Aldrich 11000) β-secretase (D10E5
Cell Signaling 11000) PK (DiscoveRx 1500) β-arrestin (BD Biosciences
1500) β-arrestin 2 (Cell Signaling 1250) β-arrestin 12 (Santa Cruz 1500)
Myc (9E10 11000) PS1-NTF (MAB1563 Chemicon) PS1-CTF (MAB5232
Chemicon) hemagglutinin (HA) (3F10 Roche) caveolin-1 (Santa Cruz)
calnexin GM130 and EEA1 (Transduction lab) and β-actin (Sigma) L-685458
was purchased from Calbiochem
Plasmid construction The human GPR3 plasmid was purchased from
DiscoveRx All mutations in GPR3 were generated with the XL Site-Directed
Mutagenesis Kit (Stratagene) and confirmed by DNA sequence analysis The
β-arrestin 2ndashGFP-Flag plasmid was the kind gift of RJ Lefkowitz (DukeUniversity Medical Center Durham North Carolina USA)
Cell lines The CHO-K1 CHO-K1 GPR3 and CHO-K1 ADRB2 β-arrestin cell
lines were purchased from DiscoveRx The WT HEK293 N2a and HeLa cell
lines were purchased from American Type Culture Collection
Mice The Arrb1minusminus and Arrb2minusminus mice (C57BL6J background) were kindly
provided by RJ Lefkowitz (Duke University Medical Center Durham North
Carolina USA) Wild-type C57BL6J mice or littermate mice were used as
controls for all of the experiments The APP PS1 transgenic mice (C57BL6J
background) were the kind gift of M Jucker (University of Tuumlbingen Tuumlbingen
Germany)49 The APP PS1 transgenic mice were crossed with Arrb2+minus and
Arrb2minusminus mice to obtain APP PS1 Arrb2+minus and APP PS1 Arrb2minusminus mice
respectively Only female mice were used for the studies The mouse studies
were approved by ethical committees of Leuven University and UZ Leuven(LA1210231)
qPCR qPCR was performed with the SYBR Green PCR Master Mix (Exiqon)
and the LightCycler 480 Real-Time PCR System (Roche Applied Science)
following the manufacturerrsquos protocol The primers for human β-arrestin 1
used were 5prime-TGTTGAGGGAAGGTGCCAACCG-3prime and 5prime-GATGCAAGA
TCTCCCAACAGGCCG-3prime The primers for human β-arrestin 2 used were
5prime-CCTGTAGATGGCGTGGTGCTTG-3prime and 5prime-CCAGGTCTTCACGGCCA
TAGCG-3prime The housekeeping primers used were to hypoxanthine guanine
phosphoribosyl transferase (HPRT) (5prime-TGACACTGGCAAAACAATGCA-3prime
and 5prime-GGTCCTTTTCACCAGCAAGCT-3 prime) ribosomal protein L13a (RPL13A)
(5prime-CCTGGAGGAGAAGAGGAAAGAGA-3 prime and 5prime-TTGAGGACCTCTG
TGTATTTGTCAA-3prime) and β2 microglobulin (β2M) (5prime-TGCTGTCTCCA
TGTTTGATGTATC-3prime and 5prime-TCTCTGCTCCCCACCTCTAAGT-3prime)
Neuronal cultures Primary mouse cortical or hippocampal cultures were estab-
lished from the brains of embryonic day 14 or 17 fetal mice respectively as
previously described55 Briefly the dissected brain cortices or hippocampi were
suspended in HBSS supplemented with 025 trypsin and incubated at 37 degC
for 15 min The tissues were then transferred to HBSS supplemented with 10
(vv) horse serum and dissociated by repeated trituration The dispersed cells
were counted and plated on poly-983140-lysinendashcoated six-well cell culture plates
in Neurobasal medium supplemented with B27 (Invitrogen) Forty-eight to
72 h after plating the cells were transduced with the recombinant adenoviral
vectors for 24 h The infection medium was replaced with fresh Neurobasal
medium and cells were maintained in culture for an additional 24 h Cell culture
supernatants were collected centrifuged for 10 min at 800 g and used for ELISA
measurements Cells were harvested in 1times PBS containing complete protease
inhibitors (Roche) centrifuged at 800 g for 10 min and lysed in 150 mM NaCl
50 mM 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES) pH 74
and 1 TX-100 supplemented with complete protease inhibitors for 30 min at
4 degC After centrifugation at 16000 g for 15 min the cleared cell extracts were
separated on 4ndash12 Bis-Tris gels (Invitrogen) transferred to nitrocellulose
membranes blocked and probed with the indicated antibodies for western blot
analysis Immunodetection was performed using horseradish peroxidase (HRP)-
coupled secondary antibodies (Bio-Rad) and the chemiluminescent detectionreagent Renaissance (PerkinElmer Life Sciences)
Patient samples Frozen hippocampal and entorhinal cortex tissue samples
were obtained from the London Neurodegenerative Diseases Brain Bank These
samples were pathologically confirmed but not further categorized according
to Braak stage The second cohort of patient samples consisted of snap-frozen
human medial frontal gyrus brain samples obtained from the Netherlands Brain
Bank Amsterdam (NBB) For these samples individual neuropathological
reports including Braak staging for neurofibrillary changes (NFC) and neuritic
plaques56 and clinical reports were available For each of the six Braak stages
seven individuals were included Furthermore seven individuals without any
NFC pathology were included as Braak stage 0 Samples were matched as closely
as possible for sex age postmortem interval cerebrospinal fluid pH and APOE
genotype Only samples with a relatively high RNA integrity number (gt7) were
included Tissue dissection was performed as previously described57 Total RNAwas isolated from both the London and the Netherlands Brain Bank samples
using a combination of TRIzol-based and mirVana RNA isolation methods
Briefly samples were homogenized in ice-cold TRIzol (Life Technologies) After
phase separation by the addition of chloroform the aqueous phase was mixed
with an equal volume of 70 RNase-free ethanol Samples were then applied to
a mirVana filter cartridge (AmbionLife Technologies) and processed according
to the manufacturerrsquos instructions RNA yields and purities were determined
using a NanoDrop ND-1000 spectrophotometer (NanoDrop Technologies)
RNA integrity was determined by the RNA integrity number as measured by
the Agilent 2100 bioanalyzer (Agilent Technologies) All brain samples were col-
lected according to legislation and ethical boards of the respective Brain Banks
The human study was evaluated and approved by ethical committees of Leuven
University and UZ Leuven (ML5919)
Ab ELISA screen Ninety-six-well plates were coated and incubated overnightwith the capture antibodies previously described29 and detected using the HRP-
labeled detection antibodies29 Brains of the mice with the respective genotypes
of the ages indicated (plusmn2 weeks) were dissected after transcardial perfusion with
ice-cold PBS The hippocampus and the cerebral cortex were removed separately
and homogenized in Tissue Protein Extraction reagent (Pierce) supplemented
with complete protease inhibitor and phosphatase inhibitor tablets (Roche
Applied Science) The homogenized samples were briefly sonicated to shear the
DNA and centrifuged at 4 degC for 1 h at 100000 g The supernatant was used for
immunoblot analysis and Aβ ELISA measurements Alternately the Aβ peptides
were allowed to accumulate in the absence of serum in the culture supernatants
from HEK293 HEK293-APP695 CHO-K1 GPR3 β-arrestin or CHO-K1 ADRB2
β-arrestin cells and neuronal cultures for 16ndash18 h before Aβ40 and Aβ42 ELISA
analysis of the culture supernatant samples
siRNA-mediated knockdown experiments The CHO-K1 GPR3 β-arrestin
CHO-K1 ADRB2 β-arrestin or WT HEK293 cell lines were transfected with
siRNA directed against β-arrestin 1 or β-arrestin 2 or with control siRNA
using GeneSilencer (Genlantis) according to the manufacturerrsquos instruc-
tions as described27 Chemically synthesized double-stranded siRNAs with
19-nucleotide duplex RNA and 2-nucleotide 3prime-dTdT overhangs were pur-
chased from Qiagen The siRNA sequences targeting human β-arrestin 1
and β-arrestin 2 were 5prime-AAAGCCUUCUGCGCGGAGAAU-3 prime and 5prime-AAG
GACCGCAAAGUGUUUGUG-3prime corresponding to positions 439ndash459 and
148ndash168 relative to the start codon respectively A nonsilencing RNA duplex
(5prime-AAUUCUCCGAACGUGUCACGU-3 prime) was used as a control Briefly the
cells were seeded on six-well plates at a cell density of 250000 cells per well One
day after seeding the cells were transfected with the siRNAs Two days after
892019 Thathiah 13 Gpr3 Arr2
httpslidepdfcomreaderfullthathiah-13-gpr3-arr2 99
NATURE MEDICINEdoi101038nm3023
seeding the cells were infected with an adenoviral vector expressing enhanced
GFP (eGFP) or APP-C99 On day 5 the medium was refreshed with serum-free
medium and the cells were allowed to accumulate Aβ peptides in the condi-
tioned medium for 16ndash18 h before analysis of the culture supernatant samples
with the ELISA described above
b-arrestin assay The CHO-K1 GPR 3 β-arrestin or CHO-K1 ADRB2 β-arrestin
cell lines were seeded on 96-well plates at a cell density of 20000 cells per well
One day after seeding cells were transfected with the siRNAs as described aboveTwo days after seeding the cells were infected with an adenoviral vector express-
ing eGFP or APP-C99 On day 5 the medium was refreshed with serum-free
medium and the cells were allowed to accumulate Aβ peptides in the condi-
tioned medium for 24 h before analysis with the PathHunter β-arrestin assay
from DiscoveRx according to the manufacturerrsquos protocol
Coimmunoprecipitation experiments N2a cells were seeded in 10-cm plates
at a density of 2000000 cells per dish Cell lysates were prepared 48 h after seed-
ing in PBS with 1 TX-100 or 1 CHAPSO and protease inhibitors (Complete
Protease Inhibitor Cocktail Tablets Roche) Cell lysates were precleared with
protein G sepharose for 1 h at 4 degC followed by centrifugation at 10000 g for
15 min Immunoprecipitations were conducted overnight at 4 degC using the
appropriate antibodies or a negative control antibody (9E10) The beads were
washed four times with PBS with 1 TX-100 or 1 CHAPSO and once with
PBS Proteins were eluted with 1times lithium dodecyl sulfate (LDS) loading bufferMicrosomal membranes were prepared from fresh or frozen postmortem mouse
cortical brain samples first by homogenization using a Teflon homogenizer in
05 M sucrose PKM buffer (100 mM potassium phosphate 5 mM MgCl2 and
3 mM KCl pH 65) followed by centrifugation for 10 min at 8000 rpm The
protein concentration was determined by the Bradford dye-binding procedure
(Bio-Rad) and the samples were centrifuged at 100000 g for 1 h The mem-
brane pellets were each solubilized with the addition of an equal volume of
buffer containing 2 CHAPSO (Pierce) and incubated on ice for 1 h After
centrifugation at 100000 g for 1 h the immunoprecipitation was performed as
previously described58
Endogenous cAMP assessment CHO-K1β-arrestin cells were transfected with
empty vector WT GPR3 or the GPR3 mutant cDNA constructs (X-tremeGENE
HP Roche) Forty-eight hours after transfection the culture medium was replaced
with serum-free DMEM and the cells were treated with 100 microM forskolinin the presence or absence of 25 microM IBMX a phosphodiesterase inhibitor for
30ndash45 min Intracellular cAMP levels were then measured in cells using a spe-
cific cAMP assay kit (RampD Systems) according to the manufacturerrsquos protocol
Subcellular fractionation WT HEK293 cells were rinsed twice with ice-cold 1times
PBS solubilized in 2-(N -morpholino)ethanesulfonic acid (MES) buffer (25 mM
MES pH 65 and 150 mM NaCl) containing 1 CHAPSO and supplemented
with a complete protease inhibitor cocktail Cells were lysed by sequential pas-
sage through 18-gauge (five times) and 26-gauge (ten times) needles and then
placed on ice for 1 h After the removal of insoluble material by centrifugation
at 15000 g for 15 min the lysates were adjusted to a 45 sucrose concentration
and transferred to ultracentrifugation tubes A discontinuous sucrose gradient
was prepared by layering 35 and 5 sucrose in MES buffer Samples were
centrifuged at 100000 g for 16ndash18 h Thirteen 960-microl fractions were collected
from the top of the gradient and used for western blot analysis
Photoaffinity probe and crosslinking JC-8 was synthesized according to a
previously described procedure43 Fractions 2ndash4 and 9ndash12 from the subcellular
fractionation experiments described above were combined and the crosslinking
studies were performed as previously described45
Structured illumination microscopy and immunofluorescence HeLa cells
were plated on glass coverslips and transfected with β-arrestin 2ndashGFP and APH-
1A Twenty-four hours after transfection the cells were fixed (4 paraformalde-
hyde 10 min) blocked (2 BSA 2 FBS and 1 gelatin in PBS supplemented
with 5 serum) incubated with primary antibody (4 degC overnight) washed
(PBS) incubated with fluorophore-conjugated secondary antibody (room tem-
perature 1 h) rinsed and mounted in Mowiol-containing medium The second-
ary antibodies were conjugated with the following fluorophores Alexa-546 and
-647 Images were captured with a structured illumination microscope (ElyraS1 (Carl Zeiss Jena Germany) equipped with a 63times oil objective lens and a
14 numerical aperture (NA) and an Andor iXon 885 EMCCD camera) that
is capable of revealing information beyond the diffraction barrier that limits
conventional widefield and confocal microscopes β-arrestin 2 and APH-1A
were imaged at resolutions of ~110 nm and ~134 nm respectively
Statistical analyses The data are presented as means plusmn sem The data were
analyzed using two-tailed Studentrsquos t tests ANOVA was performed with the
GraphPad Prism 5 software
53 Annaert WG et al Interaction with telencephalin and the amyloid precursor protein
predicts a ring structure for presenilins Neuron 32 579ndash589 (2001)
54 Esselens C et al Presenilin 1 mediates the turnover of telencephalin in hippocampal
neurons via an autophagic degradative pathway J Cell Biol 166 1041ndash1054
(2004)55 Cai H et al BACE1 is the major β-secretase for generation of Aβ peptides by
neurons Nat Neurosci 4 233ndash234 (2001)
56 Braak H amp Braak E Neuropathological stageing of Alzheimer-related changes
Acta Neuropathol 82 239ndash259 (1991)
57 Bossers K et al Concerted changes in transcripts in the prefrontal cortex precede
neuropathology in Alzheimerrsquos disease Brain 133 3699ndash3723 (2010)
58 Heacutebert SS et al Coordinated and widespread expression of γ -secretase in vivo
evidence for size and molecular heterogeneity Neurobiol Dis 17 260ndash272 (2004)
892019 Thathiah 13 Gpr3 Arr2
httpslidepdfcomreaderfullthathiah-13-gpr3-arr2 99
NATURE MEDICINEdoi101038nm3023
seeding the cells were infected with an adenoviral vector expressing enhanced
GFP (eGFP) or APP-C99 On day 5 the medium was refreshed with serum-free
medium and the cells were allowed to accumulate Aβ peptides in the condi-
tioned medium for 16ndash18 h before analysis of the culture supernatant samples
with the ELISA described above
b-arrestin assay The CHO-K1 GPR 3 β-arrestin or CHO-K1 ADRB2 β-arrestin
cell lines were seeded on 96-well plates at a cell density of 20000 cells per well
One day after seeding cells were transfected with the siRNAs as described aboveTwo days after seeding the cells were infected with an adenoviral vector express-
ing eGFP or APP-C99 On day 5 the medium was refreshed with serum-free
medium and the cells were allowed to accumulate Aβ peptides in the condi-
tioned medium for 24 h before analysis with the PathHunter β-arrestin assay
from DiscoveRx according to the manufacturerrsquos protocol
Coimmunoprecipitation experiments N2a cells were seeded in 10-cm plates
at a density of 2000000 cells per dish Cell lysates were prepared 48 h after seed-
ing in PBS with 1 TX-100 or 1 CHAPSO and protease inhibitors (Complete
Protease Inhibitor Cocktail Tablets Roche) Cell lysates were precleared with
protein G sepharose for 1 h at 4 degC followed by centrifugation at 10000 g for
15 min Immunoprecipitations were conducted overnight at 4 degC using the
appropriate antibodies or a negative control antibody (9E10) The beads were
washed four times with PBS with 1 TX-100 or 1 CHAPSO and once with
PBS Proteins were eluted with 1times lithium dodecyl sulfate (LDS) loading bufferMicrosomal membranes were prepared from fresh or frozen postmortem mouse
cortical brain samples first by homogenization using a Teflon homogenizer in
05 M sucrose PKM buffer (100 mM potassium phosphate 5 mM MgCl2 and
3 mM KCl pH 65) followed by centrifugation for 10 min at 8000 rpm The
protein concentration was determined by the Bradford dye-binding procedure
(Bio-Rad) and the samples were centrifuged at 100000 g for 1 h The mem-
brane pellets were each solubilized with the addition of an equal volume of
buffer containing 2 CHAPSO (Pierce) and incubated on ice for 1 h After
centrifugation at 100000 g for 1 h the immunoprecipitation was performed as
previously described58
Endogenous cAMP assessment CHO-K1β-arrestin cells were transfected with
empty vector WT GPR3 or the GPR3 mutant cDNA constructs (X-tremeGENE
HP Roche) Forty-eight hours after transfection the culture medium was replaced
with serum-free DMEM and the cells were treated with 100 microM forskolinin the presence or absence of 25 microM IBMX a phosphodiesterase inhibitor for
30ndash45 min Intracellular cAMP levels were then measured in cells using a spe-
cific cAMP assay kit (RampD Systems) according to the manufacturerrsquos protocol
Subcellular fractionation WT HEK293 cells were rinsed twice with ice-cold 1times
PBS solubilized in 2-(N -morpholino)ethanesulfonic acid (MES) buffer (25 mM
MES pH 65 and 150 mM NaCl) containing 1 CHAPSO and supplemented
with a complete protease inhibitor cocktail Cells were lysed by sequential pas-
sage through 18-gauge (five times) and 26-gauge (ten times) needles and then
placed on ice for 1 h After the removal of insoluble material by centrifugation
at 15000 g for 15 min the lysates were adjusted to a 45 sucrose concentration
and transferred to ultracentrifugation tubes A discontinuous sucrose gradient
was prepared by layering 35 and 5 sucrose in MES buffer Samples were
centrifuged at 100000 g for 16ndash18 h Thirteen 960-microl fractions were collected
from the top of the gradient and used for western blot analysis
Photoaffinity probe and crosslinking JC-8 was synthesized according to a
previously described procedure43 Fractions 2ndash4 and 9ndash12 from the subcellular
fractionation experiments described above were combined and the crosslinking
studies were performed as previously described45
Structured illumination microscopy and immunofluorescence HeLa cells
were plated on glass coverslips and transfected with β-arrestin 2ndashGFP and APH-
1A Twenty-four hours after transfection the cells were fixed (4 paraformalde-
hyde 10 min) blocked (2 BSA 2 FBS and 1 gelatin in PBS supplemented
with 5 serum) incubated with primary antibody (4 degC overnight) washed
(PBS) incubated with fluorophore-conjugated secondary antibody (room tem-
perature 1 h) rinsed and mounted in Mowiol-containing medium The second-
ary antibodies were conjugated with the following fluorophores Alexa-546 and
-647 Images were captured with a structured illumination microscope (ElyraS1 (Carl Zeiss Jena Germany) equipped with a 63times oil objective lens and a
14 numerical aperture (NA) and an Andor iXon 885 EMCCD camera) that
is capable of revealing information beyond the diffraction barrier that limits
conventional widefield and confocal microscopes β-arrestin 2 and APH-1A
were imaged at resolutions of ~110 nm and ~134 nm respectively
Statistical analyses The data are presented as means plusmn sem The data were
analyzed using two-tailed Studentrsquos t tests ANOVA was performed with the
GraphPad Prism 5 software
53 Annaert WG et al Interaction with telencephalin and the amyloid precursor protein
predicts a ring structure for presenilins Neuron 32 579ndash589 (2001)
54 Esselens C et al Presenilin 1 mediates the turnover of telencephalin in hippocampal
neurons via an autophagic degradative pathway J Cell Biol 166 1041ndash1054
(2004)55 Cai H et al BACE1 is the major β-secretase for generation of Aβ peptides by
neurons Nat Neurosci 4 233ndash234 (2001)
56 Braak H amp Braak E Neuropathological stageing of Alzheimer-related changes
Acta Neuropathol 82 239ndash259 (1991)
57 Bossers K et al Concerted changes in transcripts in the prefrontal cortex precede
neuropathology in Alzheimerrsquos disease Brain 133 3699ndash3723 (2010)
58 Heacutebert SS et al Coordinated and widespread expression of γ -secretase in vivo
evidence for size and molecular heterogeneity Neurobiol Dis 17 260ndash272 (2004)