ErbB2 regulates autophagic flux to modulate the proteostasis of APP-CTFs in Alzheimer’s disease

Significance We demonstrate that ErbB2 can regulate autophagic flux through its direct interaction with Beclin-1, which effectively blocks autophagy initiation. Although the expression of ErbB2 becomes dormant during adulthood, it becomes reactivated during the pathogenesis of Alzheimer’s disease (AD), blocking the autophagy-mediated clearance of amyloid precursor protein (APP) C-terminal fragments (CTFs) [99-residue CTF (C99)]. Consequently, the accumulated APP-C99 can be further processed by γ-secretase, resulting in augmented production of amyloid-β and the APP intracellular domain. The chemical inhibition of ErbB2 by CL-387,785 effectively rescues the cognitive impairment of APP/presenilin-1 (PS1) transgenic AD mice. The present study thus defines a molecular basis by which the aberrant expression of ErbB2 could instigate the pathogenesis of AD. These findings provide the proof-of-principle evidence for rational design of ErbB2-targeted therapeutics for AD. Proteolytic processing of amyloid precursor protein (APP) C-terminal fragments (CTFs) by γ-secretase underlies the pathogenesis of Alzheimer’s disease (AD). An RNA interference screen using APP-CTF [99-residue CTF (C99)]- and Notch-specific γ-secretase interaction assays identified a unique ErbB2-centered signaling network that was predicted to preferentially govern the proteostasis of APP-C99. Consistently, significantly elevated levels of ErbB2 were confirmed in the hippocampus of human AD brains. We then found that ErbB2 effectively suppressed autophagic flux by physically dissociating Beclin-1 from the Vps34–Vps15 complex independent of its kinase activity. Down-regulation of ErbB2 by CL-387,785 decreased the levels of C99 and secreted amyloid-β in cellular, zebrafish, and mouse models of AD, through the activation of autophagy. Oral administration of an ErbB2-targeted CL-387,785 for 3 wk significantly improves the cognitive functions of APP/presenilin-1 (PS1) transgenic mice. This work unveils a noncanonical function of ErbB2 in modulating autophagy and establishes ErbB2 as a therapeutic target for AD.

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