APP

gene
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Also known as alpha-sAPP

Summary

APP (amyloid beta precursor protein, HGNC:620) is a protein-coding gene on chromosome 21q21.3, encoding Amyloid-beta precursor protein (P05067). Functions as a cell surface receptor and performs physiological functions on the surface of neurons relevant to neurite growth, neuronal adhesion and axonogenesis.

This gene encodes a cell surface receptor and transmembrane precursor protein that is cleaved by secretases to form a number of peptides. Some of these peptides are secreted and can bind to the acetyltransferase complex APBB1/TIP60 to promote transcriptional activation, while others form the protein basis of the amyloid plaques found in the brains of patients with Alzheimer disease. In addition, two of the peptides are antimicrobial peptides, having been shown to have bacteriocidal and antifungal activities. Mutations in this gene have been implicated in autosomal dominant Alzheimer disease and cerebroarterial amyloidosis (cerebral amyloid angiopathy). Multiple transcript variants encoding several different isoforms have been found for this gene.

Source: NCBI Gene 351 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): cerebral amyloid angiopathy, APP-related (Definitive, ClinGen) — +8 more curated relationships
  • GWAS associations: 7
  • Clinical variants (ClinVar): 637 total — 23 pathogenic, 8 likely-pathogenic
  • Phenotypes (HPO): 55
  • Druggable target: yes — 40 molecules with ChEMBL bioactivity
  • Dosage sensitivity (ClinGen): haploinsufficiency no evidence, triplosensitivity little evidence
  • Transcription factor: yes — 31 downstream targets (CollecTRI)
  • MANE Select transcript: NM_000484

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:620
Approved symbolAPP
Nameamyloid beta precursor protein
Location21q21.3
Locus typegene with protein product
StatusApproved
Aliasesalpha-sAPP
Ensembl geneENSG00000142192
Ensembl biotypeprotein_coding
OMIM104760
Entrez351

Gene structure

Transcript identifiers

Ensembl transcripts: 40 — 30 protein_coding, 8 protein_coding_CDS_not_defined, 2 retained_intron

ENST00000346798, ENST00000348990, ENST00000354192, ENST00000357903, ENST00000358918, ENST00000359726, ENST00000415997, ENST00000439274, ENST00000440126, ENST00000448850, ENST00000462267, ENST00000463070, ENST00000464867, ENST00000466453, ENST00000474136, ENST00000491395, ENST00000548570, ENST00000707132, ENST00000707133, ENST00000707134, ENST00000872524, ENST00000872525, ENST00000872526, ENST00000872527, ENST00000872528, ENST00000872529, ENST00000872530, ENST00000872531, ENST00000872532, ENST00000872533, ENST00000872534, ENST00000872535, ENST00000872536, ENST00000872537, ENST00000872538, ENST00000932837, ENST00000932838, ENST00000965079, ENST00000965080, ENST00000965081

RefSeq mRNA: 11 — MANE Select: NM_000484 NM_000484, NM_001136016, NM_001136129, NM_001136130, NM_001136131, NM_001204301, NM_001204302, NM_001204303, NM_001385253, NM_201413, NM_201414

CCDS: CCDS13576, CCDS13577, CCDS33523, CCDS46638, CCDS46639, CCDS56211, CCDS56212, CCDS56213

Canonical transcript exons

ENST00000346798 — 18 exons

ExonStartEnd
ENSE000013093222599736025997416
ENSE000036917232600001526000182
ENSE000038454662617056426170770
ENSE000039982792595562725955755
ENSE000039982822605323626053348
ENSE000039982852605100026051193
ENSE000039982862589172225891868
ENSE000039982872591174125911962
ENSE000039982882595459025954689
ENSE000039982902597507025975228
ENSE000039982912611197926112146
ENSE000039982922590502425905077
ENSE000039982932597595425976028
ENSE000039982942598234425982477
ENSE000039982962589757325897673
ENSE000039982972588055025881771
ENSE000039982982602184026022042
ENSE000039982992608994326090072

Expression profiles

Bgee: expression breadth ubiquitous, 295 present calls, max score 99.79.

FANTOM5 (CAGE): breadth ubiquitous, TPM avg 311.6966 / max 5368.2517, expressed in 1755 samples.

FANTOM5 promoters (17 alternative TSS)

Promoter IDTPM avgSamples expressed
189996294.25221754
1899524.33321257
1899903.22051229
1899862.0240841
1899801.6386649
1899871.5998821
1899601.1338583
1899710.9956564
1899940.7367398
1899950.6492380

Top tissues by expression

295 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
prefrontal cortexUBERON:000045199.79gold quality
renal medullaUBERON:000036299.69gold quality
Brodmann (1909) area 9UBERON:001354099.69gold quality
medial globus pallidusUBERON:000247799.66gold quality
stromal cell of endometriumCL:000225599.65gold quality
tendon of biceps brachiiUBERON:000818899.64gold quality
cortical plateUBERON:000534399.61gold quality
globus pallidusUBERON:000187599.58gold quality
primary visual cortexUBERON:000243699.58gold quality
islet of LangerhansUBERON:000000699.56gold quality
C1 segment of cervical spinal cordUBERON:000646999.56gold quality
choroid plexus epitheliumUBERON:000391199.55gold quality
metanephros cortexUBERON:001053399.55gold quality
occipital lobeUBERON:000202199.53gold quality
dorsolateral prefrontal cortexUBERON:000983499.51gold quality
nucleus accumbensUBERON:000188299.47gold quality
colonic epitheliumUBERON:000039799.46gold quality
Brodmann (1909) area 23UBERON:001355499.46gold quality
frontal cortexUBERON:000187099.45gold quality
putamenUBERON:000187499.45gold quality
gall bladderUBERON:000211099.45gold quality
ventral tegmental areaUBERON:000269199.45gold quality
caudate nucleusUBERON:000187399.44gold quality
spinal cordUBERON:000224099.44gold quality
hypothalamusUBERON:000189899.43gold quality
endothelial cellCL:000011599.42gold quality
neocortexUBERON:000195099.41gold quality
corpus callosumUBERON:000233699.41gold quality
inferior vagus X ganglionUBERON:000536399.41gold quality
left lobe of thyroid glandUBERON:000112099.40gold quality

Single-cell (SCXA)

Detected in 38 experiment(s), a significant marker in 34.

ExperimentMarker?Max mean expression
E-CURD-88yes2964.07
E-CURD-112yes1694.18
E-HCAD-56yes1361.47
E-MTAB-9435yes781.93
E-GEOD-150728yes658.52
E-GEOD-149689yes619.29
E-MTAB-6819yes321.97
E-MTAB-8142yes121.08
E-MTAB-6701yes119.49
E-HCAD-4yes71.80
E-MTAB-10287yes70.18
E-MTAB-10553yes64.61
E-HCAD-1yes46.89
E-GEOD-135922yes43.26
E-HCAD-6yes34.40

Regulation

Is transcription factor: yes

Downstream targets (CollecTRI)

31 targets.

TargetRegulation
ABCB1Repression
ABCC1Unknown
AGERActivation
ARG1Activation
AXIN2Repression
BECN1Repression
CCL2Repression
CCL5Activation
CCND1Activation
CLURepression
DKK1Activation
EGR1Activation
FCGR2BActivation
FOSActivation
FZD5Unknown
IL10Activation
IL1BActivation
KLF10Activation
LEF1Repression
LRP1Repression
MMEUnknown
NAB2Activation
NEDD4Activation
PFKFB3Activation
PTENActivation
ROCK1Activation
SLC40A1Repression
SLC8A2Unknown
SLC8A3Unknown
TNFRepression

Upstream regulators (CollecTRI, top): AHR, AP1, AR, BSX, CEBPG, CNOT4, CTCF, CTNNB1, EGR1, ESR1, ESR2, ETS2, FOS, FOXI1, FOXO3, HDAC9, HIF1A, JUN, KAT7, LEF1, MBD2, MYC, NCOR2, NFATC2, NFIL3, NFKB, NR1I2, NR1I3, PPARA, PPARG, PURA, RARA, RXRA, SMAD2, SMAD3, SMAD4, SP1, SP3, STAT1, STAT3

miRNA regulators (miRDB)

137 targeting APP, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-LET-7A-3P100.0074.033932
HSA-LET-7B-3P100.0074.083913
HSA-LET-7F-1-3P100.0074.023928
HSA-MIR-98-3P100.0074.083907
HSA-MIR-5692A100.0074.406850
HSA-MIR-3646100.0073.565283
HSA-MIR-188-3P100.0068.761240
HSA-MIR-3613-3P100.0076.367965
HSA-MIR-4692100.0067.322066
HSA-MIR-366299.9973.825684
HSA-MIR-453199.9969.703181
HSA-MIR-548C-3P99.9974.017587
HSA-MIR-477599.9875.006394
HSA-MIR-314899.9775.066478
HSA-MIR-3688-3P99.9772.022834
HSA-MIR-302E99.9670.742669
HSA-MIR-9-3P99.9670.882068
HSA-MIR-4666A-3P99.9671.713434
HSA-MIR-551B-5P99.9671.283493
HSA-LET-7C-3P99.9573.422862
HSA-MIR-101-3P99.9475.032230
HSA-MIR-144-3P99.9473.982698
HSA-MIR-6835-3P99.9370.492904
HSA-MIR-381-3P99.9371.872854
HSA-MIR-30099.9271.762856
HSA-MIR-497-5P99.9271.832674
HSA-MIR-10523-5P99.9169.222038
HSA-MIR-106A-5P99.9073.942683
HSA-MIR-368699.9070.532432
HSA-MIR-627-3P99.9071.423316

Functional genomics

ClinGen dosage: haploinsufficiency 0 (no evidence), triplosensitivity 1 (little evidence). ClinGen Gene Dosage Map

Literature-anchored findings (GeneRIF, showing 40)

  • Kunitz protease inhibitor (KPI) domain forms of APP regulate extracellular cleavage of secreted APP by inhibiting the activity of a secreted APP-degrading protease (PMID:10561592)
  • Alzheimer’s Amyloid-beta peptide contains catalase binding site and inhibits anti-oxidant activity (PMID:10567208)
  • Mutations in APP may predispose to very-late-onset Alzheimer disease. (PMID:11500807)
  • helix-containing intermediates in amyloid beta-protein fibrillogenesis (PMID:11580253)
  • Serine phosphorylation site within the Alzheimer’s Amyloid-beta sequence (PMID:11726805)
  • Here the technique of small angle neutron scattering has been used to determine the structure of these Abeta micelles (PMID:11756677)
  • Insulin-degrading enzyme rapidly removes the beta-amyloid precursor protein intracellular domain (AICD). (PMID:11809755)
  • Estrogen lowers Alzheimer beta-amyloid generation by stimulating trans-Golgi network vesicle biogenesis (PMID:11823458)
  • a biomarker for Alzheimer disease (PMID:11831556)
  • Tyrosine phosphorylation of the beta-amyloid precursor protein cytoplasmic tail promotes interaction with Shc. (PMID:11877420)
  • mitochondrial dysfunction in Down’s syndrome may lead to intracellular deposition of Abeta42, reduced levels of AbetaPPs, and a chronic state of increased neuronal vulnerability. (PMID:11879646)
  • early signaling mechanisms involved in Abeta toxicity using the SH-SY5Y neuroblastoma cell line (amyloid beta protein) (PMID:11882652)
  • Apolipoprotein E4 potentiates amyloid beta peptide-induced lysosomal leakage and apoptosis in neuronal cells (PMID:11912196)
  • Oxidation of methionine 35 attenuates formation of amyloid beta -peptide 1-40 oligomers (PMID:11912198)
  • Accelerated plaque accumulation, associative learning deficits, and up-regulation of alpha 7 nicotinic receptor protein in transgenic mice co-expressing mutant human presenilin 1 and amyloid precursor proteins (PMID:11912199)
  • binds to G(M1)ganglioside and promotes the soluble amyloid beta protein polymerization (PMID:11915325)
  • forms a seed of amyloid beta protein aggregation via binding to G(M1)ganglioside (PMID:11915326)
  • natural oligomers of human Abeta are secreted and cerebral microinjection of cell medium containing these oligomers and abundant Abeta monomers but no amyloid fibrils markedly inhibited hippocampal long-term potentiation in rats (amyloid beta protein). (PMID:11932745)
  • Activation of Cyclin-Dependent-Kinase-1 by Alzheimer’s Amyloid-beta peptide (PMID:11958860)
  • Munc18a acts through direct and indirect interactions with X11 proteins and powerfully regulates APP metabolism and Abeta secretion. (PMID:12016213)
  • A second locus for very-late-onset Alzheimer disease: a genome scan reveals linkage to 20p and epistasis between 20p and the amyloid precursor protein region. (PMID:12016588)
  • results show that the constrained decapeptide dimers rapidly form an intramolecular, antiparallel beta-sheet and polymerize into amyloid fibrils at low concentrations (PMID:12023906)
  • gamma secretase cleavage of APP may contribute to Alzheimer’s disease-related neurodegeneration [GAMMA SECRETASE] (PMID:12032152)
  • Rac1 generates reactive oxygen species through beta-amyloid signaling (PMID:12038964)
  • mutation of leucine 166 in presenilin-1 affects generation independent of effect on Abea 42 production (PMID:12048239)
  • Mechanism of membrane depolarization caused by the Alzheimer Abeta1-42 peptide (PMID:12054502)
  • Eliminating membrane depolarization caused by the Alzheimer peptide Abeta(1-42, aggr.). (PMID:12054503)
  • REVIEW: the folding pathways of an Alzheimer’s amyloid Abeta-Peptide explored by long time dynamic simulations. (PMID:12069633)
  • Mutations that reduce aggregation of the Alzheimer’s Abeta42 peptide: an unbiased search for the sequence determinants of Abeta amyloidogenesis. (PMID:12079364)
  • [alpha]-Secretase ADAM10 as well as [alpha]APPs is reduced in platelets and CSF of Alzheimer disease patients. (PMID:12080182)
  • Profile of cholesterol-related sterols in aged amyloid precursor protein transgenic mouse brain (PMID:12091492)
  • Transcriptional activation and increase in expression of Alzheimer’s beta-amyloid precursor protein gene is mediated by TGF-beta in normal human astrocytes (PMID:12099697)
  • Transforming growth factor-beta-induced transcription of the Alzheimer beta-amyloid precursor protein gene involves interaction between the CTCF-complex and Smads (PMID:12099698)
  • description of APP binding site for fibrillar Abeta and identification by alanine scanning mutagenesis (PMID:12107175)
  • mutations in PSEN1 increase Abeta42 production (PMID:12119298)
  • mutant proteins form annular protofibrils (similar to pore-forming bacterial toxins), suggesting that inappropriate membrane permeabilization might be the cause of cell dysfunction and even cell death in amyloid diseases, as Alzheimers and Parkinsons (PMID:12124613)
  • Human APP expressed in rat cortical cell neurons in culture is processed to produce amyloid beta and soluible APP. Expression of APP triggers neuronal cell death. (PMID:12128077)
  • laminin affects polymerization, depolymerization and neurotoxicity of this protein. (PMID:12128080)
  • Several months after intracerebral injections of this protein into betaAPP transgenic mice, cerebral beta-amyloidosis was induced. (PMID:12128081)
  • Annexin 5 and apolipoprotein E-2 protect PC12 rat cells against the cytotoxicity of this protein. (PMID:12128082)

Cross-species orthologs

6 orthologs

OrganismSymbolGene ID
danio_rerioappbENSDARG00000055543
danio_rerioappaENSDARG00000104279
mus_musculusAppENSMUSG00000022892
rattus_norvegicusAppENSRNOG00000006997
drosophila_melanogasterApplFBGN0000108
caenorhabditis_elegansWBGENE00000149

Paralogs (2): APLP2 (ENSG00000084234), APLP1 (ENSG00000105290)

Protein

Protein identifiers

Amyloid-beta precursor proteinP05067 (reviewed: P05067)

Alternative names: ABPP, APPI, Alzheimer disease amyloid A4 protein homolog, Alzheimer disease amyloid protein, Amyloid precursor protein, Amyloid-beta (A4) precursor protein, Amyloid-beta A4 protein, Cerebral vascular amyloid peptide, PreA4, Protease nexin-II

All UniProt accessions (6): P05067, A0A0A0MRG2, A0A140VJC8, E9PG40, H7C0V9, H7C2L2

UniProt curated annotations — full annotation on UniProt →

Function. Functions as a cell surface receptor and performs physiological functions on the surface of neurons relevant to neurite growth, neuronal adhesion and axonogenesis. Interaction between APP molecules on neighboring cells promotes synaptogenesis. Involved in cell mobility and transcription regulation through protein-protein interactions. Can promote transcription activation through binding to APBB1-KAT5 and inhibits Notch signaling through interaction with Numb. Couples to apoptosis-inducing pathways such as those mediated by G(o) and JIP. Inhibits G(o) alpha ATPase activity. Acts as a kinesin I membrane receptor, mediating the axonal transport of beta-secretase and presenilin 1. By acting as a kinesin I membrane receptor, plays a role in axonal anterograde transport of cargo towards synapses in axons. Involved in copper homeostasis/oxidative stress through copper ion reduction. In vitro, copper-metallated APP induces neuronal death directly or is potentiated through Cu(2+)-mediated low-density lipoprotein oxidation. Can regulate neurite outgrowth through binding to components of the extracellular matrix such as heparin and collagen I and IV. The splice isoforms that contain the BPTI domain possess protease inhibitor activity. Induces a AGER-dependent pathway that involves activation of p38 MAPK, resulting in internalization of amyloid-beta peptide and leading to mitochondrial dysfunction in cultured cortical neurons. Provides Cu(2+) ions for GPC1 which are required for release of nitric oxide (NO) and subsequent degradation of the heparan sulfate chains on GPC1. Amyloid-beta peptides are lipophilic metal chelators with metal-reducing activity. Bind transient metals such as copper, zinc and iron. In vitro, can reduce Cu(2+) and Fe(3+) to Cu(+) and Fe(2+), respectively. Amyloid-beta peptides bind to lipoproteins and apolipoproteins E and J in the CSF and to HDL particles in plasma, inhibiting metal-catalyzed oxidation of lipoproteins. Promotes both tau aggregation and TPK II-mediated phosphorylation. Interaction with overexpressed HADH2 leads to oxidative stress and neurotoxicity. Also binds GPC1 in lipid rafts. More effective reductant than amyloid-beta protein 40. May activate mononuclear phagocytes in the brain and elicit inflammatory responses. Appicans elicit adhesion of neural cells to the extracellular matrix and may regulate neurite outgrowth in the brain. The gamma-CTF peptides as well as the caspase-cleaved peptides, including C31, are potent enhancers of neuronal apoptosis.

Subunit / interactions. Binds, via its C-terminus, to the PID domain of several cytoplasmic proteins, including APBB family members, the APBA family, MAPK8IP1, SHC1 and, NUMB and DAB1. Binding to DAB1 inhibits its serine phosphorylation. Interacts (via NPXY motif) with DAB2 (via PID domain); the interaction is impaired by tyrosine phosphorylation of the NPXY motif. Also interacts with GPCR-like protein BPP, APPBP1, IB1, KNS2 (via its TPR domains), APPBP2 (via BaSS) and DDB1. In vitro, it binds MAPT via the MT-binding domains. Associates with microtubules in the presence of ATP and in a kinesin-dependent manner. Interacts, through a C-terminal domain, with GNAO1. Amyloid-beta protein 42 binds CHRNA7 in hippocampal neurons. Interacts with CPEB1 and AGER. Interacts with ANKS1B. Interacts with ITM2B. Interacts with ITM2C. Interacts with IDE. Homodimerizes; dimerization is enhanced in the presence of Cu(2+) ions and is promoted by heparin binding. Interacts with PLD3. Interacts with VDAC1. Interacts with NSG1; could regulate APP processing. Interacts with SYT7. Interacts (via transmembrane region) with PSEN1; the interaction is direct. Interacts with LRRK2. Interacts (via cytoplasmic domain) with KIF5B. Interacts (via C-terminus) with APBB2/FE65L1 (via C-terminus). Interacts (via intracellular domain) with APBB3. Amyloid-beta associates with HADH2. Soluble APP binds, via its N-terminal head, to FBLN1. Interacts with S100A9. Interacts with FPR2. Interacts with GSAP. Interacts with SORL1 (via N-terminal ectodomain); this interaction retains APP in the trans-Golgi network and reduces processing into soluble APP-alpha and amyloid-beta peptides. Interacts with SORL1. Interacts with SORL1. Interacts with SORL1.

Subcellular location. Cell membrane. Membrane. Perikaryon. Cell projection. Growth cone. Clathrin-coated pit. Early endosome. Cytoplasmic vesicle Endoplasmic reticulum. Golgi apparatus. Early endosome Early endosome Secreted Cell surface Cell surface Nucleus. Cytoplasm.

Tissue specificity. Expressed in the brain and in cerebrospinal fluid (at protein level). Expressed in all fetal tissues examined with highest levels in brain, kidney, heart and spleen. Weak expression in liver. In adult brain, highest expression found in the frontal lobe of the cortex and in the anterior perisylvian cortex-opercular gyri. Moderate expression in the cerebellar cortex, the posterior perisylvian cortex-opercular gyri and the temporal associated cortex. Weak expression found in the striate, extra-striate and motor cortices. Expressed in cerebrospinal fluid, and plasma. Isoform APP695 is the predominant form in neuronal tissue, isoform APP751 and isoform APP770 are widely expressed in non-neuronal cells. Isoform APP751 is the most abundant form in T-lymphocytes. Appican is expressed in astrocytes.

Post-translational modifications. Proteolytically processed under normal cellular conditions. Cleavage either by alpha-secretase, beta-secretase or theta-secretase leads to generation and extracellular release of soluble APP peptides, S-APP-alpha and S-APP-beta, and the retention of corresponding membrane-anchored C-terminal fragments, C80, C83 and C99. Subsequent processing of C80 and C83 by gamma-secretase yields P3 peptides. This is the major secretory pathway and is non-amyloidogenic. Alternatively, presenilin/nicastrin-mediated gamma-secretase processing of C99 releases the amyloid-beta proteins, amyloid-beta protein 40 and amyloid-beta protein 42, major components of amyloid plaques, and the cytotoxic C-terminal fragments, gamma-CTF(50), gamma-CTF(57) and gamma-CTF(59). PSEN1 cleavage is more efficient with C83 than with C99 as substrate (in vitro). Amyloid-beta protein 40 and Amyloid-beta protein 42 are cleaved by ACE. Many other minor amyloid-beta peptides, amyloid-beta 1-X peptides, are found in cerebral spinal fluid (CSF) including the amyloid-beta X-15 peptides, produced from the cleavage by alpha-secretase and all terminating at Gln-686. Proteolytically cleaved by caspases during neuronal apoptosis. Cleavage at Asp-739 by either CASP6, CASP8 or CASP9 results in the production of the neurotoxic C31 peptide and the increased production of amyloid-beta peptides. N-glycosylated. N- and O-glycosylated. O-glycosylation on Ser and Thr residues with core 1 or possibly core 8 glycans. Partial tyrosine glycosylation (Tyr-681) is found on some minor, short amyloid-beta peptides (amyloid-beta 1-15, 1-16, 1-17, 1-18, 1-19 and 1-20) but not found on amyloid-beta protein 38, amyloid-beta protein 40 nor on amyloid-beta protein 42. Modification on a tyrosine is unusual and is more prevelant in AD patients. Glycans had Neu5AcHex(Neu5Ac)HexNAc-O-Tyr, Neu5AcNeu5AcHex(Neu5Ac)HexNAc-O-Tyr and O-AcNeu5AcNeu5AcHex(Neu5Ac)HexNAc-O-Tyr structures, where O-Ac is O-acetylation of Neu5Ac. Neu5AcNeu5Ac is most likely Neu5Ac 2,8Neu5Ac linked. O-glycosylations in the vicinity of the cleavage sites may influence the proteolytic processing. Appicans are L-APP isoforms with O-linked chondroitin sulfate. Phosphorylation in the C-terminal on tyrosine, threonine and serine residues is neuron-specific. Phosphorylation can affect APP processing, neuronal differentiation and interaction with other proteins. Phosphorylated on Thr-743 in neuronal cells by Cdc5 kinase and Mapk10, in dividing cells by Cdc2 kinase in a cell-cycle dependent manner with maximal levels at the G2/M phase and, in vitro, by GSK-3-beta. The Thr-743 phosphorylated form causes a conformational change which reduces binding of Fe65 family members. In dopaminergic (DA) neurons, phosphorylation on Thr-743 by LRKK2 promotes the production and the nuclear translocation of the APP intracellular domain (AICD) which induces DA neuron apoptosis. Phosphorylation on Tyr-757 is required for SHC binding. Phosphorylated in the extracellular domain by casein kinases on both soluble and membrane-bound APP. This phosphorylation is inhibited by heparin. Extracellular binding and reduction of copper, results in a corresponding oxidation of Cys-144 and Cys-158, and the formation of a disulfide bond. In vitro, the APP-Cu(+) complex in the presence of hydrogen peroxide results in an increased production of amyloid-beta-containing peptides. Trophic-factor deprivation triggers the cleavage of surface APP by beta-secretase to release sAPP-beta which is further cleaved to release an N-terminal fragment of APP (N-APP). Amyloid-beta peptides are degraded by IDE. Sulfated on tyrosine residues.

Disease relevance. Alzheimer disease 1 (AD1) [MIM:104300] A form of Alzheimer disease, a neurodegenerative disorder characterized by progressive dementia, loss of cognitive abilities, and deposition of fibrillar amyloid proteins as intraneuronal neurofibrillary tangles, extracellular amyloid plaques and vascular amyloid deposits. The major constituents of these plaques are neurotoxic amyloid-beta protein 40 and amyloid-beta protein 42, that are produced by the proteolysis of the transmembrane APP protein. The cytotoxic C-terminal fragments (CTFs) and the caspase-cleaved products, such as C31, are also implicated in neuronal death. It can be associated with cerebral amyloid angiopathy. Alzheimer disease can be associated with cerebral amyloid angiopathy. The disease is caused by variants affecting the gene represented in this entry. Cerebral amyloid angiopathy, APP-related (CAA-APP) [MIM:605714] A hereditary localized amyloidosis due to amyloid-beta A4 peptide(s) deposition in the cerebral vessels. The principal clinical characteristics are recurrent cerebral and cerebellar hemorrhages, recurrent strokes, cerebral ischemia, cerebral infarction, and progressive mental deterioration. Patients develop cerebral hemorrhage because of the severe cerebral amyloid angiopathy. Parenchymal amyloid deposits are rare and largely in the form of pre-amyloid lesions or diffuse plaque-like structures. They are Congo red negative and lack the dense amyloid cores commonly present in Alzheimer disease. Some affected individuals manifest progressive aphasic dementia, leukoencephalopathy, and occipital calcifications. The disease is caused by variants affecting the gene represented in this entry.

Domain organisation. The transmembrane helix undergoes a conformation change and unravels partially when bound to PSEN1, facilitating cleavage by PSEN1. The basolateral sorting signal (BaSS) is required for sorting of membrane proteins to the basolateral surface of epithelial cells. The GFLD subdomain binds Cu(2+) ions; this promotes homodimerization. The NPXY sequence motif found in many tyrosine-phosphorylated proteins is required for the specific binding of the PID domain. However, additional amino acids either N- or C-terminal to the NPXY motif are often required for complete interaction. The PID domain-containing proteins which bind APP require the YENPTY motif for full interaction. These interactions are independent of phosphorylation on the terminal tyrosine residue. The YENPXY site is also involved in clathrin-mediated endocytosis. The C-terminal region can bind zinc ions; this favors dimerization and formation of higher oligomers. The OX-2 motif shows some similarity to a region in the N-terminus of CD200/MOX2.

Induction. Increased levels during neuronal differentiation.

Miscellaneous. Chelation of metal ions, notably copper, iron and zinc, can induce histidine-bridging between amyloid-beta molecules resulting in amyloid-beta-metal aggregates. The affinity for copper is much higher than for other transient metals and is increased under acidic conditions. Extracellular zinc-binding increases binding of heparin to APP and inhibits collagen-binding. A major isoform. The L-isoforms are referred to as appicans. A major isoform. The L-isoforms are referred to as appicans. The L-isoforms are referred to as appicans. A major isoform.

Similarity. Belongs to the APP family.

Isoforms (11)

UniProt IDNamesCanonical?
P05067-1APP770, PreA4 770yes
P05067-2APP305
P05067-3L-APP677
P05067-4APP695, PreA4 695
P05067-5L-APP696
P05067-6APP714
P05067-7L-APP733
P05067-8APP751, PreA4 751
P05067-9L-APP752
P05067-10APP639
P05067-1111

RefSeq proteins (11): NP_000475, NP_001129488, NP_001129601, NP_001129602, NP_001129603, NP_001191230, NP_001191231, NP_001191232, NP_001372182, NP_958816, NP_958817 (=MANE)

Domains & families (InterPro)

IDNameType
IPR002223Kunitz_BPTIDomain
IPR008154Amyloid_glyco_extraDomain
IPR008155Amyloid_glycoFamily
IPR011178Amyloid_glyco_Cu-bdDomain
IPR011993PH-like_dom_sfHomologous_superfamily
IPR013803Amyloid_glyco_AbetaDomain
IPR015849Amyloid_glyco_heparin-bdDomain
IPR019543APP_amyloid_CDomain
IPR019744APP_CUBD_CSConserved_site
IPR019745Amyloid_glyco_intracell_CSConserved_site
IPR020901Prtase_inh_Kunz-CSConserved_site
IPR024329Amyloid_glyco_E2_domainDomain
IPR036176E2_sfHomologous_superfamily
IPR036454Amyloid_glyco_heparin-bd_sfHomologous_superfamily
IPR036669Amyloid_Cu-bd_sfHomologous_superfamily
IPR036880Kunitz_BPTI_sfHomologous_superfamily
IPR037071Amyloid_glyco_Abeta_sfHomologous_superfamily

Pfam: PF00014, PF02177, PF03494, PF10515, PF12924, PF12925

UniProt features (230 total): mutagenesis site 41, strand 30, sequence variant 21, helix 16, binding site 15, site 15, chain 13, splice variant 13, modified residue 11, glycosylation site 10, region of interest 9, disulfide bond 9, turn 6, sequence conflict 5, domain 3, short sequence motif 3, compositionally biased region 3, peptide 2, topological domain 2, signal peptide 1, transmembrane region 1, cross-link 1

Structure

Experimental structures (PDB)

256 structures, top 30 by resolution.

PDBMethodResolution (Å)
2FMAX-RAY DIFFRACTION0.85
6NB9ELECTRON CRYSTALLOGRAPHY1.05
6OIZELECTRON CRYSTALLOGRAPHY1.1
8T82X-RAY DIFFRACTION1.1
5ONQX-RAY DIFFRACTION1.17
3JQLX-RAY DIFFRACTION1.2
3PZZX-RAY DIFFRACTION1.29
4PQDX-RAY DIFFRACTION1.33
5ONPX-RAY DIFFRACTION1.34
5ONRX-RAY DIFFRACTION1.39
4PWQX-RAY DIFFRACTION1.4
7OW1X-RAY DIFFRACTION1.4
6O4JELECTRON CRYSTALLOGRAPHY1.4
5VOSELECTRON CRYSTALLOGRAPHY1.42
3Q2XX-RAY DIFFRACTION1.45
5TXDX-RAY DIFFRACTION1.45
5MYXX-RAY DIFFRACTION1.49
1AAPX-RAY DIFFRACTION1.5
3IFLX-RAY DIFFRACTION1.5
3IFNX-RAY DIFFRACTION1.5
4MVKX-RAY DIFFRACTION1.5
8T89X-RAY DIFFRACTION1.5
5AMBX-RAY DIFFRACTION1.55
3BKJX-RAY DIFFRACTION1.59
5MYOX-RAY DIFFRACTION1.59
3BAEX-RAY DIFFRACTION1.59
2FK1X-RAY DIFFRACTION1.6
3L81X-RAY DIFFRACTION1.6
2FJZX-RAY DIFFRACTION1.61
2FK2X-RAY DIFFRACTION1.65

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-P05067-F168.110.30

Antibody-complex structures (SAbDab): 282IPU, 2R0W, 3BAE, 3BKJ, 3IFL, 3IFN, 3IFO, 3IFP, 3MOQ, 3U0T, 4HIX, 4M1C, 4OJF, 4ONF, 4ONG, 4XXD, 5CSZ, 5MY4, 5MYO, 5MYX, 5VZY, 5W3P, 6CO3, 7E6P, 7OW1 (+3 more)

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Catalytic / active sites (15): 170 (required for cu(2+) reduction); 197–198 (cleavage; by caspases); 219–220 (cleavage; by caspases); 301–302 (reactive bond); 671–672 (cleavage; by beta-secretase); 672–673 (cleavage; by caspase-6; when associated with variant 670-n-l-671); 678–679 (cleavage; by ace); 687–688 (cleavage; by alpha-secretase); 690–691 (cleavage; by theta-secretase); 704 (implicated in free radical propagation); 706 (susceptible to oxidation); 711–712 (cleavage; by gamma-secretase; site 1) …

Ligand- & substrate-binding residues (15): 96–110; 147; 151; 168; 183; 186; 187; 677; 677; 681; 681; 684

Post-translational modifications (12): 198, 206, 217, 262, 336, 441, 497, 729, 730, 743, 757, 763

Disulfide bonds (9): 38–62, 73–117, 98–105, 133–187, 144–174, 158–186, 291–341, 300–324, 316–337

Glycosylation sites (10): 542, 571, 633, 651, 652, 656, 659, 663, 667, 681

Mutagenesis-validated functional residues (41):

PositionPhenotype
99–102reduced heparin-binding.
108loss of the copper binding site in the gfld subdomain; when associated with a-110.
110loss of the copper binding site in the gfld subdomain; when associated with a-108.
137binds copper. forms dimer.
141binds copper. forms dimer.
144binds copper. no dimer formation. no copper reducing activity.
147–14950% decrease in copper reducing activity.
147loss of a copper binding site; when associated with a-151.
147some decrease in copper reducing activity.
147binds copper. forms dimer.
147greatly reduced copper-mediated low-density lipoprotein oxidation.
151loss of a copper binding site; when associated with a-147.
151greatly reduced copper-mediated low-density lipoprotein oxidation.
151binds copper. forms dimer.
198greatly reduced casein kinase phosphorylation.
206reduced casein kinase phosphorylation.
499reduced affinity for heparin; when associated with a-503.
503reduced affinity for heparin; when associated with a-499.
656abolishes chondroitin sulfate binding in l-app733 isoform.
67660-70% zinc-induced amyloid-beta protein 28 aggregation.
68160-70% zinc-induced amyloid-beta protein 28 aggregation.
684only 23% zinc-induced amyloid-beta protein 28 aggregation.
695causes formation of an artifactual disulfide bond with psen1.
704reduced protein oxidation. no hippocampal neuron toxicity.
706reduced lipid peroxidation inhibition.

Function

Pathways and Gene Ontology

Reactome pathways

69 pathways

IDPathway
R-HSA-114608Platelet degranulation
R-HSA-3000178ECM proteoglycans
R-HSA-381426Regulation of Insulin-like Growth Factor (IGF) transport and uptake by Insulin-like Growth Factor Binding Proteins (IGFBPs)
R-HSA-416476G alpha (q) signalling events
R-HSA-418594G alpha (i) signalling events
R-HSA-432720Lysosome Vesicle Biogenesis
R-HSA-444473Formyl peptide receptors bind formyl peptides and many other ligands
R-HSA-445989TAK1-dependent IKK and NF-kappa-B activation
R-HSA-844456The NLRP3 inflammasome
R-HSA-879415Advanced glycosylation endproduct receptor signaling
R-HSA-8862803Deregulated CDK5 triggers multiple neurodegenerative pathways in Alzheimer’s disease models
R-HSA-8957275Post-translational protein phosphorylation
R-HSA-933542TRAF6 mediated NF-kB activation
R-HSA-9609523Insertion of tail-anchored proteins into the endoplasmic reticulum membrane
R-HSA-9660826Purinergic signaling in leishmaniasis infection
R-HSA-9769739Regulation of clotting cascade
R-HSA-977225Amyloid fiber formation
R-HSA-9936686Aggregated β-amyloid interacts with fibrinogen
R-HSA-9936900Aggregated β-amyloid induces FXII autocatalysis
R-HSA-9837999Mitochondrial protein degradation
R-HSA-109582Hemostasis
R-HSA-1280215Cytokine Signaling in Immune system
R-HSA-1474244Extracellular matrix organization
R-HSA-162582Signal Transduction
R-HSA-1643685Disease
R-HSA-166016Toll Like Receptor 4 (TLR4) Cascade
R-HSA-166058MyD88:MAL(TIRAP) cascade initiated on plasma membrane
R-HSA-166166MyD88-independent TLR4 cascade
R-HSA-168138Toll Like Receptor 9 (TLR9) Cascade
R-HSA-168142Toll Like Receptor 10 (TLR10) Cascade

MSigDB gene sets: 1131 (showing top): GOBP_MYELOID_CELL_DIFFERENTIATION, VALK_AML_WITH_FLT3_ITD, REACTOME_DDX58_IFIH1_MEDIATED_INDUCTION_OF_INTERFERON_ALPHA_BETA, GOBP_CELLULAR_RESPONSE_TO_LIPOPROTEIN_PARTICLE_STIMULUS, GOBP_DENDRITE_DEVELOPMENT, GOBP_G_PROTEIN_COUPLED_RECEPTOR_INTERNALIZATION, GOBP_MEMORY, GOBP_REGULATION_OF_CELL_ACTIVATION, RNGTGGGC_UNKNOWN, VERHAAK_AML_WITH_NPM1_MUTATED_DN, FXR_IR1_Q6, RRAGTTGT_UNKNOWN, GOBP_RESPONSE_TO_NITROGEN_COMPOUND, GOBP_RESPONSE_TO_ETHANOL, GOBP_NEURON_RECOGNITION

GO Biological Process (75): microglial cell activation (GO:0001774), astrocyte activation involved in immune response (GO:0002265), regulation of translation (GO:0006417), calcium ion transport (GO:0006816), intracellular copper ion homeostasis (GO:0006878), endocytosis (GO:0006897), cell adhesion (GO:0007155), Notch signaling pathway (GO:0007219), axonogenesis (GO:0007409), central nervous system development (GO:0007417), learning or memory (GO:0007611), learning (GO:0007612), mating behavior (GO:0007617), locomotory behavior (GO:0007626), axo-dendritic transport (GO:0008088), negative regulation of cell population proliferation (GO:0008285), adult locomotory behavior (GO:0008344), visual learning (GO:0008542), response to lead ion (GO:0010288), regulation of gene expression (GO:0010468), positive regulation of gene expression (GO:0010628), negative regulation of gene expression (GO:0010629), microglia development (GO:0014005), axon midline choice point recognition (GO:0016199), neuron remodeling (GO:0016322), dendrite development (GO:0016358), regulation of Wnt signaling pathway (GO:0030111), extracellular matrix organization (GO:0030198), neuron projection development (GO:0031175), positive regulation of chemokine production (GO:0032722), positive regulation of interleukin-1 beta production (GO:0032731), positive regulation of interleukin-6 production (GO:0032755), positive regulation of tumor necrosis factor production (GO:0032760), ionotropic glutamate receptor signaling pathway (GO:0035235), swimming behavior (GO:0036269), regulation of multicellular organism growth (GO:0040014), regulation of neuron apoptotic process (GO:0043523), response to ethanol (GO:0045471), positive regulation of glycolytic process (GO:0045821), positive regulation of mitotic cell cycle (GO:0045931)

GO Molecular Function (17): DNA binding (GO:0003677), serine-type endopeptidase inhibitor activity (GO:0004867), signaling receptor binding (GO:0005102), heparin binding (GO:0008201), peptidase activator activity (GO:0016504), enzyme binding (GO:0019899), signaling receptor activator activity (GO:0030546), identical protein binding (GO:0042802), transition metal ion binding (GO:0046914), receptor ligand activity (GO:0048018), PTB domain binding (GO:0051425), growth factor receptor binding (GO:0070851), protein serine/threonine kinase binding (GO:0120283), protein binding (GO:0005515), peptidase inhibitor activity (GO:0030414), metal ion binding (GO:0046872), molecular function activator activity (GO:0140677)

GO Cellular Component (44): extracellular region (GO:0005576), obsolete extracellular space (GO:0005615), nuclear envelope lumen (GO:0005641), cytoplasm (GO:0005737), mitochondrial inner membrane (GO:0005743), endosome (GO:0005768), early endosome (GO:0005769), endoplasmic reticulum (GO:0005783), endoplasmic reticulum lumen (GO:0005788), Golgi apparatus (GO:0005794), Golgi lumen (GO:0005796), Golgi-associated vesicle (GO:0005798), cytosol (GO:0005829), plasma membrane (GO:0005886), clathrin-coated pit (GO:0005905), cell surface (GO:0009986), membrane (GO:0016020), axon (GO:0030424), dendrite (GO:0030425), platelet alpha granule lumen (GO:0031093), early endosome membrane (GO:0031901), endosome lumen (GO:0031904), trans-Golgi network membrane (GO:0032588), dendritic spine (GO:0043197), dendritic shaft (GO:0043198), perikaryon (GO:0043204), signaling receptor complex (GO:0043235), main axon (GO:0044304), membrane raft (GO:0045121), synapse (GO:0045202), perinuclear region of cytoplasm (GO:0048471), recycling endosome (GO:0055037), extracellular exosome (GO:0070062), astrocyte projection (GO:0097449), neuronal dense core vesicle (GO:0098992), amyloid-beta complex (GO:0106003), growth cone lamellipodium (GO:1990761), growth cone filopodium (GO:1990812), nucleus (GO:0005634), growth cone (GO:0030426)

Reactome top-level categories

Rollup of top-22 pathways:

CategoryPathways
Metabolism of proteins3
GPCR downstream signalling2
Response to elevated platelet cytosolic Ca2+1
Extracellular matrix organization1
trans-Golgi Network Vesicle Budding1
Peptide ligand-binding receptors1
MyD88:MAL(TIRAP) cascade initiated on plasma membrane1
Toll Like Receptor 3 (TLR3) Cascade1
Interleukin-1 signaling1
TRIF (TICAM1)-mediated TLR4 signaling1
TRAF6 mediated induction of NFkB and MAP kinases upon TLR7/8 or 9 activation1
MyD88 cascade initiated on plasma membrane1
Inflammasomes1
Innate Immune System1
Neurodegenerative Diseases1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
cellular anatomical structure5
endomembrane system4
neuron projection3
protein binding3
cytoplasm3
behavior2
peptidase activity2
peptidase regulator activity2
signaling receptor binding2
cytoplasmic vesicle2
intracellular membrane-bounded organelle2
intracellular organelle lumen2
membrane2
leukocyte activation involved in inflammatory response1
macrophage activation1
glial cell activation1
cell activation involved in immune response1
immune response1
astrocyte activation1
translation1
post-transcriptional regulation of gene expression1
regulation of protein metabolic process1
metal ion transport1
intracellular monoatomic cation homeostasis1
copper ion homeostasis1
vesicle budding from membrane1
membrane invagination1
vesicle-mediated transport1
import into cell1
cellular process1
cell surface receptor signaling pathway1
cell morphogenesis involved in neuron differentiation1
neuron projection morphogenesis1
axon development1
nervous system development1
system development1
cognition1
learning or memory1
reproductive behavior1
transport along microtubule1

Protein interactions and networks

STRING

7062 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
APPAPOEP02649999
APPBACE1P56817999
APPAPBB1O00213998
APPSORL1Q92673994
APPTNFRSF21O75509993
APPPSEN1P49768992
APPAPBA2Q99767988
APPMAPTP10636986
APPNAE1Q13564986
APPCD74P04233985
APPPRNPP04156984
APPSPON1Q9HCB6980
APPKAT5Q92993973
APPAPBB2Q92870966
APPCLUP10909964

IntAct

1656 interactions, top by confidence:

ABTypeScore
APPAPPpsi-mi:“MI:0915”(physical association)0.990
BACE1APPpsi-mi:“MI:0570”(protein cleavage)0.870
BACE1APPpsi-mi:“MI:0403”(colocalization)0.870
APPBACE1psi-mi:“MI:0915”(physical association)0.870
BACE1APPpsi-mi:“MI:2364”(proximity)0.870
ITM2BAPPpsi-mi:“MI:0915”(physical association)0.770
APPMAPTpsi-mi:“MI:0217”(phosphorylation reaction)0.750
APPMAPTpsi-mi:“MI:0407”(direct interaction)0.750
MAPTAPPpsi-mi:“MI:0407”(direct interaction)0.750
MAPTAPPpsi-mi:“MI:0403”(colocalization)0.750
APPCALRpsi-mi:“MI:0914”(association)0.740
APPPDIA3psi-mi:“MI:0915”(physical association)0.700
PDIA3APPpsi-mi:“MI:0915”(physical association)0.700
SORL1APPpsi-mi:“MI:0915”(physical association)0.690
SORL1APPpsi-mi:“MI:0403”(colocalization)0.690
APBA2APPpsi-mi:“MI:0407”(direct interaction)0.690
PSEN2APPpsi-mi:“MI:0915”(physical association)0.680
APPSTXBP1psi-mi:“MI:0915”(physical association)0.670
APPADAM10psi-mi:“MI:2364”(proximity)0.660
ADAM10APPpsi-mi:“MI:2364”(proximity)0.660
ADAM10APPpsi-mi:“MI:0915”(physical association)0.660
APPPIN1psi-mi:“MI:0403”(colocalization)0.650
PSEN1APPpsi-mi:“MI:0915”(physical association)0.630
APPTNFRSF21psi-mi:“MI:0407”(direct interaction)0.620

BioGRID (2968): APP (Protein-peptide), SNX27 (Reconstituted Complex), APP (Affinity Capture-MS), MAPT (Reconstituted Complex), MAPT (Protein-peptide), QRICH1 (Two-hybrid), QRICH1 (Affinity Capture-Western), APP (Affinity Capture-Western), APP (Affinity Capture-MS), APP (Two-hybrid), APP (Biochemical Activity), APP (Affinity Capture-Western), APP (Biochemical Activity), APP (Affinity Capture-Western), GSAP (Affinity Capture-Western)

ESM2 similar proteins: A0A096LP55, A0A1D8PJT8, A1L243, A1L3N6, A6H767, A9ULB4, P00126, P00429, P05067, P07919, P08592, P12023, P13805, P14854, P23025, P27088, P28656, P36233, P36378, P48504, P55209, P56277, P79307, P99028, Q0P451, Q0VBY0, Q15545, Q28CA1, Q28EB4, Q2HJG8, Q4R374, Q4R5A5, Q4U0Y4, Q53CG4, Q5IS80, Q5M9I5, Q5R4D4, Q5R7L9, Q5RCT0, Q64267

Diamond homologs: A0A3G2FQK2, A0A6B7FA07, A0A6B7FBD3, A0A6B7FEJ3, A0A6P8HC43, A5X2X1, A8Y7N4, A8Y7N7, A8Y7N8, A8Y7N9, A8Y7P0, A8Y7P2, A8Y7P6, B1B5I8, B2G331, B5KL37, B6ZIW0, C0HJF3, C0HJF4, C0HJU6, C0HJU7, C0HK72, C0HK73, C0HK74, C0HLA7, C0HLB2, C0HMC7, C1IBY4, C8YJ94, C8YJ95, C8YJ96, C8YJ97, D8KY58, H2A0N9, H6VC05, O54819, P00990, P00991, P00994, P05067

SIGNOR signaling

56 interactions.

AEffectBMechanism
MAPK8up-regulatesAPPphosphorylation
APPup-regulatesGSK3A
Avagacestatdown-regulatesAPP“chemical inhibition”
DAPTdown-regulatesAPP“chemical inhibition”
471905-41-6down-regulatesAPP“chemical inhibition”
PAFAH1B2up-regulatesAPP
MAPK10up-regulatesAPPphosphorylation
(2S)-2-hydroxy-3-methyl-N-[(2S)-1-[[(5S)-3-methyl-4-oxo-2,5-dihydro-1H-3-benzazepin-5-yl]amino]-1-oxopropan-2-yl]butanamidedown-regulatesAPP“chemical inhibition”
gamma-secretase“up-regulates activity”APPcleavage
APP“up-regulates activity”NAE1binding
APPup-regulatesAmyloid_fibril_formation
CTCF“up-regulates quantity by expression”APP“transcriptional regulation”
PITRM1“down-regulates activity”APPcleavage
CDK5RAP2“up-regulates quantity by stabilization”APPphosphorylation
PLD3“up-regulates quantity”APPbinding
BACE1“up-regulates activity”APPcleavage
BACE2“up-regulates activity”APPcleavage
ABCA7“down-regulates quantity”APPrelocalization
FYN“up-regulates quantity”APPphosphorylation
SYVN1“down-regulates quantity by destabilization”APPubiquitination
PRKN“down-regulates quantity”APPubiquitination
PLK2“up-regulates activity”APPphosphorylation
DAPK1“up-regulates quantity”APPphosphorylation
ROCK2“up-regulates quantity”APPphosphorylation
CDK2“down-regulates quantity by destabilization”APPphosphorylation
CDK4“down-regulates quantity by destabilization”APPphosphorylation

Enriched among interaction partners

Reactome pathways and GO biological processes over-represented among this gene’s 133 IntAct physical interaction partners (hypergeometric vs the genome-wide background, BH-FDR, gene-set size 15–500, ranked by fold). A functional readout of the neighbourhood — distinct from this gene’s own memberships above, and biased toward well-studied / hub proteins, so read it as themes rather than proof.

Reactome pathways:

PathwayPartnersFoldFDR
Nuclear signaling by ERBB4516.3×2e-03
Vesicle-mediated transport123.9×5e-03

GO biological processes:

GO termPartnersFoldFDR
membrane protein ectodomain proteolysis632.1×2e-05
neuron apoptotic process69.2×9e-03

Disease & clinical

Clinical variants and AI predictions

ClinVar

637 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic23
Likely pathogenic8
Uncertain significance272
Likely benign188
Benign70

Top pathogenic / likely-pathogenic (30)

Variant IDHGVSClassification
1353302NC_000021.8:g.(?27251861)(27544138_?)dupPathogenic
1457308NM_000484.4(APP):c.2145_2146delinsTG (p.Ile716Val)Pathogenic
1526702GRCh37/hg19 21q11.2-21.3(chr21:15006457-27430623)Pathogenic
1807236Single allelePathogenic
18087NM_000484.4(APP):c.2077G>C (p.Glu693Gln)Pathogenic
18088NM_000484.4(APP):c.2149G>A (p.Val717Ile)Pathogenic
18089NM_000484.4(APP):c.2149G>T (p.Val717Phe)Pathogenic
18090NM_000484.4(APP):c.2150T>G (p.Val717Gly)Pathogenic
18091NM_000484.4(APP):c.2075C>G (p.Ala692Gly)Pathogenic
18093NM_000484.4(APP):c.2010_2011inv (p.Lys670_Met671delinsAsnLeu)Pathogenic
18096NM_000484.4(APP):c.2146A>G (p.Ile716Val)Pathogenic
18098NM_000484.4(APP):c.2078A>G (p.Glu693Gly)Pathogenic
18099NM_000484.4(APP):c.2077G>A (p.Glu693Lys)Pathogenic
18100NM_000484.4(APP):c.2141C>T (p.Thr714Ile)Pathogenic
18101NM_000484.4(APP):c.2080G>A (p.Asp694Asn)Pathogenic
18102NM_000484.4(APP):c.2140A>G (p.Thr714Ala)Pathogenic
18105NM_000484.4(APP):c.2149G>C (p.Val717Leu)Pathogenic
18106NM_000484.4(APP):c.2018C>T (p.Ala673Val)Pathogenic
2423147NC_000021.8:g.(?27113910)(27542938_?)dupPathogenic
2498894NM_000484.4(APP):c.2146A>T (p.Ile716Phe)Pathogenic
3338917NC_000021.8:g.(?27252860)(27543089_?)dupPathogenic
98238NM_000484.4(APP):c.2144T>C (p.Val715Ala)Pathogenic
98240NM_000484.4(APP):c.2147T>C (p.Ile716Thr)Pathogenic
1298879NM_000484.4(APP):c.2148C>G (p.Ile716Met)Likely pathogenic
1342870NM_000484.4(APP):c.2155A>C (p.Thr719Pro)Likely pathogenic
18094NM_000484.4(APP):c.2137G>A (p.Ala713Thr)Likely pathogenic
18103NM_000484.4(APP):c.2113C>G (p.Leu705Val)Likely pathogenic
2628367NM_000484.4(APP):c.2061A>C (p.Lys687Asn)Likely pathogenic
3382968NM_000484.4(APP):c.2059A>C (p.Lys687Gln)Likely pathogenic
3690355NM_000484.4(APP):c.2138C>A (p.Ala713Glu)Likely pathogenic

SpliceAI

4341 predictions. Top by Δscore:

VariantEffectΔscore
21:25881767:TCAAC:Tacceptor_gain1.0000
21:25881768:CAAC:Cacceptor_gain1.0000
21:25881768:CAACC:Cacceptor_gain1.0000
21:25881769:AAC:Aacceptor_gain1.0000
21:25881769:AACCT:Aacceptor_loss1.0000
21:25881770:AC:Aacceptor_gain1.0000
21:25881770:ACCTG:Aacceptor_loss1.0000
21:25881771:CC:Cacceptor_gain1.0000
21:25881772:C:CCacceptor_gain1.0000
21:25881773:T:Aacceptor_loss1.0000
21:25891720:A:ACdonor_gain1.0000
21:25891720:ACCT:Adonor_gain1.0000
21:25891721:C:CCdonor_gain1.0000
21:25891721:CCT:Cdonor_gain1.0000
21:25891721:CCTC:Cdonor_gain1.0000
21:25891864:AACAC:Aacceptor_gain1.0000
21:25891865:ACAC:Aacceptor_gain1.0000
21:25891866:CAC:Cacceptor_gain1.0000
21:25891866:CACCT:Cacceptor_gain1.0000
21:25891867:AC:Aacceptor_gain1.0000
21:25891868:CC:Cacceptor_gain1.0000
21:25891869:C:CCacceptor_gain1.0000
21:25891869:C:Tacceptor_gain1.0000
21:25891870:T:Cacceptor_gain1.0000
21:25891870:T:TCacceptor_gain1.0000
21:25891877:C:CTacceptor_gain1.0000
21:25897569:GTACC:Gdonor_loss1.0000
21:25897571:A:ACdonor_gain1.0000
21:25897571:A:ATdonor_loss1.0000
21:25897571:AC:Adonor_gain1.0000

AlphaMissense

5117 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
21:25881704:G:TP760Q1.000
21:25881706:A:CN759K1.000
21:25881706:A:TN759K1.000
21:25881728:A:GM752T1.000
21:25881737:A:GL749P1.000
21:25881743:C:GR747P1.000
21:25891783:A:TV717D1.000
21:25891795:G:TA713E1.000
21:25891798:A:CI712R1.000
21:25891798:A:TI712K1.000
21:25891801:A:TV711D1.000
21:25891807:C:TG709D1.000
21:25891808:C:GG709R1.000
21:25891810:C:TG708D1.000
21:25891811:C:GG708R1.000
21:25891816:A:CM706R1.000
21:25891816:A:TM706K1.000
21:25955672:A:CH514Q1.000
21:25955672:A:TH514Q1.000
21:25955673:T:GH514P1.000
21:25955674:G:CH514D1.000
21:25955683:G:CH511D1.000
21:25955716:C:GA500P1.000
21:25955733:A:GL494P1.000
21:25975157:G:CH457Q1.000
21:25975157:G:TH457Q1.000
21:25975159:G:CH457D1.000
21:25975170:A:GL453P1.000
21:25976014:C:AW413C1.000
21:25976014:C:GW413C1.000

dbSNP variants (sampled 300 via entrez): RS1000007183 (21:26125674 G>A,C), RS1000008568 (21:26071470 A>G,T), RS1000026467 (21:26157163 G>A,C), RS1000029474 (21:26166944 G>C), RS1000031783 (21:26079596 A>G), RS1000037661 (21:25960979 C>A), RS1000042245 (21:26144679 A>G), RS1000052017 (21:25984966 A>G), RS1000061681 (21:26000747 C>T), RS1000079556 (21:25914678 C>T), RS1000080144 (21:25880266 T>C), RS1000086194 (21:26120225 G>C), RS1000089493 (21:25916192 G>C), RS1000111460 (21:26162512 G>C), RS1000115922 (21:26099241 C>T)

Disease associations

OMIM: gene MIM:104760 | disease phenotypes: MIM:605714, MIM:104300, MIM:604364

GenCC curated gene-disease

DiseaseClassificationInheritance
Alzheimer disease type 1StrongAutosomal dominant
cerebral amyloid angiopathy, APP-relatedStrongAutosomal dominant
ABeta amyloidosis, dutch typeSupportiveAutosomal dominant
early-onset autosomal dominant Alzheimer diseaseSupportiveAutosomal dominant
ABetaL34V amyloidosisSupportiveAutosomal dominant
ABeta amyloidosis, Iowa typeSupportiveAutosomal dominant
ABeta amyloidosis, Italian typeSupportiveAutosomal dominant
ABetaA21G amyloidosisSupportiveAutosomal dominant
ABeta amyloidosis, Arctic typeSupportiveAutosomal dominant

ClinGen Gene-Disease Validity (1)

Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.

DiseaseClassificationInheritance
cerebral amyloid angiopathy, APP-relatedDefinitiveAD

Mondo (14): Alzheimer disease (MONDO:0004975), cerebral amyloid angiopathy, APP-related (MONDO:0011583), Alzheimer disease type 1 (MONDO:0007088), ABeta amyloidosis, dutch type (MONDO:0015033), ABetaA21G amyloidosis (MONDO:0017948), ABeta amyloidosis, Arctic type (MONDO:0017949), ABeta amyloidosis, Italian type (MONDO:0017947), ABeta amyloidosis, Iowa type (MONDO:0017946), cerebral amyloid angiopathy (MONDO:0005620), primary ovarian failure (MONDO:0005387), familial focal epilepsy with variable foci (MONDO:0020310), vascular dementia (MONDO:0004648), early-onset autosomal dominant Alzheimer disease (MONDO:0015140), ABetaL34V amyloidosis (MONDO:0017945)

Orphanet (11): Early-onset autosomal dominant Alzheimer disease (Orphanet:1020), ABeta amyloidosis, Dutch type (Orphanet:100006), ABetaL34V amyloidosis (Orphanet:324703), ABeta amyloidosis, Iowa type (Orphanet:324708), ABeta amyloidosis, Italian type (Orphanet:324713), ABetaA21G amyloidosis (Orphanet:324718), ABeta amyloidosis, Arctic type (Orphanet:324723), Hereditary cerebral amyloid angiopathy (Orphanet:85458), Familial focal epilepsy with variable foci (Orphanet:98820), NON RARE IN EUROPE: Alzheimer disease (Orphanet:238616), NON RARE IN EUROPE: Primary ovarian failure (Orphanet:619)

HPO phenotypes

55 total (30 of 55 shown, HPO-id order):

HPOTerm
HP:0000006Autosomal dominant inheritance
HP:0000504Abnormality of vision
HP:0000657Oculomotor apraxia
HP:0000708Atypical behavior
HP:0000713Agitation
HP:0000726Dementia
HP:0000734Disinhibition
HP:0000738Hallucinations
HP:0001249Intellectual disability
HP:0001250Seizure
HP:0001251Ataxia
HP:0001259Coma
HP:0001263Global developmental delay
HP:0001268Mental deterioration
HP:0001276Hypertonia
HP:0001288Gait disturbance
HP:0001289Confusion
HP:0001297Stroke
HP:0001300Parkinsonism
HP:0001336Myoclonus
HP:0001342Cerebral hemorrhage
HP:0002015Dysphagia
HP:0002076Migraine
HP:0002120Cerebral cortical atrophy
HP:0002138Subarachnoid hemorrhage
HP:0002185Neurofibrillary tangles
HP:0002186Apraxia
HP:0002315Headache
HP:0002354Memory impairment
HP:0002373Febrile seizure (within the age range of 3 months to 6 years)

GWAS associations

7 associations (top):

StudyTraitp-value
GCST003082_7Longitudinal change in brain amyloid plaque burden3.000000e-06
GCST006279_3Cerebrospinal fluid α-synuclein levels2.000000e-07
GCST009306_3Spatial processing2.000000e-06
GCST011743_57HDL cholesterol levels in HIV infection8.000000e-06
GCST012182_4Alzheimer’s disease1.000000e-11
GCST90011768_17Glaucoma (primary open-angle)7.000000e-06
GCST90011770_82Glaucoma (primary open-angle)3.000000e-07

EFO canonical traits (4, from GWAS)

EFO IDTrait name
EFO:0007646amyloid plaque accumulation rate
EFO:0009323alpha synuclein measurement
EFO:0008354cognitive function measurement
EFO:0004612high density lipoprotein cholesterol measurement

MeSH disease descriptors (6)

DescriptorNameTree numbers
D000544Alzheimer DiseaseC10.228.140.380.100; C10.574.945.249; F03.615.400.100
D016657Cerebral Amyloid AngiopathyC10.228.140.300.510.200.200; C14.907.253.560.200.200; C18.452.845.500.100
D015140Dementia, VascularC10.228.140.300.400; C10.228.140.300.510.800.500; C10.228.140.380.230; C10.228.140.695.500; C14.907.137.126.372.500; C14.907.253.560.350.500; F03.615.400.350
D016649Primary Ovarian InsufficiencyC12.050.351.500.056.630.750; C12.100.250.056.630.750; C19.391.630.750
C536594Alzheimer disease type 1 (supp.)
C565785Epilepsy, Partial, with Variable Foci (supp.)

Drugs & pharmacology

Drug and pharmacology data

Is drug target: yes

ChEMBL targets (1): CHEMBL2487 (SINGLE PROTEIN)

Molecules with ChEMBL bioactivity

40 molecules (phase ≥1), by development phase (incl. off-target/promiscuous compounds). Patent mentions across the top 20 by phase: 1,385,420 (via chembl_molecule»patent_compound — counts attach to the compound, not the gene–compound relationship, so off-target/promiscuous molecules can dominate).

MoleculeNamePhasePatents
CHEMBL1774461FLORBETAPIR F 184393
CHEMBL1908919FLORBETAPIR4690
CHEMBL191083METHYLENE BLUE CATION47,622
CHEMBL2042122FLUTEMETAMOL F 184268
CHEMBL38TRETINOIN4194,008
CHEMBL405110METHYLENE BLUE ANHYDROUS4113,934
CHEMBL497CLIOQUINOL412,977
CHEMBL502DONEPEZIL443,493
CHEMBL566752FLORBETABEN F184763
CHEMBL573NIACIN4351,963
CHEMBL579205FLUTEMETAMOL4321
CHEMBL64894GENTIAN VIOLET4111,449
CHEMBL682AMODIAQUINE47,153
CHEMBL723CARVEDILOL430,225
CHEMBL76CHLOROQUINE458,679
CHEMBL95TACRINE435,360
CHEMBL986RETINOL4277,603
CHEMBL140CURCUMIN393,882
CHEMBL145CAFFEIC ACID336,305
CHEMBL149082TRAMIPROSATE38,332
CHEMBL165RESVERATROL3
CHEMBL2048308FLUTAFURANOL3
CHEMBL297453EPIGALOCATECHIN GALLATE3
CHEMBL3989948LANABECESTAT3
CHEMBL50QUERCETIN3
CHEMBL858EDETIC ACID3
CHEMBL1368322PARAROSANILINE2
CHEMBL151LUTEOLIN2
CHEMBL207456PITTSBURGH COMPOUND B2
CHEMBL2364601AFTOBETIN2

PharmGKB: 1 entry (VIP=true, CPIC=false)

Binding affinities (BindingDB)

404 measured of 420 human assays (420 total across all organisms); most potent 50 below. Values come from heterogeneous assays and are not directly comparable.

LigandMeasureValuePatent
US10231967, Example 122IC500.1 nMUS-10231967: Compounds and their use as BACE inhibitors
US8865911, 114IC500.14 nMUS-10231967: Compounds and their use as BACE inhibitors
US10231967, Example 94-Isomer-1IC500.17 nMUS-10231967: Compounds and their use as BACE inhibitors
US10231967, Example 125IC500.26 nMUS-10231967: Compounds and their use as BACE inhibitors
US8865911, 92 Isomer 2IC500.27 nMUS-10231967: Compounds and their use as BACE inhibitors
US8865911, 20tIC500.36 nMUS-10231967: Compounds and their use as BACE inhibitors
US10231967, Example 68-Isomer-1IC500.38 nMUS-10231967: Compounds and their use as BACE inhibitors
(R,E)-2-(3-((2-fluoroethoxy)methyl)-4-(pyrimidin-2-yl)piperazin-1-yl)-5-(2-(6-(4-methyl-1H-imidazol-1-yl)pyridin-3-yl)vinyl)pyrimidineKI0.42 nMWO-2024186584: ALPHA-SYNUCLEIN BINDERS AND METHODS OF USE
(R)-2-(2-((2-fluoroethoxy)methyl)-4-(5-((6-(1-methyl-1H-pyrazol-4-yl)pyridin-3-yl)ethynyl)pyrimidin-2-yl)piperazin-1-yl)-1,3,5-triazineKI0.449 nMWO-2024186584: ALPHA-SYNUCLEIN BINDERS AND METHODS OF USE
(R,E)-5-(2-(6-(1H-imidazol-1-yl)pyridin-3-yl)vinyl)-2-(3-((2-fluoroethoxy)methyl)-4-(pyrimidin-2-yl)piperazin-1-yl)pyrimidineKI0.5 nMWO-2024186584: ALPHA-SYNUCLEIN BINDERS AND METHODS OF USE
(R,E)-5-(2-(6-(1H-imidazol-1-yl)pyridin-3-yl)vinyl)-2-(2-(methoxymethyl)-4-(pyridin-2-yl)piperazin-1-yl)pyrimidineKI0.5 nMWO-2024186584: ALPHA-SYNUCLEIN BINDERS AND METHODS OF USE
(R,E)-(1-(5-(2-(6-(1H-imidazol-1-yl)pyridin-3-yl)vinyl)pyrimidin-2-yl)-4-(pyrimidin-4-yl)piperazin-2-yl)methanolKI0.5 nMWO-2024186584: ALPHA-SYNUCLEIN BINDERS AND METHODS OF USE
(R,E)-5-(2-(6-(1H-imidazol-1-yl)pyridin-3-yl)vinyl)-2-(2-((2-fluoroethoxy)methyl)-4-(pyridin-4-yl)piperazin-1-yl)pyrimidineKI0.5 nMWO-2024186584: ALPHA-SYNUCLEIN BINDERS AND METHODS OF USE
1-((2-((R)-4-(5-((E)-2-(6-(1H-imidazol-1-yl)pyridin-3-yl)vinyl)pyrimidin-2-yl)-2-(methoxymethyl)piperazin-1-yl)pyrimidin-5-yl)oxy)-3-fluoropropan-2-olKI0.52 nMWO-2024186584: ALPHA-SYNUCLEIN BINDERS AND METHODS OF USE
US8865911, 94 Isomer 2IC500.56 nMUS-10231967: Compounds and their use as BACE inhibitors
US8865911, 20eIC500.57 nMUS-10231967: Compounds and their use as BACE inhibitors
(R)-2-(2-((2-fluoroethoxy)methyl)-4-(5-((2-(1-methyl-1H-pyrazol-4-yl)pyrimidin-5-yl)ethynyl)pyrimidin-2-yl)piperazin-1-yl)-1,3,5-triazineKI0.57 nMWO-2024186584: ALPHA-SYNUCLEIN BINDERS AND METHODS OF USE
US8865911, 100IC500.59 nMUS-10231967: Compounds and their use as BACE inhibitors
US8865911, 20uIC500.6 nMUS-9000182: 2H-imidazol-4-amine compounds and their use as BACE inhibitors
US8865911, 91IC500.62 nMUS-10231967: Compounds and their use as BACE inhibitors
(R,E)-5-(2-(6-(1-(2-fluoroethyl)-1H-pyrazol-4-yl)pyridin-3-yl)vinyl)-2-(3-(methoxymethyl)-4-(pyrimidin-2-yl)piperazin-1-yl)pyrimidineKI0.62 nMWO-2024186584: ALPHA-SYNUCLEIN BINDERS AND METHODS OF USE
US9000182, 9, isomer 1IC500.7 nMUS-9000182: 2H-imidazol-4-amine compounds and their use as BACE inhibitors
US9000182, 11, isomer 1IC500.7 nMUS-9000182: 2H-imidazol-4-amine compounds and their use as BACE inhibitors
(2S,4S)-6-(3-chlorophenyl)-5’-methyl-2-[(3R)-oxan-3-yl]spiro[2,3-dihydrochromene-4,2’-imidazole]-4’-amineIC500.7 nMUS-10231967: Compounds and their use as BACE inhibitors
(R,E)-5-(2-(6-(1H-imidazol-1-yl)pyridin-3-yl)vinyl)-2-(3-(methoxymethyl)-4-(pyridin-2-yl)piperazin-1-yl)pyrimidineKI0.7 nMWO-2024186584: ALPHA-SYNUCLEIN BINDERS AND METHODS OF USE
US10231967, Example 20aaIC500.72 nMUS-10231967: Compounds and their use as BACE inhibitors
US10231967, Example 72IC500.76 nMUS-10231967: Compounds and their use as BACE inhibitors
US8865911, 20bIC500.78 nMUS-10231967: Compounds and their use as BACE inhibitors
(R,E)-5-(5-(2-(2-(3-((2-fluoroethoxy)methyl)-4-(pyrimidin-4-yl)piperazin-1-yl)pyrimidin-5-yl)vinyl)pyridin-2-yl)oxazoleKI0.78 nMWO-2024186584: ALPHA-SYNUCLEIN BINDERS AND METHODS OF USE
US8865911, 85IC500.8 nMUS-10231967: Compounds and their use as BACE inhibitors
US9000183, 6 Isomer 1IC500.8 nMUS-9000183: Cyclohexane-1,2′-indene-1′,2″-imidazol compounds and their use as BACE inhibitors
US9000185, 8IC500.8 nMUS-9000185: Cycloalkyl ether compounds and their use as BACE inhibitors
(R,E)-5-(2-(6-(1H-imidazol-1-yl)pyridin-3-yl)vinyl)-2-(2-(methoxymethyl)-4-(5-(methoxymethyl)pyrimidin-2-yl)piperazin-1-yl)pyrimidineKI0.8 nMWO-2024186584: ALPHA-SYNUCLEIN BINDERS AND METHODS OF USE
(R,E)-5-(5-(2-(2-(3-((2-fluoroethoxy)methyl)-4-(1,3,5-triazin-2-yl)piperazin-1-yl)pyrimidin-5-yl)vinyl)pyridin-2-yl)oxazoleKI0.8 nMWO-2024186584: ALPHA-SYNUCLEIN BINDERS AND METHODS OF USE
US8865911, 68 Isomer 1IC500.81 nMUS-10231967: Compounds and their use as BACE inhibitors
US8865911, 98IC500.82 nMUS-10231967: Compounds and their use as BACE inhibitors
US8865911, 135IC500.85 nMUS-10231967: Compounds and their use as BACE inhibitors
US9000185, 4, isomer 1IC500.9 nMUS-9000185: Cycloalkyl ether compounds and their use as BACE inhibitors
(R,E)-5-(2-(6-(1H-imidazol-1-yl)pyridin-3-yl)vinyl)-2-(3-(methoxymethyl)-4-(pyrimidin-2-yl)piperazin-1-yl)pyrimidineKI0.9 nMWO-2024186584: ALPHA-SYNUCLEIN BINDERS AND METHODS OF USE
(R,E)-5-(2-(6-(1H-imidazol-1-yl)pyridin-3-yl)vinyl)-2-(4-(4-fluoropyridin-2-yl)-2-(methoxymethyl)piperazin-1-yl)pyrimidineKI0.9 nMWO-2024186584: ALPHA-SYNUCLEIN BINDERS AND METHODS OF USE
(R,E)-5-(2-(6-(1H-imidazol-1-yl)pyridin-3-yl)vinyl)-2-(2-(methoxymethyl)-4-(5-methylpyrimidin-2-yl)piperazin-1-yl)pyrimidineKI0.9 nMWO-2024186584: ALPHA-SYNUCLEIN BINDERS AND METHODS OF USE
(R,E)-5-(2-(6-(1H-imidazol-1-yl)pyridin-3-yl)vinyl)-2-(4-(6-fluoropyridin-3-yl)-2-(methoxymethyl)piperazin-1-yl)pyrimidineKI0.9 nMWO-2024186584: ALPHA-SYNUCLEIN BINDERS AND METHODS OF USE
3-(((R)-4-(5-((6-(1H-imidazol-1-yl)pyridin-3-yl)ethynyl)pyrimidin-2-yl)-1-(pyrimidin-2-yl)piperazin-2-yl)methoxy)-2-fluoropropan-1-olKI0.913 nMWO-2024186584: ALPHA-SYNUCLEIN BINDERS AND METHODS OF USE
(R)-7-(5-((2-(3-((2-fluoroethoxy)methyl)-4-(1,3,5-triazin-2-yl)piperazin-1-yl)pyrimidin-5-yl)ethynyl)pyridin-2-yl)-5,6,7,8-tetrahydro-[1,2,4]triazolo[4,3-a]pyrazineKI0.915 nMWO-2024186584: ALPHA-SYNUCLEIN BINDERS AND METHODS OF USE
US8865911, 87IC500.93 nMUS-10231967: Compounds and their use as BACE inhibitors
(R,E)-5-(5-(2-(2-(3-((2-fluoroethoxy)methyl)-4-(pyrimidin-2-yl)piperazin-1-yl)pyrimidin-5-yl)vinyl)pyridin-2-yl)oxazoleKI0.94 nMWO-2024186584: ALPHA-SYNUCLEIN BINDERS AND METHODS OF USE
US8865911, 84IC500.99 nMUS-10231967: Compounds and their use as BACE inhibitors
N-[[(6aR,7R,10aS)-10a-(4-chlorophenyl)sulfonyl-1,4-difluoro-6,6a,7,8,9,10-hexahydrobenzo[c]chromen-7-yl]methyl]ethanesulfonamideIC501 nMUS-8569521: Benzenesulfonyl-chromane, thiochromane, tetrahydronaphthalene and related gamma secretase inhibitors
US8865911, 73IC501 nMUS-9000182: 2H-imidazol-4-amine compounds and their use as BACE inhibitors
US9000184, 6, isomer 1IC501 nMUS-9000184: Cyclohexane-1,2′-naphthalene-1′,2″-imidazol compounds and their use as BACE inhibitors

ChEMBL bioactivities

1956 potent at pChembl≥5 of 2424 total, top 50 by pChembl (potency: 10 = 0.1 nM, 6 = 1 µM).

pChemblTypeValueUnitMolecule
10.15Ki0.07nMCHEMBL384465
10.00IC500.1nMCHEMBL2152914
9.96Ki0.11nMCHEMBL74704
9.89Ki0.13nMCHEMBL76112
9.85Ki0.14nMCHRYSAMINE G
9.85IC500.14nMLANABECESTAT
9.80Ki0.16nMCHRYSAMINE G
9.77Ki0.17nMCHEMBL292910
9.77IC500.17nMCHEMBL6008112
9.72Ki0.19nMCHEMBL305634
9.70Ki0.2nMCHEMBL1774642
9.68Ki0.208nMCURCUMIN
9.68Kd0.21nMCHEMBL607562
9.59IC500.26nMCHEMBL2152915
9.57IC500.27nMCHEMBL4111546
9.57Ki0.27nMCHEMBL74348
9.55IC500.28nMCHEMBL2152914
9.52IC500.3nMCHEMBL240055
9.52IC500.3nMCHEMBL2152914
9.52Ki0.3nMCHEMBL1774643
9.44IC500.36nMCHEMBL2152917
9.42IC500.38nMCHEMBL5918838
9.40Ki0.4nMCHRYSAMINE G
9.30IC500.5nMCHEMBL2152915
9.25Kd0.56nMCHEMBL3314344
9.25IC500.56nMCHEMBL2152917
9.25IC500.56nMCHEMBL3936953
9.24IC500.57nMCHEMBL3965844
9.23IC500.59nMCHEMBL3974225
9.22IC500.6nMCHEMBL3959097
9.21IC500.62nMCHEMBL3907727
9.20IC500.63nMCHEMBL2152915
9.20IC500.63nMCHEMBL3959097
9.19IC500.65nMMRK-560
9.17IC500.67nMCHEMBL3965844
9.15Ki0.7nMFLUTEMETAMOL F 18
9.15Ki0.7nMCHEMBL204829
9.15IC500.7nMCHEMBL3898248
9.15IC500.7nMCHEMBL4110988
9.15IC500.7nMCHEMBL5773881
9.15IC500.7nMCHEMBL6008112
9.14IC500.72nMCHEMBL2152915
9.14IC500.72nMCHEMBL2152918
9.14IC500.72nMCHEMBL3974225
9.13Ki0.74nMFLUTEMETAMOL F 18
9.13Ki0.74nMFLUTEMETAMOL
9.12IC500.76nMCHEMBL2152920
9.11IC500.78nMCHEMBL3901045
9.10Ki0.8nMCHEMBL292910
9.10Ki0.8nMCHEMBL55401

PubChem BioAssay actives

753 with measured affinity, of 6100 total; 50 most potent distinct compounds. Largely complementary to BindingDB; screening values are coarse (µM, 4 dp), so sub-nM hits tie at the floor.

CompoundAssayTypeValueUnit
5-[(E)-2-[3-bromo-4-[(E)-2-(3-carboxy-4-hydroxyphenyl)ethenyl]phenyl]ethenyl]-2-hydroxybenzoic acid38551: Inhibitory activity against binding of [125I]IMSB to amyloid beta in brainki0.0001uM
5-[(Z)-2-[3-bromo-4-[(Z)-2-(3-carboxy-4-hydroxyphenyl)ethenyl]phenyl]ethenyl]-2-hydroxybenzoic acid38551: Inhibitory activity against binding of [125I]IMSB to amyloid beta in brainki0.0001uM
5-[[4-[4-[(3-carboxy-4-hydroxyphenyl)diazenyl]phenyl]phenyl]diazenyl]-2-hydroxybenzoic acid38550: Inhibition constant for aggregates of amyloid beta compared to [125I]IMSBki0.0001uM
(1E,4Z,6E)-7-[4-(3-fluoropropoxy)-3-methoxyphenyl]-5-hydroxy-1-(4-hydroxy-3-methoxyphenyl)hepta-1,4,6-trien-3-one272869: Displacement of [125I]IMSB from beta amyloid protein 40ki0.0001uM
5-[(E)-2-[4-[(E)-2-(3-carboxy-4-methoxyphenyl)ethenyl]-3-iodophenyl]ethenyl]-2-methoxybenzoic acid38550: Inhibition constant for aggregates of amyloid beta compared to [125I]IMSBki0.0002uM
5-[(E)-2-[3-bromo-4-[(Z)-2-(3-carboxy-4-hydroxyphenyl)ethenyl]phenyl]ethenyl]-2-hydroxybenzoic acid38551: Inhibitory activity against binding of [125I]IMSB to amyloid beta in brainki0.0002uM
[1-[(2R,6S)-1-(4-chlorophenyl)sulfonyl-6-(3,5-difluorophenyl)piperidin-2-yl]cyclopropyl] 4-piperidin-1-ylpiperidine-1-carboxylate301167: Inhibition of gamma-secretase assessed as reduction of membrane A-beta-40 levelic500.0003uM
5-[(Z)-2-[3-bromo-4-[(E)-2-(3-carboxy-4-hydroxyphenyl)ethenyl]phenyl]ethenyl]-2-hydroxybenzoic acid38551: Inhibitory activity against binding of [125I]IMSB to amyloid beta in brainki0.0003uM
1-(125I)iodo-4-[(4-methoxyphenoxy)methyl]benzene1179998: Binding affinity to amyloid beta42 (unknown origin) after 3 hrs by gamma countingkd0.0006uM
2-[3-fluoro-4-(methylamino)phenyl]-1,3-benzothiazol-6-ol445593: Binding affinity to Beta amyloid aggregates in Alzheimer’s disease patient brain by competitive binding assayki0.0007uM
2-[4-(methylamino)phenyl]-1-benzofuran-5-ol264125: Displacement of [125I]IMPY from beta amyloid in human corpse AD brainki0.0007uM
Flutemetamol F-18668927: Displacement of [18F]-amyvid from amyloid-beta aggregates in alzheimer’s disease patient brain homogenates after 1 hrki0.0007uM
4-(6-bromo-1,3-benzothiazol-2-yl)-N,N-dimethylaniline38549: Inhibition constant for amyloid beta compared to [125I]TZDMki0.0008uM
2-[4-((111C)methylamino)phenyl]-1,3-benzothiazol-6-ol673978: Binding affinity to human amyloid beta plaqueki0.0008uM
2-[4-(methylamino)phenyl]-1,3-benzothiazol-6-ol445593: Binding affinity to Beta amyloid aggregates in Alzheimer’s disease patient brain by competitive binding assayki0.0009uM
4-(6-iodo-1,3-benzothiazol-2-yl)-N,N-dimethylaniline38549: Inhibition constant for amyloid beta compared to [125I]TZDMki0.0009uM
N-[3-[(6R)-4-amino-2-cyano-6-methyl-7H-pyrazolo[1,5-a]pyrazin-6-yl]-4-fluorophenyl]-5-cyanopyridine-2-carboxamide1819117: Inhibition of human amyloid beta (1 to 42) in human SKNBE2 cells expressing wild-type amyloid precursor protein hAPP695 incubated for 18 hrs by sandwich ELISAic500.0010uM
N-[3-[(6R)-4-amino-2-cyano-6-methyl-7H-pyrazolo[1,5-a]pyrazin-6-yl]-4-fluorophenyl]-5-(difluoromethoxy)pyridine-2-carboxamide1819117: Inhibition of human amyloid beta (1 to 42) in human SKNBE2 cells expressing wild-type amyloid precursor protein hAPP695 incubated for 18 hrs by sandwich ELISAic500.0010uM
4-[(E)-2-[4-(dimethylamino)phenyl]ethenyl]phenol254419: Inhibition constant for I-125-IMPY binding to amyloid plaques in Alzheimers disease brain homogenateski0.0011uM
4-[(E)-2-[4-(methylamino)phenyl]ethenyl]phenol254419: Inhibition constant for I-125-IMPY binding to amyloid plaques in Alzheimers disease brain homogenateski0.0012uM
4-[2-[4-[2-(2-fluoroethoxy)ethoxy]phenyl]ethynyl]-N-methylaniline286796: Displacement of [125I]IMPY from human beta amyloid plaque in brain homogenateski0.0012uM
N-[3-[(6R)-4-amino-2-cyano-6-methyl-7H-pyrazolo[1,5-a]pyrazin-6-yl]-4-fluorophenyl]-5-(fluoromethoxy)pyrazine-2-carboxamide1819117: Inhibition of human amyloid beta (1 to 42) in human SKNBE2 cells expressing wild-type amyloid precursor protein hAPP695 incubated for 18 hrs by sandwich ELISAic500.0012uM
4-(6-iodoimidazo[1,2-a]pyridin-2-yl)-N,N-dimethylaniline445593: Binding affinity to Beta amyloid aggregates in Alzheimer’s disease patient brain by competitive binding assayki0.0013uM
4-(5-methoxy-1-benzofuran-2-yl)-N-methylaniline264125: Displacement of [125I]IMPY from beta amyloid in human corpse AD brainki0.0013uM
N-[3-[(6R)-4-amino-2-cyano-6-methyl-7H-pyrazolo[1,5-a]pyrazin-6-yl]-4-fluorophenyl]-5-methoxypyrazine-2-carboxamide1819117: Inhibition of human amyloid beta (1 to 42) in human SKNBE2 cells expressing wild-type amyloid precursor protein hAPP695 incubated for 18 hrs by sandwich ELISAic500.0013uM
4-[2-[4-(methylamino)phenyl]ethynyl]phenol286796: Displacement of [125I]IMPY from human beta amyloid plaque in brain homogenateski0.0015uM
5-[2-[4-[2-[2-(2-fluoroethoxy)ethoxy]ethoxy]phenyl]ethynyl]-1H-indole365222: Displacement of [125I]IMPY from beta-amyloid plaques in AD patient brainki0.0015uM
6-bromo-2-[4-(4-methylpiperazin-1-yl)phenyl]-1,3-benzothiazole38549: Inhibition constant for amyloid beta compared to [125I]TZDMki0.0016uM
5-[(E)-2-[5-(2-fluoroethoxy)-1,3-benzoselenazol-2-yl]ethenyl]-N,N-dimethylpyrimidin-2-amine1884928: Binding affinity to amyloid beta (1 to 42) (unknown origin) aggregateskd0.0016uM
4-(6-bromo-1,3-benzothiazol-2-yl)-N-methylaniline38663: Binding affinity for Amyloid beta 1-40 aggregates in competition with [N-methyl-3H] BTA-1.ki0.0017uM
2-[6-(methylamino)-3-pyridinyl]-1,3-benzothiazol-6-ol445593: Binding affinity to Beta amyloid aggregates in Alzheimer’s disease patient brain by competitive binding assayki0.0017uM
4-(6-methoxy-1,3-benzothiazol-2-yl)-N,N-dimethylaniline38663: Binding affinity for Amyloid beta 1-40 aggregates in competition with [N-methyl-3H] BTA-1.ki0.0019uM
4-[2-[4-[2-[2-(2-fluoroethoxy)ethoxy]ethoxy]phenyl]ethynyl]-N-methylaniline286796: Displacement of [125I]IMPY from human beta amyloid plaque in brain homogenateski0.0019uM
4-[(E)-2-(4-iodophenyl)ethenyl]-N,N-dimethylaniline445593: Binding affinity to Beta amyloid aggregates in Alzheimer’s disease patient brain by competitive binding assayki0.0020uM
2-[(2E,4E)-5-(1-benzylindol-5-yl)penta-2,4-dienylidene]propanedinitrile2037033: Competitive binding affinity to amyloid beta (1 to 42) (unknown origin) assessed as inhibition constant incubated for 0.5 hrs by ThT-based fluorescence microplate reader analysiski0.0020uM
florbetaben f-18668927: Displacement of [18F]-amyvid from amyloid-beta aggregates in alzheimer’s disease patient brain homogenates after 1 hrki0.0022uM
2-(4-fluorophenyl)-6-methoxy-1,3-benzothiazole347533: Displacement of [125I]IMPY from beta-amyloid plaques in Alzheimer’s disease patient brain homogenateki0.0022uM
4-(5-methoxy-1-benzofuran-2-yl)aniline264125: Displacement of [125I]IMPY from beta amyloid in human corpse AD brainki0.0023uM
[1-[(2R,6S)-1-(4-chlorophenyl)sulfonyl-6-(3,5-difluorophenyl)piperidin-2-yl]cyclopropyl] 4-(2-hydroxyethyl)piperazine-1-carboxylate301167: Inhibition of gamma-secretase assessed as reduction of membrane A-beta-40 levelic500.0024uM
N-[3-[(6R)-4-amino-2-cyano-6-methyl-7H-pyrazolo[1,5-a]pyrazin-6-yl]-4-fluorophenyl]-5-(difluoromethyl)pyrazine-2-carboxamide1819117: Inhibition of human amyloid beta (1 to 42) in human SKNBE2 cells expressing wild-type amyloid precursor protein hAPP695 incubated for 18 hrs by sandwich ELISAic500.0025uM
N-[3-[(6R)-4-amino-2-cyano-6-methyl-7H-pyrazolo[1,5-a]pyrazin-6-yl]-4-fluorophenyl]-5-fluoropyridine-2-carboxamide1819117: Inhibition of human amyloid beta (1 to 42) in human SKNBE2 cells expressing wild-type amyloid precursor protein hAPP695 incubated for 18 hrs by sandwich ELISAic500.0026uM
2-[4-(dimethylamino)phenyl]-1-benzofuran-5-ol264125: Displacement of [125I]IMPY from beta amyloid in human corpse AD brainki0.0028uM
4-[2-(4-methoxyphenyl)ethynyl]phenol286796: Displacement of [125I]IMPY from human beta amyloid plaque in brain homogenateski0.0029uM
4-[2-[4-[2-[2-(2-fluoroethoxy)ethoxy]ethoxy]phenyl]ethynyl]-N,N-dimethylaniline286796: Displacement of [125I]IMPY from human beta amyloid plaque in brain homogenateski0.0029uM
Florbetapir F-18445593: Binding affinity to Beta amyloid aggregates in Alzheimer’s disease patient brain by competitive binding assayki0.0029uM
4-(1-benzothiophen-2-yl)phenol1500336: Inhibition of [125I]2-(3’-Iodo-4’-N-methylaminophenyl) benzothiazole binding to amyloid beta (1 to 40) (unknown origin) after 3 hrs by NaI well counting methodki0.0030uM
[1-(4-phenoxyphenyl)triazol-4-yl]methyl 4-hydroxy-3-methoxybenzoate2121957: Inhibition of amyloid beta (1 to 42) (unknown origin) aggregation incubated for 48 hrs by ThioflavinT staining based fluorescence assayic500.0030uM
2-[2-[4-[2-[4-(methylamino)phenyl]ethynyl]phenoxy]ethoxy]ethanol286796: Displacement of [125I]IMPY from human beta amyloid plaque in brain homogenateski0.0031uM
[4-[(2Z)-2-[9-[(E)-2-[4-(dimethylamino)phenyl]ethenyl]-2,3-dioxo-1,4,6,10-tetraoxa-5-boranuidaspiro[4.5]dec-8-en-7-ylidene]ethylidene]cyclohexa-2,5-dien-1-ylidene]-dimethylazanium1884916: Binding affinity to human amyloid beta (1 to 42) monomer measured by fluorescence assaykd0.0032uM
2-[2-[2-[4-[2-[4-(dimethylamino)phenyl]ethynyl]phenoxy]ethoxy]ethoxy]ethanol286796: Displacement of [125I]IMPY from human beta amyloid plaque in brain homogenateski0.0034uM

CTD chemical–gene interactions

303 total (human), top 30 by PubMed support.

ChemicalActions (top 5)PubMed papers
Copperaffects binding, increases expression, affects cotreatment, affects localization, increases oxidation (+13 more)26
Zincincreases secretion, affects folding, increases reduction, increases reaction, increases degradation (+2 more)10
sulindac sulfideaffects cleavage, affects reaction, increases reaction, affects localization, decreases activity9
Hydrogen Peroxideincreases expression, affects binding, affects expression, decreases secretion, increases chemical synthesis (+4 more)8
Leadaffects binding, decreases expression, affects expression, increases secretion, increases abundance (+4 more)8
Resveratroldecreases expression, decreases secretion, affects cotreatment, increases expression, affects binding (+6 more)6
sodium arseniteaffects cotreatment, increases expression, affects secretion, increases cleavage, affects localization4
Curcumindecreases reaction, increases expression, affects binding, affects reaction4
Ibuprofenincreases metabolic processing, increases secretion, decreases expression, affects cleavage, affects cotreatment (+1 more)4
Tretinoindecreases secretion, increases metabolic processing, affects cotreatment, increases expression, increases reaction (+2 more)4
Trientineincreases chemical synthesis, increases oxidation, increases activity, decreases expression, increases metabolic processing (+3 more)4
Particulate Matterincreases uptake, increases response to substance, affects expression, increases abundance, decreases reaction (+4 more)4
lead acetateaffects cotreatment, decreases expression, affects binding, increases abundance, increases reaction (+2 more)3
24-hydroxycholesterolincreases activity, decreases metabolic processing, decreases secretion, increases metabolic processing, affects metabolic processing3
27-hydroxycholesteroldecreases metabolic processing, decreases secretion, increases expression3
2-(4-morpholinyl)-8-phenyl-4H-1-benzopyran-4-oneaffects cotreatment, decreases expression, decreases reaction, affects localization, increases expression (+3 more)3
2-(2-amino-3-methoxyphenyl)-4H-1-benzopyran-4-oneaffects binding, decreases reaction, increases degradation, increases expression, decreases phosphorylation3
Acetylcysteinedecreases reaction, increases abundance, increases expression, affects localization, increases activity (+1 more)3
Acroleinincreases expression, increases oxidation, increases reaction, increases abundance, affects binding (+1 more)3
Air Pollutantsincreases reaction, decreases reaction, affects cotreatment, increases oxidation, increases abundance (+1 more)3
Aluminumincreases expression, affects binding3
Arsenicaffects methylation, decreases expression, increases abundance, affects cotreatment, affects expression3
Benzo(a)pyrenedecreases methylation, increases expression3
Cannabidioldecreases expression, increases expression, decreases reaction, decreases response to substance, affects cotreatment3
DDTincreases secretion, decreases reaction, increases cleavage, increases expression, decreases degradation3
Estradiolincreases expression, increases secretion, decreases expression, decreases reaction, increases activity (+1 more)3
Indomethacinincreases secretion, affects cleavage, decreases reaction, increases expression, affects cotreatment (+1 more)3
Paraquatincreases response to substance, affects binding, decreases reaction, increases reaction, increases expression3
Penicillamineincreases oxidation, increases activity, increases metabolic processing, affects binding, affects cotreatment (+2 more)3
Quercetindecreases phosphorylation, decreases reaction, increases abundance, increases activity, increases cleavage (+2 more)3

ChEMBL screening assays

1744 unique, capped per target: 1699 binding, 44 functional, 1 admet

Representative assays (with source publication via chembl_document):

Assay IDTypeDescriptionSource paper
CHEMBL1002439BindingDisplacement of [125I]IMPY from beta-amyloid plaques in brain homogenate of patient with Alzheimer’s disease by gamma counting11C-labelled PIB analogues as potential tracer agents for in vivo imaging of amyloid beta in Alzheimer’s disease. — Eur J Med Chem
CHEMBL1613905FunctionalPUBCHEM_BIOASSAY: Assay for Inhibitors of the fibrillation of the Beta-Amyloid Protein Fragment, A-beta 1-42. (Class of assay: confirmatory) [Related pubchem assays: 1460, 1468 ]PubChem BioAssay data set
CHEMBL4826780ADMETInhibition of amyloid beta(25 to 35) (unknown origin) binding to human SH-SY5Y cell plasma membrane at 10 uM measured after 20 mins by UV-vis microplate reader assaySynthesis, biological evaluation and molecular modeling of benzofuran piperidine derivatives as Aβ antiaggregant. — Eur J Med Chem

Cellosaurus cell lines

84 cell lines: 54 induced pluripotent stem cell, 17 cancer cell line, 9 transformed cell line, 3 spontaneously immortalized cell line, 1 embryonic stem cell

First 10 cell lines (id-ordered, not curated):

CellosaurusNameCategorySex
CVCL_0523SH-SY5Y-SPA4CTCancer cell lineFemale
CVCL_2707REM 885Transformed cell lineMale
CVCL_A3ZLZZUi024-AInduced pluripotent stem cellFemale
CVCL_A5CZHEK293 APPsweTransformed cell lineFemale
CVCL_A8YXF15553Induced pluripotent stem cell
CVCL_A8YYF16574Induced pluripotent stem cellSex unspecified
CVCL_A8YZUOMELBi002-AInduced pluripotent stem cellSex unspecified
CVCL_A9QAUEFi003-AInduced pluripotent stem cellMale
CVCL_B2RVAbcam HEK293T APP KOTransformed cell lineFemale
CVCL_B5GRXWHNi001-AInduced pluripotent stem cellFemale

Clinical trials (associated diseases)

320 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT04520308PHASE4UNKNOWNAn Open-label, Single-arm Longitudinal Study With Dupilumab for Patients With Atopic Dermatitis
NCT00009191PHASE4COMPLETEDThe Depression in Alzheimer’s Disease Study (DIADS)
NCT00009217PHASE4COMPLETEDTreatment of Behavioral Symptoms in Alzheimer’s Disease
NCT00018278PHASE4COMPLETEDElectrophysiologic Measures of Treatment Response in Alzheimer Disease
NCT00035204PHASE4COMPLETEDA Study of the Effects on Sleep, Attention, and Gastrointestinal Tolerance of Galantamine and Donepezil in Patients With Alzheimer’s Disease
NCT00042172PHASE4COMPLETEDTreatment for Early Memory Loss
NCT00046358PHASE4COMPLETEDThe Effect of Short-Term Statins and NSAIDs on Levels of Beta-Amyloid, a Protein Associated With Alzheimer’s Disease
NCT00104442PHASE4COMPLETEDStudy of the Effects of Current Drug Treatments on Levels of Certain Brain Chemicals in Alzheimer’s Disease
NCT00120874PHASE4COMPLETEDMemantine and Comprehensive, Individualized Management of Alzheimer’s Disease and Caregiver Training
NCT00142324PHASE4UNKNOWNCALM-AD
NCT00165724PHASE4COMPLETEDAlzheimer’s Disease Long-term Follow-up Study (ALF Study)
NCT00165750PHASE4TERMINATEDCorrelation Between Regional Brain Volume and Response to Donepezil Treatment in AD Patients
NCT00202124PHASE4COMPLETEDDouble Blind Study of Trp01 in Patients With Alzheimer’s Disease
NCT00208819PHASE4COMPLETEDA Comparison of Two Standard Therapies in the Management of Dementia With Agitation
NCT00216515PHASE4COMPLETEDThe Efficacy of Galantamine on the Attention and the Frontal Function of the Patients With Dementia of Alzheimer Type
NCT00230568PHASE4COMPLETEDEARTH 413: A Study of Aricept in Hispanic Patients With Mild to Moderate Alzheimer’s Disease (AD)
NCT00234637PHASE4COMPLETEDRivastigmine Monotherapy and Combination Therapy With Memantine in Patients With Moderately Severe Alzheimer’s Disease Who Failed to Benefit From Previous Cholinesterase Inhibitor Treatment
NCT00245206PHASE4COMPLETEDSide Effects of Newer Antipsychotics in Older Adults
NCT00254033PHASE4COMPLETEDApathy Associated With Alzheimer’s Disease
NCT00260624PHASE4COMPLETEDEscitalopram Treatment of Patients With Agitated Dementia
NCT00303277PHASE4COMPLETEDDo HMG CoA Reductase Inhibitors Affect Abeta Levels?
NCT00305903PHASE4COMPLETEDSafety and Tolerability of Rivastigmine With Add-on Memantine in Patients With Probable Alzheimer’s Disease
NCT00306124PHASE4UNKNOWNDopaminergic Enhancement of Learning and Memory in Healthy Adults and Patients With Dementia/Mild Cognitive Impairment
NCT00334906PHASE4COMPLETEDStudy of Memantine in Assessment of Selected Measures of Volumetric Magnetic Resonance Imaging (MRI) and Cognition in Moderate AD (Alzheimer’s Disease)
NCT00369603PHASE4TERMINATEDFunctional Brain Imaging of Medication Treatment Response in Mild Alzheimer’s Disease Patients
NCT00375557PHASE4WITHDRAWNSafety and Efficacy of Divalproex and Quetiapine in Elderly Alzheimer’s Dementia Patients
NCT00381381PHASE4COMPLETEDThe Clinical Response of Choline Acetyltransferase and Apolipoprotein Epsilon Gene Polymorphisms to Donepezil in Alzheimer’s Disease
NCT00385684PHASE4COMPLETEDLow-Dose Opiate Therapy for Discomfort in Dementia (L-DOT)
NCT00401167PHASE4COMPLETEDMemantine for Agitation and Aggression in Severe Alzheimer’s Disease
NCT00403520PHASE4COMPLETEDHippocampus Study: Comparative Effect of Donepezil 10mg/d and Placebo on Clinical and Radiological Markers
NCT00417482PHASE4COMPLETEDAntipsychotic Discontinuation in Alzheimer’s Disease
NCT00443014PHASE4COMPLETEDThe Dementia Study in Northern Norway
NCT00469456PHASE4COMPLETEDEffect of Memantine on Functional Communication in Patients With Alzheimer’s Disease
NCT00476008PHASE4COMPLETEDDelaying the Progression of Driving Impairment in Individuals With Mild Alzheimer’s Disease
NCT00477659PHASE4COMPLETEDNeural Correlates In Mild Alzheimer’s Disease
NCT00480870PHASE4COMPLETEDThe Effect of Anticholinesterase Drugs on Sleep in Alzheimer’s Disease Patients
NCT00495820PHASE4COMPLETEDMethylphenidate for Apathy in Alzheimer’s Dementia: A Controlled Study
NCT00523666PHASE4UNKNOWNDiffusion Tensor Weighted MRI in Alzheimer’s Disease Modifying Treatment Effects of Galantamine (Reminyl®)
NCT00549601PHASE4COMPLETEDConvenience, Tolerability, and Safety of Change in the Administration of Rivastigmine From Capsules to a Transdermal Patch in Patients With Mild to Moderate Alzheimer’s Disease
NCT00551161PHASE4COMPLETEDMagnetic Resonance Spectroscopy Study of Memantine in Alzheimer’s Disease