Target intelligence / Profile preview

Amyloid-beta-fibrinogen protein-protein interface (Aβ-fibrinogen interface) (Aβ-fibrinogen interface)

Target
Aβ-fibrinogen interface
Molecular classification
Protein-protein interface, Other
01

Overview

The Amyloid-beta-fibrinogen protein-protein interface is a pathological interaction between the amyloid-beta (Aβ) peptide and the blood-clotting protein fibrinogen, primarily involving the Aβ42 isoform and the fibrinogen β-chain or D-domain (Ahn et al., 2010, Neuron [PMID: 20547128]). In Alzheimer's disease (AD), this interaction leads to the formation of abnormal fibrin clots that are structurally altered and highly resistant to degradation by the fibrinolytic enzyme plasmin (Cortes-Canteli et al., 2010, Neuron [PMID: 20547128]). These persistent clots contribute to chronic cerebral hypoperfusion, neuroinflammation, and blood-brain barrier disruption, which accelerate cognitive decline and neurodegeneration (Cortes-Canteli et al., 2012, J Alzheimers Dis [PMID: 22451145]). As a therapeutic target, disrupting this interface aims to restore normal fibrinolysis and improve vascular health in the brain without compromising systemic hemostasis. Experimental compounds like the small molecule RU-505 have demonstrated the ability to bind Aβ and inhibit its interaction with fibrinogen, resulting in reduced vascular amyloid deposition and improved memory in AD mouse models (Cortes-Canteli et al., 2014, Blood [PMID: 24532803]). This target represents a novel approach to AD treatment by focusing on the neurovascular component of the disease.

Other names
Amyloid-beta-fibrinogen interactionAβ-fibrinogen complexAβ-fibrinogen binding siteAmyloid-beta-fibrinogen PPI
02

Mechanism of action

Disruption of the protein-protein interaction between amyloid-beta and fibrinogen to prevent the formation of fibrinolysis-resistant clots and mitigate neurovascular damage (Cortes-Canteli et al., 2014, Blood [PMID: 24532803]).

03

Biological functions

Blood coagulationFibrinolysisNeurovascular regulationHemostasis
04

Disease associations

Alzheimer's diseaseCerebral amyloid angiopathyVascular dementiaNeuroinflammationNeurodegenerative disease
05

Safety considerations

Potential for systemic bleeding or impaired wound healing if the drug lacks specificity for the Aβ-bound form of fibrinogenRisk of microhemorrhages in the context of cerebral amyloid angiopathy (CAA)Blood-brain barrier integrity issuesImmunogenicity of monoclonal antibodies targeting the interface
06

Interacting drugs

RU-505

1 more in the full profile.

07

Biomarkers

Aβ-fibrinogen complexes in plasma or CSFFibrin(ogen) deposits in brain tissueCerebral blood flow (CBF) measurementsD-dimer levelsPlasminogen activator inhibitor-1 (PAI-1) levels

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