Target intelligence / Profile preview

Amyloid-beta precursor protein (Swedish mutation) genomic DNA (APPswe)

Target
APPswe
Molecular classification
Genomic DNA, Gene
01

Overview

The APPswe mutant allele genomic DNA refers to a specific pathogenic variant of the Amyloid Precursor Protein (APP) gene, characterized by a double mutation (K670N and M671L) at the N-terminus of the amyloid-beta (Aβ) sequence (Mullan et al., 1992, Nature Genetics). This mutation, first identified in Swedish families, significantly increases the proteolytic cleavage of APP by beta-secretase (BACE1), leading to an overproduction of neurotoxic Aβ peptides (Haass et al., 1995, Nature Medicine). This process is a primary driver in the pathogenesis of early-onset familial Alzheimer's disease (EOFAD). As a therapeutic target, the genomic DNA is primarily addressed through gene-editing technologies like CRISPR/Cas9, which aim to selectively disrupt or correct the mutant allele while sparing the wild-type allele (Gyorgy et al., 2019, Molecular Therapy). Therapeutic strategies focusing on this target seek to reduce the total burden of amyloid plaque formation in the brain. Challenges include ensuring high specificity to avoid silencing the healthy APP allele, which has essential physiological roles in synaptic plasticity and neuronal health. Additionally, the delivery of gene-editing components across the blood-brain barrier remains a significant hurdle for clinical application.

Other names
APP Swedish mutationKM670/671NL mutationSwedish APP mutant alleleAPP-SweAmyloid beta precursor protein Swedish mutant
02

Mechanism of action

Allele-specific gene disruption or correction via genome editing

03

Biological functions

Template for Amyloid precursor protein (Swedish mutation) mRNA synthesisRegulation of amyloid-beta peptide production
04

Disease associations

Early-onset familial Alzheimer's diseaseNeurodegenerative disease
05

Safety considerations

Off-target editing of the wild-type APP alleleImmunogenicity of Cas9 or other foreign proteinsViral vector-induced neuroinflammationPermanent and irreversible alteration of the genomeDelivery challenges across the blood-brain barrier
06

Interacting drugs

CRISPR-Cas9 gene editing systems (experimental)

3 more in the full profile.

07

Biomarkers

K670N/M671L genetic variant detectionAmyloid-beta 42/40 ratio in cerebrospinal fluidAmyloid PET imaging (downstream)Cerebrospinal fluid total tau and phosphorylated tau

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