Target intelligence / Profile preview

Copper and zinc ions associated with Amyloid-beta (Cu/Zn-Aβ)

Target
Cu/Zn-Aβ
Molecular classification
Protein-metal complex, Metalloprotein complex, Amyloidogenic aggregate
01

Overview

Copper and zinc ions associated with Amyloid-beta (Aβ) are critical pathological targets in Alzheimer's disease, where they facilitate the aggregation and neurotoxicity of Aβ peptides (Bush, 2003, Nature Reviews Neuroscience). Zinc ions (Zn2+) bind to the N-terminal histidine residues of Aβ, promoting the formation of stable, protease-resistant oligomers and plaques (Fallon et al., 2021, Chemical Science). Copper ions (Cu2+) also bind to Aβ, forming a redox-active complex that catalyzes the production of reactive oxygen species (ROS), leading to significant oxidative stress and neuronal damage (Barnham & Bush, 2014, Chemical Society Reviews). Therapeutic intervention focuses on Metal-Protein Attenuating Agents (MPAAs) like PBT2, which are designed to cross the blood-brain barrier, disrupt the Aβ-metal bond, and redistribute the sequestered ions back into the intracellular compartment to restore normal synaptic function (Adlard et al., 2008, Neuron). This dual action aims to reduce the amyloid burden while mitigating the cognitive deficits associated with metal dyshomeostasis in the aging brain.

Other names
Metal-associated Amyloid-betaCu-Aβ and Zn-Aβ complexesAmyloid-beta-metal ion complexAβ-metal adducts
02

Mechanism of action

Metal-protein attenuation and ion redistribution: drugs disrupt the coordination of Cu2+ and Zn2+ to Aβ, promoting plaque dissolution and reducing ROS production while restoring intracellular metal levels (Adlard et al., 2008, Neuron).

03

Biological functions

Metal ion homeostasis (Bush, 2003, Nature Reviews Neuroscience)Synaptic transmission modulationRedox signalingProtein folding and aggregation control
04

Disease associations

Alzheimer's disease (Bush & Tanzi, 2008, Neurotherapeutic)NeurodegenerationCerebral amyloid angiopathyOxidative stress-induced neuronal death
05

Safety considerations

Systemic metal depletion (e.g., zinc or copper deficiency)Interference with essential metalloenzymes (e.g., Superoxide dismutase)Potential neurotoxicity from uncontrolled metal redistributionBlood-brain barrier permeability requirements for effective chelation
06

Interacting drugs

PBT2

4 more in the full profile.

07

Biomarkers

Cerebrospinal fluid Amyloid-beta 42 (Aβ42) levels (Blennow et al., 2010, Nature Reviews Neurology)Amyloid PET imaging using 11C-PiB or 18F-Florbetapir (Johnson et al., 2012, Lancet Neurology)CSF copper and zinc concentrations (James et al., 2012, Journal of Alzheimer's Disease)Plasma Aβ42/Aβ40 ratio

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