Evidence map›Paper›PMID 33662398›Full record

ReviewThe Journal of biological chemistry

Is γ-secretase a beneficial inactivating enzyme of the toxic APP C-terminal fragment C99?

Frédéric Checler, Elissa Afram, Raphaëlle Pardossi-Piquard, Inger Lauritzen

Open access · goldAbstract readReview
In one paragraph

Review in The Journal of biological chemistry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
5.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 54 citations in OpenAlex.

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  8. Characterization of endothelin-converting enzyme 1 as a key enzyme in the multienzyme Aβ degradation pathway.Proceedings of the National Academy of Sciences of the United States of America · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Frédéric CheclerUniversité Côte d'Azur, Institut de Pharmacologie Moléculaire et Cellulaire UMR7275 CNRS, Laboratoire d'Excellence Distalz, Sophia-Antipolis, Valbonne, France. Electronic address: checler@ipmc.cnrs.fr.
Elissa AframUniversité Côte d'Azur, Institut de Pharmacologie Moléculaire et Cellulaire UMR7275 CNRS, Laboratoire d'Excellence Distalz, Sophia-Antipolis, Valbonne, France.
Raphaëlle Pardossi-PiquardUniversité Côte d'Azur, Institut de Pharmacologie Moléculaire et Cellulaire UMR7275 CNRS, Laboratoire d'Excellence Distalz, Sophia-Antipolis, Valbonne, France.
Inger LauritzenUniversité Côte d'Azur, Institut de Pharmacologie Moléculaire et Cellulaire UMR7275 CNRS, Laboratoire d'Excellence Distalz, Sophia-Antipolis, Valbonne, France.
Centre National de la Recherche Scientifique · FRInstitut de Pharmacologie Moléculaire et Cellulaire · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Genetic, biochemical, and anatomical grounds led to the proposal of the amyloid cascade hypothesis centered on the accumulation of amyloid beta peptides (Aβ) to explain Alzheimer's disease (AD) etiology. In this context, a bulk of efforts have aimed at developing therapeutic strategies seeking to reduce Aβ levels, either by blocking its production (γ- and β-secretase inhibitors) or by neutralizing it once formed (Aβ-directed immunotherapies). However, so far the vast majority of, if not all, clinical trials based on these strategies have failed, since they have not been able to restore cognitive function in AD patients, and even in many cases, they have worsened the clinical picture. We here propose that AD could be more complex than a simple Aβ-linked pathology and discuss the possibility that a way to reconcile undoubted genetic evidences linking processing of APP to AD and a consistent failure of Aβ-based clinical trials could be to envision the pathological contribution of the direct precursor of Aβ, the β-secretase-derived C-terminal fragment of APP, βCTF, also referred to as C99. In this review, we summarize scientific evidences pointing to C99 as an early contributor to AD and postulate that γ-secretase should be considered as not only an Aβ-generating protease, but also a beneficial C99-inactivating enzyme. In that sense, we discuss the limitations of molecules targeting γ-secretase and propose alternative strategies seeking to reduce C99 levels by other means and notably by enhancing its lysosomal degradation.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesAmyloid Precursor Protein SecretasesAnimalsHumansAmyloid beta-PeptidesAmyloid Precursor Protein SecretasesAPP C-terminal fragmentsC99clinical trialstoxicityβ-secretaseγ-secretase

Identifiers

PMID33662398
PMCPMC8027268
OpenAlexW3135391394

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.