08/27/2026
Amyloid precursor protein (APP) is often viewed in terms of amyloid-β, but new data are shifting attention to what full-length APP may normally do in cells.
Researchers examined cultured cells, mouse models, and human Alzheimer’s disease (AD) brain tissue to test whether APP helps cells respond to genomic stress. Loss of APP led to the buildup of nuclear-derived waste, abnormal nuclear morphology, inflammation, and cell death, while APP overexpression reduced these effects. Mechanistically, APP supported lysosomal exocytosis, enabling cells to release harmful nuclear debris. Familial AD-associated APP mutations failed to perform this protective clearance function. Human AD brain tissue also showed accumulation of cytoplasmic nuclear waste and lower APP levels per neuron. APP dysfunction may contribute to neurodegeneration not only through amyloid-β production, but also by impairing nuclear waste clearance and cellular cleanup.
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https://www.pnas.org/doi/10.1073/pnas.2524190123