Abstract: |
γ-Secretase, an intramembrane aspartyl protease that cleaves its substrates within their transmembrane domains, is composed of four subunits: presenilin (PS), nicastrin (Nct), Aph-1, and Pen-2. PS is the catalytic subunit of γ-secretase. Aberrant cleavage of two γ-secretase substrates, namely amyloid precursor protein (APP) and Notch, can lead to Alzheimer's disease (AD) and cancer, respectively. As a result of its role in these diseases, γ-secretase has emerged as an important drug target. In the chapter we review the way in which small molecule inhibition of γ-secretase is being explored as a potential therapy for AD. γ-Secretase inhibitors (GSIs) are intended to block γ-secretase cleavage of APP, thereby lowering the amount of toxic Aβ produced and slowing neurodegeneration. However, these GSIs also block γ-secretase cleavage of other substrates, including the critical signaling molecule Notch. A wide range of GSIs have been tested in animals and humans, but none have successfully passed clinical trials due to toxicity. A deeper understanding of γ-secretase structure and function would help to develop safe and effective γ-secretase-based therapies. © 2016 Elsevier Inc. All rights reserved. |