Nerve growth factor (NGF) is generated from a precursor, proNGF, that is proteolytically processed. NGF preferentially binds a trophic tyrosine kinase receptor, TrkA, while proNGF binds a neurotrophin receptor (NTR), p75
NTR, that can have neurotoxic activity. Previously, we along with others showed that the soluble protein α
2-macroglobulin (α
2M) is neurotoxic. Toxicity is due in part to α
2M binding to NGF and inhibiting trophic activity, presumably by preventing NGF binding to TrkA. However, the mechanisms remained unclear. Here, we show
ex vivo and
in vivo three mechanisms for α
2M neurotoxicity. First, unexpectedly the α
2M-NGF complexes do bind TrkA receptors but do not induce TrkA dimerization or activation, resulting in deficient trophic support. Second, α
2M makes stable complexes with proNGF, conveying resistance to proteolysis that results in more proNGF and less NGF. Third, α
2M-proNGF complexes bind p75
NTR and are more potent agonists than free proNGF, inducing tumor necrosis factor alpha (TNF-α) production. Hence, α
2M regulates proNGF/p75
NTR positively and mature NGF/TrkA negatively, causing neuronal death
ex vivo. These three mechanisms are operative
in vivo, and α
2M causes neurodegeneration in a p75
NTR- and proNGF-dependent manner. α
2M could be exploited as a therapeutic target, or as a modifier of neurotrophin signals.
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