Roles of Mitochondrial 17ß-Hydroxysteroid Dehydrogenase Type 10 in Alzheimer's Disease.

ABSTRACT

17ß-Hydroxysteroid dehydrogenase type 10 is a multifunctional, homotetrameric, mitochondrial protein encoded by the HSD17B10 gene at Xp 11.2. This protein, 17ß-HSD10, is overexpressed in brain cells of Alzheimer's disease (AD) patients. It was reported to be involved in AD pathogenesis as the endoplasmic reticulum-associated amyloid-ß binding protein (ERAB) and as amyloid-ß binding alcohol dehydrogenase (ABAD). However, the exaggerated catalytic efficiencies for ERAB/ABAD in these reports necessitated the re-characterization of the catalytic functions of this brain enzyme. In addition to isoleucine metabolism, 17ß-HSD10 is also responsible for the mitochondrial metabolism of neurosteroids such as 5α-androstane-3α,17ß-diol and 17ß-estradiol. These neurosteroids are inactivated by the oxidation catalyzed by 17ß-HSD10. Since neurosteroid homeostasis is presumably essential for cognitive function, analysis of the impact of 17ß-HSD10 and its inhibitor, amyloid-ß peptide (Aß), on the metabolism of neuroactive steroids offers a new approach to AD pathogenesis.