Mutations Position Table

APP K687 Mutations

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Mutation Pathogenicity DNA Change Expected RNA | Protein Consequence Coding/Non-Coding Genomic Region Neuropathology Biological Effect Primary
Papers
K687N (A>C)
AD : Likely Pathogenic Substitution Substitution | Missense Coding Exon 16

Unknown, but MRI showed brain atrophy and PET showed cortical amyloid accumulation. CSF biomarkers were consistent with AD.

Unknown, but K687N (A>T) increased Ab40 and Ab42, and when mixed with wildtype Ab, generated large oligomers; highly toxic in cells. Reduced degradation by neprilysin.

Liang et al., 2023
K687N (A>T)
AD : Not Classified Substitution Substitution | Missense Coding Exon 16

Unknown; MRI showed mild global brain atrophy without focal or vascular lesions. CSF biomarker profile consistent with AD, specifically elevated total tau and phosphorylated tau, along with reduced levels of Aβ1-42.

Reduces APP cleavage by α-secretase. Reduced production of total sAPP and especially sAPPα. Increased Aβ40 and Aβ42. Alone, mutant Aβ was less toxic to neuroblastoma cells than wild-type Aβ42, but mixed in equimolar amounts with wild-type, toxicity increased. Alone, mutant Aβ formed predominantly low-n oligomers in vitro, but mixed with wild-type Aβ, it aggregated into high-n oligomers.

Kaden et al., 2012
K687Q
AD : Pathogenic Substitution Substitution | Missense Coding Exon 16

Unknown, but imaging revealed white matter hyperintensities.

Increased nucleation of Aβ aggregation in yeast cell-based assay.

Jiang et al., 2019;
Yi et al., 2020

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