Traffic delays might do more than make you late to work. Findings from now suggest that slowed trafficking of the γ-secretase protease might cause Alzheimer's disease.
γ-Secretase is a multisubunit complex that includes presenilin. Mutations in presenilin are associated with inherited forms of Alzheimer's. Scientists do not yet understand how these varied mutations—which can fall at multiple points along the protein—all lead to the misprocessing of the amyloid precursor protein to create an aggregation-prone form of Aβ.
Presenilin is assembled with the rest of the γ-secretase complex within the secretory pathway. In the new report, the team found that trafficking through at least part of this pathway—out of the ER and into COPII vesicles—was slowed by presenilin mutations that cause Alzheimer's. Packaging of the mutants into COPII vesicles was reduced in in vitro ER budding assays.
Exit from the ER is often delayed by protein misfolding, which is a problem that affects many mutant versions of presenilin. Helping the sluggish mutants fold by treatment with a chemical chaperone restored their packaging into vesicles.
Retention of the mutants within the ER probably does not itself create the faulty Aβ, as the authors found only inactive γ-secretase in both the ER and COPII vesicles. The protease must therefore be processed and activated in a downstream compartment such as the Golgi. If folding-challenged presenilin mutants are also delayed when they exit this later compartment, prolonged exposure to processing enzymes might create their distorted cleavage properties. 
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