Cited by 45Alzheimer's disease research and treatmentsDementia and Cognitive Impairment ResearchNeuroinflammation and Neurodegeneration Mechanisms

APOE Christchurch-mimetic therapeutic antibody reduces APOE-mediated toxicity and tau phosphorylation

Open access
Marino, Claudia, Perez‐Corredor, Paula, O'Hare, Michael, Heuer, Annie, Chmielewska, Natalia, Gordon, Harper, Chandrahas, Anita S., Gonzalez‐Buendia, Lucia +14 more·2024·Alzheimer's & Dementia

Abstract

INTRODUCTION: We discovered that the APOE3 Christchurch (APOE3Ch) variant may provide resistance to Alzheimer's disease (AD). This resistance may be due to reduced pathological interactions between ApoE3Ch and heparan sulfate proteoglycans (HSPGs). METHODS: We developed and characterized the binding, structure, and preclinical efficacy of novel antibodies targeting human ApoE‐HSPG interactions. RESULTS: We found that one of these antibodies, called 7C11, preferentially bound ApoE4, a major risk factor for sporadic AD, and disrupts heparin‐ApoE4 interactions. We also determined the crystal structure of a Fab fragment of 7C11 and used computer modeling to predict how it would bind to ApoE. When we tested 7C11 in mouse models, we found that it reduced recombinant ApoE‐induced tau pathology in the retina of MAPT*P301S mice and curbed pTau S396 phosphorylation in brains of systemically treated APOE4 knock‐in mice. Targeting ApoE‐HSPG interactions using 7C11 antibody may be a promising approach to developing new therapies for AD.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1002/alz.13436

Cites

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Marino et al. developed an APOE3 Christchurch-inspired antibody to disrupt APOE4-HSPG interactions, resulting in reduced tau pathology in P301S mouse retinas and brains.

    “Marino et al. developed an APOE3 Christchurch-inspired antibody to disrupt APOE4-HSPG interactions, resulting in reduced tau pathology in P301S mouse retinas and brains66.”

    From The R136S mutation in the APOE3 gene confers resilience against tau pathology via inhibition of the cGAS-STING-IFN pathway (2025) · cites this paper as [66]

    The Results report that the Christchurch-mimetic 7C11 antibody reduced ApoE3-induced tau pathology in P301S mouse retinas. They also report reduced brain tau phosphorylation, but that experiment used APOE4 knock-in mice, not P301S mice (Results, Figures 4–5; page numbers unavailable). (LLM, conf=0.92)

    Experimental — accuracy not yet measured
  • Marino et al. developed an APOE3 Christchurch-inspired antibody to disrupt human APOE4-HSPG interactions, resulting in reduced tau pathology in the retinas and brains of P301S mice.

    “Marino et al. developed an APOE3 Christchurch-inspired antibody to disrupt human APOE4-HSPG interactions, resulting in reduced tau pathology in the retinas and brains of P301S mice62.”

    From <i>APOE3</i> - <i>R136S</i> mutation confers resilience against tau pathology via cGAS-STING-IFN inhibition (2024) · cites this paper as [62]

    The Results (Figure 4E–G; page unavailable) report that the Christchurch-mimetic antibody reduced ApoE3-induced tau phosphorylation in P301S mouse retinas. The paper explicitly says that retinal model did not assess brain changes; reduced brain tau phosphorylation was measured separately in APOE4 knock-in mice (Results, Figure 5; page unavailable). Thus the claim incorrectly places both the brain result and the APOE4 result in P301S mice. (LLM, conf=0.93)

    Experimental — accuracy not yet measured
  • An APOE Christchurch-mimetic antibody that disrupts APOE-heparin binding has shown promise in reducing tau hyperphosphorylation in mouse models of tauopathy.

    “an APOE Christchurch-mimetic antibody that disrupts APOE–heparin binding has shown promise in reducing tau hyperphosphorylation in mouse models of tauopathy199.”

    From Multifaceted roles of APOE in Alzheimer disease (2024) · cites this paper as [199]

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

The citation lists haven’t been fetched yet

References 51 · Cited by 45

Research works printed but not linked: 36

  1. [1]Jiwaji Z, Tiwari SS, Aviles‐Reyes RX, et al. Reactive astrocytes acquire neuroprotective as well as deleterious signatures in response to Tau and Ass pathology. Nat Commun. 2022; 13(1): 135. 35013236 PMC8748982
  2. [2]Neddens J, Temmel M, Flunkert S, et al. Phosphorylation of different tau sites during progression of Alzheimer's disease. Acta Neuropathol Commun. 2018; 6(1): 52. 29958544 PMC6027763
  3. [3]Karlawish J, Grill JD. The approval of Aduhelm risks eroding public trust in Alzheimer research and the FDA. Nat Rev Neurol. 2021; 17(9): 523‐ 524. 34267383
  4. [4]Tanzi RE. FDA approval of aduhelm paves a new path for Alzheimer's disease. ACS Chem Neurosci. 2021; 12(15): 2714‐ 2715. 34259498
  5. [5]Sevigny J, Chiao P, Bussière T, et al. The antibody aducanumab reduces Aβ plaques in Alzheimer's disease. Nature. 2016; 537(7618): 50‐ 56. 27582220
  6. [6]van Dyck CH, Swanson CJ, Aisen P, et al. Lecanemab in early Alzheimer's disease. N Engl J Med. 2022. 36449413
  7. [8]Mahley RW, Huang Y. Pathogenesis of type III hyperlipoproteinemia (dysbetalipoproteinemia). Questions, quandaries, and paradoxes. J Lipid Res. 1999; 40(11): 1933‐ 1949. 10552997
  8. [10]Liu CC, Liu CC, Kanekiyo T, Xu H, Bu G. Apolipoprotein E and Alzheimer disease: risk, mechanisms and therapy. Nat Rev Neurol. 2013; 9(2): 106‐ 118. 23296339 PMC3726719
  9. [11]Saddiki H, Fayosse A, Cognat E, et al. Age and the association between apolipoprotein E genotype and Alzheimer disease: a cerebrospinal fluid biomarker‐based case‐control study. PLoS Med. 2020; 17(8): e1003289. 32817639 PMC7446786
  10. [13]Arboleda‐Velasquez JF, Lopera F, O'Hare M, et al. Resistance to autosomal dominant Alzheimer's disease in an APOE3 Christchurch homozygote: a case report. Nat Med. 2019; 25(11): 1680‐ 1683. 31686034 PMC6898984
  11. [16]Mahley RW, Ji ZS. Remnant lipoprotein metabolism: key pathways involving cell‐surface heparan sulfate proteoglycans and apolipoprotein E. J Lipid Res. 1999; 40(1): 1‐ 16. 9869645
  12. [18]Liu CC, Zhao N, Yamaguchi Y, et al. Neuronal heparan sulfates promote amyloid pathology by modulating brain amyloid‐beta clearance and aggregation in Alzheimer's disease. Sci Transl Med. 2016; 8(332): 332ra44. PMC5512541 27030596
  13. [20]Leveugle B, Ding W, Laurence F, et al. Heparin oligosaccharides that pass the blood‐brain barrier inhibit beta‐amyloid precursor protein secretion and heparin binding to beta‐amyloid peptide. J Neurochem. 1998; 70(2): 736‐ 744. 9453569
  14. [22]Bu G. APOE targeting strategy in Alzheimer's disease: lessons learned from protective variants. Mol Neurodegener. 2022; 17(1): 51. 35922805 PMC9351235
  15. [23]Jendresen CB, Cui H, Zhang X, Vlodavsky I, Nilsson LN, Li JP. Overexpression of heparanase lowers the amyloid burden in amyloid‐beta precursor protein transgenic mice. J Biol Chem. 2015; 290(8): 5053‐ 5064. 25548284 PMC4335241
  16. [24]Leveugle B, Ding W, Buee L, Fillit HM. Interleukin‐1 and nerve growth factor induce hypersecretion and hypersulfation of neuroblastoma proteoglycans which bind beta‐amyloid. J Neuroimmunol. 1995; 60(1‐2): 151‐ 160. 7642743
  17. [25]Wesener DA, Wangkanont K, McBride R, et al. Recognition of microbial glycans by human intelectin‐1. Nat Struct Mol Biol. 2015; 22(8): 603‐ 610. 26148048 PMC4526365
  18. [26]Day ES, Capili AD, Borysenko CW, Zafari M, Whitty A. Determining the affinity and stoichiometry of interactions between unmodified proteins in solution using Biacore. Anal Biochem. 2013; 440(1): 96‐ 107. 23711722 PMC8627677
  19. [27]Dessau MA, Modis Y. Protein crystallization for X‐ray crystallography. J Vis Exp; 2011(47). PMC3182643 21304455
  20. [28]Toth EA. Molecular replacement. Methods Mol Biol. 2007; 364: 121‐ 148. 17172763
  21. [29]Berman HM, Westbrook J, Feng Z, et al. The protein data bank. Nucleic Acids Res. 2000; 28(1): 235‐ 242. 10592235 PMC102472
  22. [31]Zhou J, Tsao HK, Sheng YJ, Jiang S. Monte Carlo simulations of antibody adsorption and orientation on charged surfaces. J Chem Phys. 2004; 121(2): 1050‐ 1057. 15260639
  23. [32]Stopschinski BE, Holmes BB, Miller GM, et al. Specific glycosaminoglycan chain length and sulfation patterns are required for cell uptake of tau versus alpha‐synuclein and beta‐amyloid aggregates. J Biol Chem. 2018; 293(27): 10826‐ 10840. 29752409 PMC6036193
  24. [33]Mazzarino RC, Perez‐Corredor P, Vanderleest TE, et al. APOE3 Christchurch modulates tau phosphorylation and β‐catenin/Wnt/Cadherin signaling in induced pluripotent stem cell‐derived cerebral organoids from Alzheimer's cases. bioRxiv. 2023.
  25. [34]Jen LS, Hart AJ, Jen A, et al. Alzheimer's peptide kills cells of retina in vivo. Nature. 1998; 392(6672): 140‐ 141. 9515959
  26. [35]Koronyo‐Hamaoui M, Koronyo Y, Ljubimov AV, et al. Identification of amyloid plaques in retinas from Alzheimer's patients and noninvasive in vivo optical imaging of retinal plaques in a mouse model. Neuroimage. 2011; 54(1): S204‐ S217. Suppl. 20550967 PMC2991559
  27. [36]Dutescu RM, Li QX, Crowston J, Masters CL, Baird PN, Culvenor JG. Amyloid precursor protein processing and retinal pathology in mouse models of Alzheimer's disease. Graefes Arch Clin Exp Ophthalmol. 2009; 247(9): 1213‐ 1221. 19271231
  28. [37]Schon C, Hoffmann NA, Ochs SM, et al. Long‐term in vivo imaging of fibrillar tau in the retina of P301S transgenic mice. PLoS One. 2012; 7(12): e53547. 23300938 PMC3534024
  29. [38]Mey J, Thanos S. Intravitreal injections of neurotrophic factors support the survival of axotomized retinal ganglion cells in adult rats in vivo. Brain Res. 1993; 602(2): 304‐ 317. 8448673
  30. [39]Mansour‐Robaey S, Clarke DB, Wang YC, Bray GM, Aguayo AJ. Effects of ocular injury and administration of brain‐derived neurotrophic factor on survival and regrowth of axotomized retinal ganglion cells. Proc Natl Acad Sci U S A. 1994; 91(5): 1632‐ 1636. 8127857 PMC43217
  31. [41]Martens YA, Zhao N, Liu CC, et al. ApoE Cascade Hypothesis in the pathogenesis of Alzheimer's disease and related dementias. Neuron. 2022; 110(8): 1304‐ 1317. 35298921 PMC9035117
  32. [42]Brecht WJ, Harris FM, Chang S, et al. Neuron‐specific apolipoprotein e4 proteolysis is associated with increased tau phosphorylation in brains of transgenic mice. J Neurosci. 2004; 24(10): 2527‐ 2534. 15014128 PMC6729489
  33. [44]Gratuze M, Jiang H, Wang C, Xiong M, Bao X, Holtzman DM. APOE antibody inhibits abeta‐associated tau seeding and spreading in a mouse model. Ann Neurol. 2022; 91(6): 847‐ 852. 35285073 PMC9285984
  34. [45]Tai LM, Ghura S, Koster KP, et al. APOE‐modulated Aβ‐induced neuroinflammation in Alzheimer's disease: current landscape, novel data, and future perspective. J Neurochem. 2015; 133(4): 465‐ 488. 25689586 PMC4400246
  35. [46]Mahley RW, Huang Y. Apolipoprotein e sets the stage: response to injury triggers neuropathology. Neuron. 2012; 76(5): 871‐ 885. 23217737 PMC4891195
  36. [48]Raulin AC, Kraft L, Al‐Hilaly YK, et al. The molecular basis for apolipoprotein E4 as the major risk factor for late‐onset Alzheimer's disease. J Mol Biol. 2019; 431(12): 2248‐ 2265. 31051176 PMC6556554

Authors
Marino, C., Perez‐Corredor, P., O'Hare, M., Heuer, A., Chmielewska, N., Gordon, H., Chandrahas, A. S., Gonzalez‐Buendia, L., Delgado‐Tirado, S., Doan, T. H., Vanderleest, T. E., Arevalo‐Alquichire, S., Obar, R. A., Ortiz‐Cordero, C., Villegas, A., Sepulveda‐Falla, D., Kim, L. A., Lopera, F., Mahley, R., Huang, Y., Quiroz, Y. T., & Arboleda‐Velasquez, J. F.
Affiliations
  • Schepens Eye Research Institute of Mass Eye and Ear and Department of Ophthalmology at Harvard Medical School Boston Massachusetts USA
  • Massachusetts Eye and Ear Infirmary (US)
  • Harvard University (US)
  • Massachusetts Institute of Technology (US)
  • Grupo de Neurociencias de Antioquia, Facultad de Medicina Universidad de Antioquia Medellín Colombia
  • Molecular Neuropathology of Alzheimer's Disease Institute of Neuropathology University Medical Center Hamburg‐Eppendorf Hamburg Germany
  • Universidad de Antioquia (CO)
  • Gladstone Institutes (US)
Venue
Alzheimer's & Dementia
Publisher
Wiley
Published
2023-10-04
Volume
20
Issue
2
Pages
819-836
ISSN
  • 1552-5260 (ISSN-L)
  • 1552-5279
OpenAlex
W4387326153
Cited by
45
References
51
Citations by year
2026: 10 · 2025: 18 · 2024: 15 · 2023: 2
FWCI
7.99
Type
journal article
Language
en
Open access
Locations
  • Alzheimer s & Dementia (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Greater South Information System
Funders
  • Alzheimer's Association
  • Massachusetts General Hospital
  • Edward N. and Della L. Thome Memorial Foundation
  • Robert J. Kleberg, Jr. and Helen C. Kleberg Foundation
  • Open Philanthropy Project
  • Good Ventures Foundation
  • National Institutes of Health (DP5OD019833)
  • National Institute on Aging (R01AG054671, RF1AG077627)
  • National Eye Institute (P30EY003790)
  • National Institute of Neurological Disorders and Stroke (RF1NS110048, UH3NS100121)
Topics
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
Keywords
apolipoprotein E
MeSH terms
Alzheimer Disease, Animals, Apolipoproteins E, Humans, Immunologic Factors, Phosphorylation, Heparan Sulfate Proteoglycans, Mice, Apolipoprotein E3, Apolipoprotein E4

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review