ApoE3 Christchurch and tau interaction as a protective mechanism against Alzheimer's disease
Open accessAbstract
INTRODUCTION: We described a protected case with familial Alzheimer's disease, homozygous for apolipoprotein E3 (APOE3) Christchurch variant (ApoE3Ch), exhibiting low tau protein levels despite genetic predisposition to the disease due to presenilin (PSEN)1‐E280A. We reported the loss of interaction between ApoE3Ch and heparan sulfate proteoglycans (HSPGs) as a critical protective pathway. Here, we characterized differential interacting partners for both wild‐type and Christchurch variants to identify additional protective mechanisms of ApoE3Ch. METHODS: We performed pull‐down of mouse brain lysates using His‐tag‐ApoE3 recombinant proteins and determined interacting partners of ApoE3 via mass‐spectrometry. We then performed in vitro and in vivo assays to validate the top interactors. RESULTS: We found enhanced binding of ApoE3Ch to tau and Dickkopf‐1 (Dkk1, a WNT/β‐catenin antagonist) that resulted in reduced tau aggregation in vitro. We demonstrated that ApoE3Ch interacts directly with Dkk1 and tau, reducing tau pathology. These findings supported the hypothesis of novel protective effects of direct ApoE3Ch interactions. Highlights: Apolipoprotein E3 (ApoE3) Christchurch variant (ApoE3Ch) exhibits different protein interaction profiles compared to wild‐type ApoE3, as revealed by proteomic analyses and pull‐down experiments. The ApoE3Ch variant alters the protein's interaction with tau, thus affecting its aggregation in a tau biosensor cell assay and the retina of microtubule‐associated protein tau (MAPT*P301S) transgenic mice. Gene ontology and pathway analyses indicate that ApoE3Ch interactors are associated with brain‐related disorders and specific upstream regulators, including MAPT, a gene encoding for tau. Protein–protein interaction studies showed increased binding of ApoE3Ch to Dickkopf1 (Dkk1), a Wnt/β‐catenin pathway antagonist, as compared to ApoE3WT, thus indicating that multiple protective mechanisms are regulated by the ApoE3Ch variant Our study uncovers a novel protective effect of the ApoE3Ch variant against tau pathology, thus proposing new insights into Alzheimer's disease mechanisms and potential therapeutic targets
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ApoE3Ch modulates Wnt pathway sensitivity by altering interactions with tau and reducing responsiveness to the Wnt inhibitor DKK1.
“Recent work shows that ApoE3Ch modulates Wnt pathway sensitivity by altering interactions with tau and reducing responsiveness to the Wnt inhibitor DKK1, 61 a mechanism also observed in APOE3Ch iPSC‐derived organoids that exhibit reduced tau pathology. 8”
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Cites
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“7 Previous studies have shown that differences in the binding affinity of these ApoE variants to heparan sulfate proteoglycans (HSPGs) might have a pathophysiological role by bringing lipid particles in proximity to cell receptors.”
A multiregional proteomic survey of the postnatal human brain
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Self-citationCharacterization of the Heparin Binding Sites in Human Apolipoprotein E
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“35 Our study here identified a novel Dkk1-ApoE3Ch protein– protein interaction, which may provide a hint at the full mechanism of Wnt signaling upregulation, possibly via a gain of interaction in the presence of the Christchurch variant.”
Self-citationCharacterization of APOE Christchurch carriers in 455,306 UK Biobank participants
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Pineda‐Lopez, L., Aguillon, D., Villar‐Vesga, J., Valderrama‐Carmona, P., Guerrero, A., Upreti, A., Arevalo‐Alquichire, S., Correa, L., Mendez‐Castellanos, K., Castaño, D., et al. (2026) · Alzheimer's & Dementia · doi:10.1002/alz.71148 · Cited by 4 · see citing works
Self-citationFrisch, C., Baker, L., Srinivasan, G., Mintah, A. E., Leyasi, S., Pedroza, M., Galyon, B., & Brafman, D. A. (2026) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2026.1856154
- Authors
- Perez‐Corredor, P., Arevalo‐Alquichire, S., Mazzarino, R. C., O'Hare, M., Muriel‐Torres, A. F., Vacano, G. N., Vanderleest, T. E., Miller, W. P., Pineda‐Lopez, L., Patel, S., Obar, R. A., Polat, N., Kim, L. A., Arboleda‐Velasquez, J. F., & Marino, C.
- Affiliations
- Schepens Eye Research Institute of Mass Eye and Ear and Department of Ophthalmology Harvard Medical School Boston Massachusetts USA
- Massachusetts Eye and Ear Infirmary (US)
- Cognitive Technologies (United States) (US)
- Harvard University (US)
- ORCID
- Venue
- Alzheimer's & Dementia
- Publisher
- Wiley
- Published
- 2025-07
- Volume
- 21
- Issue
- 7
- Pages
- e70396-e70396
- ISSN
- 1552-5260 (ISSN-L)
- 1552-5279
- PMC
- PMC12242688
- OpenAlex
- W4412156148
- Cited by
- 7
- References
- 10
- Citations by year
- 2026: 5 · 2025: 2
- FWCI
- 4.47
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Alzheimer s & Dementia (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Portal (Queen's University Belfast) (publishedVersion, cc-by)
- Funders
- Robert J. Kleberg, Jr. and Helen C. Kleberg Foundation
- Good Ventures Foundation
- 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
- APOE3
- MeSH terms
- Alzheimer Disease, Animals, Brain, Humans, Protein Binding, tau Proteins, Intercellular Signaling Peptides and Proteins, Mice, Apolipoprotein E3
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