Cited by 250Alzheimer's disease research and treatmentsDementia and Cognitive Impairment ResearchNeuroinflammation and Neurodegeneration Mechanisms

Influence of the apolipoprotein E genotype on amyloid deposition and neurofibrillary tangle formation in Alzheimer's disease

Nagy, Z.S., Esiri, M.M., Jobst, K.A., Johnston, C., Litchfield, S., Sim, E., Smith, A.D.·1995·Neuroscience

Abstract

The effect of the apolipoprotein E genotype on the development of late onset Alzheimer's disease is still debated. Neuropathological studies of Alzheimer's disease have found a great extent of amyloid deposition in cortex and blood vessel walls in association with the apolipoprotein E epsilon 4 genotype [Rebeck G. W. et al. (1993) Neuron 11, 575-580; Schmechel et al. (1993) Proc. natn. Acad. Sci. U.S.A. 90, 9649-9653]. In contrast, the relationship of apolipoprotein E genotype to neurofibrillary pathology in Alzheimer's disease has been less clear. In this study we present evidence on the influence of the apolipoprotein E genotype on Alzheimer's disease related pathology in a series of 76 autopsy cases that had pathology that fulfilled the CERAD criteria for Alzheimer's disease. We found that the presence of the apolipoprotein E epsilon 4 allele is correlated with increased amounts of both amyloid and neuritic pathology in the neocortex as determined using an image analysis system. Comparison of plaque and tangle densities with the allele doses of epsilon 2 and epsilon 4 revealed a striking parallelism, suggesting that the alleles exert their effects very early in the pathological process before deposition of plaques and tangles. Although the apolipoprotein E epsilon 2 allele had a protective effect against both amyloid deposition and neurofibrillary tangle formation, in the presence of the epsilon 4 allele this protective effect against neuritic pathology was less marked than against amyloid deposition. This differential effect on amyloid deposition and the accumulation of neuritic pathology suggests that different molecular mechanisms are involved in the effect of apolipoprotein E on amyloid deposition and on tau phosphorylation.

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Crossref · 10.1016/0306-4522(95)00331-c

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Authors
Nagy, Z. S., Esiri, M. M., Jobst, K. A., Johnston, C., Litchfield, S., Sim, E., & Smith, A. D.
Affiliations
University of Oxford (GB)
Corresponding author
Nagy, Z.S.
Venue
Neuroscience
Publisher
Elsevier BV
Published
1995-12
Volume
69
Issue
3
Pages
757-761
ISSN
0306-4522 (ISSN-L)
OpenAlex
W1985137206
Cited by
250
References
27
Citations by year
2026: 2 · 2025: 5 · 2024: 12 · 2023: 6 · 2022: 11 · 2021: 13 · 2020: 10 · 2019: 9 · 2018: 8 · 2017: 5 · 2016: 7 · 2015: 9 · 2014: 5 · 2013: 13 · 2012: 7
FWCI
5.21
Type
journal article
Language
en
Open access
closed
Locations
  • Neuroscience (publishedVersion)
  • PubMed (publishedVersion)
  • University of Birmingham Research Portal (University of Birmingham) (publishedVersion)
  • University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
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, APOE ε4, Alzheimer's disease, amyloid deposition, neurofibrillary tangles, neuritic plaques, tau phosphorylation, neocortex, genetic risk
MeSH terms
Aged, Aged, 80 and over, Alleles, Alzheimer Disease, Amyloid, Apolipoproteins E, Female, Genotype, Humans, Male, Middle Aged, Neurites, Neurofibrillary Tangles, Apolipoprotein E3, Apolipoprotein E4, Apolipoprotein E2

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