Influence of the apolipoprotein E genotype on amyloid deposition and neurofibrillary tangle formation in Alzheimer's disease
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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APOE2 markedly delays the age of onset of Alzheimer's disease, even in the presence of the APOE4 allele.
“and markedly delaying the age of onset, even in the presence of the APOE4 allele.12,13”
From AAVrh.10-Mediated APOE2 Central Nervous System Gene Therapy for APOE4-Associated Alzheimer's Disease (2018) · cites this paper as [13]
APOE2 is a protective allele, reducing Alzheimer's disease risk by approximately 50% (1.8-fold decreased risk).
“In contrast, APOE2 is a protective allele, reducing AD risk by approximately 50% (1.8-fold decreased risk)”
From AAVrh.10-Mediated APOE2 Central Nervous System Gene Therapy for APOE4-Associated Alzheimer's Disease (2018) · cites this paper as [13]
Compared to E4 homozygotes, APOE2/E4 heterozygotes have a markedly reduced risk of developing AD.
“APOE2 homozygotes are protected from late-onset AD and, compared to E4 homozygotes, APOE2/E4 heterozygotes have a markedly reduced risk of developing AD.6,12,13”
From AAVrh.10-Mediated APOE2 Central Nervous System Gene Therapy for APOE4-Associated Alzheimer's Disease (2018) · cites this paper as [13]
Individuals who are APOE4 homozygotes have a markedly increased risk of developing AD.
“Individuals who are APOE4 homozygotes have a markedly increased risk of developing AD.”
From AAVrh.10-Mediated APOE2 Central Nervous System Gene Therapy for APOE4-Associated Alzheimer's Disease (2018) · cites this paper as [13]
APOE2 homozygotes are protected from late-onset AD.
“APOE2 homozygotes are protected from late-onset AD and, compared to E4 homozygotes, APOE2/E4 heterozygotes have a markedly reduced risk of developing AD.6,12,13”
From AAVrh.10-Mediated APOE2 Central Nervous System Gene Therapy for APOE4-Associated Alzheimer's Disease (2018) · cites this paper as [13]
Converting an APOE4 homozygote to an E4/E2 heterozygote would markedly decrease the risk for developing early-onset AD compared with E4 homozygotes.
“From epidemiologic studies, this would markedly decrease the risk for developing early-onset AD compared to E4 homozygotes.”
From AAVrh.10-Mediated APOE2 Central Nervous System Gene Therapy for APOE4-Associated Alzheimer's Disease (2018) · cites this paper as [13]
ApoE4 is associated with aggravated Alzheimer's disease neuropathology, enhanced neuroinflammation, deregulated lipid metabolism, mitochondrial dysfunction, and impaired synaptic plasticity.
“On the molecular level, ApoE4 has been associated with aggravated AD neuropathology, enhanced neuroinflammation, deregulated lipid metabolism, mitochondrial dysfunction, and impaired synaptic plasticity (Nagy et al., 1995;Chang et al., 2005;Rapp et al., 2006;Klein et al., 2010;Rodriguez et al., 2014).”
From Human ApoE Isoforms Differentially Modulate Brain Glucose and Ketone Body Metabolism: Implications for Alzheimer's Disease Risk Reduction and Early Intervention (2018) · cites this paper as Nagy et al., 1995
ApoE2 is rare, occurring in about 5% of the population, and shows protection against Alzheimer's disease.
“ApoE2 is rare, occurring in 5% of the population, and it shows protection against AD.”
From Human ApoE Isoforms Differentially Modulate Brain Glucose and Ketone Body Metabolism: Implications for Alzheimer's Disease Risk Reduction and Early Intervention (2018) · cites this paper as Nagy et al., 1995
ApoE2 slows Alzheimer's disease progression and is positively associated with cognitive functions during aging.
“ApoE2 has been found to slow AD progression and be positively associated with cognitive functions during aging (Nagy et al., 1995;Craft et al., 1998;Martins et al., 2005;Shinohara et al., 2016).”
From Human ApoE Isoforms Differentially Modulate Brain Glucose and Ketone Body Metabolism: Implications for Alzheimer's Disease Risk Reduction and Early Intervention (2018) · cites this paper as Nagy et al., 1995
The APOE2 variant is a protective allele against Alzheimer's disease.
“while the APOE2 variant was the first identified protective allele against AD (Corder et al, 1994; Nagy et al, 1995).”
From APOE from astrocytes restores Alzheimer’s Aβ-pathology and DAM-like responses in APOE deficient microglia (2024) · cites this paper as Nagy et al, 1995
Some studies reported a positive relationship between neurofibrillary tangle density and apoE ε4 allele dosage.
“Although some studies reported a positive relationship between the neurofibrillary tangle density and apoE ε4 allele dosage (Ghebremedhin et al., 1998; Nagy et al., 1995; Ohm et al., 1995; Polvikoski et al., 1995)”
From The role of apolipoprotein E in Alzheimer's disease (2009) · cites this paper as Nagy et al., 1995
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Self-citation
- 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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