Cited by 424Alzheimer's disease research and treatmentsNeuroinflammation and Neurodegeneration MechanismsCholesterol and Lipid Metabolism

The DOI matches its Crossref record; 131 of the 131 references it cites were found in a registry or an index; 70 of the 104 sources its claims cite were checked for support.

Cholesterol and matrisome pathways dysregulated in astrocytes and microglia

Open access

Abstract

The impact of apolipoprotein E ε4 (APOE4), the strongest genetic risk factor for Alzheimer's disease (AD), on human brain cellular function remains unclear. Here, we investigated the effects of APOE4 on brain cell types derived from population and isogenic human induced pluripotent stem cells, post-mortem brain, and APOE targeted replacement mice. Population and isogenic models demonstrate that APOE4 local haplotype, rather than a single risk allele, contributes to risk. Global transcriptomic analyses reveal human-specific, APOE4-driven lipid metabolic dysregulation in astrocytes and microglia. APOE4 enhances de novo cholesterol synthesis despite elevated intracellular cholesterol due to lysosomal cholesterol sequestration in astrocytes. Further, matrisome dysregulation is associated with upregulated chemotaxis, glial activation, and lipid biosynthesis in astrocytes co-cultured with neurons, which recapitulates altered astrocyte matrisome signaling in human brain. Thus, APOE4 initiates glia-specific cell and non-cell autonomous dysregulation that may contribute to increased AD risk.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

APOE4 effects on human brain cells were studied using population and isogenic hiPSCs, post-mortem brain, and APOE-TR mice. APOE4 drives human-specific lipid/cholesterol dysregulation in astrocytes and microglia and matrisome/chemokine dysregulation via astrocyte-neuron communication, with APOE local haplotype and donor background strongly influencing phenotypes.

Key findings

  • Population and isogenic hiPSC models show that APOE4 local haplotype, rather than a single risk allele, contributes to risk; APOE4 occurred on 7 unique haplotypes and APOE3 on 12, and DEGs were astrocytes > microglia > mixed cortical cultures, with no significant BMEC DEGs.
  • APOE4 astrocytes and microglia showed upregulated cholesterol biosynthesis and downregulated lysosome/HDL lipid transport; APOE4 astrocytes had 20% increased total cholesterol, 3-fold increased lysosomal cholesterol co-localization (p<0.001), 80% lower APOE protein, 63% lower secreted APOE, and reduced cholesterol efflux.
  • APOE4 mixed cortical cultures and AD brain showed enriched matrisome/ECM pathways, with deconvolution implicating APOE4 astrocytes; 24 of 45 secreted proteins were differentially expressed, the top 12 were higher in APOE4 astrocytes, and CXCL1/CXCL10 were enriched 2–2.5-fold in mixed-cortical-cultured astrocytes versus pure astrocytes.
  • Mouse APOE-TR/Apoe KO models lacked the human lipid dysregulation, indicating human-specific lipid metabolic dysregulation; APOE KO mimicked APOE4 within the same individual, but donor genetic background outweighed APOE loss-of-function.

Methods

  • Generated hiPSC-derived microglia, astrocytes, mixed cortical cultures, and BMECs from 13 population lines (6 APOE44, 7 APOE33) and 24 CRISPR/Cas9 isogenic hiPSCs from 4 individuals; also used APOE-TR and Apoe KO mouse glia and human post-mortem brain.
  • RNA-seq, DEG analysis, fGSEA, WGCNA, IPA, cell-type deconvolution (DSA/csSAM), GRS and APOE local haplotype analysis; functional assays included GC-MS cholesterol, filipin, LDL binding, myelin uptake, DHE/fluorescent cholesterol efflux, Luminex, Western blot, and imaging.
  • Statistical analyses used DESeq2/DREAM, fGSEA FDR<0.1, WGCNA p<0.1, and Prism ANOVA/t-tests; data were deposited in GEO.

Limitations

  • Stated: hiPSC models remove age-associated epigenetic signatures and cannot recapitulate aging/epigenetics or AD neuropathological phenotypes; collecting equal cases versus controls for each APOE genotype was challenging; 2D cultures lack microglia; BMECs did not exhibit a cell-autonomous APOE4 phenotype.
  • Evident from the text: strong donor/individual variability and APOE local haplotype effects, with isogenic lines creating novel haplotypes and discordant phenotypes across studies; mouse-human divergence limits translation from APOE-TR mice.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1016/j.cell.2022.05.017

Cites

131 of 131 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

70 of 104 cited sources checked · 33 supported · 1 flagged · accuracy not yet measured

Show all 166 claims

  • It may state two separate claims as one. 76
  • Probably not a substantial claim. 73
  • The quote only partly states this claim. 1
127 of 127
  • The paper relies on this without support.

    The hiPSC-derived brain cell types (astrocytes, microglia, mixed cortical cultures, and BMECs) recapitulate the relevant human brain cell types sufficiently to model APOE4 effects in AD.

    “Global transcriptomics and in vitro functional studies were employed to determine the impact of APOE4 in hiPSC-derived brain cell types from both population and multiple CRISPR-edited isogenic lines.”
  • The paper relies on this without support.

    Differences observed between APOE4 and APOE3 lines are attributable to APOE genotype rather than other genetic or disease-status differences.

    “One challenge was collecting an equal number of cases vs. controls for each APOE genotype to confirm that differences were attributed to APOE4 but not unknown effects of disease status.”
  • The paper relies on this without support.

    The matrisome signal in AD brain deconvolution reflects astrocyte biology and not other cell types.

    “Cell type deconvolution of AD brain uncovered enriched matrisome in APOE4 astrocytes.”
  • The paper relies on this without support.

    Fluorescently labeled cholesterol performs equivalently to radiolabeled cholesterol in the cholesterol efflux assay.

    “loaded with fluorescently labeled cholesterol (Biovision, K582–100) that performs equivalently to radiolabeled cholesterol for 1 h”
  • The paper relies on this without support.

    There are no anti-inflammatory factors in the culture medium used for the multiplex immunoassay.

    “There are no anti-inflammatory factors in the culture medium.”
5 of 5

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Self-check

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

Each contradiction between two passages listed here was confirmed by an independent check.

  • Mouse glia are described as fetal but collected at P2

    Minor

    The results call the mouse microglia and astrocytes fetal, whereas the methods say the glia were obtained at P2, a postnatal age.

1 of 1

Citations

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Research works printed but not linked: 1

  1. Ran, 2013, Genome engineering using the CRISPR-Cas9 system, Nature Protocols, 8, 2281, 10.1038/nprot.2013.143 · DOI · Paper page

Cited by

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Items 401–424 of 424

Metadata

Authors
TCW, J., Qian, L., Pipalia, N. H., Chao, M. J., Liang, S. A., Shi, Y., Jain, B. R., Bertelsen, S. E., Kapoor, M., Marcora, E., Sikora, E., Andrews, E. J., Martini, A. C., Karch, C. M., Head, E., Holtzman, D. M., Zhang, B., Wang, M., Maxfield, F. R., Poon, W. W., & Goate, A. M.
Affiliations
  • Weill Cornell Medicine (US)
  • Icahn School of Medicine at Mount Sinai (US)
  • University of California, Irvine (US)
  • Washington University in St. Louis (US)
  • Regeneron (United States) (US)
Corresponding author
Goate, Alison M.
Venue
Cell
Publisher
Elsevier BV
Published
2022-06
Volume
185
Issue
13
Pages
2213-2233.e25
ISSN
0092-8674 (ISSN-L)
OpenAlex
W4283360267
Cited by
411
References
130
Citations by year
2026: 93 · 2025: 101 · 2024: 95 · 2023: 79 · 2022: 37
FWCI
50.10
Type
journal article
Language
en
Open access
Locations
  • Cell (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • Pfizer
  • National Center for Research Resources (1S10RR025496-01)
  • National Heart, Lung, and Blood Institute (R01HL093324)
  • New York Stem Cell Foundation
  • JPB Foundation (P50AG016573)
  • Cure Alzheimer&apos;s Fund (RF1AG054014, U01AG046170, RF1AG057440, RF1AG074010)
  • AbbVie
  • Biogen
  • Eisai
  • National Institutes of Health (RF1AG054014, RF1AG057440, P50AG016573, P30AG066519, RF1AG074010, U01AG046170, K01AG062683, OD 1S10OD010794-01, 1S10OD021718-01)
  • University of California, Irvine (P30AG066519)
  • GlaxoSmithKline
  • National Institute on Aging (U19AG069701, U01AG058635)
  • National Institute of Neurological Disorders and Stroke (RF1AG047644, RF1NS090934)
Topics
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Cholesterol and Lipid Metabolism
Keywords
APOE ε4, Alzheimer's disease, astrocytes, microglia, cholesterol metabolism, matrisome, lipid metabolism, de novo cholesterol synthesis, glial activation, chemotaxis, transcriptomics, non-cell-autonomous signaling
MeSH terms
Alzheimer Disease, Animals, Apolipoproteins E, Astrocytes, Cholesterol, Humans, Microglia, Mice, Apolipoprotein E3, Apolipoprotein E4, Induced Pluripotent Stem Cells

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