Alzheimer's disease pathology in APOE transgenic mouse models: The Who, What, When, Where, Why, and How
Open accessAbstract
The focus on amyloid plaques and neurofibrillary tangles has yielded no Alzheimer's disease (AD) modifying treatments in the past several decades, despite successful studies in preclinical mouse models. This inconsistency has caused a renewed focus on improving the fidelity and reliability of AD mouse models, with disparate views on how this improvement can be accomplished. However, the interactive effects of the universal biological variables of AD, which include age, APOE genotype, and sex, are often overlooked. Age is the greatest risk factor for AD, while the ε4 allele of the human APOE gene, encoding apolipoprotein E, is the greatest genetic risk factor. Sex is the final universal biological variable of AD, as females develop AD at almost twice the rate of males and, importantly, female sex exacerbates the effects of APOE4 on AD risk and rate of cognitive decline. Therefore, this review evaluates the importance of context for understanding the role of APOE in preclinical mouse models. Specifically, we detail how human AD pathology is mirrored in current transgenic mouse models ("What") and describe the critical need for introducing human APOE into these mouse models ("Who"). We next outline different methods for introducing human APOE into mice ("How") and highlight efforts to develop temporally defined and location-specific human apoE expression models ("When" and "Where"). We conclude with the importance of choosing the human APOE mouse model relevant to the question being addressed, using the selection of transgenic models for testing apoE-targeted therapeutics as an example ("Why").
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A hallmark of the ApoE4 mouse phenotype is reduced neuronal complexity, characterized by fewer, shorter, and less branched dendrites, including reduced dendritic spine density in the hippocampus and entorhinal cortex.
“A hallmark of the ApoE4 mouse phenotype is reduced neuronal complexity, characterized by fewer, shorter, and less branched dendrites. This includes a major reduction in dendritic spine density in the hippocampus (specifically the dentate gyrus and CA1 regions) and the entorhinal cortex [26–28].”
From Dyslipidemia-Induced Mitochondrial Dysfunctions in the Brains Does Not Reach Pathological Levels in the ApoE-Knockout Mice (2026) · cites this paper as [26]
The ‘APOE Transgenic Mice’ section says APOE-targeted replacement mice show isoform-dependent changes in synaptic number and structure, and the References list a study of reduced spine density and dendritic complexity in cortical neurons. Our copy does not substantiate fewer or shorter dendrites, a major reduction in spine density, or the specified hippocampal and entorhinal regions. (LLM, conf=0.82)
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Extracellular Proteolysis of Apolipoprotein E (apoE) by Secreted Serine Neuronal Protease
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Pankiewicz, J. E., Baquero-Buitrago, J., Sanchez, S., Lopez-Contreras, J., Kim, J., Sullivan, P. M., Holtzman, D. M., & Sadowski, M. J. (2017) · Molecular Neurodegeneration · doi:10.1186/s13024-017-0156-1 · Cited by 34 · cited 1× · see citing works
“…amyloid plaque pathology in the brain, with levels highest in apoE4-expressing mice (Bales et al., 2009; Pankiewicz et al., 2014; Youmans et al., 2012; Tai et al., 2013; Castellano et al., 2011; Pankiewicz et al., 2017; Kim et al., 2011; Fryer et al., 2005; Holtzman et al., 2000; Tai et al., 2017).”
BackgroundIntegrated approach reveals diet, APOE genotype and sex affect immune response in APP mice
Nam, K. N., Wolfe, C. M., Fitz, N. F., Letronne, F., Castranio, E. L., Mounier, A., Schug, J., Lefterov, I., & Koldamova, R. (2018) · Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease · doi:10.1016/j.bbadis.2017.10.018 · Cited by 32 · see citing works
Castranio, E. L., Wolfe, C. M., Nam, K. N., Letronne, F., Fitz, N. F., Lefterov, I., & Koldamova, R. (2018) · Acta Neuropathologica Communications · doi:10.1186/s40478-018-0569-2 · Cited by 23 · see citing works
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The role of genetic risk factors of Alzheimer’s disease in synaptic dysfunction
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- Authors
- Lewandowski, C. T., Maldonado Weng, J., & LaDu, M. J.
- Affiliations
- University of Illinois Chicago (US)
- Corresponding author
- LaDu, Mary Jo
- Venue
- Neurobiology of Disease
- Publisher
- Elsevier BV
- Published
- 2020-06
- Volume
- 139
- Pages
- 104811
- ISSN
- 0969-9961 (ISSN-L)
- PMC
- PMC7150653
- OpenAlex
- W3007464392
- Cited by
- 72
- References
- 73
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 19 · 2023: 7 · 2022: 13 · 2021: 17 · 2020: 4
- FWCI
- 1.31
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Neurobiology of Disease (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institutes of Health
- American Heart Association
- 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
- Alzheimer's disease, apolipoprotein E, APOE ε4, amyloid plaques, neurofibrillary tangles, sex differences, age effects, model selection, cognitive decline
- MeSH terms
- Alleles, Alzheimer Disease, Animals, Apolipoproteins E, Disease Models, Animal, Female, Genotype, Humans, Male, Mice, Transgenic, Reproducibility of Results, Amyloid beta-Peptides, tau Proteins, Mice, Apolipoprotein E4, Plaque, Amyloid, Cognitive Dysfunction
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 ›
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