Overexpressing low‐density lipoprotein receptor reduces tau‐associated neurodegeneration in relation to apoE‐linked mechanisms
Open accessAbstract
APOE is the strongest genetic risk factor for late-onset Alzheimer's disease. ApoE exacerbates tau-associated neurodegeneration by driving microglial activation. However, how apoE regulates microglial activation and whether targeting apoE is therapeutically beneficial in tauopathy is unclear. Here, we show that overexpressing an apoE metabolic receptor, LDLR (low-density lipoprotein receptor), in P301S tauopathy mice markedly reduces brain apoE and ameliorates tau pathology and neurodegeneration. LDLR overexpression (OX) in microglia cell-autonomously downregulates microglial Apoe expression and is associated with suppressed microglial activation as in apoE-deficient microglia. ApoE deficiency and LDLR OX strongly drive microglial immunometabolism toward enhanced catabolism over anabolism, whereas LDLR-overexpressing microglia also uniquely upregulate specific ion channels and neurotransmitter receptors upon activation. ApoE-deficient and LDLR-overexpressing mice harbor enlarged pools of oligodendrocyte progenitor cells (OPCs) and show greater preservation of myelin integrity under neurodegenerative conditions. They also show less reactive astrocyte activation in the setting of tauopathy.
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Written from the paper’s full text.
TL;DR
Overexpressing LDLR in P301S tauopathy mice markedly lowers brain apoE and reduces tau pathology, neurodegeneration, synaptic loss, and microglial activation. The protective effects are linked to apoE-dependent microglial metabolic reprogramming, with additional preservation of myelin and OPC pools.
Key findings
- LDLR overexpression (OX) in P301S mice at 9 months reduced brain atrophy, synaptic loss, and postsynaptic density loss, and shifted p-tau staining toward an early-disease pattern; CSF and soluble brain apoE were reduced by ~90%, and p-tau was significantly reduced in RAB and RIPA fractions, while total human tau was unchanged.
- Microglial LDLR OX cell-autonomously downregulated microglial *Apoe* expression and intracellular apoE, and was associated with suppressed microglial activation; in 20-month mice, LDLR microglia showed reduced “DAM” and proinflammatory gene expression, and P301S/LDLR mice had less CD68+ microglial activation than P301S mice.
- snRNAseq of 31,785 nuclei identified 10 cell clusters; microglial subclustering found a P301S-enriched DAM cluster, a P301S/LDLR-unique cluster, and an apoE-deficiency-associated cluster. ApoE-deficient and LDLR microglia shifted toward catabolism with upregulated lysosomal genes and LGMN, downregulated anabolic/mTOR pathways, and LDLR microglia uniquely upregulated ion channels and neurotransmitter receptors.
- ApoE-deficient and LDLR-overexpressing mice had enlarged OPC pools and greater myelin preservation: OPC cluster representation was ~20% in EKO/P301S/EKO, 10–13% in LDLR/P301S/LDLR, and 3–5% in WT/P301S; P301S/LDLR and P301S/EKO mice also showed less demyelination and lower axonal G-ratio than P301S mice, with less reactive astrocyte activation.
Methods
- LDLR Tg mice were crossed to P301S and apoE KO mice; experiments used male mice except where stated, at ages including 3, 9, 20, and 24 months, with primary microglia, acutely isolated microglia, FACS, qPCR, western blot, ELISA, immunohistochemistry, electron microscopy, and lysosomal enzyme activity assays.
- Single-nuclei RNAseq used 10x Genomics on pooled hippocampi from 7–8 mice per genotype, yielding 31,785 nuclei; Seurat was used for clustering, MAST for differential expression, and Metascape for pathway analysis.
- Statistics used mean ± SEM, normality testing, t-tests or one-way ANOVA with Tukey post hoc, or Mann-Whitney/Kruskal-Wallis with Dunn’s post hoc, with significance thresholds *p*<0.05 to *p*<0.0001.
Limitations
- The paper states that further study is required to carefully address whether LDLR affects pathological tau spreading, and that functional characterization of reactive astrocytes in neurodegeneration needs future studies.
- Evident from the text: snRNAseq pooled 7–8 mice per genotype into a single sample per genotype, limiting animal-level statistical inference for transcriptomic comparisons.
- Evident from the text: male mice were used for all experiments except a few cases where sex was specifically stated, limiting generalization across sexes; the paper also notes that absolute tau and p-tau ELISA values cannot be directly compared because of different standards and antibody-binding capacities.
Model-written summary. Check it against the paper before relying on it.
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Claims the paper makes
27 of 44 cited sources checked · 21 supported · 1 flagged · accuracy not yet measured
- Premisecitation
ApoE promotes neurodegeneration and tau pathogenesis predominantly by driving microglial activation.
“ApoE had a strong immunomodulatory function and promoted neurodegeneration and tau pathogenesis predominantly by driving microglial activation (Shi et al., 2019).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Shi et al., 2019 source
- Premisecitation
ApoE ablation in P301S tau transgenic mice markedly reduced brain atrophy and tau pathology compared to the presence of apoE.
“ApoE ablation in P301S tau transgenic (Tg) mice markedly reduced brain atrophy and tau pathology compared to the presence of apoE, whereas apoE4 significantly exacerbated neurodegeneration compared to apoE2 and apoE3 (Shi et al., 2017).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Shi et al., 2017 source
The paper reports that ApoE knockout largely attenuated brain atrophy in P301S mice expressing human ApoE. It also reports differences in tau pathology across ApoE genotypes, but not a marked overall reduction in tau pathology with knockout: at 9 months, overall p-tau staining differences had decreased, although staining patterns differed. The reported greater neurodegeneration with ApoE4 than with ApoE2 or ApoE3 is supported (main text, passages indexed under Abstract; page unavailable). (LLM, conf=0.86)
Experimental — accuracy not yet measured
- Premisecitation
Microglia-derived apoE cell-autonomously promotes microglial activation towards the neurodegenerative MGnD/DAM phenotype.
“microglia-derived apoE was shown to cell-autonomously promote microglial activation towards the neurodegenerative “MGnD/DAM” phenotype (Krasemann et al., 2017).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Krasemann et al., 2017 source
- Premisecitation
ApoE4 significantly exacerbated neurodegeneration compared to apoE2 and apoE3 in P301S tau transgenic mice.
“ApoE ablation in P301S tau transgenic (Tg) mice markedly reduced brain atrophy and tau pathology compared to the presence of apoE, whereas apoE4 significantly exacerbated neurodegeneration compared to apoE2 and apoE3 (Shi et al., 2017).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Shi et al., 2017 source
- Premisecitation
LDLR is one of the two primary metabolic receptors mediating the clearance of apoE lipoproteins.
“Low-density lipoprotein receptor (LDLR) is one of the two primary metabolic receptors (the other is low-density lipoprotein receptor-related protein 1, LRP1) mediating the clearance of apoE lipoproteins (Holtzman et al., 2012; Ishibashi et al., 1994).”
Quote in the paperSubstantial claim1 of 2 sources checked- cites Holtzman et al., 2012 source
- cites Ishibashi et al., 1994 source
The Discussion supports LDLR as one of two receptors involved in apoE-mediated lipoprotein clearance. It cautions, however, that the identity of the second receptor is not known for certain, so the citing sentence’s definite identification of it as LRP1 goes beyond the paper’s conclusion. Page numbers are not given in the supplied passages. (LLM, conf=0.84)
Experimental — accuracy not yet measured
- Premisecitation
Microglia are the principal driving force of neurodegeneration and tau pathogenesis in tauopathy mouse models.
“We and others subsequently identified microglia as the principal driving force of neurodegeneration and tau pathogenesis in tauopathy mouse models (Mancuso et al., 2019; Shi et al., 2019).”
Quote in the paperSubstantial claim2 of 2 sources checked- cites Mancuso et al., 2019 source
The Discussion reports that inhibiting microglial proliferation in P301S mice prevented neurodegeneration and potentially slowed tau aggregation. It describes activated microglia as deleterious, but does not establish them as the principal driving force of either process across tauopathy mouse models; it explicitly notes uncertainty about whether their effect on tau pathology is predominant. The indexed passages provide section labels but no page numbers. (LLM, conf=0.86)
Experimental — accuracy not yet measured - cites Shi et al., 2019 source
- Findingown data
LDLR mice show a moderate increase in lysosomal enzyme activities compared to WT mice.
“LDLR mice also showed a moderate increase in enzyme activities compared to WT mice (Figure 5K)”
Quote in the paperNot a substantial claim - Findingown data
Similar differences in OPC density are observed in tau Tg mice.
“Similar differences were also observed in tau Tg mice (Figure 7B, C).”
Quote in the paperSubstantial claim - Findingown data
ApoE levels in the CSF of LDLR and P301S/LDLR mice are markedly reduced by ~90% compared to WT and P301S mice respectively.
“Corresponding to LDLR OX, apoE levels in the CSF of LDLR and P301S/LDLR mice were markedly reduced by ~90% compared to WT and P301S mice respectively (Figure 2A).”
Quote in the paperSubstantial claim - Findingown data
In the absence of the tau transgene, apoE- and LDLR-associated gene expression changes are primarily enriched in neurons, particularly excitatory neurons.
“In the absence of the tau transgene, apoE- and LDLR-associated gene expression changes (WT vs. EKO or WT vs. LDLR) were primarily enriched in neurons, particularly in excitatory neurons.”
Quote in the paperSubstantial claim - Findingown data
Cluster 0 and cluster 1 shrink drastically in P301S mice.
“Among the six astrocyte subclusters, cluster 0 and cluster 1 shrunk drastically in P301S mice (Figure 6A, B)”
Quote in the paperNot a substantial claim - Findingown data
Increased density of OPCs is confirmed in the molecular layer of dentate gyrus in the hippocampus of 9-month EKO and LDLR Tg mice compared to WT mice by CSPG4 staining.
“We confirmed increased density of OPCs in the molecular layer of dentate gyrus (DG) in the hippocampus of 9-month EKO and LDLR Tg mice compared to WT mice by immunofluorescent staining with the OPC marker CSPG4 (Figure 7B, C).”
Quote in the paperSubstantial claim - Findingown data
ApoE level has a strong positive correlation with insoluble tau level in both P301S and P301S/LDLR mice.
“However, apoE level had a strong positive correlation with insoluble tau level, and trended toward a negative correlation with soluble tau levels in both P301S and P301S/LDLR mice (Figure 2C).”
Quote in the paperSubstantial claim - Findingown data
Cluster 3 is strongly enriched in EKO and P301S/EKO mice (~20%), and to a less extent in LDLR and P301S/LDLR mice (10-13%) compared to WT and P301S mice (3-5%).
“cluster 3 was strongly enriched in EKO and P301S/EKO mice (~20%), and to a less extent in LDLR and P301S/LDLR mice (10-13%) compared to WT and P301S mice (3-5%) (Figure 6A, B).”
Quote in the paperSubstantial claim - Findingown data
In 9-month P301S mice, activated microglia (CD68+) almost invariably show large punctate intracellular apoE staining.
“activated microglia (CD68+) in 9-month P301S mice almost invariably showed large punctate intracellular apoE staining”
Quote in the paperSubstantial claim - Findingown data
This effect is not observed in 3-month old mice.
“This effect was not observed in 3-month old mice (Figure 5N).”
Quote in the paperNot a substantial claim - Findingown data
Acutely isolated LDLR Tg microglia show Ldlr overexpression compared to WT microglia.
“we consistently observed Ldlr overexpression in LDLR Tg microglia compared to WT microglia.”
Quote in the paperSubstantial claim - Findingown data
In P301S/LDLR mice, activated microglia show minimal intracellular apoE or only tiny apoE puncta.
“whereas in P301S/LDLR mice, minimal intracellular apoE, or only tiny apoE puncta were observed in activated microglia (Figure 3L).”
Quote in the paperSubstantial claim - Findingown data
Microglia isolated from aged (20-month) EKO mice show a similar reduction of p4EBP compared to microglia from WT mice even in the absence of tau transgene.
“microglia isolated from aged (20-month) EKO mice showed a similar reduction of p4EBP compared to microglia from WT mice (Figure 5M).”
Quote in the paperSubstantial claim - Findingown data
LDLR microglia show a similarly increased level of LGMN compared to WT microglia.
“LDLR microglia showed a similarly increased level of LGMN compared to WT microglia”
Quote in the paperSubstantial claim - Findingown data
LDLR OX in P301S mice significantly reduces p-tau levels in the RAB and RIPA fractions.
“In contrast to no change of total human tau levels, LDLR OX in P301S mice significantly reduced p-tau levels in the RAB and RIPA fractions (Figure 2B).”
Quote in the paperSubstantial claim - Findingown data
Cultured LDLR-overexpressing microglia show increased Ldlr expression.
“corresponding to increased Ldlr expression (Figure 3C)”
Quote in the paperSubstantial claim - Findingown data
At 3 months of age, LDLR OX does not affect early ptau histopathology present in the mossy fibers of the hippocampus (type1 ptau).
“At 3-months of age, an early time point before activation of DAM microglia (Figure S2A), LDLR OX did not affect early ptau histopathology that is present in the mossy fibers of the hippocampus (type1 ptau, not present in WT mice) (Figure S2B).”
Quote in the paperSubstantial claim - Findingown data
P301S/LDLR mice show significantly reduced insoluble apoE compared to P301S mice.
“Significantly reduced insoluble apoE was also observed in P301S/LDLR mice compared to P301S mice (Figure 2B).”
Quote in the paperSubstantial claim - Findingown data
P301S mice show severe loss of postsynaptic densities in the stratum radiatum of hippocampal CA1.
“Electron microscopy also revealed severe loss of postsynaptic densities (PSDs) in the stratum radiatum of hippocampal CA1 region in P301S mice”
Quote in the paperSubstantial claim - Findingown data
The proportion of inhibitory neurons is increased in P301S mice compared to other groups.
“The proportion of inhibitory neurons, in contrast, was increased in P301S mice compared to other groups (Figure 4C, D).”
Quote in the paperNot a substantial claim - Findingown data
Lgmn is upregulated in acutely isolated microglia from EKO mice compared to WT mice by qPCR.
“We verified upregulation of Lgmn in acutely isolated microglia from EKO mice compared to that from WT mice by qPCR (Figure 5H)”
Quote in the paperNot a substantial claim - Findingown data
Cultured LDLR-overexpressing microglia show significant reduction of Apoe gene expression.
“a significant reduction of Apoe gene expression (Figure 3C)”
Quote in the paperSubstantial claim - Findingown data
Compared to cluster 2, top downregulated pathways in cluster 3 include myeloid leukocyte activation, antigen processing and presentation, and myeloid leukocyte differentiation, featuring genes involved in microglial activation.
“Compared to cluster 2, top downregulated pathways in cluster 3 include “myeloid leukocyte activation”, “antigen processing and presentation”, and “myeloid leukocyte differentiation”, all featuring genes involved in microglial activation”
Quote in the paperNot a substantial claim - Findingown data
At 3 months, no volume differences are observed between P301S and P301S/LDLR mice.
“no volume differences were observed between P301S and P301S/LDLR mice (Figure S2D).”
Quote in the paperSubstantial claim - Findingown data
In 20-month mice, LDLR Tg microglia, like EKO microglia, show significantly reduced DAM and proinflammatory gene expression compared to WT microglia.
“in microglia isolated from 20-month mice, LDLR Tg microglia, like EKO microglia, showed significantly reduced “DAM” and proinflammatory gene expression compared to WT microglia”
Quote in the paperSubstantial claim - Findingown data
The largest group of upregulated genes in cluster 4 encode lysosomal enzymes and proteins involved in cellular degradation.
“The largest group of upregulated genes in cluster 4 encode lysosomal enzymes and proteins involved in cellular degradation, including Lgmn, Ctss, Ctsl, Hexb, Man2b1, Lamp1, Lamp2, Abca2 and others (Figure 5F, G).”
Quote in the paperNot a substantial claim - Findingown data
Neurodegeneration-associated gene expression change (P301S vs WT) mainly occurs in microglia and astrocytes.
“neurodegeneration-associated gene expression change (P301S vs. WT) mainly occurred in microglia and astrocytes.”
Quote in the paperSubstantial claim - Findingown data
Synaptic loss in P301S mice is significantly attenuated in P301S/LDLR mice.
“which was significantly attenuated in P301S/LDLR mice (Figure 1C, D).”
Quote in the paperSubstantial claim - Findingown data
In tauopathy, the highest level of gene expression change shifts from neurons to microglia in both P301S vs P301S/EKO and P301S vs P301S/LDLR conditions.
“However, in the setting of tauopathy, the highest level of gene expression change shifted from neurons to microglia in both conditions (P301S vs. P301S/EKO, P301S vs. P301S/LDLR)”
Quote in the paperSubstantial claim - Findingown data
P301S/LDLR mice show no alteration in total human tau levels in any fractions compared to P301S mice.
“P301S/LDLR mice showed no alteration in total human tau levels in any fractions compared to P301S mice (Figure 2B).”
Quote in the paperSubstantial claim - Findingown data
ApoE levels positively correlate with p-tau levels in all fractions.
“In addition, apoE levels positively correlated with p-tau levels in all fractions (Figure 2D).”
Quote in the paperSubstantial claim - Findingown data
Microglia from LDLR Tg mice overexpress LDLR, particularly a low molecular weight form of LDLR.
“microglia from LDLR Tg mice also overexpressed LDLR, particularly a low molecular weight form of LDLR (Figure 3A, B).”
Quote in the paperSubstantial claim - Findingown data
Immunoblotting of acutely isolated microglia from 11-month P301S, P301S/LDLR and P301S/EKO female mice shows reduced phosphorylation of 4EBP in P301S/EKO microglia compared to P301S microglia.
“immunoblotting of acutely isolated microglia from 11-month P301S, P301S/LDLR and P301S/EKO female mice showed reduced phosphorylation of 4EBP (p4EBP) - an mTORC1 effector, in P301S/EKO microglia compared to P301S microglia (Figure 5L)”
Quote in the paperSubstantial claim - Findingown data
ApoE level trends toward a negative correlation with soluble tau levels in both P301S and P301S/LDLR mice.
“However, apoE level had a strong positive correlation with insoluble tau level, and trended toward a negative correlation with soluble tau levels in both P301S and P301S/LDLR mice (Figure 2C).”
Quote in the paperNot a substantial claim - Findingown data
A similar pattern of p4EBP levels is observed in P301S/LDLR microglia compared to P301S and P301S/EKO microglia.
“a similar pattern of p4EBP levels was also observed in P301S/LDLR microglia compared to P301S and P301S/EKO microglia (Figure 5L-N)”
Quote in the paperSubstantial claim - Findingown data
Two subpopulations of homeostatic microglia (cluster 0 and 1) are enriched in non-tau Tg mice, but drastically reduced in P301S mice.
“We identified two subpopulations of homeostatic microglia (cluster 0 and 1) that were enriched in non-tau Tg mice, but were drastically reduced in P301S mice (Figure 5A, B).”
Quote in the paperSubstantial claim - Findingown data
LDLR microglia show an intermediate level of p4EBP compared to WT and EKO microglia.
“LDLR microglia showed an intermediate level of p4EBP compared to WT and EKO microglia”
Quote in the paperSubstantial claim - Findingown data
Both LDLR and P301S/LDLR mice show an ~90% reduction of soluble apoE in cortical tissue.
“Both LDLR and P301S/LDLR mice showed an ~90% reduction of soluble apoE similar to that seen in the CSF (Figure 2B).”
Quote in the paperSubstantial claim - Findingown data
Unsupervised clustering of microglia yielded six subclusters.
“Unsupervised clustering yielded six subclusters among all samples (Figure 5A).”
Quote in the paperSubstantial claim - Findingown data
Cluster 4 is specifically associated with apoE deficiency, as it is enriched in apoE-deficient mice regardless of the presence or absence of tau transgene.
“Cluster 4 was specifically associated with apoE deficiency, as it was enriched in apoE-deficient mice, regardless of the presence or absence of tau transgene (Figure 5A, B).”
Quote in the paperNot a substantial claim - Findingown data
P301S mice show a marked increase of Apoe expression uniquely in microglia over other cell types compared to WT mice.
“Here we found that compared to WT mice, P301S mice showed a marked increase of Apoe expression that occurred uniquely in microglia over other cell types (Figure S4A).”
Quote in the paperSubstantial claim - Findingown data
Downregulated genes in cluster 4 microglia primarily fall into anabolic pathways, including peptide chain elongation, glycolysis, and mTOR signaling.
“Downregulated genes in cluster 4 microglia primarily fell into anabolic pathways, such as “peptide chain elongation” characterized by ribosome protein genes; “glycolysis”, including genes encoding glycolytic enzymes such as Eno2, Gapdh, and Ldha; and “mTOR signaling””
Quote in the paperNot a substantial claim - Findingown data
The density of OPCs is increased in P301S mice compared to WT mice.
“The density of OPCs was increased in P301S mice compared to WT mice”
Quote in the paperSubstantial claim - Findingown data
PSD loss in P301S mice is partially rescued in P301S/LDLR mice.
“which was partially rescued in P301S/LDLR mice (Figure 1E, F).”
Quote in the paperSubstantial claim - Findingown data
P301S mice show marked synaptic loss compared to WT and LDLR mice, particularly in the stratum lucidum of hippocampal CA3.
“Synapsin staining revealed a marked synaptic loss in P301S mice compared to WT and LDLR mice, particularly in the stratum lucidum of hippocampal CA3 region”
Quote in the paperSubstantial claim - Findingown data
LGMN protein level is increased in acutely isolated microglia from both young (3-month) and aged (20-month) EKO mice compared to WT mice by western blot.
“found increased LGMN protein level in acutely isolated microglia from both young (3-month) and aged (20-month) EKO mice compared to WT mice by western blot (Figure 5I, J).”
Quote in the paperSubstantial claim - Findingown data
EKO mice show significantly increased activity of all three lysosomal enzymes (Hex, Gluc, Naglu) in mouse cortices compared to WT mice.
“We observed significantly increased activity of all three enzymes in EKO mice compared to WT mice (Figure 5K)”
Quote in the paperSubstantial claim - Findingown data
P301S/LDLR mice have significantly less brain volume loss than P301S mice.
“whereas P301S/LDLR mice had significantly less brain volume loss than P301S mice (Figure 1A, B).”
Quote in the paperSubstantial claim - Findingreasoning
The difference of intracellular apoE level between WT and LDLR Tg microglia is increased in aged mice (20-month) compared to young mice (3-month).
“the difference of intracellular apoE level between WT and LDLR Tg microglia was increased in aged mice (20-month) compared to young mice (3-month) (Figure 3H, I).”
Quote in the paperSubstantial claim - Findingown data
P301S mice at 9 months show severe brain atrophy in the hippocampus and piriform/entorhinal cortex compared to WT and LDLR mice.
“Compared to WT and LDLR mice that had a normal brain volume, P301S mice showed severe brain atrophy in the hippocampus and piriform/entorhinal cortex”
Quote in the paperSubstantial claim - Findingown data
These pathways highlight genes encoding ion channels and neurotransmitter receptors, such as Kcnc1, Kcnc3, Scn2a, Scn2b, Atp1a1, Grin2c, Gabra6, and Grm4.
“These pathways highlighted genes encoding ion channels and neurotransmitter receptors, such as voltage-gated K+ and Na+ channels (Kcnc1, Kcnc3, Scn2a, Scn2b), Na+/K+-ATPase (Atp1a1), NMDA receptor (Grin2c), GABA-A receptor (Gabra6), and metabotropic glutamate receptor (Grm4) (Figure S5A, B).”
Quote in the paperNot a substantial claim - Findingown data
The astrocyte population remains stable across groups.
“whereas the astrocyte population remained stable across groups (Figure 4C, D).”
Quote in the paperNot a substantial claim - Findingown data
P301S/LDLR mice show significantly attenuated microglial activation relative to P301S mice by CD68 staining.
“P301S/LDLR mice showed significantly attenuated microglial activation relative to P301S mice by CD68 staining (Figure 3M).”
Quote in the paperSubstantial claim - Findingown data
Cluster 2 is highly enriched in P301S mice.
“Cluster 2 was highly enriched in P301S mice (Figure 6A, B)”
Quote in the paperNot a substantial claim - Findingown data
Cultured LDLR-overexpressing microglia show marked reduction of intracellular apoE protein level.
“as well as a marked reduction of intracellular apoE protein level (Figure 3A, B) was observed in cultured LDLR-overexpressing microglia.”
Quote in the paperSubstantial claim - Findingown data
In the hippocampus, aged LDLR and EKO mice show a higher myelin density in the molecular layer compared to WT mice.
“In the hippocampus, aged LDLR and EKO mice also showed a higher myelin density in the molecular layer compared to WT mice (Figure S6D, E).”
Quote in the paperNot a substantial claim - Findingown data
A similar protective effect of apoE-deficiency and LDLR-OX on myelin integrity is observed in aged mice in the absence of tauopathy.
“Interestingly, a similar protective effect of apoE-deficiency and LDLR-OX on myelin integrity was also observed in aged mice in the absence of tauopathy.”
Quote in the paperSubstantial claim - Findingown data
P301S mice show marked microglial activation in the corpus callosum.
“Corresponding to increased myelin damage, P301S mice showed marked microglial activation in the corpus callosum (Figure 7H, J)”
Quote in the paperNot a substantial claim - Findingown data
Even in the absence of tau pathology, LDLR and EKO mice show higher myelin coverage in the molecular layer compared to WT mice.
“Surprisingly, even in the absence of tau pathology, LDLR and EKO mice showed higher myelin coverage in the molecular layer compared to WT mice (Figure 7D, E)”
Quote in the paperSubstantial claim - Findingown data
Significantly more preserved myelin structure is found in the molecular layer of DG in P301S/LDLR and P301S/EKO mice compared to P301S mice by MBP staining.
“we found significantly more preserved myelin structure in the molecular layer of DG in P301S/LDLR and P301S/EKO mice compared to P301S mice by myelin basic protein (MBP) staining (Figure 7D, E).”
Quote in the paperSubstantial claim - Findingown data
LDLR OX drastically reduces extracellular murine apoE that is mainly derived from astrocytes.
“In our study, LDLR OX drastically reduces extracellular murine apoE that is mainly derived from astrocytes.”
Quote in the paperSubstantial claim - Findingnone given
LDLR OX upregulates Kv3.1 (Kcnc1) and Kv3.3 (Kcnc3).
“LDLR OX upregulates Kv3.1 (Kcnc1) and Kv3.3 (Kcnc3).”
Quote in the paperSubstantial claim - Findingown data
OPCs in the corpus callosum trend at a higher density in apoE-deficient and LDLR-overexpressing mice with or without tau transgene.
“OPCs in the corpus callosum trended at a higher density in apoE-deficient and LDLR-overexpressing mice with or without tau transgene (Figure 7I, K)”
Quote in the paperSubstantial claim - Findingreasoning
One key finding of our study is the role of apoE in regulating microglial metabolism.
“One key finding of our study is the role of apoE in regulating microglial metabolism.”
Quote in the paperSubstantial claim - Interpretationown data
Cluster 2 represents a population of activated microglia in neurodegeneration.
“representing a population of activated microglia in neurodegeneration.”
Quote in the paperSubstantial claim - Interpretationreasoning
LDLR OX and associated Apoe downregulation in microglia suppressed microglial activation.
“This could suggest that LDLR OX and associated Apoe downregulation in microglia suppressed microglial activation.”
Quote in the paperSubstantial claim - Interpretationreasoning
ApoE deficiency-associated activation of cell catabolism and suppression of cell anabolism likely constitute a crucial mechanism preventing microglial activation.
“ApoE deficiency-associated activation of cell catabolism and suppression of cell anabolism likely constitute a crucial mechanism preventing microglial activation.”
Quote in the paperSubstantial claim - Interpretationown data
ApoE-deficient microglia in the setting of tauopathy show reduced mTOR activation and mTOR-mediated anabolism.
“indicating reduced mTOR activation and mTOR-mediated anabolism in apoE-deficient microglia in the setting of tauopathy.”
Quote in the paperSubstantial claim - Interpretationown data
Cluster 2 represents a population of reactive astrocytes.
“representing a population of reactive astrocytes.”
Quote in the paperNot a substantial claim - Interpretationreasoning
The moderate increase in lysosomal enzyme activities in LDLR mice may be related to apoE reduction.
“which may be related to apoE reduction.”
Quote in the paperNot a substantial claim - Interpretationown data
Apoe downregulation is inherently associated with LDLR OX in microglia.
“These results suggest that Apoe downregulation was inherently associated with LDLR OX in microglia.”
Quote in the paperSubstantial claim - Interpretationown data
LDLR microglia share potentially shared mechanisms with apoE-deficient microglia in elevating cell catabolism, likely due to apoE reduction.
“indicating its potentially shared mechanisms with apoE-deficient microglia in elevating cell catabolism that was likely due to apoE reduction.”
Quote in the paperSubstantial claim - Interpretationown data
LDLR OX shares certain common mechanisms with apoE deficiency in controlling microglial metabolism, likely via apoE reduction.
“suggesting that LDLR OX shares certain common mechanisms with apoE deficiency in controlling microglial metabolism, likely via apoE reduction.”
Quote in the paperSubstantial claim - Interpretationown data
Microglial Apoe plays a key role in mediating LDLR's protective effect.
“further supporting a key role of microglial Apoe in mediating LDLR’s protective effect.”
Quote in the paperSubstantial claim - Interpretationown data
Microglia-derived apoE has a potential role in neurodegeneration.
“The distinctive upregulation of apoE in microglia in P301S mice highlights the potential role of microglia-derived apoE in neurodegeneration.”
Quote in the paperSubstantial claim - Interpretationreasoning
Cluster 0 and cluster 1 represent homeostatic astrocyte states.
“thus representing homeostatic states.”
Quote in the paperNot a substantial claim - Interpretationown data
ApoE-deficiency inherently suppresses mTOR activation upon microglial activation, likely by enhancing microglial catabolism.
“these results indicate that apoE-deficiency inherently suppresses mTOR activation upon microglial activation, likely by enhancing microglial catabolism.”
Quote in the paperSubstantial claim - Interpretationown data
Proliferating OPCs may play a potential role in repairing damaged myelin in neurodegeneration.
“suggesting a potential role of proliferating OPCs in repairing damaged myelin in neurodegeneration.”
Quote in the paperSubstantial claim - Interpretationown data
Cluster 3 represents oligodendrocyte progenitor cells (OPCs), indicated by uniquely high expression of Cspg4 and Pdgfra.
“The uniquely high expression of Cspg4 and Pdgfra (Figure 7A) - markers of oligodendrocyte progenitor cells (OPCs, also known as NG2 glia) (Nishiyama et al., 2009), indicated that this cluster represented OPCs.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Nishiyama et al., 2009 source
- Interpretationown data
The enlarged OPC pools in EKO and LDLR Tg mice may be essential in promoting oligodendrocyte genesis and maintaining myelin integrity under neurodegenerative conditions.
“The enlarged OPC pools in EKO and LDLR Tg mice may be essential in promoting oligodendrocyte genesis and maintaining myelin integrity under neurodegenerative conditions.”
Quote in the paperSubstantial claim - Interpretationown data
ApoE deficiency results in enhanced lysosomal functions under physiological conditions.
“indicating that apoE deficiency resulted in enhanced lysosomal functions under physiological conditions.”
Quote in the paperSubstantial claim - Interpretationown data
Cluster 3 indicates a specific population of microglia associated with disease but whose property is regulated by LDLR OX.
“indicating a specific population of microglia associated with disease but whose property was regulated by LDLR OX.”
Quote in the paperSubstantial claim - Interpretationcitation
Overexpressing LDLR is an effective approach to reduce extracellular brain apoE level via increased uptake and degradation.
“suggesting that overexpressing LDLR is an effective approach to reduce extracellular brain apoE level via increased uptake and degradation.”
Quote in the paperSubstantial claim - Interpretationreasoning
The unique alteration in gene expression of these ion channels and receptors likely constitutes an important aspect of LDLR's function in regulating microglial activation.
“The unique alteration in gene expression of these ion channels and receptors likely constitutes an important aspect of LDLR’s function in regulating microglial activation.”
Quote in the paperNot a substantial claim - Interpretationreasoning
Reduced tau pathology and neurodegeneration upon LDLR OX may mainly result from attenuated microglial activation due to apoE reduction.
“Thus, the reduced tau pathology and neurodegeneration upon LDLR OX may mainly result from attenuated microglial activation due to apoE reduction.”
Quote in the paperSubstantial claim - Interpretationown data
Cluster 4 appears to be a type of activated microglia in the setting of apoE deficiency, as it clusters together with cluster 2 DAM microglia at lower resolution.
“this subset of microglia also appeared to be a type of activated microglia in the setting of apoE deficiency, as it clustered together with cluster 2 DAM microglia when using a lower resolution for cell clustering.”
Quote in the paperNot a substantial claim - Interpretationown data
Microglia play a key role in mediating the effect of apoE and LDLR on neurodegeneration.
“suggesting a key role of microglia in mediating the effect of apoE and LDLR on neurodegeneration.”
Quote in the paperSubstantial claim - Interpretationreasoning
The increased difference in apoE level between WT and LDLR Tg microglia with age is likely due to aging-induced microglial activation that is stronger in WT microglia than in LDLR microglia.
“the increased difference in apoE level is likely due to aging-induced microglial activation that is stronger in WT microglia (with a higher degree of Apoe upregulation) than in LDLR microglia.”
Quote in the paperSubstantial claim - Interpretationown data
ApoE plays a key role in p-tau pathogenesis.
“supporting a key role of apoE in p-tau pathogenesis.”
Quote in the paperSubstantial claim - Interpretationreasoning
Increased Kv3 channel expression in microglia may reduce proinflammatory microglial activation.
“Hence, increased Kv3 channel expression in microglia may reduce proinflammatory microglial activation.”
Quote in the paperNot a substantial claim - Interpretationreasoning
The protective effect of LDLR OX may be partially due to reduction in the astrocyte-derived apoE pool.
“Therefore, the protective effect may be partially due to reduction in this pool of apoE.”
Quote in the paperSubstantial claim - Interpretationown data
There is intrinsic regulation of myelination by apoE/LDLR, likely in part through regulating OPCs.
“suggesting intrinsic regulation of myelination by apoE/LDLR, likely in part through regulating OPCs.”
Quote in the paperSubstantial claim - Interpretationown data
The expression of oligodendrocyte genes in microglia was likely due to formation of doublets between a portion of microglia and oligodendrocyte nuclei instead of being real biological effects.
“which was likely due to formation of doublets between a portion of microglia and oligodendrocyte nuclei instead of being real biological effects.”
Quote in the paperNot a substantial claim - Interpretationreasoning
These oligodendrocyte genes did not drive apoE-deficiency or LDLR-associated effects in microglia.
“These oligodendrocyte genes did not drive apoE-deficiency or LDLR-associated effects in microglia”
Quote in the paperNot a substantial claim - Interpretationown data
Regulation of the OPC pool and myelin homeostasis by apoE/LDLR may constitute a new mechanism underlying their effects on neurodegeneration.
“Regulation of the OPC pool and myelin homeostasis by apoE/LDLR may constitute a new mechanism underlying their effects on neurodegeneration.”
Quote in the paperSubstantial claim - Interpretationreasoning
The inability to turn on the anabolic machinery in apoE-deficient microglia is likely a key mechanism preventing their activation.
“The similar metabolic changes in apoE-deficient and TREM2-deficient microglia suggests that the inability to turn on the anabolic machinery in apoE-deficient microglia is likely a key mechanism preventing their activation.”
Quote in the paperSubstantial claim - Interpretationown data
LDLR itself may not significantly impact pathological tau spreading.
“suggesting that LDLR itself may not significantly impact pathological tau spreading.”
Quote in the paperNot a substantial claim - Interpretationreasoning
The effect of LDLR on suppressing microglial activation via apoE regulation may overwhelm any potential direct effects of LDLR on tau spreading.
“the effect of LDLR on suppressing microglial activation via apoE regulation may overwhelm any potential direct effects of LDLR on tau spreading.”
Quote in the paperSubstantial claim - Interpretationown data
OPCs have potential roles in maintaining myelin integrity.
“supporting their potential roles in maintaining myelin integrity.”
Quote in the paperSubstantial claim - Interpretationreasoning
The marked microglial activation in the corpus callosum of P301S mice is likely to clear damaged myelin.
“likely to clear damaged myelin.”
Quote in the paperNot a substantial claim - Interpretationreasoning
Lower extracellular apoE level may also contribute to suppressed microglial activation through reduced microglial signaling.
“Lower extracellular apoE level may also contribute to suppressed microglial activation through reduced microglial signaling.”
Quote in the paperNot a substantial claim
- Classified as probably not a substantial claim. 31
- May combine two claims. 37
Classified as probably not a substantial claim.
PremisecitationIn a normal brain, apoE is produced predominantly by astrocytes, and to a much less extent by microglia.
“In a normal brain, apoE is produced predominantly by astrocytes, and to a much less extent, by microglia (Boyles et al., 1985; Uchihara et al., 1995).”
Quote in the paperSubstantial claim1 of 2 sources checked- cites Boyles et al., 1985 source
The Abstract reports apoE in astrocytes of rat brain but says it was not present in microglia. The Discussion likewise says most cells identified as microglia were negative for apoE immunoreactivity. The source therefore supports astrocytic production, but not the claim that normal-brain microglia produce apoE to a lesser extent. (LLM, conf=0.87)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measured - cites Uchihara et al., 1995 source
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationAstrocytes are another major immune-competent cell population in the brain, and have long been proposed to play a role in neurodegeneration.
“Astrocytes are another major immune-competent cell population in the brain, and have long been proposed to play a role in neurodegeneration (Ben Haim et al., 2015; Liddelow et al., 2017).”
Quote in the paperNot a substantial claim2 of 2 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationMicroglia express major classes of neurotransmitter receptors and ion channels that critically regulate microglial physiology, which inherently controls microglial function and activation.
“Microglia express major classes of neurotransmitter receptors and ion channels that critically regulate microglial physiology, which inherently controls microglial function and activation (Domercq et al., 2013; Izquierdo et al., 2019).”
Quote in the paperNot a substantial claim1 of 2 sources checked- cites Domercq et al., 2013
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites Izquierdo et al., 2019 source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationApoE regulates brain amyloid-β deposition in a dose- and isoform-dependent manner (E4>E3>E2).
“ApoE strongly regulates brain amyloid-β (Aβ) deposition in a dose- and isoform-dependent manner (E4>E3>E2) (Bales et al., 1997; Holtzman et al., 2000; Schmechel et al., 1993).”
Quote in the paperNot a substantial claim1 of 3 sources checked- cites Bales et al., 1997 source
- cites Holtzman et al., 2000 source
The Results section reports greater Aβ deposition in apoE4- than apoE3-expressing mice, supporting the E4>E3 comparison. The paper does not test apoE2 or establish the claimed dose-dependent relationship; its Discussion proposes a concentration threshold rather than demonstrating a dose-response. Page numbers were not available in our copy. (LLM, conf=0.88)
Experimental — accuracy not yet measured - cites Schmechel et al., 1993 source
May combine two claims.
PremisecitationMicroglial depletion in P301S mice fully blocked neurodegeneration and stopped tau pathology progression.
“Microglial depletion in P301S mice fully blocked neurodegeneration and stopped tau pathology progression.”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Shi et al., 2019 source
May combine two claims.
PremisecitationIn an LDLR transgenic mouse line, a PrP-driven Ldlr transgene is overexpressed in neurons and astrocytes by 10-fold, resulting in ~90% reduction of brain soluble apoE.
“In an LDLR transgenic (Tg) mouse line, a PrP-driven Ldlr transgene was shown to be overexpressed in neurons and astrocytes by 10-fold, resulting in ~90% reduction of brain soluble apoE (Kim et al., 2009)”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Kim et al., 2009 source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationLDLR Tg mice were generated previously on a B6/CBA background expressing murine LDLR under the PrP promoter.
“LDLR Tg mice were generated in house previously on a B6/CBA background expressing murine LDLR under the PrP promoter (Kim et al., 2009).”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites Kim et al., 2009 source
Classified as probably not a substantial claim. May combine two claims.
PremisecitationOutward K+ current is largely mediated by voltage-gated K+ channels, particularly Kv1.3, which critically regulates proinflammatory cytokine generation.
“and is largely mediated by voltage-gated K+ channels, particularly Kv1.3, which critically regulates proinflammatory cytokine generation (Di Lucente et al., 2018).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Di Lucente et al., 2018 source
May combine two claims.
PremisecitationApoE's effect appears to occur mainly in a cell-autonomous manner by regulating cellular cholesterol content, which critically regulates the level of membrane-associated signaling complexes that are essential for triggering cell proliferation.
“ApoE’s effect appears to occur mainly in a cell-autonomous manner by regulating cellular cholesterol content, which critically regulates the level of membrane-associated signaling complexes that are essential for triggering cell proliferation (Murphy et al., 2011).”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites Murphy et al., 2011 source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe defective anabolic and energetic metabolism in TREM2-deficient microglia underlies their ineffective activation.
“The defective anabolic and energetic metabolism in TREM2-deficient microglia was shown to underlie their ineffective activation.”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites Ulland et al., 2017 source
Classified as probably not a substantial claim. May combine two claims.
PremisecitationTREM2-deficient microglia have increased autophagy and catabolism, impaired mTOR activation and anabolism, and reduced ATP production.
“TREM2-deficient microglia were reported to have increased autophagy and catabolism, impaired mTOR activation and anabolism, and reduced ATP production (Ulland et al., 2017).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Ulland et al., 2017 source
The Results section on microglia reports increased autophagy, impaired mTOR signaling, and disrupted anabolic and energetic metabolism in TREM2-deficient microglia. The direct findings of increased catabolic products and depleted ATP are reported in bone marrow-derived macrophages, not microglia; ATP levels also do not directly establish reduced ATP production. The copy provides no page numbers for these passages. (LLM, conf=0.88)
Experimental — accuracy not yet measured
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationMicroglia express a broad spectrum of neurotransmitter receptors and ion channels that critically regulate microglial functions such as surveillance, cytokine release, chemotaxis, and phagocytosis.
“Microglia express a broad spectrum of neurotransmitter receptors and ion channels that critically regulate microglial functions such as surveillance (Madry et al., 2018), cytokine release (Nguyen et al., 2017), chemotaxis, and phagocytosis (Haynes et al., 2006; Koizumi et al., 2007; Ohsawa et al., 2007).”
Quote in the paperNot a substantial claim2 of 3 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe ability of apoE to inhibit cell proliferation has been reported in other cell types, such as hippocampal neural stem/progenitor cells and hematopoietic cells.
“The ability of apoE to inhibit cell proliferation has also been reported in other cell types, such as hippocampal neural stem/progenitor cells (NSC/NPC) (Yang et al., 2011) and hematopoietic cells (Murphy et al., 2011).”
Quote in the paperNot a substantial claim2 of 2 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationLRP1 has been shown to mediate tau uptake in vitro and drastically increase the propagation of the P301L human tau protein expressed by an AAV virus in vivo.
“The other primary apoE metabolic receptor, LRP1, has been shown to mediate tau uptake in vitro and drastically increase the propagation of the P301L human tau protein expressed by an AAV virus in vivo (Rauch et al., 2020)”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites Rauch et al., 2020 source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationAPOE and TREM2 act in the same axis in regulating many aspects of microglial functions.
“APOE and TREM2 act in the same axis in regulating many aspects of microglial functions (Shi and Holtzman, 2018).”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites Shi and Holtzman, 2018 source
Classified as probably not a substantial claim.
PremisecitationA recent study shows that selective removal of astrocyte-derived apoE4 (but not apoE3) reduces tau-associated neurodegeneration.
“A recent study shows that selective removal of astrocyte-derived apoE4 (but not apoE3) reduces tau-associated neurodegeneration (Wang et al., 2021).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Wang et al., 2021 source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationTREM2 deficiency protects against tau-associated neurodegeneration in P301S mice.
“Interestingly, TREM2 deficiency also protects against tau-associated neurodegeneration in P301S mice (Leyns et al., 2017).”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites Leyns et al., 2017 source
May combine two claims.
Findingown dataIn 3-month mice, minimal levels of DAM and proinflammatory gene expression changes and no differences in their expression level are observed.
“whereas minimal levels of these gene expression changes and no differences in their expression level were observed in microglia isolated from 3-month mice (Figure 3K).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataCluster 2 is specifically enriched in P301S mice and features hallmark DAM/MGnD genes.
“cluster 2 was specifically enriched in P301S mice (Figure 5A, B), and featured hallmark “DAM/MGnD” genes such as Apoe, Spp1, Cd74, Lilrb4a, Itgax, Axl, Trem2 and B2m (Figure 5C, E)”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataLDLR OX in P301S mice attenuates tau pathology, shifting p-tau staining towards an early-disease pattern (type1).
“LDLR OX in P301S mice attenuated tau pathology, shifting p-tau staining towards an early-disease pattern (type1) (Figure 1H).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataCompared to cluster 2 DAM microglia, cluster 4 microglia show upregulation of catabolic genes and downregulation of anabolic genes as well as microglial activation pathways.
“Compared to cluster 2 “DAM” microglia, a prominent feature of cluster 4 microglia was upregulation of catabolic genes, and downregulation of anabolic genes as well as microglial activation pathways (Figure 5F).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataNeurodegeneration in P301S mice features loss of specific subtypes of excitatory hippocampal neurons, including DG, CA1 and CA3 neurons, particularly DG neurons, but little impact on subiculum neurons.
“neurodegeneration in P301S mice featured loss of specific subtypes of excitatory hippocampal neurons, including dentate gyrus (DG), CA1 and CA3 neurons, particularly DG neurons, but had little impact on subiculum neurons (Figure 4C, D).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn P301S mice, apoE immunostaining reveals intracellular apoE accumulation as large bright puncta in activated microglia; whereas in WT mice, apoE signal is primarily present in astrocytes.
“in P301S mice, apoE immunostaining revealed intracellular apoE accumulation as large bright puncta in activated microglia; whereas in WT mice, apoE signal was primarily present in astrocytes (Figure S4B).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown datasnRNAseq of 9-month mouse hippocampi yielded 31785 nuclei and identified 10 distinct cell clusters.
“We obtained sequencing data from a total of 31785 nuclei, and identified 10 distinct cell clusters across all samples based on the expression of known cell-type-specific markers”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataSub-clustering of astrocytes identified homeostatic astrocyte populations and a reactive astrocyte subset, as well as a subpopulation of astrocytes enriched in apoE-deficient mice.
“We performed sub-clustering of astrocytes (pooled from all samples, a total of 1863 nuclei), and identified homeostatic astrocyte populations and a reactive astrocyte subset, as well as a subpopulation of astrocytes enriched in apoE-deficient mice (EKO and P301S/EKO) (Figure 6A, B).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataCluster 3 is uniquely enriched in P301S/LDLR mice, but not in LDLR mice.
“Notably, cluster 3 was uniquely enriched in P301S/LDLR mice (Figure 5A, B), but not in LDLR mice”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataCompared to P301S mice, Apoe expression in P301S/LDLR mice is notably lower in microglia, but only mildly reduced in astrocytes.
“Compared to P301S mice, Apoe expression in P301S/LDLR mice was notably lower in microglia, but was only mildly reduced in astrocytes (Figure S4A)”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataReactive astrocytes are highly activated in 9-month P301S mice, but only mildly increased in P301S/LDLR and P301S/EKO mice by immunofluorescent staining (GFAP, Vimentin).
“We verified by immunofluorescent staining (GFAP, Vimentin) that reactive astrocytes were highly activated in 9-month P301S mice, but were only mildly increased in P301S/LDLR and P301S/EKO mice (Figure 6F).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataAt 3 months, no differences in tau or ptau levels are detected despite a similar level of apoE reduction in P301S/LDLR mice.
“Biochemically, no differences in tau or ptau levels were detected despite a similar level of apoE reduction in P301S/LDLR mice (Figure S2C).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataMicroglial Apoe expression is significantly elevated in 20-month WT mice, but not in 20-month LDLR Tg mice compared to their 3-month counterparts.
“we found microglial Apoe expression was significantly elevated in 20-month WT mice, but not in 20-month LDLR Tg mice compared to their 3-month counterparts (Figure 3J).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataHigher expression of top upregulated genes such as Gabra6 and Grm4 is confirmed in acutely isolated microglia from 20-month LDLR Tg mice compared to WT mice, whereas no differences are observed in 3-month mice.
“We confirmed higher expression of top upregulated genes such as Gabra6 and Grm4 in acutely isolated microglia from 20-month LDLR Tg mice compared to WT mice, whereas no differences were observed in 3-month mice (Figure S5C, D).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataMicroglia are markedly increased in P301S mice, and only mildly increased in P301S/LDLR and P301S/EKO mice.
“Notably, microglia were markedly increased in P301S mice, and were only mildly increased in P301S/LDLR and P301S/EKO mice”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataAcutely isolated LDLR Tg microglia show reduction of Apoe expression and intracellular apoE protein levels.
“Reduction of microglial Apoe expression (Figure 3G) and intracellular apoE protein levels was also observed in acutely-isolated LDLR Tg microglia (Figure 3H, I).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataUpregulated pathways in cluster 3 feature regulation of synaptic plasticity, regulation of ion transport, and regulation of membrane potential.
“In contrast, upregulated pathways featured “regulation of synaptic plasticity”, “regulation of ion transport”, and “regulation of membrane potential”.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataElectron microscopy identified notable signs of myelin damage in the corpus callosum of 9-month P301S mice, with significantly higher percentage of demyelinated axons and increased axonal G-ratio compared to 9-month P301S/LDLR and P301S/EKO mice, or 3-month P301S mice.
“Through electron microscopy, we also identified notable signs of myelin damage in the corpus callosum of 9-month P301S mice, which showed a significantly higher percentage of demyelinated axons as well as increased axonal G-ratio compared to 9-month P301S/LDLR and P301S/EKO mice, or 3-month P301S mice (Figure 7F, G).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataApoE-deficiency or LDLR-associated effects were either not present or only weakly showed up in oligodendrocytes.
“these effects were either not present or only weakly showed up in oligodendrocytes.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataA portion of microglia from all 6 groups of mice show expression of certain oligodendrocyte genes.
“A portion of microglia from all 6 groups of mice show expression of certain oligodendrocyte genes”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataApoE deficiency-associated microglia show enhanced catabolism and suppressed anabolism.
“whereas apoE deficiency-associated microglia showed enhanced catabolism and suppressed anabolism.”
Quote in the paperSubstantial claimMay combine two claims.
FindingreasoningLDLR Tg microglia show a similar metabolic pattern and reduced activation as apoE-deficient microglia, likely in part due to cell-autonomous reduction in Apoe expression.
“LDLR Tg microglia showed a similar metabolic pattern and reduced activation as apoE-deficient microglia, likely in part due to cell-autonomous reduction in Apoe expression.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataAxonal demyelination and altered G-ratio occur in the corpus callosum of 24-month old WT mice relative to 9-month WT mice, and this damage is significantly attenuated in 24-month LDLR Tg and EKO mice.
“Axonal demyelination and altered G-ratio also occurred in the corpus callosum of 24-month old WT mice relative to 9-month WT mice, and this damage was significantly attenuated in 24-month LDLR Tg and EKO mice (Figure S6A-C).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataLDLR OX leads to a strong reduction in extracellular apoE levels and microglial Apoe downregulation that are directly linked with suppressed microglial activation.
“we find LDLR OX leads to a strong reduction in extracellular apoE levels and microglial Apoe downregulation that are directly linked with suppressed microglial activation.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationActivated immune cells increase anabolism and rewire their metabolism towards enhanced glycolysis.
“Activated immune cells increase anabolism and rewire their metabolism towards enhanced glycolysis (Bories and Leitinger, 2017).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Bories and Leitinger, 2017 source
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationAPOE4 strongly increases the risk of late-onset Alzheimer's disease, whereas APOE2 reduces AD risk relative to APOE3.
“APOE4 strongly increases the risk of developing late-onset Alzheimer’s disease (AD), whereas APOE2 reduces AD risk relative to APOE3 (Bu, 2009).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Bu, 2009
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationApoE expression in neurons is minimal under physiological conditions, but can be upregulated upon neuronal injury in certain conditions.
“ApoE expression in neurons is minimal under physiological conditions, but can be upregulated upon neuronal injury in certain conditions (Xu et al., 2006).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Xu et al., 2006
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataAfter quality control, a total of 31,785 individual nuclei across all genotypes remained, with a median of 1,620 UMIs and 871 genes per nucleus for downstream analysis.
“A total of 31,785 individual nuclei across all genotypes remained, with a median of 1,620 UMIs and 871 genes per nucleus for downstream analysis.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
InterpretationcitationHigh expression of GABA receptor (Gabra6) may play a role in inhibiting microglial cytokine release and attenuating microglial activation.
“In addition, the high expression of GABA receptor (Gabra6, second most enriched DEG in cluster3 microglia) may also play a role in inhibiting microglial cytokine release (Kuhn et al., 2004) and attenuating microglial activation.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Kuhn et al., 2004 source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationProinflammatory M1 microglia show a profound metabolic change characterized by increased glucose uptake and a switch from oxidative phosphorylation to glycolysis even in normoxic conditions (Warburg effect).
“Proinflammatory “M1” microglia show a profound metabolic change characterized by increased glucose uptake and a switch from oxidative phosphorylation (OXPHOS) to glycolysis even in normoxic conditions (Warburg effect) (Bories and Leitinger, 2017).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Bories and Leitinger, 2017 source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenMicroglia derived from individual P2 pups (mixed sex) were cultured separately as independent samples.
“Microglia derived from individual P2 pups (mixed sex) were cultured separately as independent samples.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataOligodendrocyte genes and pathways showing up in microglial analysis results were excluded.
“Oligodendrocyte genes and pathways showing up in microglial analysis results were excluded.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningLDLR OX also increases the OPC population, likely due to apoE reduction, or may also be contributed by a direct effect of LDLR on cellular lipid/cholesterol homeostasis.
“LDLR OX also increases the OPC population, which is likely due to apoE reduction, or may also be contributed by a direct effect of LDLR on cellular lipid/cholesterol homeostasis.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataApoE reduction does not affect early tau pathology prior to microglial activation, suggesting that its protective effect on tau pathology is likely carried out at a later stage by regulating microglial activation under neurodegenerative conditions.
“ApoE reduction doesn’t affect early tau pathology prior to microglial activation, suggesting that its protective effect on tau pathology is likely carried out at a later stage by regulating microglial activation under neurodegenerative conditions.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenFor quality control, nuclei with mitochondrial content greater than 5% were removed.
“For quality control, nuclei with mitochondrial content >5% were removed.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenReads with a quality score below 30 were filtered out.
“filter reads with a quality score below 30.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationModulating LRP1 has been reported to affect brain apoE levels.
“Modulating LRP1 has also been reported to affect brain apoE levels (Liu et al., 2007; Zerbinatti et al., 2006)”
Quote in the paperNot a substantial claim0 of 2 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe adjusted P-value for differential expression was calculated using Bonferroni correction.
“The adjusted P-value was calculated using Bonferroni correction.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
PremisecitationDevelopment of outward K+ current in microglia is associated with an advanced microglial activation status.
“Development of outward K+ current in microglia is associated with an advanced microglial activation status (Boucsein et al., 2000; Wendt et al., 2017)”
Quote in the paperSubstantial claim0 of 2 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenFor all experiments, data normality was analyzed using the D'Agostino-Pearson omnibus normality test.
“For all experiments, data normality was analyzed using D’Agostino-Pearson omnibus normality test.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
PremisecitationKv3 channels have a 10-50 mV higher activation threshold than any other known mammalian voltage-gated K+ channels.
“The Kv3 channels have a 10-50 mV higher activation threshold than any other known mammalian voltage-gated K+ channels (Coetzee et al., 1999).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Coetzee et al., 1999 source
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenThe ptau ELISA detects ptau species phosphorylated at both Thr181 and Ser202/Thr205, which represent hyperphosphorylated ptau.
“ptau ELISA detects ptau species that have phosphorylation at both Thr181 and Ser202/Thr205 epitopes, which represent hyperphosphorylated ptau.”
Quote in the paperNot a substantial claim
The paper relies on this without support.
Male P301S mice start developing overt tau pathology from ~5-6 months of age and show severe brain atrophy at 9 months of age.
“Male P301S mice start developing overt tau pathology from ~5-6 months of age and show severe brain atrophy at 9 months of age.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
As LDLR and heparin play critical roles in Aβ clearance and tau aggregation, the ε7 isoform may influence AD pathology through these pathways.
“As these molecules play critical roles in Aβ clearance and tau aggregation,41,42 the ε7 isoform may influence AD pathology through these pathways.”
From Association of rare <i>APOE</i> missense variants with Alzheimer's disease in the Japanese population (2025) · cites this paper as [42]
The Introduction (page unavailable) identifies LDLR as a receptor involved in clearing apoE lipoproteins, and the Discussion (page unavailable) reports that LDLR overexpression protects against tau pathology. The cited paper does not establish the attributed roles in Aβ clearance or tau aggregation, and the passages do not address heparin. The ε7 proposal is the citing authors’ own inference, not a finding attributed to this source. (LLM, conf=0.82)
Experimental — accuracy not yet measuredApoE4 accelerates AD pathogenesis by inducing dysregulation of microglia and astrocytes and provoking neuroinflammation.
“Therefore, apoE4 accelerates AD pathogenesis by inducing dysregulation of microglia and astrocytes and provoking neuroinflammation”
From ApoE4 reduction: An emerging and promising therapeutic strategy for Alzheimer's disease (2022) · cites this paper as Shi et al 2021
The Introduction says APOE4 increases late-onset AD risk and exacerbates neurodegeneration relative to APOE2 and APOE3 in a tauopathy mouse model. The Results link apoE to microglial activation and show less reactive astrocyte activation when apoE is reduced. These findings support parts of the proposed mechanism, but this paper does not establish that apoE4 specifically causes dysregulation of both cell types and neuroinflammation in AD. (LLM, conf=0.86)
Experimental — accuracy not yet measuredOverexpression of LDLR is an effective approach to significantly induce apoE reduction and consequent alleviation of pathological changes in AD mouse models.
“overexpression of LDLR is an effective approach to significantly induce apoE reduction and consequent alleviation of pathological changes in AD mouse models”
From ApoE4 reduction: An emerging and promising therapeutic strategy for Alzheimer's disease (2022) · cites this paper as Shi et al 2021
The Results (page not provided) report that LDLR overexpression in P301S mice markedly reduced apoE and attenuated tau pathology, synaptic loss, and neurodegeneration. The study tested a specific tauopathy mouse model, not AD mouse models generally; its Discussion describes apoE reduction as a possible contributor to the protective effect rather than establishing it as the sole cause. (LLM, conf=0.86)
Experimental — accuracy not yet measuredOverexpression of Ldlr reduced tau pathology and neurodegeneration in a tauopathy mouse model.
“It is notable that overexpression of Ldlr also reduced tau pathology and neurodegeneration in a tauopathy mouse model,”
From Deletion of neuronal <i>Idol</i> ameliorates Alzheimer's disease–related pathologies via APOE receptors (2025) · cites this paper as [74]
Previous studies demonstrated that deletion of Apoe and overexpression of Ldlr can reduce tau-associated neurodegeneration.
“previous studies have demonstrated that deletion of Apoe and overexpression of Ldlr can reduce tau‐associated neurodegeneration.”
From Deletion of neuronal <i>Idol</i> ameliorates Alzheimer's disease–related pathologies via APOE receptors (2025) · cites this paper as [74]
Overexpression of LDLR reduced ApoE levels and reduced tau-mediated neurodegeneration.
“Overexpression of LDLR reduced ApoE levels and reduced tau-mediated neurodegeneration (63).”
From Regulation of astrocyte lipid metabolism and ApoE secretion by the microglial oxysterol, 25-hydroxycholesterol (2023) · cites this paper as [63]
LDLR has important roles in modulating AD pathologies, in part via uptake and clearance of Aβ by astrocytes.
“important roles were shown for LDLR in modulating AD pathologies57–59, in part via uptake and clearance of Aβ by astrocytes60.”
From Decreased lipidated ApoE‐receptor interactions confer protection against pathogenicity of ApoE and its lipid cargoes in lysosomes (2025) · cites this paper as [59]
Overexpression of LDLR in PS19 mice suppresses microglial activation, enlarges pools of oligodendrocyte progenitor cells, and enhances preservation of myelin integrity.
“Shi et al. [86] report that overexpression of LDLR in PS19 mice suppresses microglial activation, enlarges pools of oligodendrocyte progenitor cells, and enhances preservation of myelin integrity.”
From APOE Christchurch enhances a disease-associated microglial response to plaque but suppresses response to tau pathology (2025) · cites this paper as [86]
APOE regulates oligodendrocyte number and function.
“Apoe knockout mice and LDL receptor (Ldlr)-overexpressing mice — which display low levels of APOE owing to internalization and clearance of APOE lipoproteins — have larger pools of oligodendrocyte progenitor cells and increased myelin coverage of axons, supporting the idea that APOE regulates oligodendrocyte number and function106.”
From Multifaceted roles of APOE in Alzheimer disease (2024) · cites this paper as [106]
Overexpression of LDLR in PS19 tauopathy mice results in a significant reduction of brain apoE levels and inhibition of tau phosphorylation, which strongly correlate with one another, and consequent amelioration of tau pathology and neurodegeneration.
“overexpression of LDLR in PS19 tauopathy mice also results in a significant reduction of brain apoE levels and inhibition of tau phosphorylation, which strongly correlate with one another, and consequent amelioration of tau pathology and neurodegeneration”
From ApoE4 reduction: An emerging and promising therapeutic strategy for Alzheimer's disease (2022) · cites this paper as Shi et al 2021
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.
The stated Naglu substrate has the wrong linkage
MajorThe paper identifies Naglu as an α-glucosaminidase but lists a β-linked substrate for its activity assay. Cleavage of that substrate would not specifically measure the stated Naglu activity, undermining the reported increase in activity for that enzyme.
“N-Acetyl-Alpha-Glucosaminidase (Naglu)”
“4-Methylumbelliferyl N-acetyl-β-D-glucosaminide (Naglu Substrate)”
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“However, important roles were shown for LDLR in modulating AD pathologies, 57–59 in part via uptake and clearance of A b by astrocytes.”
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“For tau pathology, alterations in WM integrity were observed in a transgenic mouse model of fibrillar tau (21, 22), preceding the emergence of tau pathology (21), with clinical investigations suggesting a role of WM hyperintensities in tau pathology in the AD spectrum (23).”
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Self-citationTargeting the complement-mTOR-autophagy axis: the role of apolipoprotein E in depression
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“It is notable that overexpression of Ldlr also reduced tau pathology and neurodegeneration in a tauopathy mouse model, 74 further supporting the beneficial effects of increasing LDLR in AD.”
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Self-citation
- Authors
- Shi, Y., Andhey, P. S., Ising, C., Wang, K., Snipes, L. L., Boyer, K., Lawson, S., Yamada, K., Qin, W., Manis, M., Serrano, J. R., Benitez, B. A., Schmidt, R. E., Artyomov, M., Ulrich, J. D., & Holtzman, D. M.
- Affiliations
- Washington University in St. Louis (US)
- University Hospital Bonn (DE)
- The University of Tokyo (JP)
- Corresponding author
- Ulrich, Jason D.
- Holtzman, David M.
- ORCID
- Venue
- Neuron
- Publisher
- Elsevier BV
- Published
- 2021-08
- Volume
- 109
- Issue
- 15
- Pages
- 2413-2426.e7
- ISSN
- 0896-6273 (ISSN-L)
- PMC
- PMC8349883
- OpenAlex
- W3177458716
- Semantic Scholar
- 1544f9b83b6ce89b91dbee8712a9dde8dab78e8d
- Cited by
- 135
- References
- 55
- Citations by year
- 2026: 21 · 2025: 31 · 2024: 25 · 2023: 21 · 2022: 28 · 2021: 9
- FWCI
- 13.02
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- www.elsevier.com/open-access/userlicense/1.0/ (vor, 368 d)
- doi.org/10.15223/policy-017 (stm-asf)
- doi.org/10.15223/policy-037 (stm-asf)
- doi.org/10.15223/policy-012 (stm-asf)
- doi.org/10.15223/policy-029 (stm-asf)
- doi.org/10.15223/policy-004 (stm-asf)
- Locations
- Neuron (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- DZNE Pub (submittedVersion)
- Funders
- JPB Foundation
- National Institutes of Health (AG047644, NS090934)
- University of Washington
- Genentech
- Diabetes Research Center
- Tau Consortium
- Merck
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
- Keywords
- LDL receptor, apolipoprotein E, tauopathy, Alzheimer's disease, microglial activation, oligodendrocyte precursor cells, myelin integrity, reactive astrocytes, ion channels, neurotransmitter receptors, neurodegeneration
- MeSH terms
- Animals, Apolipoproteins E, Male, Nerve Degeneration, Receptors, LDL, Microglia, Mice, Knockout, Tauopathies, Mice
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.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-11-02.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-11-02.
Cited sources are checked by gpt-6-sol.
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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