Cited by 135Alzheimer's disease research and treatmentsNeuroinflammation and Neurodegeneration MechanismsNeurological Disease Mechanisms and Treatments

Overexpressing low‐density lipoprotein receptor reduces tau‐associated neurodegeneration in relation to apoE‐linked mechanisms

Open access
Shi, Yang, Andhey, Prabhakar Sairam, Ising, Christina, Wang, Kairuo, Snipes, Lisa L., Boyer, Kevin, Lawson, Stephanie, Yamada, Kaoru +8 more·2021·Neuron

Abstract

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.

AI snapshot

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.

Integrity signals

Registry

Crossref · 10.1016/j.neuron.2021.05.034

Cites

55 of 55 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

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
  • Classified as probably not a substantial claim. 31
  • May combine two claims. 37
  • Classified as probably not a substantial claim.

    Premisecitation

    In 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.

    Premisecitation

    Astrocytes 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 checked
    • cites Ben Haim et al., 2015 source
    • cites Liddelow et al., 2017 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Microglia 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).

    Premisecitation

    ApoE 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.

    Premisecitation

    Microglial 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.

    Premisecitation

    In 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).

    Premisecitation

    LDLR 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.

    Premisecitation

    Outward 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.

    Premisecitation

    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.

    “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).

    Premisecitation

    The 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.

    Premisecitation

    TREM2-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).

    Premisecitation

    Microglia 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 checked
    • cites Madry et al., 2018 source
    • cites Nguyen et al., 2017 source
    • cites Haynes et al., 2006 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The 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 checked
    • cites Yang et al., 2011 source
    • cites Murphy et al., 2011 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    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.

    “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).

    Premisecitation

    APOE 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.

    Premisecitation

    A 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).

    Premisecitation

    TREM2 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 data

    In 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 claim
  • May combine two claims.

    Findingown data

    Cluster 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 claim
  • May combine two claims.

    Findingown data

    LDLR 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 claim
  • May combine two claims.

    Findingown data

    Compared 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 claim
  • May combine two claims.

    Findingown data

    Neurodegeneration 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 claim
  • May combine two claims.

    Findingown data

    In 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 claim
  • May combine two claims.

    Findingown data

    snRNAseq 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 claim
  • May combine two claims.

    Findingown data

    Sub-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 claim
  • May combine two claims.

    Findingown data

    Cluster 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 claim
  • May combine two claims.

    Findingown data

    Compared 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 claim
  • May combine two claims.

    Findingown data

    Reactive 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 claim
  • May combine two claims.

    Findingown data

    At 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 claim
  • May combine two claims.

    Findingown data

    Microglial 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 claim
  • May combine two claims.

    Findingown data

    Higher 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 claim
  • May combine two claims.

    Findingown data

    Microglia 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 claim
  • May combine two claims.

    Findingown data

    Acutely 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 claim
  • May combine two claims.

    Findingown data

    Upregulated 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 claim
  • May combine two claims.

    Findingown data

    Electron 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 claim
  • May combine two claims.

    Findingown data

    ApoE-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 claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    A 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 claim
  • May combine two claims.

    Findingown data

    ApoE deficiency-associated microglia show enhanced catabolism and suppressed anabolism.

    “whereas apoE deficiency-associated microglia showed enhanced catabolism and suppressed anabolism.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingreasoning

    LDLR 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 claim
  • May combine two claims.

    Findingown data

    Axonal 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 claim
  • May combine two claims.

    Findingown data

    LDLR 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 claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Activated 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.

    Premisecitation

    APOE4 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.

    Premisecitation

    ApoE 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 data

    After 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 claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Interpretationcitation

    High 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).

    Premisecitation

    Proinflammatory 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 given

    Microglia 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 claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    Oligodendrocyte 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 claim
  • May combine two claims.

    Interpretationreasoning

    LDLR 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 claim
  • May combine two claims.

    Interpretationown data

    ApoE 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 claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    For 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 claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Reads with a quality score below 30 were filtered out.

    “filter reads with a quality score below 30.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Modulating 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 checked
    • cites Liu et al., 2007 source
    • cites Zerbinatti et al., 2006 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    The 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 claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Development 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 checked
    • cites Boucsein et al., 2000 source
    • cites Wendt et al., 2017 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    For 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 claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Kv3 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 given

    The 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
59 of 59
  • 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.”
1 of 1

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 measured
  • ApoE4 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 measured
  • Overexpression 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 measured
  • Overexpression 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,”
  • 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.”

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

    Major

    The 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.

1 of 1

Cites

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Cited by

Sorted by citations

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.
Venue
Neuron
Publisher
Elsevier BV
Published
2021-08
Volume
109
Issue
15
Pages
2413-2426.e7
ISSN
0896-6273 (ISSN-L)
OpenAlex
W3177458716
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
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.

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