Gene delivery of human apolipoprotein E alters brain Aβ burden in a mouse model of Alzheimer's disease
Open accessAbstract
Apolipoprotein E (apoE) alleles are important genetic risk factors for Alzheimer's disease (AD), with the ε4 allele increasing and the ε2 allele decreasing risk for developing AD. ApoE has been shown to influence brain amyloid-β peptide (Aβ) and amyloid burden, both in humans and in transgenic mice. Here we show that direct intracerebral administration of lentiviral vectors expressing the three common human apoE isoforms differentially alters hippocampal Aβ and amyloid burden in the PDAPP mouse model of AD. Expression of apoE4 in the absence of mouse apoE increases hippocampal Aβ 1–42 levels and amyloid burden. By contrast, expression of apoE2, even in the presence of mouse apoE, markedly reduces hippocampal Aβ burden. Our data demonstrate rapid apoE isoform-dependent effects on brain Aβ burden in a mouse model of AD. Gene delivery of apoE2 may prevent or reduce brain Aβ burden and the subsequent development of neuritic plaques.
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Studies with a lentiviral vector expressing APOE2 delivered directly to the hippocampus of a transgenic Alzheimer's disease mouse established a robust protective effect of the APOE2 allele on Alzheimer's disease risk, with an observed rapid, significant reduction in brain amyloid burden and neuritic plaques.
“Studies with a lentiviral vector expressing APOE2 delivered directly to the hippocampus of a transgenic AD mouse established a robust protective effect of the APOE2 allele on AD risk, with an observed rapid, significant reduction in brain amyloid burden and neuritic plaques.23”
From AAVrh.10-Mediated APOE2 Central Nervous System Gene Therapy for APOE4-Associated Alzheimer's Disease (2018) · cites this paper as [23]
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measuredOne strategy to prevent Alzheimer's disease in APOE4 carriers is to modify the central nervous system genetically to express APOE2, providing the CNS with the protective APOE2 to balance the Alzheimer's disease risk associated with expression of APOE4.
“Based on these observations, one strategy to prevent AD in APOE4 carriers is to modify the central nervous system (CNS) genetically to express APOE2, providing the CNS with the protective APOE2 to balance the AD risk associated with expression of APOE4.22–26”
From AAVrh.10-Mediated APOE2 Central Nervous System Gene Therapy for APOE4-Associated Alzheimer's Disease (2018) · cites this paper as [23]
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measuredExogenous E2 markedly decreases amyloid burden in mice.
“Moving in vivo, other studies have explored vector-mediated delivery to supplement the E4 brain with neuroprotective E2 protein, showing that exogenous E2 markedly decreases amyloid burden in mice9–12.”
From APOE4 to APOE2 allelic switching in mice improves Alzheimer’s disease-related metabolic signatures, neuropathology and cognition (2025) · cites this paper as [9]
The Results report that lentiviral delivery of human apoE2 reduced hippocampal Aβ burden in PDAPP mice, including a 61.5% decrease versus controls after three months. The study does not show apoE2 supplementing an apoE4-expressing brain: the mice in the reported apoE2 experiment expressed endogenous mouse apoE. (LLM, conf=0.87)
Experimental — accuracy not yet measuredHuman apoE isoform-dependent differences in amyloid plaque deposition in APP-transgenic mice follow the pattern E4 > E3 > E2.
“we and others have reported human apoE isoform-dependent differences in amyloid plaque deposition in APP-transgenic mice (E4 > E3 > E2) (10-14).”
From Human ApoE isoforms differentially regulate brain amyloid-β peptide clearance (2011) · cites this paper as [12]
The Results report greater hippocampal Aβ burden with apoE4 than apoE3 in PDAPP mice lacking mouse apoE, and lower burden with apoE2 than apoE3 in mice expressing mouse apoE. They do not establish the full E4 > E3 > E2 ordering for amyloid plaque deposition under the same conditions: apoE2 and apoE3 did not differ in the mice lacking mouse apoE, and apoE4 did not increase burden in mice expressing it. (LLM, conf=0.88)
Experimental — accuracy not yet measuredViral-vector mediated overexpression of APOE4 isoforms in AD mouse brains accelerates plaque formation.
“This has also been observed with viral-vector mediated overexpression of APOE4 isoforms in AD mouse brains (Dodart et al, 2005; Hudry et al, 2013; Zhao et al, 2016).”
From APOE from astrocytes restores Alzheimer’s Aβ-pathology and DAM-like responses in APOE deficient microglia (2024) · cites this paper as Dodart et al, 2005
The Discussion reports that lentiviral apoE4 increased Aβ deposition and congophilic amyloid within five weeks in PDAPP mice lacking mouse apoE. The claim omits that condition: the Results state that apoE4 did not increase hippocampal Aβ burden in PDAPP mice expressing mouse apoE. Page numbers were not available in our copy. (LLM, conf=0.87)
Experimental — accuracy not yet measured
The efficacy of this approach in AD transgenic mouse models has been demonstrated previously.
“The efficacy of this approach in AD transgenic mouse models has been demonstrated previously.23,24,26”
From AAVrh.10-Mediated APOE2 Central Nervous System Gene Therapy for APOE4-Associated Alzheimer's Disease (2018) · cites this paper as [23]
ApoE plays an important role in amyloidosis progression.
“ApoE plays an important role in amyloidosis progression (Dodart et al., 2005;Hudry et al., 2013).”
From Anti-ApoE Antibody Given after Plaque Onset Decreases Aβ Accumulation and Improves Brain Function in a Mouse Model of Aβ Amyloidosis (2014) · cites this paper as Dodart et al., 2005
Intracerebral administration of a lentivirus expressing human apoE2 into the brains of PDAPP mice has shown that gene delivery strategies may be useful in decreasing Aβ burden.
“In addition, intracerebral administration of a lentivirus expressing human apoE2 into the brains of PDAPP mice has shown that gene delivery strategies may be useful in decreasing Aβ burden (Dodart et al., 2005).”
From The role of apolipoprotein E in Alzheimer's disease (2009) · cites this paper as Dodart et al., 2005
Lentiviral expression of human APOE4 in AD mouse brain increases ISF-oAβ levels and aggravates plaque deposition, while APOE2 reduces Aβ accumulation.
“Lentiviral expression of human APOE4 in AD mouse brain also increased ISF -oAβ levels and aggravated plaque deposition, while APOE2 was observed to reduce Aβ accumulation [457, 458].”
From Molecular and cellular mechanisms underlying the pathogenesis of Alzheimer’s disease (2020) · cites this paper as [458]
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- Authors
- Dodart, J.-C., Marr, R. A., Koistinaho, M., Gregersen, B. M., Malkani, S., Verma, I. M., & Paul, S. M.
- Affiliations
- Salk Institute for Biological Studies (US)
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2005-01-18
- Volume
- 102
- Issue
- 4
- Pages
- 1211-1216
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC544620
- OpenAlex
- W2122741223
- Cited by
- 207
- References
- 43
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 11 · 2023: 6 · 2022: 3 · 2021: 7 · 2020: 13 · 2019: 10 · 2018: 13 · 2017: 7 · 2016: 16 · 2015: 2 · 2014: 13 · 2013: 10 · 2012: 10
- FWCI
- 9.63
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Keywords
- apolipoprotein E, Alzheimer's disease, amyloid-beta, APOE isoforms, APOE ε4, APOE2, lentiviral gene delivery, hippocampus, amyloid burden, neuritic plaques, genetic risk factors
- MeSH terms
- Alzheimer Disease, Animals, Apolipoproteins E, Brain, Disease Models, Animal, Hippocampus, Humans, Mice, Transgenic, Genetic Therapy, Lentivirus, Amyloid beta-Peptides, Mice, Apolipoprotein E2
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