Lipid- and receptor-binding regions of apolipoprotein E4 fragments act in concert to cause mitochondrial dysfunction and neurotoxicity
Open accessAbstract
Apolipoprotein (apo) E4, a 299-aa protein and a major risk factor for Alzheimer's disease, can be cleaved to generate C-terminal-truncated fragments that cause neurotoxicity in vitro and neurodegeneration and behavioral deficits in transgenic mice. To investigate this neurotoxicity, we expressed apoE4 with C- or N-terminal truncations or mutations in transfected Neuro-2a cells. ApoE4 (1-272) was neurotoxic, but full-length apoE4(1-299) and apoE4(1-240) were not, suggesting that the lipid-binding region (amino acids 241-272) mediates the neurotoxicity and that amino acids 273-299 are protective. A quadruple mutation in the lipid-binding region (I250A, F257A, W264R, and V269A) abolished the neurotoxicity of apoE4(1-272), and single mutations in the region of amino acids 273-299 (L279Q, K282A, or Q284A) made full-length apoE4 neurotoxic. Immunofluorescence staining showed that apoE4(1-272) formed filamentous inclusions containing phosphorylated tau in some cells and interacted with mitochondria in others, leading to mitochondrial dysfunction as determined by MitoTracker staining and flow cytometry. ApoE4(241-272) did not cause mitochondrial dysfunction or neurotoxicity, suggesting that the lipid-binding region alone is insufficient for neurotoxicity. Truncation of N-terminal sequences (amino acids 1-170) containing the receptor-binding region (amino acids 135-150) and triple mutations within that region (R142A, K146A, and R147A) abolished the mitochondrial interaction and neurotoxicity of apoE4(1-272). Further analysis showed that the receptor-binding region is required for escape from the secretory pathway and that the lipid-binding region mediates mitochondrial interaction. Thus, the lipid- and receptor-binding regions in apoE4 fragments act together to cause mitochondrial dysfunction and neurotoxicity, which may be important in Alzheimer's disease pathogenesis.
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APOE4 increases the sensitivity of cells to oxidative stress.
“APOE4 increases the sensitivity of cells to oxidative stress”
From APOE4 genotype exacerbates the depression-like behavior of mice during aging through ATP decline (2021) · cites this paper as [13]
The Abstract lists impairment of the antioxidative defense system among proposed apoE4-related mechanisms, which is consistent with greater vulnerability to oxidative stress. But the paper does not report a test showing that APOE4 increases cells’ sensitivity to oxidative stress; its cell experiments assess neurotoxicity and mitochondrial function, not responses to an oxidative challenge. (LLM, conf=0.78)
Experimental — accuracy not yet measuredAPOE4 expression generates a toxic C-terminal fragment of apoE4 that can directly target electron transport chain (ETC) complexes in mitochondria.
“the generation of a toxic C-terminal fragment of apoE4 that can directly target electron transport chain (ETC) complexes in the mitochondria25–27”
From APOE4 is Associated with Differential Regional Vulnerability to Bioenergetic Deficits in Aged APOE Mice (2020) · cites this paper as [25]
The Results report that apoE4(1-272) fragments localize to mitochondria in Neuro-2a cells and impair mitochondrial function, as measured by MitoTracker fluorescence (Figs. 2 and 5). They do not show direct targeting of electron transport chain complexes. The paper describes the toxic fragment as C-terminal-truncated apoE4, not an isolated C-terminal fragment. (LLM, conf=0.88)
Experimental — accuracy not yet measuredApoE4 is associated with aggravated Alzheimer's disease neuropathology, enhanced neuroinflammation, deregulated lipid metabolism, mitochondrial dysfunction, and impaired synaptic plasticity.
“On the molecular level, ApoE4 has been associated with aggravated AD neuropathology, enhanced neuroinflammation, deregulated lipid metabolism, mitochondrial dysfunction, and impaired synaptic plasticity (Nagy et al., 1995;Chang et al., 2005;Rapp et al., 2006;Klein et al., 2010;Rodriguez et al., 2014).”
From Human ApoE Isoforms Differentially Modulate Brain Glucose and Ketone Body Metabolism: Implications for Alzheimer's Disease Risk Reduction and Early Intervention (2018) · cites this paper as Chang et al., 2005
The Abstract links ApoE4 to AD risk and describes plaque formation and synaptic deficits among proposed mechanisms; the Results and Discussion report that ApoE4 fragments impair mitochondrial function. The paper does not establish enhanced neuroinflammation, deregulated lipid metabolism, or impaired synaptic plasticity specifically. The indexed passages do not provide page numbers. (LLM, conf=0.87)
Experimental — accuracy not yet measuredExpression of apoE4 fragments containing the lipid-binding domain in N2a cells results in neurotoxicity.
“expression of fragments containing this domain in N2a cells results in neurotoxicity [17]”
From Neuronal Apolipoprotein E4 Expression Results in Proteome-Wide Alterations and Compromises Bioenergetic Capacity by Disrupting Mitochondrial Function (2019) · cites this paper as [17]
The Results report that expressing apoE4(1–272), which contains the lipid-binding region, caused greater cell death in Neuro-2a cells. But the Results also state that the lipid-binding region alone caused no neurotoxicity: the receptor-binding region was required too. The claim omits that qualification. (LLM, conf=0.88)
Experimental — accuracy not yet measuredThe largest apoE4 fragment, apoE4(1-272), causes mitochondrial fragmentation.
“and cause mitochondrial fragmentation [10, 17, 20]”
From Neuronal Apolipoprotein E4 Expression Results in Proteome-Wide Alterations and Compromises Bioenergetic Capacity by Disrupting Mitochondrial Function (2019) · cites this paper as [17]
The Results report that apoE4(1-272) interacted with mitochondria in Neuro-2a cells and reduced MitoTracker fluorescence, which the authors interpret as impaired mitochondrial function and integrity. They do not report mitochondrial fragmentation; the filamentous inclusions described in the Results concern the apoE4 fragment, not mitochondrial shape. (LLM, conf=0.85)
Experimental — accuracy not yet measured
The largest apoE4 fragment, apoE4(1-272), interacts directly with mitochondria to reduce mitochondrial membrane potential.
“The largest apoE4 fragment, apoE4(1–272), interacts directly with mitochondria to reduce mitochondrial membrane potential”
From Neuronal Apolipoprotein E4 Expression Results in Proteome-Wide Alterations and Compromises Bioenergetic Capacity by Disrupting Mitochondrial Function (2019) · cites this paper as [17]
The Results report that apoE4(1–272) was found in mitochondria and that cells expressing it had 25% lower MitoTracker fluorescence than cells expressing full-length apoE4. The paper explains that MitoTracker uptake depends on normal membrane potential, but describes the result as suggesting impaired mitochondrial function and integrity; it does not directly establish a reduction in membrane potential. (LLM, conf=0.84)
Experimental — accuracy not yet measuredIn neurons, apoE4 is associated with impaired mitochondrial respiration.
“In neurons, apoE4 is associated with impaired mitochondrial respiration”
From Neuronal Apolipoprotein E4 Expression Results in Proteome-Wide Alterations and Compromises Bioenergetic Capacity by Disrupting Mitochondrial Function (2019) · cites this paper as [17]
The Results report impaired mitochondrial function in Neuro-2a cells expressing truncated apoE4 fragments, measured by MitoTracker fluorescence. They do not report a direct measure of mitochondrial respiration, and the effect was observed with fragments rather than full-length apoE4. (LLM, conf=0.87)
Experimental — accuracy not yet measuredThe cleaved C-terminus of APOE can exist in the cytoplasm and associate with mitochondria in neurons.
“Studies on the trafficking of APOE have also suggested that the cleaved C-terminus of APOE can exist in the cytoplasm and associate with mitochondria in neurons (Chang et al., 2005).”
From APOE traffics to astrocyte lipid droplets and modulates triglyceride saturation and droplet size (2024) · cites this paper as Chang et al., 2005
The Results report that apoE4(1–272) fragments escaped the secretory pathway and were observed at mitochondria in Neuro-2a cells; the Discussion describes their entry into the cytosol. The paper studies C-terminally truncated apoE4, however, not an isolated cleaved C-terminus. That distinction limits support for the claim as worded. (LLM, conf=0.82)
Experimental — accuracy not yet measuredApoE4 fragments are found in higher levels in Alzheimer's disease patients carrying APOE ε4 than in age- and sex-matched controls.
“and in higher levels than in age- and sex-matched controls [29].”
From Apoe4 and Alzheimer’s Disease Pathogenesis—Mitochondrial Deregulation and Targeted Therapeutic Strategies (2023) · cites this paper as [29]
The Abstract reports higher levels of apoE fragments in the brains of AD patients than in age- and sex-matched controls. It also says apoE4 is more susceptible to cleavage than apoE3, but does not specify that the patients in that comparison carried APOE ε4 or that the measured fragments were exclusively apoE4. (LLM, conf=0.84)
Experimental — accuracy not yet measuredApoE4 largest fragment (1-272 aa) directly interacts with mitochondria, leading to decrease in Δψm and mitochondrial fragmentation.
“ApoE4 largest fragment (1–272 aa) was shown to directly interact with mitochondria, which leads to a decrease in Δψm and mitochondrial fragmentation [26,29,73].”
From Apoe4 and Alzheimer’s Disease Pathogenesis—Mitochondrial Deregulation and Targeted Therapeutic Strategies (2023) · cites this paper as [29]
The Results report that apoE4(1–272) localized to mitochondria in transfected Neuro-2a cells and reduced MitoTracker fluorescence, which the authors interpret as evidence of impaired mitochondrial function and integrity associated with membrane potential. They do not report a direct measurement of Δψm or show mitochondrial fragmentation; the reported filamentous inclusions are not described as fragmented mitochondria. (LLM, conf=0.88)
Experimental — accuracy not yet measuredA particular fragment of apoE (1-272 amino acids) can translocate to cytosol and interact with cytoskeletal proteins.
“Limited data suggest that a particular fragment of apoE (1–272 amino acids) can translocate to cytosol and interacts with cytoskeletal proteins (Chang et al., 2005).”
From Apolipoprotein E in Synaptic Plasticity and Alzheimer’s Disease: Potential Cellular and Molecular Mechanisms (2014) · cites this paper as Chang et al., 2005
Not all apoE4 forms found in the brains of AD patients are equally bioactive, and specific apoE4 forms may be involved in processes associated with AD pathogenesis.
“These and other findings suggest that not all apoE4 forms found in the brains of AD patients are equally bioactive and that specific apoE4 forms may be involved in processes associated with AD pathogenesis (10, 14 -17).”
From Molecular Basis for Increased Risk for Late-onset Alzheimer Disease Due to the Naturally Occurring L28P Mutation in Apolipoprotein E4 (2014) · cites this paper as [16]
Fragments of APOE, which are more abundant with APOE4 than with APOE3, can cause neuronal mitochondrial dysfunction in vitro.
“In vitro studies have shown that fragments of APOE, which are more abundant with APOE4 than with APOE3, can cause neuronal mitochondrial dysfunction165,166.”
From Multifaceted roles of APOE in Alzheimer disease (2024) · cites this paper as [165]
The apoE4 (1-272) fragment interacts directly with mitochondria, resulting in mitochondrial dysfunction and neurotoxicity.
“apoE4 (1-272) fragment appears to interact directly with mitochondria, resulting in mitochondrial dysfunction and neurotoxicity [13]”
From APOE4 genotype exacerbates the depression-like behavior of mice during aging through ATP decline (2021) · cites this paper as [13]
ApoE4 (1-272) fragments can directly interact with mitochondria, causing mitochondrial dysfunction and neurotoxicity.
“Available literature also shows that apoE4 (1-272) fragments can directly interact with mitochondria, causing mitochondrial dysfunction and neurotoxicity [13].”
From APOE4 genotype exacerbates the depression-like behavior of mice during aging through ATP decline (2021) · cites this paper as [13]
ApoE fragments escape the secretory pathway into the cytosol.
“The resulting apoE fragments escape the secretory pathway into the cytosol”
From Neuronal Apolipoprotein E4 Expression Results in Proteome-Wide Alterations and Compromises Bioenergetic Capacity by Disrupting Mitochondrial Function (2019) · cites this paper as [17]
In neurons, apoE4 is associated with neurotoxicity.
“and neurotoxicity [10, 17–19, 34, 35]”
From Neuronal Apolipoprotein E4 Expression Results in Proteome-Wide Alterations and Compromises Bioenergetic Capacity by Disrupting Mitochondrial Function (2019) · cites this paper as [17]
ApoE fragments interact directly with mitochondria and disrupt their function.
“Although apoE fragments interact directly with mitochondria and disrupt their function [17, 20]”
From Neuronal Apolipoprotein E4 Expression Results in Proteome-Wide Alterations and Compromises Bioenergetic Capacity by Disrupting Mitochondrial Function (2019) · cites this paper as [17]
The interaction of apoE4 fragments with mitochondria is dependent on the apoE lipid-binding domain.
“The interaction of apoE4 fragments with mitochondria is dependent on the apoE lipid-binding domain”
From Neuronal Apolipoprotein E4 Expression Results in Proteome-Wide Alterations and Compromises Bioenergetic Capacity by Disrupting Mitochondrial Function (2019) · cites this paper as [17]
ApoE fragments engage in abnormal interactions in the cytosol that lead to neurodegeneration.
“where they engage in abnormal interactions that lead to neurodegeneration [17–19]”
From Neuronal Apolipoprotein E4 Expression Results in Proteome-Wide Alterations and Compromises Bioenergetic Capacity by Disrupting Mitochondrial Function (2019) · cites this paper as [17]
ApoE4 N-terminal fragments (1-272 aa) interact with mitochondria and may impact mitochondrial function and cell viability.
“some studies in N2a cells demonstrated that ApoE4 N-terminal fragments (1–272 aa) interact with mitochondria and may possibly impact on mitochondrial function and cell viability [29]”
From Apoe4 and Alzheimer’s Disease Pathogenesis—Mitochondrial Deregulation and Targeted Therapeutic Strategies (2023) · cites this paper as [29]
Both the receptor-binding and lipid-binding regions are critical for ApoE4 fragment-related neurotoxicity and mitochondrial impairment, rather than full-length protein.
“Both regions are thought to be critical for ApoE4 fragment-related neurotoxicity and mitochondrial impairment, rather than full-length protein [29,31].”
From Apoe4 and Alzheimer’s Disease Pathogenesis—Mitochondrial Deregulation and Targeted Therapeutic Strategies (2023) · cites this paper as [29]
In vitro studies in N2a cells showed that ApoE4 fragments (aa 1-272) interact with mitochondria and cause mitochondrial dysfunction and neurotoxicity.
“In vitro studies in N2a cells showed that ApoE4 fragments (aa 1–272) interact with mitochondria and cause mitochondrial dysfunction and neurotoxicity [29].”
From Apoe4 and Alzheimer’s Disease Pathogenesis—Mitochondrial Deregulation and Targeted Therapeutic Strategies (2023) · cites this paper as [29]
More recent data suggests the possibility that a fragment of apoE4 (1-272 amino acids), but not full-length apoE4, escapes the secretory pathway, translocates to the cytosolic compartment, and interacts with cytoskeletal components, including tau and neurofilament.
“Of note, more recent data suggests the possibility that a fragment of apoE4 (1–272 amino acids), but not full-length apoE4, escapes the secretory pathway, translocates to the cytosolic compartment, and interacts with cytoskeletal components, including tau and neurofilament (Chang et al., 2005).”
From The role of apolipoprotein E in Alzheimer's disease (2009) · cites this paper as Chang et al., 2005
In neurons, apoE4 is associated with decreased neurite outgrowth.
“decreased neurite outgrowth”
From Neuronal Apolipoprotein E4 Expression Results in Proteome-Wide Alterations and Compromises Bioenergetic Capacity by Disrupting Mitochondrial Function (2019) · cites this paper as [17]
The Results report greater cell death from an apoE4 fragment in Neuro-2a cells, but do not report decreased neurite outgrowth. Searches for “neurite outgrowth” and “neurite extension” found no passage in our copy addressing that outcome. (LLM, conf=0.76)
Experimental — accuracy not yet measuredThe APOE gene product appears to influence mitochondrial function.
“The APOE gene product, interestingly, also appears to influence mitochondrial function [164-167].”
From The Alzheimer’s disease mitochondrial cascade hypothesis: progress and perspectives (2014) · cites this paper as [164]
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- Authors
- Chang, S., Ma, T. R., Miranda, R. D., Balestra, M. E., Mahley, R. W., & Huang, Y.
- Affiliations
- University of California, San Francisco (US)
- Gladstone Institutes (US)
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2005-12-12
- Volume
- 102
- Issue
- 51
- Pages
- 18694-18699
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC1311737
- OpenAlex
- W2022943683
- Cited by
- 319
- References
- 73
- Citations by year
- 2026: 16 · 2025: 8 · 2024: 15 · 2023: 16 · 2022: 14 · 2021: 14 · 2020: 16 · 2019: 21 · 2018: 13 · 2017: 14 · 2016: 18 · 2015: 10 · 2014: 15 · 2013: 19 · 2012: 18
- FWCI
- 7.62
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- GlaxoSmithKline
- National Institutes of Health (AG‐022074)
- National Institute on Aging (P01AG022074)
- National Heart, Lung, and Blood Institute (R01 HL37063, R01HL037063)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- APOE ε4, neurotoxicity, mitochondrial dysfunction, receptor-binding region, Alzheimer's disease, tau phosphorylation, N2a cells, transgenic mice
- MeSH terms
- Alzheimer Disease, Animals, Apolipoproteins E, Cytoskeleton, Lipids, Mitochondria, Mutation, Neurons, Peptide Fragments, Receptors, Lipoprotein, Cell Line, Tumor, Mice, Apolipoprotein E4
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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