Blocking the apolipoprotein E/amyloid-β interaction as a potential therapeutic approach for Alzheimer's disease
Open accessAbstract
The amyloid-β (Aβ) cascade hypothesis of Alzheimer's disease (AD) maintains that accumulation of Aβ peptide constitutes a critical event in the early disease pathogenesis. The direct binding between Aβ and apolipoprotein E (apoE) is an important factor implicated in both Aβ clearance and its deposition in the brain's parenchyma and the walls of meningoencephalic vessels as cerebral amyloid angiopathy. With the aim of testing the effect of blocking the apoE/Aβ interaction in vivo as a potential novel therapeutic target for AD pharmacotherapy, we have developed Aβ12-28P, which is a blood-brain-barrier-permeable nontoxic, and nonfibrillogenic synthetic peptide homologous to the apoE binding site on the full-length Aβ. Aβ12-28P binds with high affinity to apoE, preventing its binding to Aβ, but has no direct effect on Aβ aggregation. Aβ12-28P shows a strong pharmacological effect in vivo . Its systemic administration resulted in a significant reduction of Aβ plaques and cerebral amyloid angiopathy burden and a reduction of the total brain level of Aβ in two AD transgenic mice models. The treatment did not affect the levels of soluble Aβ fraction or Aβ oligomers, indicating that inhibition of the apoE/Aβ interaction in vivo has a net effect of increasing Aβ clearance over deposition and at the same time does not create conditions favoring formation of toxic oligomers. Furthermore, behavioral studies demonstrated that treatment with Aβ12-28P prevents a memory deficit in transgenic animals. These findings provide evidence of another therapeutic approach for AD.
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The authors previously used Aβ12-28P to successfully reduce Aβ plaque load and cerebral amyloid angiopathy in APP SW and APP SW/PS1 M146L AD model mice.
“We have used Ab12-28P in the past to successfully reduce Ab plaques load and CAA in APP SW and APP SW /PS1 M146L AD model mice.22”
From Blocking the Interaction between Apolipoprotein E and Aβ Reduces Intraneuronal Accumulation of Aβ and Inhibits Synaptic Degeneration (2013) · cites this paper as [22]
The Results and Discussion report reduced Aβ deposits in both APPSWE and APPSWE/PS1 mice and a 68.4% reduction in CAA burden in APPSWE mice. They explicitly say CAA treatment effects could not be reliably assessed in APPSWE/PS1 mice, so the claim overextends that finding to the second model. (LLM, conf=0.90)
Experimental — accuracy not yet measuredAntagonizing the apoE/Aβ interaction with a small peptide decreased Aβ pathology in the mouse brain.
“One study found that antagonizing the apoE/Aβ interaction with a small peptide decreased Aβ pathology in the mouse brain”
From Human ApoE isoforms differentially regulate brain amyloid-β peptide clearance (2011) · cites this paper as [57]
A similar strategy preventing the interaction between apoE and Aβ has already been successfully used to attenuate Aβ toxicity and amyloid deposition.
“A similar strategy preventing the interaction between apoE and Aβ has already been successfully used to attenuate Aβ toxicity and amyloid deposition (Sadowski et al., 2006).”
From Anti-apoE immunotherapy inhibits amyloid accumulation in a transgenic mouse model of Aβ amyloidosis (2012) · cites this paper as Sadowski et al., 2006
Aβ12-28P inhibits apoE4/Aβ binding with KI = 12.9 nM and neutralizes the promoting effect of apoE on Aβ fibrillization in vitro, but has no effect on self-assembly of Aβ in the absence of apoE.
“Aβ12-28P inhibits apoE4/Aβ binding with KI = 12.9 nM and neutralizes the promoting effect of apoE on Aβ fibrillization in vitro, but has no effect on self-assembly of Aβ in the absence of apoE [15].”
From Blocking the apoE/Aβ interaction ameliorates Aβ-related pathology in APOE ε2 and ε4 targeted replacement Alzheimer model mice (2014) · cites this paper as [15]
Aβ12-28P exerts an effect on serum cholesterol metabolism in addition to targeting the apoE/Aβ interaction in the brain.
“Consistently with our previously published observations [15] these results indicate that Aβ12-28P exerts an effect on serum cholesterol metabolism in addition to targeting the apoE/Aβ interaction in the brain.”
From Blocking the apoE/Aβ interaction ameliorates Aβ-related pathology in APOE ε2 and ε4 targeted replacement Alzheimer model mice (2014) · cites this paper as [15]
ApoE affects Aβ accumulation by modulating both Aβ aggregation and clearance.
“There is compelling evidence showing that apoE affects A accumulation by modulating both A aggregation (Ma et al., 1994;Wisniewski et al., 1994) and clearance (Sadowski et al., 2006;Deane et al., 2008;Jiang et al., 2008;Castellano et al., 2011)”
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 Sadowski et al., 2006
Blocking the interaction between apoE and Aβ results in decreased amyloidosis.
“Conversely, blocking the interaction between apoE and A (Sadowski et al., 2006) and decreasing the apoE level by overexpressing low-density lipoprotein receptor (Kim et al., 2009) or haploinsufficiency of apoE (Bales et al., 1999;Holtzman et al., 2000;Kim et al., 2011;Bien-Ly et al., 2012) results in decreased amyloidosis.”
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 Sadowski et al., 2006
Aβ12-28P reduces the load of Aβ plaques and CAA when systemically administered to APPSW Tg mice.
“As we have previously shown, Ab12-28P inhibits ApoE4/Ab binding with K I Z 12.9 nmol/L, neutralizes the promoting effect of ApoE on Ab fibrillization in vitro, and reduces the load of Ab plaques and CAA when systemically administered to APP SW Tg mice.22”
From Blocking the Interaction between Apolipoprotein E and Aβ Reduces Intraneuronal Accumulation of Aβ and Inhibits Synaptic Degeneration (2013) · cites this paper as [22]
Aβ12-28P inhibits ApoE4/Aβ binding with Ki = 12.9 nmol/L.
“As we have previously shown, Ab12-28P inhibits ApoE4/Ab binding with K I Z 12.9 nmol/L, neutralizes the promoting effect of ApoE on Ab fibrillization in vitro, and reduces the load of Ab plaques and CAA when systemically administered to APP SW Tg mice.22”
From Blocking the Interaction between Apolipoprotein E and Aβ Reduces Intraneuronal Accumulation of Aβ and Inhibits Synaptic Degeneration (2013) · cites this paper as [22]
Aβ12-28P neutralizes the promoting effect of ApoE on Aβ fibrillization in vitro.
“As we have previously shown, Ab12-28P inhibits ApoE4/Ab binding with K I Z 12.9 nmol/L, neutralizes the promoting effect of ApoE on Ab fibrillization in vitro, and reduces the load of Ab plaques and CAA when systemically administered to APP SW Tg mice.22”
From Blocking the Interaction between Apolipoprotein E and Aβ Reduces Intraneuronal Accumulation of Aβ and Inhibits Synaptic Degeneration (2013) · cites this paper as [22]
The degree of co-localization between apoE and Aβ deposition appeared to decrease in brains carrying the APOE3-Jac variant compared to those from APOE3.
“As apoE co-deposits with Aβ in the amyloid plaques (13–15), we examined and found that the degree of co-localization between apoE and Aβ deposition appeared to decrease in the brains carrying APOE3-Jac variant compared to those from APOE3 (Fig. S1C–F).”
From <i>APOE3</i> -Jacksonville (V236E) variant reduces self-aggregation and risk of dementia (2021) · cites this paper as [14]
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“…evidence showing that apoE affects A accumulation by modulating both A aggregation (Ma et al., 1994; Wisniewski et al., 1994) and clearance (Sadowski et al., 2006; Deane et al., 2008; Jiang et al., 2008; Castellano et al., 2011) and it also colocalizes with A plaques (Namba et al., 1991).”
BackgroundInfluentialAPOE-amyloid interaction: Therapeutic targets
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<i>APOE3</i> -Jacksonville (V236E) variant reduces self-aggregation and risk of dementia
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Mouse Models to Study the Effect of Cardiovascular Risk Factors on Brain Structure and Cognition
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“Ab peptides were synthesized on solid-phase support and purified by reverse-phase high-pressure liquid chromatography, as previously described.(16,22) Full-length sequences of Ab1-40, Ab1-42, and Ab1-40 amino-terminally tagged with 5,6-carboxyfluorescein (FITC-Ab1-40) were synthesized with L-amino acids, whereas end-p…”
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Apolipoprotein E: Essential Catalyst of the Alzheimer Amyloid Cascade
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Computational Simulations of the Early Steps of Protein Aggregation
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Molecular Insight into the Therapeutic Promise of TargetingAPOE4for Alzheimer’s Disease
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Brain Apolipoprotein E: an Important Regulator of Food Intake in Rats
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Peroxiredoxin 6 mediates protective function of astrocytes in Aβ proteostasis
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Transthyretin Accelerates Vascular Aβ Deposition in a Mouse Model of Alzheimer's Disease
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“standard enzymatic assay based on the Cholesterol E kit (Wako Diagnostics, Richmond, VA) as previously described [19, 24].”
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Modulation of amyloid precursor protein expression reduces β‐amyloid deposition in a mouse model
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Are apolipoprotein E fragments a promising new therapeutic target for Alzheimer’s disease?
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Cross interactions between Apolipoprotein E and amyloid proteins in neurodegenerative diseases
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- Authors
- Sadowski, M. J., Pankiewicz, J., Scholtzova, H., Mehta, P. D., Prelli, F., Quartermain, D., & Wisniewski, T.
- Affiliations
- *Departments of Neurology,
- New York State Institute for Basic Research in Developmental Disabilities, 1050 Forest Hill Road, Staten Island, NY 10314
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2006-12-05
- Volume
- 103
- Issue
- 49
- Pages
- 18787-18792
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC1654132
- OpenAlex
- W2004069543
- Cited by
- 167
- References
- 29
- Citations by year
- 2026: 6 · 2025: 3 · 2024: 5 · 2023: 3 · 2022: 3 · 2021: 7 · 2020: 8 · 2019: 8 · 2018: 6 · 2017: 7 · 2016: 5 · 2015: 5 · 2014: 16 · 2013: 13 · 2012: 16
- FWCI
- 8.19
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging (AG15408, R01AG015408, AG 20747, P30AG008051, R01AG020245, K08AG020747)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Keywords
- Alzheimer's disease, amyloid-beta, apolipoprotein E, synthetic peptides, amyloid-beta clearance, cerebral amyloid angiopathy, amyloid plaques, amyloid-beta oligomers, memory impairment, transgenic mouse model, blood-brain barrier permeability, therapeutic target
- MeSH terms
- Alzheimer Disease, Animals, Apolipoproteins E, Binding, Competitive, Female, Mice, Transgenic, Peptide Fragments, Amyloid beta-Peptides, Amyloid beta-Protein Precursor, Mice
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