Cited by 208Alzheimer's disease research and treatmentsCerebrospinal fluid and hydrocephalusNeuroinflammation and Neurodegeneration Mechanisms

The DOI matches its Crossref record; 75 of the 75 references it cites were found in a registry or an index; none of the 45 sources its claims cite is checked for support yet.

Amyloid clearance defect in ApoE4 astrocytes is reversed by epigenetic correction of endosomal pH

Open access
Prasad, Hari, Rao, Rajini·2018·Proceedings of the National Academy of Sciences

Published version of a preprint

Abstract

Significance: Alzheimer’s disease is the most common cause of dementia in the elderly. Most cases occur sporadically, with 40–65% of patients carrying at least one copy of the E4 allele of Apolipoprotein E. Because no drug exists that can halt disease progress, there is strong interest in understanding the presymptomatic role of endosomes. We show that excessive endosomal acidification in ApoE4 astrocytes is caused by downregulation of the Na + /H + exchanger NHE6 and results in defective clearance of amyloid beta (Aβ) peptide by intracellular sequestration of the LRP1 receptor. Epigenetic modifiers restore NHE6 expression to alkalinize endosomal pH, increase surface expression of LRP1, and correct Aβ clearance in astrocytes. Thus, endosomal pH emerges as a target for the correction of amyloid disorders.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

In ApoE4 astrocytes, selective downregulation of the endosomal Na+/H+ exchanger NHE6 causes endosomal hyperacidification, trapping LRP1 intracellularly and impairing Aβ clearance. Restoring NHE6—by ectopic expression or broad-spectrum HDAC inhibitors—normalizes endosomal pH, increases surface LRP1, and rescues Aβ clearance to ApoE3-like levels.

Key findings

  • ApoE4 astrocytes showed 78% lower cell-associated Aβ than ApoE3 astrocytes, with lower Aβ at all time points (53% at 1 h, 59% at 4 h, 65% at 16 h), while transferrin uptake was 1.5–2-fold higher and dextran uptake did not differ.
  • Surface LRP1 was reduced in ApoE4 astrocytes by ~50% (biotinylation), ~43% (flow cytometry), and ~49% (confocal), and surface Aβ binding was 66% lower, despite no differences in LRP1 transcript or total protein.
  • Endosomal pH in ApoE4 astrocytes was reduced by ~0.84 pH unit, lysosomal pH was elevated by >1 pH unit, and monensin raised endosomal pH from 5.38±0.01 to 5.74±0.03 and restored Aβ clearance.
  • NHE6 transcript was ~56% lower in ApoE4 knock-in astrocytes; NHE6 KO mouse brains had elevated Aβ; ectopic NHE6 restored Aβ clearance and increased surface LRP1 (~2.5-fold by imaging, ~5.7-fold by biotinylation). Broad-spectrum HDAC inhibitors restored NHE6, with TSA and SAHA EC50 values of 6.50±0.36 µM and 6.81±0.53 µM, and corrected Aβ clearance up to 92.4% of ApoE3 levels (R²=0.7884 between Aβ clearance and NHE6 fold-change).

Methods

  • Isogenic ApoE3/ApoE4 knock-in immortalized astrocytes and ApoE KO astrocytes were used with fluorescent Aβ40 uptake/clearance assays, flow cytometry, confocal microscopy, surface biotinylation, pH-sensitive reporters, qPCR, Western blotting, lentiviral NHE6/NHE9 expression, and a nine-drug HDAC inhibitor panel.
  • Human bioinformatics included GSE5281 (15 LOAD, 12 controls), GSE15222 (n=363), and a meta-analysis of nine studies comprising 103 AD and 87 control post-mortem brains; NHE6 KO male mice (Slc9a6−/Y) versus wild-type male controls were used for brain Aβ40 ELISA, with on average five mice per genotype.
  • Statistical analysis used Student’s t test, ANOVA, and linear regression in GraphPad Prism; data are presented as mean ± SD.

Limitations

  • The paper states that the precise pH-mediated perturbation in trafficking remains to be determined, and that future work could test HDAC inhibitor efficacy on amyloid pathology in well-defined animal models.
  • Evident from the text: the mechanistic rescue experiments are primarily in immortalized astrocyte cell culture, while in vivo evidence is limited to elevated Aβ in NHE6 KO mouse brain rather than ApoE4-specific HDAC inhibitor treatment.
  • Evident from the text: human evidence for NHE6 downregulation in ApoE4 is based on transcriptomic datasets and post-mortem brain analyses, which are associative rather than direct causal tests in human tissue.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1073/pnas.1801612115

Cites

75 of 75 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

0 of 45 cited sources checked · 0 supported · 0 flagged

  • Findingown data

    The NHE6 KO mouse model shows elevated Aβ in the brain.

    “In vivo, the NHE6 KO mouse model shows elevated Aβ in the brain.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Elevated brain Aβ in NHE6 KO mice reflects a role for NHE6 in amyloid pathology relevant to AD.
  • Findingown data

    Epigenetic restoration of NHE6 expression with HDAC inhibitors normalized ApoE4-specific defects in endosomal pH, LRP1 trafficking and amyloid clearance.

    “Epigenetic restoration of NHE6 expression with histone deacetylase inhibitors normalized ApoE4-specific defects in endosomal pH, LRP1 trafficking and amyloid clearance.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: ApoE-isoform-expressing isogenic astrocytes produce, lipidate, package, and secrete ApoE in a brain-relevant physiological fashion, making them a valid model of human ApoE4 brain astrocytes.
  • Findingown data

    There was significantly lower cell-associated Aβ in ApoE4 cells relative to ApoE3 at all time points.

    “Consistent with defective uptake, there was significantly lower cell-associated Aβ in ApoE4 cells relative to ApoE3 at all time points (Fig. 1C, Fig. S1F).”
    Quote in the paperSubstantial claim
    • Rests on an assumption: ApoE-isoform-expressing isogenic astrocytes produce, lipidate, package, and secrete ApoE in a brain-relevant physiological fashion, making them a valid model of human ApoE4 brain astrocytes.
  • Findingown data

    Broad-spectrum HDAC inhibitors (sodium butyrate, sodium valproate, LBH589, TSA, and SAHA) resulted in significant restoration of NHE6 expression levels in ApoE4 astrocytes to levels comparable to ApoE3.

    “broad-spectrum drugs inhibiting both classes, including sodium butyrate, sodium valproate, LBH589, 5 TSA, and SAHA (vorinostat), resulted in significant restoration of NHE6 expression levels in ApoE4 astrocytes to levels comparable to ApoE3 astrocytes (Fig. 5C).”
    Quote in the paperSubstantial claim
    • Rests on an assumption: ApoE-isoform-expressing isogenic astrocytes produce, lipidate, package, and secrete ApoE in a brain-relevant physiological fashion, making them a valid model of human ApoE4 brain astrocytes.
  • Findingown data

    ApoE4 cells expressing ectopic NHE6 had ∼2.5-fold higher LRP1 staining compared to vector-transfected ApoE4 astrocytes.

    “Compared to the weak surface LRP1 staining in vector-transfected ApoE4 astrocytes, we observed prominent, ∼2.5-fold higher LRP1 staining in ApoE4 cells expressing ectopic NHE6 (Fig. 4F).”
    Quote in the paperSubstantial claim
    • Rests on an assumption: ApoE-isoform-expressing isogenic astrocytes produce, lipidate, package, and secrete ApoE in a brain-relevant physiological fashion, making them a valid model of human ApoE4 brain astrocytes.
  • It may state two separate claims as one. 14
  • Probably not a substantial claim. 16
  • It may state two separate claims as one.

    Findingown data

    HDAC inhibitors that restore NHE6 expression also restore surface expression of LRP1 and correct defective amyloid clearance in ApoE4 astrocytes to non-pathological ApoE3 levels.

    “HDAC inhibitors that restore NHE6 expression also restore surface expression of LRP1 and effectively correct defective amyloid clearance in ApoE4 astrocytes to non-pathological ApoE3 levels.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: ApoE-isoform-expressing isogenic astrocytes produce, lipidate, package, and secrete ApoE in a brain-relevant physiological fashion, making them a valid model of human ApoE4 brain astrocytes.
  • It may state two separate claims as one.

    Findingown data

    TSA treatment (5μM for 12h) significantly elevated endosomal pH without effect on lysosomal pH in ApoE4 astrocytes.

    “TSA treatment (5µM for 12h) exhibited a compartment-specific effect of significantly elevating endosomal pH (Fig. 5D) without effect on lysosomal pH (Fig. 5E).”
    Quote in the paperSubstantial claim
    • Rests on an assumption: ApoE-isoform-expressing isogenic astrocytes produce, lipidate, package, and secrete ApoE in a brain-relevant physiological fashion, making them a valid model of human ApoE4 brain astrocytes.
  • It may state two separate claims as one.

    Findingown data

    Broad-spectrum HDAC inhibitors restore NHE6 expression, normalize endosomal pH and correct Aβ clearance defects in ApoE4 astrocytes.

    “We show that broad-spectrum HDAC inhibitors restore NHE6 expression, normalize endosomal pH and correct Aβ clearance defects in ApoE4 astrocytes.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: ApoE-isoform-expressing isogenic astrocytes produce, lipidate, package, and secrete ApoE in a brain-relevant physiological fashion, making them a valid model of human ApoE4 brain astrocytes.
  • It may state two separate claims as one.

    Premisecitation

    ApoE4 potentiates pre-symptomatic endosomal dysfunction and defective clearance of Aβ.

    “The strongest genetic risk factor in sporadic AD is the ε4 allele of Apolipoprotein E (ApoE4), 5 which potentiates pre-symptomatic endosomal dysfunction and defective clearance of Aβ, although how these two pathways are linked has been unclear.”
    Quote in the paperSubstantial claim0 of 6 sources checked
    • cites [9]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [10]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [11]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [14]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [15]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [16]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    Genes associated with endosomal trafficking have been implicated as major risk factors in AD.

    “Consistent with this finding, genes associated with endosomal trafficking have been implicated as major risk factors in AD 8 .”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [8]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    ApoE4 is the strongest known genetic risk factor influencing susceptibility to sporadic, late-onset AD.

    “Importantly, prominent pre-symptomatic endosomopathy of the brain, evidenced by enlarged and more numerous endosomes, has been observed in the ApoE4 genotype 9,10,11 , the strongest known genetic risk factor influencing susceptibility to sporadic, late-onset AD (LOAD) 12,13 .”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [12]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [13]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • It may state two separate claims as one.

    Interpretationreasoning

    NHE6 is a prominent effector of ApoE4 and a promising therapeutic target in Alzheimer disease.

    “Thus, NHE6 is a prominent effector of ApoE4 and 15 emerges as a promising therapeutic target in Alzheimer disease.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: ApoE-isoform-expressing isogenic astrocytes produce, lipidate, package, and secrete ApoE in a brain-relevant physiological fashion, making them a valid model of human ApoE4 brain astrocytes.
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Premisecitation

    The pathological E4 variant of Apolipoprotein E is present in ~50% of patients with AD, and two copies of the E4 allele increase risk of LOAD by ∼12-times compared to the E3 isoform.

    “The pathological 20 E4 variant of Apolipoprotein E is present in ~50% of patients with AD, and the presence of two copies of the E4 allele increases risk of LOAD by ∼12-times as compared to E3 isoform 14 .”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [14]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim.

    Premisecitation

    Accumulation of Aβ in the brain begins at least 20 years before symptoms appear.

    “Recent studies suggest that accumulation of Aβ in the brain begins at least 20 years before symptoms appear 2 .”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [2]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim.

    Premisecitation

    Several promising drugs targeting the amyloid cascade have high failure rates (99.6%) in the clinic.

    “Although several promising drugs targeting the amyloid cascade have been developed, their astoundingly high failure rates (99.6%) in the clinic suggest that by the time amyloid plaques, neurofibrillary tangles and neuronal death are detected, it is unlikely that disease progression can be 10 halted and reversed 3 .”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [3]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • It may state two separate claims as one.

    Interpretationown data

    The work presents a novel ApoE4-regulated cellular mechanism and druggable target in Alzheimer's disease: regulation of amyloid pathology by intra-endosomal pH.

    “In conclusion, this work presents, (i) a novel ApoE4 regulated cellular mechanism and druggable target in AD, namely, regulation of amyloid pathology by intra-endosomal pH;”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    Na+/H+ exchangers are estimated to have exceptionally high transport rates of ∼1,500 ions/s.

    “Na + /H + exchangers are estimated to have exceptionally high transport rates of ∼1,500 ions/s 39 , so that even small perturbations in expression result in dramatic changes in ionic milieu within the limited confines of the endosomal lumen.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [39]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim.

    Premisecitation

    Previously, the authors showed that NHE6 regulates trafficking and BACE1-mediated processing of APP to limit production of amyloidogenic peptides.

    “Previously, we showed that NHE6 regulates trafficking and BACE1-mediated processing of amyloid precursor protein APP to limit production of amyloidogenic peptides 43 .”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [43]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    NHE6 was among the most highly down regulated genes (up to 6-fold) in elderly (70 years) brain compared to adult (40 years).

    “Interestingly, NHE6 was among the most highly down regulated genes (up to 6-fold) in elderly (70 years) brain, compared to adult (40 years) 42 .”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [42]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • It may state two separate claims as one.

    Interpretationreasoning

    Loss of NHE6 function contributes to endosomal pathology observed in pre-symptomatic AD brains both by accelerating Aβ production and by inhibiting Aβ clearance, promoting development of amyloid plaques and culminating in neurodegeneration and dementia.

    “Taken together, we propose that loss of NHE6 function contributes to the endosomal 15 pathology observed in pre-symptomatic AD brains both by accelerating Aβ production and by inhibiting Aβ clearance, promoting the development of amyloid plaques and culminating in neurodegeneration and dementia.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: ApoE-isoform-expressing isogenic astrocytes produce, lipidate, package, and secrete ApoE in a brain-relevant physiological fashion, making them a valid model of human ApoE4 brain astrocytes.
  • It may state two separate claims as one.

    Premisecitation

    Amphipathic drugs such as bepridil and amiodarone partition into acidic compartments, alkalinize endosomes, and correct Aβ pathology in cell culture and animal models.

    “Amphipathic drugs such as bepridil and amiodarone partition into acidic compartments, alkalinize endosomes, and correct Aβ pathology in cell culture and animal models 47 .”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [47]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • It may state two separate claims as one.

    Interpretationown data

    Our data demonstrate a hitherto unrecognized ability of HDAC inhibitors to specifically enhance endosomal pH that could potentially correct human pathologies resulting from aberrant endosomal hyperacidification.

    “Importantly, our 30 data demonstrate a hitherto unrecognized ability of HDAC inhibitors to specifically enhance endosomal pH that could potentially correct human pathologies resulting from aberrant endosomal hyperacidification.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: ApoE-isoform-expressing isogenic astrocytes produce, lipidate, package, and secrete ApoE in a brain-relevant physiological fashion, making them a valid model of human ApoE4 brain astrocytes.
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Premisecitation

    Genetic studies have linked eNHE to neurodevelopmental and neurodegenerative disorders including Christianson syndrome, Parkinson's disease, multiple sclerosis and AD, although underlying mechanisms remain to be determined.

    “Genetic studies have linked eNHE to a host of neurodevelopmental and neurodegenerative disorders, including Christianson 15 syndrome (CS) with symptoms of autism, intellectual disability and epilepsy, Parkinsons disease, multiple sclerosis and AD, although underlying mechanisms remain to be determined 27 .”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [27]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • It may state two separate claims as one.

    Interpretationown data

    The pathogenic deficiency of ApoE4 astrocytes to clear Aβ is mediated by decreased expression of NHE6, which results in endosomal over-acidification and reduced surface levels of LRP1.

    “Using ApoE-isoform-expressing isogenic astrocytes that produce, lipidate, package, and secrete ApoE in a brainrelevant physiological fashion, we showed that the well-documented pathogenic deficiency of ApoE4 astrocytes to clear Aβ is mediated by decreased expression of NHE6, which results in endosomal over-acidification and reduced surface levels of the 10 Aβ receptor LRP1.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: ApoE-isoform-expressing isogenic astrocytes produce, lipidate, package, and secrete ApoE in a brain-relevant physiological fashion, making them a valid model of human ApoE4 brain astrocytes.
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Interpretationcitation

    Loss of NHE6 may contribute to other ApoE4 defects, including defective synaptosome uptake and synapse pruning.

    “Furthermore, since LRP1 is a receptor for multiple ligands, loss of NHE6 may contribute to other ApoE4 defects, including defective synaptosome uptake and synapse pruning 12,23 .”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [12]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [23]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • Rests on an assumption: ApoE-isoform-expressing isogenic astrocytes produce, lipidate, package, and secrete ApoE in a brain-relevant physiological fashion, making them a valid model of human ApoE4 brain astrocytes.
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    Down regulation of NHE6 gene expression has been reported in autism brains.

    “Similar to our observations in AD, down regulation of NHE6 gene expression has been reported in autism brains 48 .”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [48]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    More recent network analysis of the metastable subproteome associated with AD converged on NHE6 as a major hub gene regulating protein trafficking and clearance mechanisms.

    “More recent network analysis of the metastable subproteome associated with AD also converged on NHE6 as a major hub gene regulating protein trafficking and clearance mechanisms 40 .”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [40]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    Endosomal Na+/H+ exchangers have an evolutionarily conserved role as a leak pathway for protons in compartmental pH homeostasis, critical for cargo trafficking and vesicular transport.

    “The discovery of endosomal Na + /H + exchangers (eNHE) first in yeast, and soon after in plants, metazoans, and mammalian systems, established their evolutionarily conserved role as a leak pathway for protons in compartmental pH homeostasis, critical 10 for cargo trafficking and vesicular transport 27,37,38 .”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [27]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [37]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [38]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Study design and conductnone given

    Each experiment was repeated three times independently.

    “Each experiment was repeated three times independently.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Premisecitation

    Abnormalities in histone acetylation have been linked to several neurodegenerative diseases including AD, and HDAC inhibitors appear to show a neuroprotective effect, improving memory and cognition in mouse models.

    “Abnormalities in histone acetylation have been linked to several neurodegenerative diseases including AD, and HDAC inhibitors appear to show a 20 neuroprotective effect, improving memory and cognition in mouse models 44,45 .”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [44]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [45]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Study design and conductnone given

    All procedures were carried out in accordance with the Institutional Animal Care and Use Committee of the University of California, San Francisco and the Johns Hopkins University School of Medicine, Baltimore.

    “All procedures were carried out in accordance with The Institutional Animal Care and Use Committee of the University of California, San Francisco and the Johns Hopkins University School of Medicine, Baltimore.”
    Quote in the paperNot a substantial claim
  • It may state two separate claims as one.

    Study design and conductown data

    Internalized Aβ is sorted to the lysosomal degradation pathway, as evidenced by high colocalization with late endosomal-lysosomal markers and low colocalization with the recycling compartment marker transferrin.

    “Internalized Aβ is sorted to 20 the lysosomal degradation pathway as evidenced by high colocalization with late endosomal-lysosomal markers and low colocalization with the recycling compartment marker transferrin (TFN) (Fig. S1A-D).”
    Quote in the paperSubstantial claim
    • Rests on an assumption: ApoE-isoform-expressing isogenic astrocytes produce, lipidate, package, and secrete ApoE in a brain-relevant physiological fashion, making them a valid model of human ApoE4 brain astrocytes.
27 of 27
  • The paper relies on this without support.

    ApoE-isoform-expressing isogenic astrocytes produce, lipidate, package, and secrete ApoE in a brain-relevant physiological fashion, making them a valid model of human ApoE4 brain astrocytes.

    “Using ApoE-isoform-expressing isogenic astrocytes that produce, lipidate, package, and secrete ApoE in a brainrelevant physiological fashion”
  • The paper relies on this without support.

    Elevated brain Aβ in NHE6 KO mice reflects a role for NHE6 in amyloid pathology relevant to AD.

    “Consistent with a role in amyloid pathology, in vivo Aβ levels were found to be significantly higher in the brains of NHE6 KO mice.”
2 of 2

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?

  • ApoE4 aggregates with LRP-1 affecting Aβ degradation.

    “and with LRP-1 affecting A␤ degradation (Prasad and Rao, 2018).”

    From ApoE4 Alters ABCA1 Membrane Trafficking in Astrocytes (2019) · cites this paper as Prasad and Rao, 2018

    The Introduction and the section on LRP1 surface expression report that ApoE4 astrocytes have less surface LRP1 and impaired Aβ uptake and clearance. They do not report that ApoE4 aggregates with LRP1 or establish an effect specifically on Aβ degradation; the mechanism described is altered LRP1 trafficking. (LLM, conf=0.84)

    Experimental — accuracy not yet measured
  • ApoE4 astrocytes contain significantly lower levels of all three receptors (LDLR, LRP1, ApoER2).

    “Data showed that ApoE4 astrocytes contain significantly lower levels of all three receptors (Figure 5), although conflicting data regarding some of them have been obtained in primary and hiPSC-derived ApoE4 astrocytes [15,24,73].”

    From ApoE3 vs. ApoE4 Astrocytes: A Detailed Analysis Provides New Insights into Differences in Cholesterol Homeostasis (2022) · cites this paper as [73]

    The section “Surface expression of LRP1 receptor is severely reduced in ApoE4 astrocytes” reports about 50% lower surface LRP1 in ApoE4 than ApoE3 astrocytes, but no difference in total LRP1 protein. Our copy does not establish significantly lower LDLR or ApoER2 levels, so it does not support the claim about all three receptors. (LLM, conf=0.89)

    Experimental — accuracy not yet measured
  • Lower levels of ApoE receptors in the astrocytic membrane may lead to the reduced ability of ApoE4 astrocytes to clear Aβ.

    “studies suggest that lower levels of ApoE receptors in the astrocytic membrane may lead to the reduced ability of ApoE4 astrocytes to clear Aβ [16,73].”
  • ApoE4 is able to reduce recycling of the three receptors to the cell membrane, likely because of aberrant endosomal acidification that traps receptors within intracellular compartments and leads to their degradation.

    “several studies showed that ApoE4 is able to reduce their recycling to the cell membrane, likely because of the aberrant endosomal acidification that traps receptors within the intracellular compartments and leads to their degradation [73,74,75].”
  • In ApoE4-expressing astrocytes, overexpression of NHE6 increases LRP1 on the surface, which correlated with an increase in Aβ uptake.

    “In ApoE4-expressing astrocytes, others have shown that overexpression of NHE6 increases LRP1 on the surface, which correlated with an increase in Aβ uptake (Prasad and Rao, 2018).”

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.

  • Reported error bars conflict with the stated convention

    Minor

    The methods say all data are presented as mean ± SD, whereas the figure description explicitly says one measurement is plotted as mean ± standard error.

  • Fig. 4C is assigned to two different results

    Minor

    Fig. 4C is cited for both NHE6 transcript expression in astrocytes and Aβ levels in NHE6-knockout mouse brains.

  • LRP1 surface-expression result points to an Aβ uptake figure

    Minor

    The text cites Fig. 1B for surface biotinylation of LRP1, but the description of Fig. 1B identifies it as an Aβ uptake measurement.

3 of 3

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Metadata

Authors
Prasad, H., & Rao, R.
Affiliations
Johns Hopkins University (US)
Venue
Proceedings of the National Academy of Sciences
Published
2018-06-26
Volume
115
Issue
28
Pages
E6640-E6649
ISSN
  • 0027-8424 (ISSN-L)
  • 1091-6490
OpenAlex
W2810838937
Cited by
207
References
73
Citations by year
2026: 19 · 2025: 26 · 2024: 30 · 2023: 25 · 2022: 34 · 2021: 32 · 2020: 23 · 2019: 14 · 2018: 4
FWCI
7.14
Type
journal article
Language
en
Open access
Locations
  • Proceedings of the National Academy of Sciences (publishedVersion)
  • bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion, cc-by-nc-nd)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • HHS | National Institutes of Health (DK054214)
  • Johns Hopkins Medicine Discovery Fund (N/A)
Topics
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Clinical Neurology › Cerebrospinal fluid and hydrocephalus
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
Keywords
Alzheimer's disease, APOE ε4, amyloid-beta clearance, astrocytes, endosomal acidification, endosomal pH, NHE6, Na+/H+ exchanger, epigenetic regulators, amyloidosis
MeSH terms
Alzheimer Disease, Animals, Astrocytes, Ataxia, Epilepsy, Histone Deacetylases, Humans, Hydrogen-Ion Concentration, Intellectual Disability, Microcephaly, Receptors, LDL, Endosomes, Ocular Motility Disorders, Amyloid beta-Peptides, Sodium-Hydrogen Exchangers, Mice, Knockout, Tumor Suppressor Proteins, Low Density Lipoprotein Receptor-Related Protein-1, Genetic Diseases, X-Linked, Epigenesis, Genetic, Mice, Apolipoprotein E4, Histone Deacetylase Inhibitors

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.

A language model drew the claims from the paper on 2026-11-09, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).

A second model labelled each claim on 2026-11-09 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).

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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