Cited by 302Alzheimer's disease research and treatmentsNeuroinflammation and Neurodegeneration MechanismsCholesterol and Lipid Metabolism

The DOI matches its Crossref record; 82 of the 82 references it cites were found in a registry or an index; 25 of the 56 sources its claims cite were checked for support.

Regulation of beta-amyloid production in neurons by astrocyte-derived cholesterol

Open access
Wang, Hao, Kulas, Joshua A., Wang, Chao, Holtzman, David M., Ferris, Heather A., Hansen, Scott B.·2021·Proceedings of the National Academy of Sciences

Published version of a preprint

Abstract

Significance: The accumulation of amyloid β (Aβ) in the brain appears to be a necessary event in the pathogenesis of Alzheimer’s disease (AD). However, processes linked to the endogenous regulation of Aβ production are still not completely understood. Here, the authors show that Aβ accumulation in neurons is tightly regulated by cholesterol synthesis and apoE transport from astrocytes. The study provides a molecular context for understanding the endogenous regulation of Aβ accumulation and why it correlates with AD. The tight regulation suggests that Aβ may perform an important cellular function. A complete understanding of the mechanism is likely necessary to predict whether the selective removal of Aβ has potential for a therapeutic benefit.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

Astrocyte-derived cholesterol, transported to neurons by apoE, regulates APP localization to GM1 lipid clusters and thereby shifts APP processing between nonamyloidogenic sAPP-α and amyloidogenic Aβ. Deleting astrocyte SREBP2 in 3xTg-AD mice nearly eliminates insoluble Aβ and plaques, linking astrocyte cholesterol, apoE, and amyloid pathology in one pathway.

Key findings

  • dSTORM imaging showed GM1 domains averaged ∼141 nm in WT mouse cortical tissue, ∼150 nm in primary neurons, and ∼100 nm in N2a cells; astrocyte SREBP2 knockout reduced primary neuron cluster size to 130 nm, and apoE +FBS increased N2a cluster diameter from 100 to 130 nm.
  • APP, β-secretase, and γ-secretase associated with GM1 clusters (pair correlation 10–15), while α-secretase did not (<3); apoE cholesterol loading increased APP–GM1 association almost twofold versus efflux, and in primary cultures apoE decreased APP association >twofold in purified neurons but increased it 2.5-fold when astrocytes were present.
  • In 3xTg-AD × SREBP2fl/fl GFAP-Cre mice at 60 wk, soluble Aβ40 and Aβ42 were reduced twofold, insoluble Aβ40 and Aβ42 were almost entirely eliminated, amyloid plaques were absent, and pTau at T181 was eliminated, with total APP, GFAP, and ApoE unchanged.
  • ApoE4 knock-in brains showed increased APP–GM1 association versus apoE3, but purified apoE3 and apoE4 did not differ significantly in loading or unloading cholesterol in N2a cells.

Methods

  • Superresolution dSTORM imaging in N2a cells, primary cortical neurons, mixed neuron/astrocyte cultures, and mouse brain slices; GM1 lipids were labeled with fluorescent CTxB and APP/secretases with antibodies, followed by pair-correlation and cluster analysis.
  • Mouse genetics included astrocyte-specific SREBP2 knockout via ALDH1L1-Cre or GFAP-Cre, crosses with 3xTg-AD and APOE-KI/APP/PS1 mice, and measurements by ELISA for Aβ40/42, sAPP-α, and pTau, plus Western blot, lipidomics mass spectrometry, and live-cell cholesterol assays.
  • Cell culture used embryonic day 17 cortical neurons, FACS sorting with Thy1.2, astrocyte-conditioned media from WT or APOE−/− astrocytes, and apoE3/apoE4 treatments with or without FBS/cholesterol.

Limitations

  • Stated: all astrocyte-targeting Cre lines also delete to some degree in neural progenitor cells, and the exact mechanisms by which astrocyte cholesterol influences neuronal tau phosphorylation require future investigations.
  • Evident: most mechanistic evidence comes from cultured cells and mouse models, with no human tissue or clinical data; the in vivo apoE4 versus apoE3 cholesterol trend was not statistically significant, and purified apoE3/apoE4 showed no significant functional difference in cholesterol transport.
  • Evident: reduced brain tissue volume was observed in AD × SB2−/− animals, similar to prior astrocyte-specific SB2−/− brains, which could complicate interpretation of pathology endpoints.

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

Integrity signals

Registry

Crossref · 10.1073/pnas.2102191118

Cites

82 of 82 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

25 of 56 cited sources checked · 7 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    ApoE is not present in FBS.

    “Importantly, apoE is not present in FBS (44).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [44] V. P. Varma., Ocular fluid as a replacement for serum in cell cryopreservation media. PLoS One 10, e0131291 (2015). 26135924 PMC4489643 source
  • Premisecitation

    ApoE can both load and unload cholesterol from cells, including neurons.

    “ApoE can both load and unload cholesterol from cells, including neurons (41–43) (see also SI Appendix).”
    Quote in the paperSubstantial claim1 of 3 sources checked
    • cites [41] J. Luo, H. Yang, B.-L. Song, Mechanisms and regulation of cholesterol homeostasis. Nat. Rev. Mol. Cell Biol. 21, 225– 245 (2020). 31848472 source
    • cites [42] J. Chen, X. Zhang, H. Kusumo, L. G. Costa, M. Guizzetti, Cholesterol efflux is differentially regulated in neurons and astrocytes: Implications for brain cholesterol homeostasis. Biochim. Biophys. Acta 1831, 263– 275 (2013). 23010475 PMC3534809 source

      The Results (§3.1; page unavailable) show that apoE3 increased cholesterol efflux from neurons, supporting the unloading part. The Introduction (§1; page unavailable) describes apoE-containing lipoproteins interacting with neuronal receptors but says whether their effects involve cholesterol uptake by neurons remains controversial; it does not establish the loading part as stated. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
    • cites [43] H. Hayashi, R. B. Campenot, D. E. Vance, J. E. Vance, Apolipoprotein E-containing lipoproteins protect neurons from apoptosis via a signaling pathway involving low-density lipoprotein receptor-related protein-1. J. Neurosci. 27, 1933– 1941 (2007). 17314289 PMC6673537 source

      Checked before — its earlier verdict is held back until a new check runs.

  • Premisecitation

    Both the nonamyloidogenic and amyloidogenic APP processing pathways are finely regulated by cholesterol.

    “Strikingly, both pathways are finely regulated by cholesterol (6) (SI Appendix, Fig. S1B).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [6] M.-P. Marzolo, G. Bu, Lipoprotein receptors and cholesterol in APP trafficking and proteolytic processing, implications for Alzheimer’s disease. Semin. Cell Dev. Biol. 20, 191– 200 (2009). 19041409 PMC2691858 source
  • Premisecitation

    Cholesterol is high in AD brains.

    “Cholesterol is high in AD brains (1, 6).”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites [1] C. Haass, D. J. Selkoe, Cellular processing of β-amyloid precursor protein and the genesis of amyloid β-peptide. Cell 75, 1039– 1042 (1993). 8261505 source
    • cites [6] M.-P. Marzolo, G. Bu, Lipoprotein receptors and cholesterol in APP trafficking and proteolytic processing, implications for Alzheimer’s disease. Semin. Cell Dev. Biol. 20, 191– 200 (2009). 19041409 PMC2691858 source

      Section 4 reports that one study suggested altered cholesterol homeostasis in AD brains, resulting in higher total cholesterol levels. The claim presents that qualified finding as an established general fact. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • Premisecitation

    Neurons appear incapable of increasing cholesterol synthesis to compensate for astrocyte deficiency in any appreciable way.

    “Neurons appear incapable of increasing cholesterol synthesis to compensate for astrocyte deficiency in any appreciable way (48).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [48] C.-C. Liu, C.-C. Liu, T. Kanekiyo, H. Xu, G. Bu, Apolipoprotein E and Alzheimer disease: Risk, mechanisms and therapy. Nat. Rev. Neurol. 9, 106– 118 (2013). 23296339 PMC3726719 source

      The Introduction (page unavailable) says astrocytes supply cholesterol to neurons, and the Lipid metabolism section (page unavailable) suggests reduced delivery may impair neuronal health. Neither section says whether neurons can increase their own cholesterol synthesis when astrocyte supply is deficient, so the claim’s central assertion is unsupported. (LLM, conf=0.75)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim. 16
  • It may state two separate claims as one. 35
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Premisecitation

    GM1 domains are separate from phosphatidylinositol 4,5 bisphosphate domains, which are polyunsaturated and cholesterol independent.

    “These GM1 domains are separate from phosphatidylinositol 4,5 bisphosphate domains, which are polyunsaturated and cholesterol independent (18, 32, 33).”
    Quote in the paperNot a substantial claim3 of 3 sources checked
    • cites [18] E. N. Petersen, H.-W. Chung, A. Nayebosadri, S. B. Hansen, Kinetic disruption of lipid rafts is a mechanosensor for phospholipase D. Nat. Commun. 7, 13873 (2016). 27976674 PMC5171650 source
    • cites [32] G. van den Bogaart., Membrane protein sequestering by ionic protein-lipid interactions. Nature 479, 552– 555 (2011). 22020284 PMC3409895 source

      In the passage on reconstituted vesicles (section labeled Abstract; page unavailable), the paper reports that PIP2 domains did not depend on cholesterol. It also distinguishes PIP2-mediated clusters from rafts, but does not identify GM1 domains or establish that the two are separate. The passages describe membranes without saturated lipids, not PIP2 domains as polyunsaturated. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
    • cites [33] J. Wang, D. A. Richards, Segregation of PIP2 and PIP3 into distinct nanoscale regions within the plasma membrane. Biol. Open 1, 857– 862 (2012). 23213479 PMC3507238 source

      The Results and Discussion report that PIP2 is enriched in segregated membrane domains. The paper distinguishes PIP2 domains from PIP3 domains, but does not establish their separation from GM1 domains or describe PIP2 domains as polyunsaturated and cholesterol independent. (LLM, conf=0.78)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim.

    Premisecitation

    Neurons are believed to be the major source of Aβ in normal and AD brains.

    “Neurons are believed to be the major source of Aβ in normal and AD brains (22, 23).”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [22] J. Zhao., β-secretase processing of the β-amyloid precursor protein in transgenic mice is efficient in neurons but inefficient in astrocytes. J. Biol. Chem. 271, 31407– 31411 (1996). 8940150 source

      The Abstract says the transgenic-mouse results provide strong in vivo evidence that neurons, rather than astrocytes, are the major source of Aβ in the brain. It does not establish this specifically for normal and Alzheimer’s disease human brains; that part extends beyond the studied mice. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
    • cites [23] M. E. Calhoun., Neuronal overexpression of mutant amyloid precursor protein results in prominent deposition of cerebrovascular amyloid. Proc. Natl. Acad. Sci. U.S.A. 96, 14088– 14093 (1999). 10570203 PMC24195 source
  • It may state two separate claims as one.

    Premisecitation

    Astrocytes make cholesterol and transport it to neurons with apolipoprotein E (apoE).

    “Instead, astrocytes make cholesterol and transport it to neurons with apolipoprotein E (apoE) (25–27).”
    Quote in the paperSubstantial claim2 of 3 sources checked
    • cites [25] J. M. Dietschy, S. D. Turley, Thematic review series: Brain lipids. Cholesterol metabolism in the central nervous system during early development and in the mature animal. J. Lipid Res. 45, 1375– 1397 (2004). 15254070 source
    • cites [26] D. W. Russell, R. W. Halford, D. M. O. Ramirez, R. Shah, T. Kotti, Cholesterol 24-hydroxylase: An enzyme of cholesterol turnover in the brain. Annu. Rev. Biochem. 78, 1017– 1040 (2009). 19489738 PMC2837268 source

      The Origin of Brain Cholesterol section says the brain synthesizes its cholesterol, and Cholesterol Turnover and Learning describes a proposed role for ApoE in brain cholesterol metabolism. The Cell-Type-Specific Expression Pattern section mentions a proposed role for support cells in intercellular cholesterol transfer, but our copy does not say that astrocytes make cholesterol and deliver it to neurons using ApoE. The retrieved passages provide no page numbers. (LLM, conf=0.79)

      Experimental — accuracy not yet measured
    • cites [27] J. E. Vance, H. Hayashi, Formation and function of apolipoprotein E-containing lipoproteins in the nervous system. Biochim. Biophys. Acta 1801, 806– 818 (2010). 20170744 source
  • Probably not a substantial claim. It may state two separate claims as one.

    Premisecitation

    GM1 lipids reside in cholesterol-dependent lipid clusters and bind cholera toxin B (CTxB) with high affinity.

    “GM1 lipids reside in cholesterol-dependent lipid clusters and bind cholera toxin B (CTxB) with high affinity (30, 31).”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [30] D. Lingwood, K. Simons, Lipid rafts as a membrane-organizing principle. Science 327, 46– 50 (2010). 20044567 source
    • cites [31] E. Sezgin, I. Levental, S. Mayor, C. Eggeling, The mystery of membrane organization: Composition, regulation and roles of lipid rafts. Nat. Rev. Mol. Cell Biol. 18, 361– 374 (2017). 28356571 PMC5500228 source

      The Nature and composition of lipid rafts section (page unavailable) says ganglioside lipids form cholesterol-rich domains in model membranes, and Probes selective to membrane domains identifies cholera toxin as a ganglioside-binding ligand. The copy does not establish that GM1 generally resides in cholesterol-dependent clusters or specify high-affinity binding by cholera toxin B; it also cautions that cholera toxin can induce clustering of its binding partners. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim.

    Premisecitation

    apoE4 is the strongest genetic risk factor associated with sporadic AD.

    “Interestingly, apoE, specifically the e4 subtype (apoE4), is the strongest genetic risk factor associated with sporadic AD (28, 29).”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [28] W. J. Strittmatter., Apolipoprotein E: High-avidity binding to β-amyloid and increased frequency of type 4 allele in late-onset familial Alzheimer disease. Proc. Natl. Acad. Sci. U.S.A. 90, 1977– 1981 (1993). 8446617 PMC46003 source

      The Abstract and allele-association passage report an association between APOE-e4 and late-onset familial Alzheimer disease. The paper says a separate report will address sporadic Alzheimer disease; it does not establish that apoE4 is the strongest genetic risk factor for sporadic disease. Page numbers are not supplied in the passages. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites [29] Corder, E. H.. Gene dose of apolipoprotein E type 4 allele and the risk of Alzheimer’s disease in late onset families. Science 261, 921– 923 (1993). 8346443 source
  • It may state two separate claims as one.

    Premisecitation

    Cholesterol unloading decreases Aβ formation in cell culture and on the plasma membrane.

    “and is consistent with cholesterol unloading decreasing Aβ formation in cell culture (63) and on the plasma membrane (64).”
    Quote in the paperSubstantial claim2 of 2 sources checked
    • cites [63] O. Sano., ABCG1 and ABCG4 suppress γ-secretase activity and amyloid β production. PLoS One 11, e0155400 (2016). 27196068 PMC4872999 source
    • cites [64] A. A. Escamilla-Ayala., Super-resolution microscopy reveals majorly mono- and dimeric presenilin1/γ-secretase at the cell surface. eLife 9, e56679 (2020). 32631487 PMC7340497 source

      The Introduction discusses cholesterol associated with γ-secretase, and the Results examine γ-secretase at the plasma membrane, but neither reports that cholesterol unloading decreases Aβ formation there. Searches for cholesterol depletion and cholesterol-related Aβ production found no passage addressing that effect. The cell-culture portion is attached to a different citation. (LLM, conf=0.76)

      Experimental — accuracy not yet measured
  • It may state two separate claims as one.

    Premisecitation

    Deletion of astrocyte apoE in a mouse model of tauopathy mitigates pTau pathology, neurodegeneration, and synapse loss, though total tau levels remained unchanged.

    “we recently demonstrated that deletion of astrocyte apoE in a mouse model of tauopathy mitigates pTau pathology, neurodegeneration, and synapse loss, though total tau levels remained unchanged (65).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [65] C. Wang., Selective removal of astrocytic APOE4 strongly protects against tau-mediated neurodegeneration and decreases synaptic phagocytosis by microglia. Neuron 109, 1657– 1674.e7 (2021). 33831349 PMC8141024 source

      The Results sections report that removing astrocytic APOE4 in P301S tau mice reduced neurodegeneration and synapse loss, while total human tau levels showed no significant change. The claim omits important limits: reduced pTau pathology was most clearly demonstrated in females, and removing astrocytic APOE3 did not provide comparable protection against neurodegeneration. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • It may state two separate claims as one.

    Premisecitation

    Cholesterol loading with apoE caused the potassium channel TREK-1 to traffic to lipid clusters similar to APP, an effect reversed by mechanical force.

    “In separate studies, we saw that cholesterol loading with apoE caused the potassium channel TREK-1 to traffic to lipid clusters similar to APP (73, 74)—an effect that was reversed by mechanical force (75).”
    Quote in the paperNot a substantial claim1 of 3 sources checked
    • cites [73] A. Nayebosadri, E. N. Petersen, C. Cabanos, S. B. Hansen, A membrane thickness sensor in TREK-1 channels transduces mechanical force. SSRN [Preprint] (2018). https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3155650. Accessed 3 August 2021. source
    • cites [74] E. N. Petersen, M. A. Pavel, H. Wang, S. B. Hansen, Disruption of palmitate-mediated localization; a shared pathway of force and anesthetic activation of TREK-1 channels. Biochim. Biophys. Acta Biomembr. 1862, 183091 (2020). 31672538 PMC6907892 source

      Citation (75) is attached to the mechanical-force reversal. In “Lipid domains and cholesterol-induced palmitoyl de-clustering” (page unavailable), the paper says shear force moves PLD2 out of GM1 lipid domains and links that movement to TREK-1 activation. It does not say force reverses apoE-induced trafficking of TREK-1 itself; the apoE-loading claim is attached to citations (73, 74), not this one. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
    • cites [75] E. N. Petersen,. Phospholipase D transduces force to TREK-1 channels in a biological membrane. bioRxiv [Preprint] (2019). https://www.biorxiv.org/content/10.1101/758896v1. Accessed 3 August 2021.
  • It may state two separate claims as one.

    Premisecitation

    Cholesterol loading into glial cells clusters inflammatory proteins and causes inflammation.

    “Cholesterol loading into glial cells is known to cluster inflammatory proteins and cause inflammation (69)”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [69] Y. I. Miller, J. M. Navia-pelaez, M. Corr, T. L. Yaksh, Lipid rafts in glial cells: Role in neuroinflammation and pain processing. J. Lipid Res. 61, 655– 666 (2020). 31862695 PMC7193960 source

      The Inflammaraft section describes cholesterol-rich lipid rafts in glial cells consolidating inflammatory signaling proteins and serving as platforms for inflammatory signaling. The Cholesterol efflux section reports increased raft cholesterol and TLR4 clustering after LPS stimulation. Neither passage establishes that cholesterol loading into glial cells alone causes the clustering or inflammation; the paper describes these changes in response to inflammatory stimuli. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    A homozygous carrier of the APOE Christchurch mutation was resistant to cognitive decline and pTau accumulation, even in the presence of a presenilin 1 mutation and robust amyloid plaque deposition.

    “Notably, a homozygous carrier of the APOE Christchurch mutation was reported to be resistant to cognitive decline and pTau accumulation, even in the presence of a presenilin 1 mutation and robust amyloid plaque deposition (67).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [67] J. F. Arboleda-Velasquez., Resistance to autosomal dominant Alzheimer’s disease in an APOE3 Christchurch homozygote: A case report. Nat. Med. 25, 1680– 1683 (2019). 31686034 PMC6898984 source
  • It may state two separate claims as one.

    Interpretationcitation

    The trend toward increased cholesterol in apoE4 KI mice and increased APP/GM1 clustering are consistent with increased cholesterol in familial AD patients, which leads to clustering of APP with lipid rafts and increased Aβ production in neurons expressing apoE4 isoforms.

    “The trend toward increased levels of cholesterol in apoE4 KI mice and the increased APP/GM1 clustering are consistent with the increased cholesterol in familial AD patients, which leads to the clustering of APP with lipid rafts (14) and the increased Aβ production seen in neurons expressing apoE4 isoforms (68).”
    Quote in the paperNot a substantial claim2 of 2 sources checked
    • cites [14] Y. Y. Cho, O.-H. Kwon, M. K. Park, T.-W. Kim, S. Chung, Elevated cellular cholesterol in familial Alzheimer’s presenilin 1 mutation is associated with lipid raft localization of β-amyloid precursor protein. PLoS One 14, e0210535 (2019). 30682043 PMC6347419 source

      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 measured
    • cites [68] S. Ye., Apolipoprotein (apo) E4 enhances amyloid β peptide production in cultured neuronal cells: apoE structure as a potential therapeutic target. Proc. Natl. Acad. Sci. U.S.A. 102, 18700– 18705 (2005). 16344478 PMC1311738 source

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

    Premisecitation

    A previous study found gene expression-controlled Aβ production.

    “A previous study found gene expression–controlled Aβ production (70).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [70] Y.-W. A. Huang, B. Zhou, M. Wernig, T. C. Südhof, ApoE2, ApoE3, and ApoE4 differentially stimulate APP transcription and Aβ secretion. Cell 168, 427– 441.e21 (2017). 28111074 PMC5310835 source
  • It may state two separate claims as one.

    Findingown data

    Phosphorylation of tau at the key T181 residue, but not total tau, is eliminated in vivo in the AD × SB2−/− hippocampus and reduced in mixed cultures in vitro.

    “In agreement with both of these hypotheses, phosphorylation of tau at the key T181 residue, but not total tau, is eliminated in vivo in the AD × SB2−/− hippocampus and reduced in mixed cultures in vitro (Figs. 4 C and D and 5C and SI Appendix, Fig. S6A).”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Findingown data

    After 1 h incubation with apoE (−Chol), PLD activity significantly increased, confirming cluster disruption.

    “After 1 h incubation with apoE (−Chol), PLD activity significantly increased, confirming cluster disruption (SI Appendix, Fig. S2F).”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Findingown data

    ELISA confirmed a shift from Aβ40 to sAPP-α production under low-cholesterol condition and increased Aβ40 generation in high-membrane cholesterol.

    “An enzyme-linked immunosorbent assay (ELISA) confirmed a shift from Aβ40 to sAPP-α production under low-cholesterol condition and increased Aβ40 generation in high-membrane cholesterol (Fig. 2F).”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Findingown data

    WT astrocyte-conditioned media significantly increased APP's association with GM1 clusters, while APOE−/− ACM did not show any effect.

    “Compared with control neurons without ACM treatment, WT ACM significantly increased APP’s association with GM1 clusters, while APOE−/− ACM did not show any effect (Fig. 6B).”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Findingown data

    Under high-cholesterol conditions, apoE3 and apoE4 increase APP's cluster association, with no significant difference between isoforms.

    “Similarly, when exposed to high cholesterol, apoE3 and apoE4 increase APP’s cluster association with no significant difference between isoforms (Fig. 6G).”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Findingown data

    Under low-cholesterol condition, apoE extracts cholesterol from the cells, decreasing APP's GM1 clustering.

    “Under low-cholesterol condition, apoE extracts cholesterol from the cells, decreasing APP’s GM1 clustering.”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Findingown data

    The pair correlation ranged from 10 to 15 for APP, β-secretase, and γ-secretase, while the pair correlation for α-secretase was <3.

    “The pair correlation (a unitless number) ranged from 10 to 15 for APP, β-secretase, and γ-secretase, while the pair correlation for α-secretase was <3, a value typical for little or no pair correlation, a result also consistent with previous experiments in DRMs (15).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [15] R. Ehehalt, P. Keller, C. Haass, C. Thiele, K. Simons, Amyloidogenic processing of the Alzheimer β-amyloid precursor protein depends on lipid rafts. J. Cell Biol. 160, 113– 123 (2003). 12515826 PMC2172747 source
  • Probably not a substantial claim. The paper may give no reason why it holds. It may state two separate claims as one.

    Findingown data

    Astrocytes regulate cholesterol levels and cluster formation in neurons.

    “Since astrocytes regulate cholesterol levels and cluster formation in neurons (Fig. 1), we hypothesized that astrocytes could directly control Aβ production in neuronal membranes.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim.

    Findingown data

    The rise and fall of Aβ peptide with cholesterol is striking.

    “The rise and fall of Aβ peptide with cholesterol is striking (Fig. 4 A and B)”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Findingown data

    Adding recombinant, cholesterol-containing apoE enriches neuronal membrane cholesterol levels, while delipidated apoE reduces membrane cholesterol.

    “Adding recombinant, cholesterol-containing apoE enriches neuronal membrane cholesterol levels, while delipidated apoE reduces membrane cholesterol.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Findingown data

    E4F brains have a slightly higher cholesterol level than E3F brains, though the difference is not statistically significant.

    “Though not statistically significant, the E4F brains have a slightly higher cholesterol level than E3F brains (Fig. 6D).”
    Quote in the paperNot a substantial claim
  • It may state two separate claims as one.

    Findingown data

    Astrocyte-derived cholesterol controls Aβ accumulation in vivo and links apoE, Aβ, and plaque formation to a single molecular pathway.

    “Here, we show that astrocyte-derived cholesterol controls Aβ accumulation in vivo and links apoE, Aβ, and plaque formation to a single molecular pathway.”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Findingown data

    α-secretase is not associated with GM1 domains and lacks pair correlation with CTxB.

    “In contrast, α-secretase is not associated with GM1 domains (i.e., lacks pair correlation with CTxB) (Fig. 2B).”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Findingown data

    Cholesterol loading regulates two functions: the localization of APP to GM1 domains and the total number of GM1 domains.

    “At the molecular level, cholesterol loading regulates two functions: 1) the localization of APP to GM1 domains and 2) the total number of GM1 domains (Fig. 1 D and E).”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Findingown data

    The paper saw dramatic changes in Aβ production without any appreciable change to APP expression levels.

    “We saw dramatic changes in Aβ production without any appreciable change to APP expression levels (Fig. 5).”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Premisecitation

    Cholesterol regulates the formation of lipid clusters and the affinity of proteins to lipid clusters, including β-secretase and γ-secretase.

    “In cellular membranes, cholesterol regulates the formation of lipid clusters (also known as lipid rafts) and the affinity of proteins to lipid clusters (7), including β-secretase and γ-secretase (8–10).”
    Quote in the paperSubstantial claim0 of 4 sources checked
    • cites [7] I. Levental, D. Lingwood, M. Grzybek, U. Coskun, K. Simons, Palmitoylation regulates raft affinity for the majority of integral raft proteins. Proc. Natl. Acad. Sci. U.S.A. 107, 22050– 22054 (2010). 21131568 PMC3009825 source
    • cites [8] K. S. Vetrivel, G. Thinakaran, Membrane rafts in Alzheimer’s disease beta-amyloid production. Biochim. Biophys. Acta 1801, 860– 867 (2010). 20303415 PMC2886169 source

      Checked before — its earlier verdict is held back until a new check runs.

    • cites [9] W. Araki, Post-translational regulation of the β-secretase BACE1. Brain Res. Bull. 126, 170– 177 (2016). 27086128 source
    • cites [10] R. Bhattacharyya, C. Barren, D. M. Kovacs, Palmitoylation of amyloid precursor protein regulates amyloidogenic processing in lipid rafts. J. Neurosci. 33, 11169– 11183 (2013). 23825420 PMC3718372 source

      Checked before — its earlier verdict is held back until a new check runs.

  • It may state two separate claims as one.

    Interpretationown data

    ApoE is a specific and necessary mediator of cholesterol transport to the neuron.

    “In a control experiment, FBS alone (+Chol with no apoE added) did not increase APP trafficking to lipid clusters (Fig. 2 C and D and SI Appendix, Fig. S2 G and H), confirming that apoE is a specific and necessary mediator of cholesterol transport to the neuron.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Premisecitation

    α-secretase does not reside in lipid clusters and is thought to reside in a region made up of disordered polyunsaturated lipids.

    “α-secretase does not reside in lipid clusters; rather, α-secretase is thought to reside in a region made up of disordered polyunsaturated lipids (11).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [11] J. M. Cordy, N. M. Hooper, A. J. Turner, The involvement of lipid rafts in Alzheimer’s disease. Mol. Membr. Biol. 23, 111– 122 (2006). 16611586 source
  • It may state two separate claims as one.

    Interpretationown data

    These results suggest a functional role of apoE in extracting/loading cellular cholesterol and modulating lipid clusters in cellular membranes.

    “These results suggest a functional role of apoE in extracting/loading cellular cholesterol and modulate lipid clusters in cellular membranes.”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Interpretationown data

    Cholesterol is synthesized in astrocytes and shuttled to neurons in apoE lipoprotein particles.

    “Cholesterol is synthesized in astrocytes and shuttled to neurons in apoE lipoprotein particles.”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Interpretationnone given

    Cholesterol targets GM1 domains and sets the threshold for APP processing by altering GM1 domain function.

    “Rather than targeting a receptor, it targets GM1 domains and sets the threshold for APP processing by altering GM1 domain function.”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Interpretationown data

    ApoE delivers cholesterol from astrocytes to neurons and increases GM1 domain affinity for APP.

    “This suggests that apoE delivers cholesterol from the astrocytes to the neurons and increases GM1 domain affinity for APP.”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Interpretationreasoning

    When neuronal membranes are loaded with cholesterol, APP increasingly interacts with β- and γ-secretases generating Aβ peptides, resulting in brain plaque formation over time.

    “When neuronal membranes are loaded with cholesterol, APP increasingly interacts with β- and γ-secretases generating Aβ peptides, resulting in brain plaque formation over time.”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Interpretationown data

    During high cholesterol, apoE moves APP to β- and γ-secretase, which produce Aβ peptide.

    “During high cholesterol, apoE moves APP to β- and γ-secretase, which produce Aβ peptide (Fig. 2 H, Bottom).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    Many channels are palmitoylated and may respond to apoE and GM1 lipid domain function similar to APP.

    “Many channels are palmitoylated (72) and may respond to apoE and GM1 lipid domain function similar to APP.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [72] M. J. Shipston, Ion channel regulation by protein palmitoylation. J. Biol. Chem. 286, 8709– 8716 (2011). 21216969 PMC3058972 source

      Checked before — its earlier verdict is held back until a new check runs.

  • It may state two separate claims as one.

    Premisecitation

    β- and γ-secretases are palmitoylated and remain localized to GM1 lipids.

    “but β- and γ-secretases are also palmitoylated and remain localized to GM1 lipids”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Study design and conductnone given

    Both anti-APP antibodies used for dSTORM and Western blots were previously validated.

    “Both antibodies were previously validated; see SI Appendix, Extended Methods for a complete description of all the antibodies and their validation used for imaging.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Interpretationcitation

    A difference in relative affinity or additional factors facilitate release of β- and γ-secretases from GM1 domains.

    “suggesting a difference in relative affinity or additional factors that facilitate its release from GM1 domains [e.g., hydrophobic mismatch (71)].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [71] D. Milovanovic., Hydrophobic mismatch sorts SNARE proteins into distinct membrane domains. Nat. Commun. 6, 5984 (2015). 25635869 PMC4313621 source

      Checked before — its earlier verdict is held back until a new check runs.

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

    Premisecitation

    Palmitoylation drives the cluster association of the majority of integral cluster proteins.

    “Palmitoylation drives the cluster association of the majority of integral cluster proteins (7)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [7] I. Levental, D. Lingwood, M. Grzybek, U. Coskun, K. Simons, Palmitoylation regulates raft affinity for the majority of integral raft proteins. Proc. Natl. Acad. Sci. U.S.A. 107, 22050– 22054 (2010). 21131568 PMC3009825 source
  • Probably not a substantial claim. The paper may give no reason why it holds.

    Study design and conductnone given

    All astrocyte-targeting Cre lines also delete to some degree in neural progenitor cells.

    “All astrocyte-targeting Cre lines also delete to some degree in neural progenitor cells.”
    Quote in the paperNot a substantial claim
  • It may state two separate claims as one.

    Interpretationcitation

    The reduced levels of pTau observed when astrocyte SREBP2 is ablated are likely driven by both reduced cholesterol levels and alleviation of amyloid burden.

    “Thus, the reduced levels of pTau we observe when astrocyte SREBP2 is ablated are likely driven by both reduced cholesterol levels as well as the alleviation of amyloid burden”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Premisecitation

    Statins had no effect on neuronal pTau levels in the presence of proteasome inhibitors, suggesting that high levels of cholesterol in neurons may slow the intracellular clearance of tau protein.

    “Interestingly, statins had no effect on neuronal pTau levels in the presence of proteasome inhibitors, suggesting that high levels of cholesterol in neurons may slow the intracellular clearance of tau protein.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [51] R. van der Kant., Cholesterol metabolism is a druggable axis that independently regulates tau and amyloid-β in iPSC-derived Alzheimer’s disease neurons. Cell Stem Cell 24, 363– 375.e9 (2019). 30686764 PMC6414424

      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. It may state two separate claims as one.

    Premisecitation

    APOE variants have strong effects on tau tangle burden, with APOE4/E4 carriers most adversely affected.

    “In a large study of Alzheimer’s pathology, APOE variants were shown to have strong effects on tau tangle burden, with APOE4/E4 carriers most adversely affected (66).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [66] E. M. Reiman.; Alzheimer’s Disease Genetics Consortium, Exceptionally low likelihood of Alzheimer’s dementia in APOE2 homozygotes from a 5,000-person neuropathological study. Nat. Commun. 11, 667 (2020). 32015339 PMC6997393
45 of 45
  • The paper relies on this without support.

    ApoE is the major cholesterol transport protein in the brain.

    “Although apoE is the major cholesterol transport protein in the brain, there are other proteins that may also contribute significantly to cholesterol transportation in the central nervous system.”
  • The paper relies on this without support.

    The APOE knock-in mouse model, in which human APOE ε3 and ε4 replace the endogenous murine Apoe locus, faithfully models human apoE3/apoE4 isoform-specific effects in vivo.

    “we analyzed the brain tissue from APOE knock in (KI) mice, in which the human APOE variants (ε3 and ε4) replace the endogenous murine Apoe locus (termed E3F and E4F mice individually).”
  • The paper relies on this without support.

    Brain tissue cholesterol level is a valid proxy for neuronal membrane cholesterol relevant to APP-GM1 clustering.

    “We also measured the tissue cholesterol level of the brains and observed a similar trend, as we found in APP-GM1 pair correlation.”
  • The paper relies on this without support.

    Purified apoE3 and apoE4 proteins added to N2a cells model astrocyte-secreted apoE cholesterol trafficking to neurons.

    “We incubated N2a cells with purified apoE proteins with or without cholesterol exposure (Fig. 6E).”
4 of 4

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?

  • Outside lipid rafts, APP is processed at the plasma membrane by α-secretase and -secretases producing sAPP-α via the non-amyloidogenic pathway.

    “Outside of lipid rafts, APP is processed at the PM by α-secretase and -secretases producing sAPP-α (non-amyloidogenic pathway) [38–40].”
  • The amount of cholesterol in neuronal lipid rafts is regulated by astrocytic apoE-lipoproteins, promoting or limiting APP processing by β- and γ-secretases and hence Aβ production.

    “Recent data suggest that the amount of cholesterol in neuronal lipid rafts is regulated by astrocytic apoE-lipoproteins promoting or limiting APP processing by β- and γ-secretases, and hence the amount of Aβ production [40].”

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.

  • Neuronal cholesterol compensation is described in opposite ways

    Major

    The results say neurons cannot appreciably increase cholesterol synthesis to compensate for astrocyte deficiency. The discussion says neuronal cholesterol synthesis increases to compensate for that same loss.

  • Multiple-comparison method conflicts with Fig. 4 caption

    Minor

    The methods specify Dunnett's test for multiple comparisons, but the Fig. 4 caption specifies Tukey's post hoc analysis.

2 of 2

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Metadata

Authors
Wang, H., Kulas, J. A., Wang, C., Holtzman, D. M., Ferris, H. A., & Hansen, S. B.
Affiliations
  • Scripps Research Institute (US)
  • University of Virginia (US)
  • Washington University in St. Louis (US)
Corresponding author
  • Ferris, Heather A.
  • Hansen, Scott B.
Venue
Proceedings of the National Academy of Sciences
Published
2021-08-12
Volume
118
Issue
33
ISSN
  • 0027-8424 (ISSN-L)
  • 1091-6490
OpenAlex
W3103328760
Cited by
301
References
79
Citations by year
2026: 32 · 2025: 55 · 2024: 61 · 2023: 76 · 2022: 68 · 2021: 8
FWCI
19.39
Type
journal article
Language
en
Open access
Locations
  • Proceedings of the National Academy of Sciences (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Digital Commons@Becker (Washington University School of Medicine) (submittedVersion, cc-by-nc-nd)
Funders
  • HHS | NIH | NIH Office of the Director (DP2NS087943)
  • HHS | NIH | National Institute of Neurological Disorders and Stroke (R01NS112534)
  • HHS | NIH | National Institute of Diabetes and Digestive and Kidney Diseases (K08DK097293, T32DK764627)
  • HHS | NIH | National Institute on Aging (NS090934, AG047644)
Topics
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Cholesterol and Lipid Metabolism
Keywords
Alzheimer's disease, amyloid-beta, apolipoprotein E, amyloid precursor protein, lipid clusters, cholesterol biosynthesis, secretases, alpha-secretase, soluble APP alpha, astrocyte-neuron interaction, amyloid plaques, tau protein
MeSH terms
Animals, Apolipoproteins E, Astrocytes, Brain, Cell Membrane, Cholesterol, Gene Expression Regulation, Humans, Neurons, Amyloid beta-Peptides, Mice, Knockout, Protein Isoforms, Mice, Sterol Regulatory Element Binding Protein 2, Amyloid Precursor Protein Secretases, HEK293 Cells

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).

Cited sources are checked with a language model’s help (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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