Apolipoprotein E ε4 modulates astrocyte neuronal support functions in the presence of amyloid‐β
Open accessAbstract
Apolipoprotein E (APOE) is a lipid transporter produced predominantly by astrocytes in the brain. The ε4 variant of APOE (APOE4) is the strongest and most common genetic risk factor for Alzheimer's disease (AD). Although the molecular mechanisms of this increased risk are unclear, APOE4 is known to alter immune signaling and lipid and glucose metabolism. Astrocytes provide various forms of support to neurons, including regulating neuronal metabolism and immune responses through cytokine signaling. Changes in astrocyte function because of APOE4 may therefore decrease neuronal support, leaving neurons more vulnerable to stress and disease insults. To determine whether APOE4 alters astrocyte neuronal support functions, we measured glycolytic and oxidative metabolism of neurons treated with conditioned media from APOE4 or APOE3 (the common, risk‐neutral variant) primary astrocyte cultures. We found that APOE4 neurons treated with conditioned media from resting APOE4 astrocytes had similar metabolism to APOE3 neurons treated with media from resting APOE3 astrocytes, but treatment with astrocytic conditioned media from astrocytes challenged with amyloid‐β (Aβ), a key pathological protein in AD, caused APOE4 neurons to increase their basal mitochondrial and glycolytic metabolic rates more than APOE3 neurons. These changes were not because of differences in astrocytic lactate production or glucose utilization, but instead correlated with increased glycolytic ATP production and a lack of cytokine secretion in response to Aβ. Additionally, we identified that astrocytic cytokine signatures could predict basal metabolism of neurons treated with the astrocytic conditioned media. Together, these findings suggest that in the presence of Aβ, APOE4 astrocytes alter immune and metabolic functions that result in a compensatory increase in neuronal metabolic stress.image
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The reliance on glucose for ATP production is consistent with past studies.
“This data tracks with our functional glycolytic assays and indicates a reliance on glucose for ATP production which is consistent with past studies 30,31,46 .”
From APOE4-drives brain bioenergetic shifts independent of Alzheimer’s disease pathology (2026) · cites this paper as [46]
The Results section ('Aβ treatment increases APOE4 astrocyte glycolytic ATP production'; page unavailable) reports increased glycolytic ATP production and mitochondrial glucose metabolism in APOE4 astrocytes exposed to Aβ. This supports glucose use for ATP production in that condition, but does not establish a general reliance on glucose or test whether ATP production depends on it. (LLM, conf=0.79)
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APOE4-drives brain bioenergetic shifts independent of Alzheimer’s disease pathology
Lysaker, C. R., Johnson, C. N., Csikos, V., Franczak, E., Benson, M., Gilmore, C. A., Birky, C. J., Davis, X., McCoin, C. S., Smith, K. P., et al. (2026) · npj Dementia · doi:10.1038/s44400-026-00105-8 · Cited by 1 · see citing works
- Authors
- Fleeman, R. M., Kuhn, M. K., Chan, D. C., & Proctor, E. A.
- Affiliations
- Pennsylvania State University (US)
- Corresponding author
- Proctor, Elizabeth A.
- Venue
- Journal of Neurochemistry
- Publisher
- Wiley
- Published
- 2023-03
- Volume
- 165
- Issue
- 4
- Pages
- 536-549
- ISSN
- 0022-3042 (ISSN-L)
- 1471-4159
- PMC
- PMC10903110
- OpenAlex
- W4319827707
- Cited by
- 20
- References
- 15
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 6 · 2023: 3
- FWCI
- 3.32
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Neurochemistry (publishedVersion, cc-by)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion, cc-by)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion, cc-by)
- Funders
- National Institute of Neurological Disorders and Stroke (T32NS115667)
- National Institute on Aging (F31AG071131, R01AG072513)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Keywords
- APOE ε4, APOE3, astrocytes, amyloid-beta, Alzheimer's disease, neuronal metabolism, glycolytic metabolism, mitochondrial metabolism, astrocyte-neuron interaction, cytokine production, metabolic stress
- MeSH terms
- Alzheimer Disease, Animals, Apolipoproteins E, Astrocytes, Cells, Cultured, Humans, Mice, Transgenic, Neurons, Amyloid beta-Peptides, Culture Media, Conditioned, Mice, Apolipoprotein E3, Apolipoprotein E4
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