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Apolipoprotein E in Alzheimer's Disease: An Update
Open accessAbstract
The vast majority of Alzheimer's disease (AD) cases are late onset (LOAD), which is genetically complex with heritability estimates up to 80%. Apolipoprotein E (APOE) has been irrefutably recognized as the major genetic risk factor, with semidominant inheritance, for LOAD. Although the mechanisms that underlie the pathogenic nature of APOE in AD are still not completely understood, emerging data suggest that APOE contributes to AD pathogenesis through both amyloid-β (Aβ)-dependent and Aβ-independent pathways. Given the central role for APOE in the modulation of AD pathogenesis, many therapeutic strategies have emerged, including converting APOE conformation, regulating APOE expression, mimicking APOE peptides, blocking the APOE/Aβ interaction, modulating APOE lipidation state, and gene therapy. Accumulating evidence also suggests the utility of APOE genotyping in AD diagnosis, risk assessment, prevention, and treatment response.
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ApoE isoforms encoded by various APOE alleles differentially influence the rate of soluble Aβ clearance from the brain interstitial space and formation of Aβ parenchymal plaques and VAβ.
“ApoE isoforms encoded by various APOE alleles differentially influence the rate of soluble Aβ clearance from the brain interstitial space and formation of Aβ parenchymal plaques and VAβ [32, 33].”
From APOE Genotype Differentially Modulates Effects of Anti-Aβ, Passive Immunization in APP Transgenic Mice (2017) · cites this paper as [33]
The sections on Aβ clearance and aggregation describe isoform-dependent clearance of soluble Aβ from interstitial fluid and differences in brain plaque deposition. The copy does not establish an isoform-dependent effect on VAβ formation specifically (searched: VAβ, vascular Aβ, cerebral amyloid angiopathy). (LLM, conf=0.84)
Experimental — accuracy not yet measuredThe ɛ4 allele has detrimental effects on production, deposition, and clearance of amyloid-β, phosphorylation of tau, neurotoxicity, mitochondrial dysfunction, and blood-brain barrier permeability.
“The ɛ4 allele has detrimental effects on production, deposition, and clearance of amyloid-β, in phosphorylation of tau, in neurotoxicity, mitochondrial dysfunction, and in blood–brain barrier permeability.57,59,60”
From Plasma levels of apolipoprotein E, APOE genotype, and all-cause and cause-specific mortality in 105 949 individuals from a white general population cohort (2019) · cites this paper as [57]
The sections on Aβ aggregation and clearance, tau pathology, neurotoxicity, mitochondrial dysfunction, and blood–brain barrier permeability describe the adverse APOE4-related effects listed in the claim. The section on APP trafficking and Aβ production is more qualified: some cell-culture studies suggest APOE4 enhances Aβ production, but others found no clear isoform-specific effect, and the authors call for in vivo investigation. The claim presents that production effect as established. (LLM, conf=0.88)
Experimental — accuracy not yet measuredPlausible mechanisms underlying the association between low apoE levels and dementia-associated mortality are not explained by peripheral lipid metabolism, but likely by the role of apoE in β-amyloid handling and in neurodegenerative processes.
“Plausible mechanisms underlying the association between low apoE levels and dementia-associated mortality are not explained by peripheral lipid metabolism, but likely by the role of apoE in β-amyloid handling and in neurodegenerative processes.57,58”
From Plasma levels of apolipoprotein E, APOE genotype, and all-cause and cause-specific mortality in 105 949 individuals from a white general population cohort (2019) · cites this paper as [57]
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Experimental — accuracy not yet measuredAPOE genotype critically affects the burden of Aβ pathology in sporadic AD.
“APOE genotype critically affects the burden of Aβ pathology in sporadic AD.”
From APOE Genotype Differentially Modulates Effects of Anti-Aβ, Passive Immunization in APP Transgenic Mice (2017) · cites this paper as [33]
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“Several studies have reported human APOE isoform-dependent differences in Aβ deposition (APOE4 APOE3>APOE2) (Figure 2b) (Bales et al. 2009, Castellano et al. 2011, Youmans et al. 2012).”
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Cross-Talk between Apolipoprotein E and Cytokines
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Cerebrospinal fluid APOE levels: an endophenotype for genetic studies for Alzheimer's disease
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NSAID use and dementia risk in the Cardiovascular Health Study*: Role of APOE and NSAID type
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A genome-wide scan for common variants affecting the rate of age-related cognitive decline
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Effect of apolipoprotein E on biomarkers of amyloid load and neuronal pathology in Alzheimer disease
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Apolipoprotein Eε4 modifies Alzheimer's disease onset in an E280A PS1 kindred
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Rosiglitazone Induces Mitochondrial Biogenesis in Mouse Brain
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“F or p er so na l u se o nl y. degradation (Lee et al. 2012).”
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Anti-apoE immunotherapy inhibits amyloid accumulation in a transgenic mouse model of Aβ amyloidosis
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“3, inhibits amyloid accumulation in APPswe/PS1 E9 mice, suggesting antiapoE immunotherapy may represent a novel AD therapeutic strategy (Kim et al. 2012).”
BackgroundUnderstanding the association of apolipoprotein E4 with Alzheimer disease: clues from its structure
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Plasma apolipoprotein E and Alzheimer disease risk: The AIBL study of aging
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Novel mechanism for defective receptor binding of apolipoprotein E2 in type III hyperlipoproteinemia
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Cholesterol, APOE genotype, and Alzheimer disease: An epidemiologic study of Nigerian Yoruba
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Accumulation of intraneuronal Aβ correlates with ApoE4 genotype
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Differential effect of APOE genotype on amyloid load and glucose metabolism in AD dementia
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Low‐density lipoprotein receptors regulate microglial inflammation through c‐Jun N‐terminal kinase
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“Loci identified by GWAS have much smaller effect sizes than that of APOE, typically with odds ratios between 1.1 and 1.3 in contrast to a ratio of ∼4 for APOE4 (Lambert et al. 2013).”
BackgroundInfluentialApoE isoform-dependent changes in hippocampal synaptic function
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Apolipoprotein E modulates γ‐secretase cleavage of the amyloid precursor protein
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Distortion of Allelic Expression of Apolipoprotein E in Alzheimer's Disease
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Self-citationAPOE ε4 worsens hippocampal CA1 apical neuropil atrophy and episodic memory
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Omega-3 fatty acids and cognitive decline: modulation by ApoEε4 allele and depression
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Apolipoprotein mimetic peptides: Mechanisms of action as anti-atherogenic agents
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The role of inflammatory processes in Alzheimer’s disease
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Familial Alzheimer's disease: Site of mutation influences clinical phenotype
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Plasma Signaling Proteins in Persons at Genetic Risk for Alzheimer Disease
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Genomics of Dementia:APOE- andCYP2D6-Related Pharmacogenetics
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A Multifaceted Role for apoE in the Clearance of Beta-Amyloid across the Blood-Brain Barrier
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Proteomic Analysis of Mitochondria in APOE Transgenic Mice and in Response to an Ischemic Challenge
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Apolipoprotein E decreases tau kinases and phospho-tau levels in primary neurons.
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Impact of genetic factors on outcome from brain injury
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ApoE mimetic peptide decreases Aβ production in vitro and in vivo
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Mapping ApoE/Aβ binding regions to guide inhibitor discovery
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Presymptomatic apolipoprotein E genotyping for Alzheimer's disease risk assessment and prevention
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Altering Mitochondrial Dysfunction as an Approach to Treating Alzheimer’s Disease
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“APOE isoforms may differentially affect synaptic plasticity and dendritic spine integrity via the modulation of spine elimination (Basak & Kim 2010); as a result of isoformdependent levels of APOE (Basak & Kim 2010, Dumanis et al. 2009); and by acting as signaling molecules through interactions…”
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Research works printed but not linked: 2
- Cacabelos R, 2012, Int. J. Alzheimer's Dis., 2012, 518901
- Wahrle SE, 2008, J. Clin. Investig., 118, 671
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APOE and Alzheimer’s Disease: From Lipid Transport to Physiopathology and Therapeutics
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Metadata
- Authors
- Yu, J.-T., Tan, L., & Hardy, J.
- Affiliations
- Qingdao University (CN)
- UCL Queen Square Institute of Neurology (GB)
- Venue
- Annual Review of Neuroscience
- Publisher
- Annual Reviews
- Published
- 2014-07-08
- Volume
- 37
- Issue
- 1
- Pages
- 79-100
- ISSN
- 0147-006X (ISSN-L)
- 1545-4126
- OpenAlex
- W2097112082
- Cited by
- 394
- References
- 152
- Citations by year
- 2026: 7 · 2025: 15 · 2024: 27 · 2023: 20 · 2022: 26 · 2021: 32 · 2020: 39 · 2019: 46 · 2018: 47 · 2017: 46 · 2016: 46 · 2015: 27 · 2014: 14
- FWCI
- 5.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Annual Review of Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- National Natural Science Foundation of China (81000544, 81171209)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › 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
- apolipoprotein E, Alzheimer's disease, late-onset Alzheimer's disease, genetic risk factors, amyloid-beta, gene therapy, APOE genotyping, treatment options
- MeSH terms
- Alzheimer Disease, Apolipoproteins E, Brain, Genotype, Humans, Models, Biological, Signal Transduction, Amyloid beta-Peptides, tau Proteins, Genetic Predisposition to Disease, Molecular Targeted Therapy
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