Possible Link between Lipid Metabolism and Cerebral Amyloid Angiopathy in Alzheimer’s Disease: A Role for High-Density Lipoproteins?
Abstract
Although apolipoprotein E4 (ApoE4) is a well-established risk factor for the development of Alzheimer's disease (AD), it is unclear how ApoE affects the progression of the disease. beta-amyloid (Abeta) is a major constituent of cerebrovascular amyloid deposits in brains of subjects with Alzheimer's disease. In cerebrospinal fluid and in plasma, Abeta is normally present in association with high density lipoproteins (HDL). These lipoproteins may play a role in the removal of excess cholesterol from the brain through interaction with ApoE and heparan sulphate proteoglycans (HSPG) in the subendothelial space of cerebral microvessels. At the same time, HDL may have a role in maintaining Abeta soluble and in mediating its clearance. Therefore, similar factors, e.g. HDL, ApoE and HSPG, may be involved in the regulation of reverse cholesterol transport in the brain and in the processing of Abeta. Alterations in the process of cholesterol secretion from the brain may contribute to the deposition of Abeta in the vascular wall.
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Innate immune function and brain cholesterol metabolism have a role in Alzheimer's disease.
“Ample evidence suggests a role for innate immune function and brain cholesterol metabolism in Alzheimer's disease (AD) (Mulder and Terwel, 1998;Heneka and O'Banion, 2007).”
From Critical Role of Astroglial Apolipoprotein E and Liver X Receptor-α Expression for Microglial Aβ Phagocytosis (2011) · cites this paper as Mulder and Terwel, 1998
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Han, X. (2005) · Current Alzheimer Research · doi:10.2174/1567205052772786 · Cited by 183 · see citing works
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Self-citationMulder, M., Blokland, A., van den Berg, D.-J., Schulten, H., Bakker, A. H. F., Terwel, D., Honig, W., de Kloet, E. R., Havekes, L. M., Steinbusch, H. W. M., et al. (2001) · Laboratory Investigation · doi:10.1038/labinvest.3780307 · Cited by 74 · see citing works
Self-citationDifferential effects of apoE4 and activation of ABCA1 on brain and plasma lipoproteins
Boehm-Cagan, A., Bar, R., Harats, D., Shaish, A., Levkovitz, H., Bielicki, J. K., Johansson, J. O., & Michaelson, D. M. (2016) · PLOS ONE · doi:10.1371/journal.pone.0166195 · Cited by 29 · see citing works
- Authors
- Mulder, M., & Terwel, D.
- Affiliations
- Maastricht University (NL)
- Corresponding author
- Terwel, D.
- ORCID
- Venue
- Pathophysiology of Haemostasis and Thrombosis
- Publisher
- S. Karger AG
- Published
- 1998
- Volume
- 28
- Issue
- 3-4
- Pages
- 174-194
- ISSN
- 1424-8832 (ISSN-L)
- 1424-8840
- OpenAlex
- W2093997793
- Cited by
- 40
- References
- 11
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2021: 4 · 2020: 2 · 2019: 2 · 2017: 2 · 2016: 1 · 2015: 1 · 2012: 1
- FWCI
- 0.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pathophysiology of Haemostasis and Thrombosis (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Surgery › Cholesterol and Lipid Metabolism
- Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
- Keywords
- Alzheimer's disease, cerebral amyloid angiopathy, high-density lipoprotein, APOE ε4, amyloid-beta, heparan sulfate proteoglycans, reverse cholesterol transport, cholesterol secretion, amyloid-beta clearance, lipid metabolism, cerebral microvasculature
- MeSH terms
- Alzheimer Disease, Apolipoproteins E, Biological Transport, Cholesterol, Humans, Lipoproteins, HDL, Amyloid beta-Peptides, Cerebral Amyloid Angiopathy, Heparan Sulfate Proteoglycans, Apolipoprotein E4
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