Synthesis of human amyloid restricted to liver results in an Alzheimer disease–like neurodegenerative phenotype
Open accessAbstract
Several lines of study suggest that peripheral metabolism of amyloid beta (Aß) is associated with risk for Alzheimer disease (AD). In blood, greater than 90% of Aß is complexed as an apolipoprotein, raising the possibility of a lipoprotein-mediated axis for AD risk. In this study, we report that genetic modification of C57BL/6J mice engineered to synthesise human Aß only in liver (hepatocyte-specific human amyloid (HSHA) strain) has marked neurodegeneration concomitant with capillary dysfunction, parenchymal extravasation of lipoprotein-Aß, and neurovascular inflammation. Moreover, the HSHA mice showed impaired performance in the passive avoidance test, suggesting impairment in hippocampal-dependent learning. Transmission electron microscopy shows marked neurovascular disruption in HSHA mice. This study provides causal evidence of a lipoprotein-Aß /capillary axis for onset and progression of a neurodegenerative process.
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Evidence has pointed to the liver as a target organ in Alzheimer's due to its role in regulating metabolism and supporting the immune system.
“Evidence has pointed to the liver as a target organ in Alzheimer’s due to its role in regulating metabolism and supporting the immune system [54–56]”
From Age, sex and Alzheimer’s disease: a longitudinal study of 3xTg-AD mice reveals sex-specific disease trajectories and inflammatory responses mirrored in postmortem brains from Alzheimer’s patients (2024) · cites this paper as [54]
The Discussion links liver-derived amyloid and its peripheral metabolism to neurovascular damage relevant to Alzheimer’s disease. It does not identify the liver’s role in supporting the immune system as a reason to target it; the inflammation discussed is neurovascular inflammation. (LLM, conf=0.84)
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- Authors
- Lam, V., Takechi, R., Hackett, M. J., Francis, R., Bynevelt, M., Celliers, L. M., Nesbit, M., Mamsa, S., Arfuso, F., Das, S., Koentgen, F., Hagan, M., Codd, L., Richardson, K., O’Mara, B., Scharli, R. K., Morandeau, L., Gauntlett, J., Leatherday, C., Boucek, J., & Mamo, J. C. L.
- Affiliations
- Curtin University (AU)
- The University of Western Australia (AU)
- Sir Charles Gairdner Hospital (AU)
- Fiona Stanley Hospital (AU)
- East Metropolitan Health Service (AU)
- Corresponding author
- Mamo, John C. L.
- ORCID
- Venue
- PLOS Biology
- Publisher
- Public Library of Science (PLoS)
- Published
- 2021-09-14
- Volume
- 19
- Issue
- 9
- Pages
- e3001358
- ISSN
- 1544-9173 (ISSN-L)
- 1545-7885
- PMC
- PMC8439475
- OpenAlex
- W3199655522
- Cited by
- 80
- References
- 8
- Citations by year
- 2026: 10 · 2025: 11 · 2024: 21 · 2023: 14 · 2022: 21 · 2021: 3
- FWCI
- 10.40
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS Biology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Health and Medical Research Council (GNT1135590, GNT1064567, GNT1156582)
- Department of Health, Government of Western Australia
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Keywords
- Alzheimer's disease, amyloid-beta, neurovascular dysfunction, capillary dysfunction, neurovascular inflammation, hippocampus-dependent learning, passive avoidance, neurodegeneration, mouse model
- MeSH terms
- Alzheimer Disease, Animals, Blood-Brain Barrier, Brain, Capillaries, Disease Models, Animal, Humans, Inflammation, Learning, Lipoproteins, Male, Mice, Transgenic, Nerve Degeneration, Amyloid beta-Peptides, Hepatocytes
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