The Role of Lipids and Membranes in the Pathogenesis of Alzheimer's Disease: A Comprehensive View
Abstract
Lipids participate in Amyloid Precursor Protein (APP) trafficking and processing - important factors in the initiation of Alzheimer’s disease (AD) pathogenesis and influence the formation of neurotoxic β-amyloid (Aβ) peptides. An important risk factor, the presence of ApoE4 protein in AD brain cells binds the lipids to AD. In addition, lipid signaling pathways have a crucial role in the cellular homeostasis and depend on specific protein-lipid interactions. The current review focuses on pathological alterations of membrane lipids (cholesterol, glycerophospholipids, sphingolipids) and lipid metabolism in AD and provides insight in the current understanding of biological membranes, their lipid structures and functions, as well as their role as potential therapeutic targets. Novel methods for studying the membrane structure and lipid composition will be reviewed in a broad sense whereas the use of lipid biomarkers for early diagnosis of AD will be shortly summarized. Interactions of Aβ peptides with the cell membrane and different subcellular organelles are reviewed. Next, the details of the most important lipid signaling pathways, including the role of the plasma membrane as stress sensor and its therapeutic applications are given. 4-hydroxy-2-nonenal may play a special role in the initiation of the pathogenesis of AD and thus the “calpain-cathepsin hypothesis” of AD is highlighted. Finally, the most important lipid dietary factors and their possible use and efficacy in the prevention of AD are discussed.
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Genetic association studies of late-onset AD identified risk factors such as APOE that modulate Aβ processing, trafficking, and clearance.
“Subsequent genetic association studies of LOAD bolstered this framework, identifying risk factors such as APOE that modulate Aβ processing, trafficking, and clearance [19, 20, 30].”
From Systems-based proteomics to resolve the biology of Alzheimer’s disease beyond amyloid and tau (2021) · cites this paper as [30]
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Mesa-Herrera, F., Taoro‐González, L., Valdés‐Baizabal, C., Díaz, M. L., & Marín, R. (2019) · International Journal of Molecular Sciences · doi:10.3390/ijms20153810 · Cited by 182 · see citing works
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Deák, F., Anderson, R. E., Fessler, J. L., & Sherry, D. M. (2019) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2019.00428 · Cited by 110 · see citing works
Kovács, Z., D’Agostino, D. P., Diamond, D. M., Kindy, M. S., Rogers, C. Q., & Ari, C. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00363 · Cited by 84 · see citing works
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Martemucci, G., Fracchiolla, G., Muraglia, M., Tardugno, R., Dibenedetto, R. S., & D‘Alessandro, A. G. (2023) · Antioxidants · doi:10.3390/antiox12122091 · Cited by 81 · see citing works
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Ahmed, H., Wang, Y., Griffiths, W. J., Levey, A. I., Pikuleva, I. A., Liang, S. H., & Haider, A. (2024) · Brain · doi:10.1093/brain/awae028 · Cited by 57 · see citing works
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Huang, J., Wang, X., Xie, L., Wu, M., Zhao, W., Zhang, Y., Wang, Q., Yao, L., & Li, W. (2020) · Journal of Ethnopharmacology · doi:10.1016/j.jep.2020.112673 · Cited by 37 · see citing works
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Alvira-Iraizoz, F., Gillard, B. T., Lin, P., et al. (2021) · Communications Biology · doi:10.1038/s42003-021-02327-3 · Cited by 27 · see citing works
Rodriguez-Berdini, L., & Caputto, B. L. (2019) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2019.00198 · Cited by 26 · see citing works
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Yamashima, T. (2024) · Nutrients · doi:10.3390/nu16234171 · Cited by 23 · see citing works
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Liu, H., Reynolds, G. P., & Wei, X. (2019) · Journal of Alzheimer s Disease · doi:10.3233/jad-191111 · Cited by 15 · see citing works
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Sarrafpour, S., Ormseth, C. H., Chiang, A. J., et al. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16111995 · Cited by 15 · see citing works
Ahyayauch, H., Masserini, M., Goñi, F. M., & Alonso, A. (2020) · International Journal of Biological Macromolecules · doi:10.1016/j.ijbiomac.2020.11.112 · Cited by 15 · see citing works
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Ahyayauch, H., de la Arada, I., Masserini, M., Arrondo, J. L. R., Goñi, F. M., & Alonso, A. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21051674 · Cited by 14 · see citing works
Cuenca‐Bermejo, L., Prinetti, A., Kublickiene, K. R., Raparelli, V., Kautzky‐Willer, A., Norris, C. M., Pilote, L., & Herrero, M. T. (2023) · Journal of Neurochemistry · doi:10.1111/jnc.15834 · Cited by 13 · see citing works
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Juárez‐Cedillo, T., Fernado, C., Martínez‐Rodríguez, N., Vargas‐Alarcón, G., Alberto, C.-R., & Robles-Ramírez, R. J. (2020) · Metabolic Brain Disease · doi:10.1007/s11011-020-00577-4 · Cited by 11 · see citing works
“The known biological function of apolipoprotein E (apoE) is in cholesterol metabolism and provided one of the first strong indications that lipid metabolism might be integrally involved in dementia (Penke et al. 2018; Kazi and Farmer 2005; Khorram Khorshid et al, 2011).”
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BackgroundSiniscalco, D., Francius, G., Tarek, M., Bali, S. K., Laprévôte, O., Malaplate, C., Oster, T., Gregory, L., & Quilès, F. (2023) · ACS Applied Materials & Interfaces · doi:10.1021/acsami.2c22196 · Cited by 7 · see citing works
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Sanderson, J. M. (2020) · BioEssays · doi:10.1002/bies.201900147 · Cited by 7 · see citing works
Lizcano, F., Sanabria, D., & Aviles, E. (2025) · Frontiers in Molecular Biosciences · doi:10.3389/fmolb.2025.1622186 · Cited by 8 · see citing works
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Wang, H., Chen, M., Chen, W., Zhang, J., & Qin, S. (2021) · Psychogeriatrics · doi:10.1111/psyg.12685 · Cited by 6 · see citing works
Lakhman, О. L., Salagai, O. O., Katamanova, E. V., et al. (2021) · Russian Journal of Occupational Health and Industrial Ecology · doi:10.31089/1026-9428-2021-61-12-781-786 · Cited by 5 · see citing works
Solomon, V. A., Hafez, M., Xian, H., Harrington, M. G., Fonteh, A. N., & Yassine, H. N. (2022) · Journal of Alzheimer s Disease · doi:10.3233/jad-215643 · Cited by 5 · see citing works
“This process is influenced by slight variations in membrane lipid composition, and can predispose to AD pathology [43].”
The co-effect of copper and lipid vesicles on Aβ aggregation
Zhu, X., Liu, W., Zhao, W., Chang, Z., & Yang, J. (2022) · Biochimica et Biophysica Acta (BBA) - Biomembranes · doi:10.1016/j.bbamem.2022.184082 · Cited by 5 · see citing works
Kawatsuki, A., Morita, S., Watanabe, N., Hibino, E., Mitsuishi, Y., Sugi, T., Murayama, S., & Nishimura, M. (2019) · Biochemistry and Biophysics Reports · doi:10.1016/j.bbrep.2019.100704 · Cited by 3 · see citing works
“Previous studies have indicated that AD brains have a significant decrease in PE [4,26–29], PC [29], and PI [4,27] compared with control brains.”
Backgroundden Hoedt, S., Crivelli, S. M., Dorst‐Lagerwerf, K. Y., Leijten, F. P. J., Losen, M. H., de Vries, H. E., Sijbrands, E. J. G., Verhoeven, A. J. M., Martínez‐Martínez, P., & Mulder, M. T. (2024) · Journal of Neurochemistry · doi:10.1111/jnc.16176 · Cited by 2 · see citing works
“Accumulating evidence points at associations between APOE4 and dysregulated lipid homeostasis and transport (Blanchard et al., 2022; Penke et al., 2018; Tcw et al., 2022).”
Petersen, M. E., Gross, T. J., O’Bryant, S. E., & Mapstone, M. E. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-818845-3.00018-9 · Cited by 2 · see citing works
Bin, Y., Zhu, Q., Li, M., & Xia, J. (2019) · IEEE Access · doi:10.1109/access.2019.2935515 · Cited by 2 · see citing works
“our understanding of AD development and progression, which could potentially serve as disease biomarkers and prognostic indicators for AD therapies [38], [39].”
BackgroundStructure of POPC lipid bilayers in OPLS3e force fieldPreprint
Lindström, M., Poso, A., Bartos, P., et al. (2022) · ChemRxiv · doi:10.26434/chemrxiv-2022-m89bg · Cited by 2 · see citing works
Yu, Y., Deng, J., Yang, X., Wu, J., Yu, R., & Guo, C. (2025) · Brain and Behavior · doi:10.1002/brb3.70352 · Cited by 1 · see citing works
“…have been reported to be involved in the transport and processing of β -amyloid precursor protein (APP) and to influence the synthesis of β -amyloid (Penke et al. 2018). β -Amyloid is a neurotoxic one-way transmembrane protein, and its aberrant accumulation in the brain is considered to be a…”
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Advancing age, nutraceuticals, and neuroprotection
Woźniak, L. A. (2024) · Elsevier eBooks · doi:10.1016/b978-0-323-95735-9.00001-2
Development and Application of Brain Tissue Based Multi-omics Profile Scores for Alzheimer's DiseasePreprint
Tug, T., Liang, D., Teschke, S., Tan, Y., Gearing, M., Levey, A. I., Lah, J. J., Wingo, A. P., Wingo, T. S., Lau, M., et al. (2026) · Research Square · doi:10.21203/rs.3.rs-9438710/v1
“Studies have shown that an imbalance in fatty acid metabolism, including alpha-linolenic acid, is linked to neurodegenerative diseases such as AD [64, 65].”
Indolicidin Interactions with Bacterial Membranes: Sequence and Secondary-Structure Effects
Khavani, M., Mehranfar, A., Yerima, G., & Mofrad, M. R. K. (2026) · Cellular and Molecular Bioengineering · doi:10.1007/s12195-026-00940-y
- Authors
- Penke, B., Paragi, G., Gera, J., Berkecz, R., Kovács, Z., Crul, T., & VÍgh, L.
- Affiliations
- University of Szeged (HU)
- Eötvös Loránd University (HU)
- HUN-REN Szegedi Biológiai Kutatóközpont (HU)
- Institute of Biochemistry, Biological Research Centre, Hungarian Academy of Sciences, Temesvari krt. 62, H-6726 Szeged, Hungary
- Corresponding author
- Penke, Botond
- Venue
- Current Alzheimer Research
- Publisher
- Bentham Science Publishers Ltd.
- Published
- 2018-10-29
- Volume
- 15
- Issue
- 13
- Pages
- 1191-1212
- ISSN
- 1567-2050 (ISSN-L)
- OpenAlex
- W2891525057
- Cited by
- 55
- References
- 0
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 6 · 2023: 6 · 2022: 6 · 2021: 8 · 2020: 12 · 2019: 11
- FWCI
- 5.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Alzheimer Research (publishedVersion)
- PubMed (publishedVersion)
- SZTE Publicatio Repozitórium (University of Szeged) (acceptedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Lipid Membrane Structure and Behavior
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- Alzheimer's disease pathogenesis, membrane lipids, APP processing, amyloid-beta, APOE ε4, cholesterol, glycerophospholipids, sphingolipids, lipid metabolism, membrane structure, lipid biomarkers, early diagnosis, 4-hydroxynonenal, dietary fat, Alzheimer's disease prevention
- MeSH terms
- Alzheimer Disease, Animals, Cell Membrane, Humans, Lipids, Lipid Metabolism
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